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The Effect of Resilience on Posttraumatic Stress Disorder in Trauma-Exposed Inner-City Primary Care Patients
Journal article   Open access   Peer reviewed

The Effect of Resilience on Posttraumatic Stress Disorder in Trauma-Exposed Inner-City Primary Care Patients

Glenda L. Wrenn, Aliza P. Wingo, Renee Moore, Tiffany Pelletier, Alisa R. Gutman, Bekh Bradley and Kerry J. Ressler
Journal of the National Medical Association, v 103(7), pp 560-566
01 Jul 2011
DOI: https://doi.org/10.1016/S0027-9684(15)30381-3
PMID: 21999030
Featured in Collection :   UN Sustainable Development Goals @ Drexel
url
https://europepmc.org/articles/pmc3691279?pdf=renderView
Accepted (AM)Open Access (License Unspecified),  Open

Abstract

psychiatry,urban population
Posttraumatic stress disorder (PTSD) has previously been associated with increased risk for a variety of chronic medical conditions and it is often underdiagnosed in minority civilian populations. The current study examined the effects of resilience on the likelihood of having a diagnosis of PTSD in an inner-city sample of primary care patients (n = 767). We measured resilience with the Connor-Davidson Resilience Scale, trauma with the Childhood Trauma Questionnaire and Trauma Events Inventory, and assessed for PTSD with the modified PTSD symptom scale. Multiple logistic regression model with presence/absence of PTSD as the outcome yielded 3 significant factors: childhood abuse, nonchild abuse trauma, and resilience. One type of childhood abuse in moderate to severe range (OR, 2.01; p = .0001), 2 or more types of childhood abuse in moderate to severe range (OR, 4.00; p < .0001), and 2 or more types of nonchildhood abuse trauma exposure (OR, 3.33; p < .0001), were significantly associated with an increased likelihood of PTSD, while resilience was robustly and significantly associated with a decreased likelihood of PTSD (OR, 0.93; p < .0001). By understanding the role of resilience in recovery from adverse experiences, improved treatment and interventional methods may be developed. Furthermore, these results suggest a role for assessing resilience in highly traumatized primary care populations as a way to better characterize risk for PTSD and direct screening/psychiatric referral efforts.

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82 citations in Web of Science
87 citations in Scopus

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UN Sustainable Development Goals (SDGs)

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#3 Good Health and Well-Being
#5 Gender Equality

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Collaboration types
Domestic collaboration
Web of Science research areas
Psychiatry
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