Journal of Traumatic Stress

, Volume 3, Issue 3, pp 459–475 | Cite as

Traumatic experiences in psychiatric outpatients

  • Jonathan Davidson
  • Rebecca Smith


Fifty-four newly referred psychiatric outpatients were interviewed and a life history of severe traumatic experiences was taken. Forty-four gave a positive history, 17 of whom developed symptoms of post-traumatic stress (PTSS). Twelve met a past or current diagnosis of PTSD. Factors relating to the occurrence of PTSS included early trauma, more traumatic events, incest, perceiving the event as frightening, being physically injured, perceiving the event as being life threatening, seeing a physician, and being hospitalized. Age at trauma and differences between men and women are also discussed.

Key words

trauma PTSD psychiatric outpatients 


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  1. Adams Tucker, C. (1982). Proximate effects of sexual abuse in childhood: A report on 28 children.Am. J. Psychiatry 139: 1252–1256.PubMedGoogle Scholar
  2. American Psychiatric Association (1981). Diagnostic and Statistical Manual of Mental Disorders, Washington D.C.Google Scholar
  3. Anderson, N. C. (1980).Post-Traumatic stress disorder (third edition). In Kaplan, H. I., Freeman, A. M., and Sadock, B. J. (Eds.), Williams and Wilkins, Baltimore, pp. 1517–1525.Google Scholar
  4. Beck, J. C., and Van der Kolk, B. (1987). Reports of childhood incest and current behavior of chronically hospitalized psychotic women.Am. J. Psychiatry 144: 1474–1476.PubMedGoogle Scholar
  5. Blos, P. (1979).The Adolescent Passage International Universities Press, New York.Google Scholar
  6. Bowlby, J. (1973).Separation: Anxiety and Anger Basic Books, New York.Google Scholar
  7. Brende, J. O. (1984). The psychophysiologic manifestations of dissociation.Psychiatr. Clin. Am. 7: 41–49.Google Scholar
  8. Bryer, J. B., Nelson, B. A., Miller, J. al. (1987). Childhood sexual and physical abuse as factors in adult psychiatric illness.Am. J. Psychiatry 144: 1426–1430.PubMedGoogle Scholar
  9. Carmen, E. H., Ricker, P. K., and Mills, T. (1984). Victims of violence and psychiatric illness.Am. J. Psychiatry 141: 378–383.PubMedGoogle Scholar
  10. Davidson, J. R. T., Swartz, M., Storck, M.,et al. (1985). A diagnostic and family study of post traumatic stress disorder.Am. J. Psychiatry 142: 90–93.PubMedGoogle Scholar
  11. Erickson, E. H. (1956). The problem of ego identity.J. Am. Psychoanal. Assoc. 4: 56–121.PubMedGoogle Scholar
  12. Green, A., Voeller, K., and Gaines, R. (1981). Neurological impairment in maltreated children.Child Abuse Negl. 5: 129–134.Google Scholar
  13. Haley, S. (1984). Some of my best friends are dead: the treatment of the PTSD patient and his family. InPTSD and the War Veteran Patient Kelly, J. (ed.). Basic Books, New York.Google Scholar
  14. Helzer, J. E., Robins, L. N., and McEvoy, L. (1987). Post-traumatic stress disorder in the general population: findings from the Epidemiological Catchment Area Survey.New Engl. J. Med. 317: 1630–1634.PubMedGoogle Scholar
  15. Herman, J. (1986). Histories of violence in an outpatient population.Am. J. Orthopsychiatry 56: 137–141.PubMedGoogle Scholar
  16. Herman, J., Russell, D., and Trocki, K. (1986). Long term effects of incestuous abuse in childhood.Am. J. Psychiatry 143: 1293–1296.PubMedGoogle Scholar
  17. Herman, J. L., Perry, J. C., and Van der Kolk, B. A. (1989). Childhood trauma in borderline personality disorder.Am. J. Psychiatry 146: 490–495.PubMedGoogle Scholar
  18. Lipper, S., Davidson, J. R. T., Grady, T. A.,et al. (1986). Preliminary study of carbamazepine in post traumatic stress disorder.Psychosomatics 27: 849–854.PubMedGoogle Scholar
  19. MacFarlane, A. C. (1988). The longitudinal course of post-traumatic morbidity. The range of outcome and their predictors.J. Nerv. Ment. Dis. 176: 30–39.PubMedGoogle Scholar
  20. Pitman, R. K. (1988). Post-traumatic stress disorder, conditioning and network theory.Psychiatr. Ann. 18(3): 182–189.Google Scholar
  21. Van der Kolk, B. (1987). The separation cry and the trauma response: developmental issues in the psychobiology of attachment and separation. InPsychological Trauma, Van der Kolk, B. A. (ed.), American Psychiatric Press Inc.Google Scholar
  22. Van der Kolk, B. (1987). The role of the group in the origin and resolution of the trauma response. InPsychological Trauma, Van der Kolk, B. A. (ed.), American Psychiatric Press Inc., pp. 153–171.Google Scholar

Copyright information

© Plenum Publishing Corporation 1990

Authors and Affiliations

  • Jonathan Davidson
    • 1
  • Rebecca Smith
    • 2
  1. 1.Duke University Medical CenterDirector of Psychiatric Outpatient Programs, Anxiety Disorder ProgramDurham
  2. 2.Duke University Medical CenterDurham

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