Predicting posttraumatic distress in hospitalized trauma survivors with acute injuries.

Abstract

OBJECTIVE:

Each year approximately 2.5 million Americans are hospitalized after sustaining traumatic physical injuries. Few investigations have comprehensively screened for posttraumatic symptomatic distress or identified predictors of posttraumatic stress disorder (PTSD) in representative samples of surgical inpatients.

METHOD:

Doctors and social epidemics : the problem of persistent unexplained physical symptoms, including chronic fatigue.

Among general practitioners (GPs) opinion has been
divided about the validity of chronic fatigue syndrome or
myalgic encephalopathy (CFS/ME) as an illness. Now, in a
report to the Chief Medical Officer (CMO) an expert group
has concluded that the condition is indeed a chronic illness
meriting significant NHS resources, including the unreserved
attention of the medical profession. Widespread
publicity was given to the CMO’s enthusiastic reception of
the report, which included the statement: ‘This is a real disease

Understanding the "worried well".

The burden of giving a diagnosis to patients who have no discernible clinical findings is often frustrating and anxiety provoking for the primary care clinician. This frustration is magnified when that patient returns on a frequent basis. These patients have been called the worried well, but there is no good CPT code for this diagnosis. Smith et al (1) have taken a novel approach to evaluating patients who are frequent users of primary care services.

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