Differences associated with different prior mental disorders among earthquake-exposed treatment-seeking individuals

Background History of prior mental disorder, particularly post-traumatic stress disorder (PTSD), increases risk for PTSD following subsequent trauma exposure. However, limited research has examined differences associated with specific prior mental disorders among people with PTSD. Aims The current...

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Main Authors: Cate F. Woods, Virginia V. W. McIntosh, Christopher M. Frampton, Frances A. Carter, Helen C. Colhoun, Jennifer Jordan, Rebekah A. Smith, Caroline Bell
Format: Article
Language:English
Published: Cambridge University Press 2025-01-01
Series:BJPsych Open
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Online Access:https://www.cambridge.org/core/product/identifier/S2056472424008196/type/journal_article
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author Cate F. Woods
Virginia V. W. McIntosh
Christopher M. Frampton
Frances A. Carter
Helen C. Colhoun
Jennifer Jordan
Rebekah A. Smith
Caroline Bell
author_facet Cate F. Woods
Virginia V. W. McIntosh
Christopher M. Frampton
Frances A. Carter
Helen C. Colhoun
Jennifer Jordan
Rebekah A. Smith
Caroline Bell
author_sort Cate F. Woods
collection DOAJ
description Background History of prior mental disorder, particularly post-traumatic stress disorder (PTSD), increases risk for PTSD following subsequent trauma exposure. However, limited research has examined differences associated with specific prior mental disorders among people with PTSD. Aims The current study examined whether different prior mental disorders were associated with meaningful differences among individuals presenting to a specialist service for severe earthquake-related distress following the Canterbury earthquakes (N = 177). Method Two sets of comparisons were made: between participants with no history of prior disorder and participants with history of any prior disorder; and between participants with history of prior PTSD and those with history of other prior disorders. Comparisons were made in relation to sociodemographic factors, earthquake exposure, peri-traumatic distress, life events and current psychological functioning. Results Participants with any prior mental disorder had more current disorders than those with no prior disorder. Among participants with history of any prior disorder, those with prior PTSD reported more life events in the past 5 years than those with other prior disorders. Conclusions Findings suggest a history of any prior mental disorder contributes to increased clinical complexity, but not increased PTSD severity, among people with PTSD seeking treatment. Although post-disaster screening efforts should include those with prior mental disorders, it should also be recognised that those with no prior disorders are also at risk of developing equally severe PTSD.
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spelling doaj-art-184d3fab64c848b5958b19c57de720002025-01-16T21:49:20ZengCambridge University PressBJPsych Open2056-47242025-01-011110.1192/bjo.2024.819Differences associated with different prior mental disorders among earthquake-exposed treatment-seeking individualsCate F. Woods0https://orcid.org/0000-0003-1063-5088Virginia V. W. McIntosh1https://orcid.org/0000-0003-1957-1631Christopher M. Frampton2Frances A. Carter3Helen C. Colhoun4Jennifer Jordan5https://orcid.org/0000-0003-4699-6301Rebekah A. Smith6Caroline Bell7https://orcid.org/0000-0003-3423-5169School of Psychology, Speech and Hearing, University of Canterbury, New ZealandSchool of Psychology, Speech and Hearing, University of Canterbury, New ZealandDepartment of Psychological Medicine, University of Otago, Christchurch, New Zealandnot currently workingTe Whatu Ora – Waitaha Canterbury (Health New Zealand), New ZealandDepartment of Psychological Medicine, University of Otago, Christchurch, New Zealand; and Te Whatu Ora – Waitaha Canterbury (Health New Zealand), New ZealandTe Whatu Ora – Waitaha Canterbury (Health New Zealand), New ZealandDepartment of Psychological Medicine, University of Otago, Christchurch, New ZealandBackground History of prior mental disorder, particularly post-traumatic stress disorder (PTSD), increases risk for PTSD following subsequent trauma exposure. However, limited research has examined differences associated with specific prior mental disorders among people with PTSD. Aims The current study examined whether different prior mental disorders were associated with meaningful differences among individuals presenting to a specialist service for severe earthquake-related distress following the Canterbury earthquakes (N = 177). Method Two sets of comparisons were made: between participants with no history of prior disorder and participants with history of any prior disorder; and between participants with history of prior PTSD and those with history of other prior disorders. Comparisons were made in relation to sociodemographic factors, earthquake exposure, peri-traumatic distress, life events and current psychological functioning. Results Participants with any prior mental disorder had more current disorders than those with no prior disorder. Among participants with history of any prior disorder, those with prior PTSD reported more life events in the past 5 years than those with other prior disorders. Conclusions Findings suggest a history of any prior mental disorder contributes to increased clinical complexity, but not increased PTSD severity, among people with PTSD seeking treatment. Although post-disaster screening efforts should include those with prior mental disorders, it should also be recognised that those with no prior disorders are also at risk of developing equally severe PTSD. https://www.cambridge.org/core/product/identifier/S2056472424008196/type/journal_articlePost-traumatic stress disorderadjustment disordersnatural disasterearthquaketrauma and stressor-related disorders
spellingShingle Cate F. Woods
Virginia V. W. McIntosh
Christopher M. Frampton
Frances A. Carter
Helen C. Colhoun
Jennifer Jordan
Rebekah A. Smith
Caroline Bell
Differences associated with different prior mental disorders among earthquake-exposed treatment-seeking individuals
BJPsych Open
Post-traumatic stress disorder
adjustment disorders
natural disaster
earthquake
trauma and stressor-related disorders
title Differences associated with different prior mental disorders among earthquake-exposed treatment-seeking individuals
title_full Differences associated with different prior mental disorders among earthquake-exposed treatment-seeking individuals
title_fullStr Differences associated with different prior mental disorders among earthquake-exposed treatment-seeking individuals
title_full_unstemmed Differences associated with different prior mental disorders among earthquake-exposed treatment-seeking individuals
title_short Differences associated with different prior mental disorders among earthquake-exposed treatment-seeking individuals
title_sort differences associated with different prior mental disorders among earthquake exposed treatment seeking individuals
topic Post-traumatic stress disorder
adjustment disorders
natural disaster
earthquake
trauma and stressor-related disorders
url https://www.cambridge.org/core/product/identifier/S2056472424008196/type/journal_article
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