Abstract
It has been suggested that the treatment strategy needs to be reviewed and changed if depression occurs in patients with posttraumatic
stress disorder (PTSD). We analyzed data extracted from the Marmara Epidemiological Survey (MES) which had examined 683 survivors
at 3 years after a devastating earthquake. Fifty three cases (40.5%) out of the 131 cases with PTSD had also been diagnosed
with MDD. Comorbid PTSD and MDD group has significantly lower rates of recovery from PTSD in comparison to PTSD without MDD
(26.4% vs. 47.4% respectively). Rates of past psychiatric disorder and past traumatic experience were significantly more frequent
among the comorbid group. Moreover, comorbidity of PTSD and MDD was clearly associated with greater psychological distress,
more severe PTSD, and diminished perceived social support. Past psychiatric disorder, General Health Questionnaire (GHQ-12)
and Multidimensional Scale of Perceived Social Scale (MSPSS) total scores succeeded in predicting the comorbidity of PTSD
and MDD significantly.
stress disorder (PTSD). We analyzed data extracted from the Marmara Epidemiological Survey (MES) which had examined 683 survivors
at 3 years after a devastating earthquake. Fifty three cases (40.5%) out of the 131 cases with PTSD had also been diagnosed
with MDD. Comorbid PTSD and MDD group has significantly lower rates of recovery from PTSD in comparison to PTSD without MDD
(26.4% vs. 47.4% respectively). Rates of past psychiatric disorder and past traumatic experience were significantly more frequent
among the comorbid group. Moreover, comorbidity of PTSD and MDD was clearly associated with greater psychological distress,
more severe PTSD, and diminished perceived social support. Past psychiatric disorder, General Health Questionnaire (GHQ-12)
and Multidimensional Scale of Perceived Social Scale (MSPSS) total scores succeeded in predicting the comorbidity of PTSD
and MDD significantly.
- Content Type Journal Article
- DOI 10.1007/s10597-010-9359-4
- Authors
- Ümit Tural, Department of Psychiatry, Medical Faculty of Kocaeli University, 41380 Umuttepe, Kocaeli Turkey
- Emin Önder, Department of Psychiatry, Medical Faculty of Kocaeli University, 41380 Umuttepe, Kocaeli Turkey
- Tamer Aker, Department of Psychiatry, Medical Faculty of Kocaeli University, 41380 Umuttepe, Kocaeli Turkey
- Journal Community Mental Health Journal
- Online ISSN 1573-2789
- Print ISSN 0010-3853