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Social Psychiatry and Psychiatric Epidemiology
Published in: Social Psychiatry and Psychiatric Epidemiology 2/2011

01-02-2011 | Original Paper

A person-centred approach to modelling population experiences of trauma and mental illness

Authors: James E. Houston, Mark Shevlin, Gary Adamson, Jamie Murphy

Published in: Social Psychiatry and Psychiatric Epidemiology | Issue 2/2011

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Abstract

Background

Exposure to traumatic events has been implicated in the onset and development of a range of psychiatric disorders. People can be exposed to multiple traumatic events and previous research suggests that traumatic experiences may cluster at the individual level.

Methods

This study aimed to examine the distribution of traumatic experiences in a large nationally representative sample using latent class analysis, and estimate the relationship between these classes and a number of demographic and clinical variables. Data from the National Comorbidity Survey was used.

Results

Four latent classes, each representative of a range of traumatic experiences were identified. The classes were labelled ‘high risk’ (class 1), ‘exposure to non-sexual adult interpersonal/non-interpersonal trauma’ (class 2), ‘intermediate risk/sexual abuse’ (class 3), and ‘low risk’ (class 4). Each of the latent classes was predicted by several of the demographic variables. In addition, membership of classes 1, 2, and 3 increased the risk of each of the clinical variables.

Conclusions

The findings have clinical implications for the assessment of trauma histories across a range of psychiatric diagnoses.
Footnotes
1
Because of the clinical significance of PTSD in trauma-related research this diagnosis was entered as a covariate in the logistic regression analysis.
 
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Metadata
Title
A person-centred approach to modelling population experiences of trauma and mental illness
Authors
James E. Houston
Mark Shevlin
Gary Adamson
Jamie Murphy
Publication date
01-02-2011
Publisher
Springer-Verlag
Published in
Social Psychiatry and Psychiatric Epidemiology / Issue 2/2011
Print ISSN: 0933-7954
Electronic ISSN: 1433-9285
DOI
https://doi.org/10.1007/s00127-009-0176-4

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