Veterans' disclosure of trauma to healthcare providers.
OBJECTIVE
The purpose of this study is to gain a better understanding of patients' trauma disclosure to health professionals.


METHODS
A convenience sample of 173 veterans in outpatient treatment for posttraumatic stress disorder (PTSD) in the Veterans Health Administration completed surveys querying trauma history, reasons for trauma disclosure and perceived provider responses.


RESULTS
For half of the participants, a healthcare provider was the first person to whom they disclosed. Reasons were primarily external, such as pressure from others. Although 72% were glad to disclose, 45% perceived at least one negative provider response.


CONCLUSIONS
Patients disclose to a wide range of provider types and perceive varied responses. Providers' awareness of the need to be sensitive to trauma disclosure could facilitate treatment for PTSD.
Leibowitz
Ruth Q
RQ
Research and Development Service, Portland VA Medical Center, Portland, OR 97239, USA. Dr.Leibq@hotmail.com
Jeffreys
Matthew D
MD
Copeland
Laurel A
LA
Noël
Polly H
PH
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003430:Cross-Sectional Studies; D005260:Female; D006282:Health Personnel; D006801:Humans; D008297:Male; D008875:Middle Aged; D012650:Self Disclosure; D013313:Stress Disorders, Post-Traumatic; D014481:United States / Q000453:epidemiology; D014728:Veterans; D014947:Wounds and Injuries / Q000145:classification / Q000453:epidemiology