These symptoms can be highly distressing and substantially impair social, occupational, and interpersonal functioning.
The intensely distressing and impairing symptoms of traumatic stress are highly prevalent immediately following traumatic exposure and dissipate over the following days and weeks in most people. population is approximately 8%, with incidence as high as 17% in primary care patients and possibly greater than 50% in mental health treatment-seeking populations [2,3].
This trauma definition was criticized, with research showing the high prevalence of exposure to rape, childhood sexual and physical abuse, domestic violence, and other severe stressors.
Persistence beyond one month post-trauma suggests PTSD . PTSD can become chronic in as many as 40% of cases .
Roughly 60% of men and 50% of women in the United States have experienced a traumatic event, with the majority reporting trauma exposure also reporting two or more traumatic events .
In 1980, PTSD became formalized as a distinct diagnosis by the American Psychiatric Association in the third edition of the (DSM-III) [12,13,14,15].
This formal recognition of PTSD was also a major step in spurring traumatic stress research .
However, PTSD only develops in 10% to 20% of those exposed to trauma, a finding that has prompted intense research efforts in identifying risk factors and early intervention to prevent or reduce the development of PTSD .
Populations at risk for PTSD include refugee victims of torture, combat veterans, persons released from incarceration, victims of sexual assault, and adults who endured repeated sexual or physical abuse as children .These knowledge deficits are remediable through educational intervention. These sporadic earlier reports focused on the reactions to combat in soldiers.The purpose of this course is to provide primary care providers with the knowledge they need to effectively identify, engage, diagnose, and treat patients with PTSD and complex trauma/PTSD. Trauma exposure and subsequent responses became more frequently reported in the 17th century, including descriptions of those who survived the Great Fire of London in 1666 .Humans have experienced tragedies and disaster throughout history, and awareness of adverse effects following trauma exposure have been documented as far back as the 6th century B. Traumatic stress has been assigned a variety of labels over the past 200 years, with many reflecting contemporary understanding of causation, as with "soldier's heart" or "irritable heart" in Civil War veterans and "disordered action of the heart" in traumatized veterans of the Boer War .These were followed by 20th century labels for combat and civilian traumatic stress that included battle fatigue, war neurosis, shell shock, gross stress reaction, adjustment reaction of adult life, transient situational disturbance, traumatic neurosis, post-Vietnam syndrome, rape trauma syndrome, child abuse syndrome, and battered wife syndrome.Descriptions of post-trauma symptoms in combat veterans were published following WWI and WWII, with a recognition of shared symptoms between combat veterans, Holocaust survivors, survivors of railway disasters, and Hiroshima and Nagasaki atomic bomb survivors.