Health-related quality of life in posttraumatic stress disorder: 4 years follow-up study of individuals exposed to urban violence.

Evidence suggests that Posttraumatic Stress Disorder (PTSD) is associated with substantially reduced Health-related quality of life (HRQoL). This study aimed to explore the impact of PTSD symptoms in HRQoL and its predictors in individuals exposed to urban violence. We follow-up a cohort of 267 individuals exposed to urban violence, derived from an epidemiological survey and clinical cases from an outpatient program of victims of violence, with and without PTSD, by assessing symptoms and other measures at two intervals, approximately 4 years apart. PTSD symptom severity was associated with poorer quality of life at baseline and at follow-up. Higher levels of depression and anxiety, new trauma experiences, more traumas in childhood and more PTSD arousal symptoms were all predictors of lower HRQoL over time. Results strongly suggest the need to assess HRQoL in addition to symptoms in order to assess the true severity of PTSD. These results have implications for the functional recovery in the treatment of PTSD.

Transtornos de estresse agudo e pós-traumático / Acute and Post-traumatic Stress Disorder / Transtornos de estrés agudo y postraumático

Os transtornos de estresse agudo e de estresse pós-traumático são duas condições específicas causadas pela violência. São quadros graves, com repercussões biológicas, psicológicas e sociais profundas. Foi criado programa para atender e estudar a violência (Prove), em 2004. A partir de maio de 2009, houve mudança do atendimento que passou a ser multidisciplinar. Foram realizados 1.445 atendimentos dessa data até novembro de 2009 e incluídos 76 novos pacientes adultos e 27 crianças. Os eventos traumáticos mais frequentes foram assalto e sequestro (adultos) e assassinato de um familiar e abuso sexual (crianças). O sistema multidisciplinar é efetivo e apresenta alta adesão (87 por cento/6 meses).(AU)

Acute and post-traumatic stress disorders are two conditions caused specifically by violence. These are severe disorders, with deep biological, psychological and social effects. The Program to assist in and study violence (PROVE) was created in 2004. As of May 2009 the assistance changed to a multidisciplinary approach. A total 1,445 cases were seen between that date and November 2009, and new patients were included, 76 adults and 27 children. The most common traumatic events were hold-ups and kidnapping (adults) and murder of a relative and sexual abuse (children). The multidisciplinary system is effective with high adherence (87 percent/6 months).(AU)

Los transtornos de estrés agudo y de estrés postraumático son dos condiciones específicas causadas por la violencia. Son cuadros graves, con repercusiones biológicas, psicológicas y sociales profundas. Se creó un programa para atender y estudiar la violencia (PROVE) en 2004. A partir de mayo de 2009 hubieron cambios en la atención, que pasó a ser multidisciplinaria. Se realizaron 1.445 atenciones desde tal fecha hasta noviembre de 2009 y se incluyeron 76 nuevos pacientes adultos y 27 niños. Los eventos traumáticos más frecuentes fueron asalto y secuestro (adultos) y asesinato de un familiar y abuso sexual (niños). El sistema multidisciplinario es efectivo y de alta adhesión (87 por ciento/6 meses).(AU)

Transtornos de estresse agudo e pós-traumático / Acute and post-traumatic stress disorder / Transtornos de estrés agudo y postraumático

Os transtornos de estresse agudo e de estresse pós-traumático são duas condições específicas causadas pela violência. São quadros graves, com repercussões biológicas, psicológicas e sociais profundas. Foi criado programa para atender e estudar a violência (Prove), em 2004. A partir de maio de 2009, houve mudança do atendimento que passou a ser multidisciplinar. Foram realizados 1.445 atendimentos dessa data até novembro de 2009 e incluídos 76 novos pacientes adultos e 27 crianças. Os eventos traumáticos mais frequentes foram assalto e sequestro (adultos) e assassinato de um familiar e abuso sexual (crianças). O sistema multidisciplinar é efetivo e apresenta alta adesão (87 por cento/6 meses).

Acute and post-traumatic stress disorders are two conditions caused specifically by violence. These are severe disorders, with deep biological, psychological and social effects. The Program to assist in and study violence (PROVE) was created in 2004. As of May 2009 the assistance changed to a multidisciplinary approach. A total 1,445 cases were seen between that date and November 2009, and new patients were included, 76 adults and 27 children. The most common traumatic events were hold-ups and kidnapping (adults) and murder of a relative and sexual abuse (children). The multidisciplinary system is effective with high adherence (87 percent/6 months).

Los transtornos de estrés agudo y de estrés postraumático son dos condiciones específicas causadas por la violencia. Son cuadros graves, con repercusiones biológicas, psicológicas y sociales profundas. Se creó un programa para atender y estudiar la violencia (PROVE) en 2004. A partir de mayo de 2009 hubieron cambios en la atención, que pasó a ser multidisciplinaria. Se realizaron 1.445 atenciones desde tal fecha hasta noviembre de 2009 y se incluyeron 76 nuevos pacientes adultos y 27 niños. Los eventos traumáticos más frecuentes fueron asalto y secuestro (adultos) y asesinato de un familiar y abuso sexual (niños). El sistema multidisciplinario es efectivo y de alta adhesión (87 por ciento/6 meses).