van der Velden,P.G.Contino,CarloLenferink,L.Das,MarcelWittmann,Lutz2025-02-012025-02-012024-11van der Velden, P G, Contino, C, Lenferink, L, Das, M & Wittmann, L 2024, 'The effects of potentially traumatic events on the recovery from pre-existing anxiety and depression symptomatology and the risk of PTSD', Psychiatry and Clinical Neurosciences, vol. 78, no. 11, pp. 696-702. https://doi.org/10.1111/pcn.137251323-1316ORCID: /0000-0002-9895-2776/work/17437020210.1111/pcn.13725https://hdl.handle.net/20.500.14602/81561Publisher Copyright: © 2024 The Author(s). Psychiatry and Clinical Neurosciences published by John Wiley & Sons Australia, Ltd on behalf of Japanese Society of Psychiatry and Neurology.Aim The extent to which recent potentially traumatic events (PTEs) hinder the recovery from pre-existing mental health problems is largely unknown. The same applies to the extent to which non-recovery from pre-existing mental health problems increases the risk of posttraumatic stress disorder (PTSD). The aim of the present study is to gain insight in these effects. Methods Data were extracted from six annual surveys of the Dutch population-based Victims in Modern Society (VICTIMS) study. Of the adult respondents who participated in two subsequent surveys (labeled T1 and T2, n = 6942), those with severe anxiety and depression symptoms (ADS) at T1 (n = 487) were selected. We distinguished respondents exposed to PTEs (PTE-group, n = 162) and not exposed to PTEs (comparison group, n = 325) between T1 and T2. We applied five indicators of recovery [based on the Reliable Change Index (RCI), degrees of symptom reduction, and the cut-off score at T2]. Differences in the recovery from ADS and probable PTSD at T2 were examined using multivariate logistic regression. Results The PTE group less often recovered from severe ADS between T1 and T2 than the comparison group according to all five indicators of recovery, while controlling for 11 different variables (0.40 ≤ adjusted OR's ≤ 0.66). Those in the PTE group who did not recover, considerably more often suffered from probable PTSD at T2 (63%–82%) than those who did recover (0%–29%; 8.96 ≤ adjusted OR ≤ 26.33). Conclusion Recent potentially traumatic events hinder the recovery from pre-existing anxiety and depression symptomatology and thereby increase the risk of probable PTSD.enginfo:eu-repo/semantics/openAccessanxietydepressionlogistic modelspost-traumatic stress disorderprospective studiesArticleGeneral rights Copyright and moral rights for the publications made accessible in the public portal are retained by the authors and/or other copyright owners and it is a condition of accessing publications that users recognise and abide by the legal requirements associated with these rights. - Users may download and print one copy of any publication from the public portal for the purpose of private study or research. - You may not further distribute the material or use it for any profit-making activity or commercial gain - You may freely distribute the URL identifying the publication in the public portal" Take down policy If you believe that this document breaches copyright please contact us providing details, and we will remove access to the work immediately and investigate your claim.https://www.scopus.com/pages/publications/85201525083100555403https://research.tilburguniversity.edu/en/publications/db04c6b3-b5a8-42fc-835f-619db14a22b9(c) Universiteit van Tilburgvan der Velden, P.G.Contino, CarloLenferink, L.Das, Marcel§0000-0002-9895-2776Wittmann, Lutz