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A SMALL MINORITY OF THE EXPOSED DEVELOP PTSD

PTSD Requires Exposure To A Specific Kind Of Event

The Manual Counts Four Separate Ways To Be Exposed

Being The Person In Danger Is Only One Of Them

Learning A Close Friend Died Violently Counts As Well

Repeated Work Exposure To Aversive Details Counts Too

The American Psychiatric Association Set That In 2013

Meeting That Requirement Is Not The Same As Developing PTSD

This Part Covers Who Qualifies And Who Actually Develops It

THIS NEWSLETTER IS FOR INFORMATIONAL PURPOSES ONLY. NOTHING IN THIS CONTENT CONSTITUTES MEDICAL, PSYCHOLOGICAL, OR PROFESSIONAL ADVICE. ALWAYS CONSULT A QUALIFIED HEALTHCARE PROFESSIONAL BEFORE MAKING ANY HEALTH RELATED DECISIONS.

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WHAT THE CRITERION ACTUALLY REQUIRES 📖

The American Psychiatric Association Sets The PTSD Criteria

Criterion A Defines The Exposure That Must Have Happened

That Criterion Requires Actual Or Threatened Death

It Also Requires Serious Injury Or Sexual Violence

Exposure Counts In One Or More Of Four Ways

Directly Experiencing The Traumatic Event Is The First Way

Witnessing The Event In Person Is The Second

Learning It Happened To A Close Family Member Is The Third

The Same Wording Includes A Close Friend

A Learned Death Must Have Been Violent Or Accidental

The Fourth Way Is Repeated Or Extreme Exposure

Aversive Details Of The Event Are What Repeats

The Manual Names First Responders Collecting Human Remains

It Names Police Officers Repeatedly Exposed To Child Abuse

A Police Officer Need Not Have Been At The Scene

The Fourth Way Applies In The Course Of Work

A Note Excludes Exposure Through Television Or Movies

That Exclusion Does Not Apply To Work Exposure

The 2013 Revision Produced That Wording

A 2022 Update Made No Change To The Adult Criteria

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THE EVENT TYPES AND THEIR RISK 🎯

Researchers Asked About 29 Lifetime Traumas

The World Mental Health Surveys Ran In 24 Countries

Those Surveys Covered 68,894 Respondents

PTSD Was Assessed Twice For Every Respondent

The Paper Sorts Traumas Into Named Categories

One Category Is War Related Trauma

Physical Violence Is Another

The Third Category Is Intimate Partner Or Sexual Violence

A Fourth Category Covers Accidents

Unexpected Death And Witnessed Events Have Their Own

Exposure Frequency And Conditional Risk Are Different Measures

3.1 Percent Of Respondents Reported A History Of Combat

Table 3 Reports PTSD Risk Given Trauma Exposure

19.0 Percent Of Rape Reports Resulted In PTSD

3.6 Percent Of Combat Experiences Resulted In PTSD

Sexual Assault Other Than Rape Reached 10.5 Percent

Being Kidnapped Reached 11.0 Percent

11.7 Percent Followed Physical Abuse By A Romantic Partner

Rape And Sexual Assault Both Ranked Above Combat There

Unexpected Death Of A Loved One Produced The Most Cases Overall

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WHY TWO PEOPLE DIVERGE AFTER ONE EVENT 🛡️

Two People Can Report The Same Event And Differ

The World Mental Health Paper Says A Small Minority Develops PTSD

Risk Factors Explain Part Of That Difference

Brewin And Colleagues Pooled 14 Separate Risk Factors

Their Meta Analysis Appeared In 2000

Gender And Age At Trauma Predicted PTSD In Some Populations

Previous Trauma And Childhood Adversity Were More Consistent

Reported Childhood Abuse Had A More Uniform Effect

Family Psychiatric History Had A Uniform Effect Too

Each Individual Risk Factor Had A Modest Effect Size

Factors During Or After The Event Had Somewhat Stronger Effects

Lack Of Social Support Belongs To That Stronger Group

Trauma Severity And Added Life Stress Belong There Too

Support After An Event Depends On Other People

Part Of The Outcome Is Not Under The Person's Control

Ozer And Colleagues Later Reviewed 2,647 PTSD Studies

68 Studies Met Their Criteria For The Meta Analysis

They Tested 7 Predictors Of PTSD Or Its Symptoms

Dissociation During The Event Gave The Largest Effect

Prior Trauma And Prior Adjustment Gave The Smallest

What Happened During The Event Predicted PTSD Best

The End

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