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






