This subproject is one of many research subprojects utilizing the resources provided by a Center grant funded by NIH/NCRR. The subproject and investigator (PI) may have received primary funding from another NIH source, and thus could be represented in other CRISP entries. The institution listed is for the Center, which is not necessarily the institution for the investigator. We will measure the prevalence of trauma and the types of trauma experienced by African Americans attending primary clinical care settings of Howard University. Of those patients experiencing trauma, we will measure the prevalence of post-traumatic stress disorder and other psychopathology. Risk and protective factors will be evaluated in both groups, (i.e., trauma survivors without post-traumatic symptoms vs. trauma survivors that have experienced post-traumatic stress symptoms). Patients attending the primary care settings of the departments of Internal Medicine and Community Health and Family Pratice will be given a self-report questionnaire assessing health concerns, coping and resilience factors and trauma exposure. For patients meeting the criteria for significant trauma, they will be asked to participate in a structured clinical interview using the DSM-IV criteria (SCID-IV), MSCETT, Resilience Questionnaire (25 items), Brief COPE (28 items), Post traumatic Growth (21 items), and Social Support Questionnaire and blood draw.
Specific Aims 1) To determine the prevalence of trauma and trauma types in a hospital based, primary clinical settings in a predominantly African American community. 2) To determine the prevalence of posttraumatic stress disorder (PTSD) among the trauma victim patients. 3) To identify the risk and protective factors of trauma survivors i.e. who are more likely to develop posttraumatic stress disorder as compared to those who do not. 4) To identify the coping strategies of trauma survivors in this population. To determine whether there are differences in coping styles for trauma survivors that develop PTSD vs. those survivors that do not develop PTSD.
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