Glenda Wrenn|Aliza P. Wingo|Reneé H. Moore|Tiffany Pelletier|Alisa R. Gutman|Bekh Bradley|Kerry J. Ressler
The Effect of Resilience on Posttraumatic Stress Disorder in Trauma-Exposed Inner-City Primary Care Patients
University of Pennsylvania|Robert Wood Johnson Foundation|Emory University|University of Pennsylvania|Emory University|University of Pennsylvania|Emory University|United States Department of Veterans Affairs|Howard Hughes Medical Institute
posttraumatic stress disorder ptsd previously associated increased risk variety chronic medical conditions often underdiagnosed minority civilian populations current study examined effects resilience likelihood diagnosis ptsd innercity sample primary care patients n767 measured resilience connordavidson resilience scale trauma childhood trauma questionnaire trauma events inventory assessed ptsd modified ptsd symptom scale multiple logistic regression model presenceabsence ptsd outcome yielded 3 significant factors childhood abuse nonchild abuse trauma resilience one type childhood abuse moderate severe range 201 p 0001 2 types childhood abuse moderate severe range 400 p 0001 2 types nonchildhood abuse trauma exposure 333 p 0001 significantly associated increased likelihood ptsd resilience robustly significantly associated decreased likelihood ptsd 093 p 0001 understanding role resilience recovery adverse experiences improved treatment interventional methods may developed furthermore results suggest role assessing resilience highly traumatized primary care populations way better characterize risk ptsd direct screeningpsychiatric referral efforts