title: Functional impairment and utilization of services associated with posttraumatic stress in the community.
abstract: This study describes social functioning and service utilization patterns associated with posttraumatic stress symptoms relative to nonpsychiatric controls and depressive disorder controls in a cross-sectional epidemiological survey. Data from 49 cases and 147 controls who participated in the North Carolina component of the Epidemiologic Catchment Area study were examined. Results indicate that symptoms of posttraumatic stress were associated with impairment along several domains of functioning: social, financial, physical, and psychological. Individuals with posttraumatic stress were found to have more socioeconomic disadvantages and impaired functioning. Despite this, individuals with posttraumatic stress are receiving relatively few mental health services. Further research assessing service use, treatment, and functional outcomes are indicated.
authors.affiliation: Department of Psychiatry and Behavioral Sciences, Duke University Medical Center, Durham, North Carolina 27707, USA. laj@acpub.duke.edu
authors.forename: L
authors.initials: L
authors.lastname: Amaya-Jackson
authors.forename: J R
authors.initials: JR
authors.lastname: Davidson
authors.forename: D C
authors.initials: DC
authors.lastname: Hughes
authors.forename: M
authors.initials: M
authors.lastname: Swartz
authors.forename: V
authors.initials: V
authors.lastname: Reynolds
authors.forename: L K
authors.initials: LK
authors.lastname: George
authors.forename: D G
authors.initials: DG
authors.lastname: Blazer
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D002391:Catchment Area, Health; D003156:Community Mental Health Services / Q000706:statistics & numerical data*; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011596:Psychomotor Disorders / Q000209:etiology*; D012944:Social Support; D013313:Stress Disorders, Post-Traumatic / Q000453:epidemiology / Q000523:psychology / Q000628:therapy