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Erschienen in: Social Psychiatry and Psychiatric Epidemiology 9/2018

23.06.2018 | Original Paper

Do trauma type, stressful life events, and social support explain women veterans’ high prevalence of PTSD?

verfasst von: Keren Lehavot, Simon B. Goldberg, Jessica A. Chen, Jodie G. Katon, Joseph E. Glass, John C. Fortney, Tracy L. Simpson, Paula P. Schnurr

Erschienen in: Social Psychiatry and Psychiatric Epidemiology | Ausgabe 9/2018

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Abstract

Objectives

To examine factors that account for women veterans’ higher prevalence of past-year DSM-5 posttraumatic stress disorder (PTSD) compared to women civilians and men veterans.

Methods

Cross-sectional analyses of the 2012–2013 National Epidemiologic Survey on Alcohol and Related Conditions-III (NESARC-III). Face-to-face interviews with 379 women veterans, 20,007 women civilians, and 2740 men veterans were conducted. Trauma type (child abuse, interpersonal violence, combat or war zone, and other), number of trauma types, past-year stressful life events, current social support, and DSM-5 PTSD were assessed using the Alcohol Use Disorder and Associated Disabilities Interview Schedule-5. Generalized linear models were used that accounted for the complex survey design.

Results

Women veterans had a higher unadjusted prevalence of past-year PTSD (11.40%) compared to their civilian (5.96%) and male (5.19%) counterparts. Individual predictor models indicated that the difference between women veterans’ and civilians’ prevalence of PTSD was attenuated when adjusting for number of trauma types, whereas the difference between men and women veterans was attenuated when adjusting for child abuse, interpersonal violence, and stressful life events. Nonetheless, while full adjustment in a multiple predictor model accounted for the difference in PTSD between women veterans and civilians, gender differences between men and women veterans remained.

Conclusions

Number of trauma types, type of trauma, and social factors may together help explain women veterans’ higher PTSD prevalence compared to women civilians, but do not fully account for differences between men and women veterans. Results highlight a need to explore additional explanatory factors and evaluate associations with longitudinal data.
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Metadaten
Titel
Do trauma type, stressful life events, and social support explain women veterans’ high prevalence of PTSD?
verfasst von
Keren Lehavot
Simon B. Goldberg
Jessica A. Chen
Jodie G. Katon
Joseph E. Glass
John C. Fortney
Tracy L. Simpson
Paula P. Schnurr
Publikationsdatum
23.06.2018
Verlag
Springer Berlin Heidelberg
Erschienen in
Social Psychiatry and Psychiatric Epidemiology / Ausgabe 9/2018
Print ISSN: 0933-7954
Elektronische ISSN: 1433-9285
DOI
https://doi.org/10.1007/s00127-018-1550-x

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