Post traumatic stress disorder: undiagnosed cases in a tertiary inpatient setting.
OBJECTIVE
Post traumatic stress disorder (PTSD) is a common, debilitating anxiety disorder characterized by emotional and physical symptoms that may occur after exposure to a severely traumatic event. Since it occurs commonly as a comorbid diagnosis with other mood- and anxiety disorders, we postulated that this disorder may be under- diagnosed in therapeutic wards where anxiety and mood disorders are treated. The study thus sought to determine the prevalence of undiagnosed PTSD in an inpatient population, and to compare the demographic details and comorbid diagnoses of subjects with and without PTSD.


METHODS
The Clinician-administered PTSD Scale for DSM-IV (CAPS) was administered to 40 subjects who were inpatients in a therapeutic ward of a large psychiatric hospital and who had never had a diagnosis of PTSD before.


RESULTS
16 (40%) subjects met the DSM-IV criteria for PTSD. We did not find significant clinical differentiating factors between subjects with and without PTSD; however subjects with PTSD were more likely to use cannabis.


CONCLUSIONS
PTSD remains undiagnosed in many patients admitted to therapeutic units.
van Zyl
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M
Department of Psychiatry, Faculty of Health Sciences, University of Stellenbosch, Stellenbosch, South Africa.
Oosthuizen
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PP
Seedat
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D001008:Anxiety Disorders / Q000453:epidemiology; D015897:Comorbidity; D039721:Diagnostic and Statistical Manual of Mental Disorders; D006801:Humans; D007297:Inpatients; D013313:Stress Disorders, Post-Traumatic / Q000523:psychology