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Published in: Annals of General Psychiatry 1/2012

Open Access 01-12-2012 | Primary research

Gender, trauma type, and PTSD prevalence: a re-analysis of 18 nordic convenience samples

Authors: Daniel N Ditlevsen, Ask Elklit

Published in: Annals of General Psychiatry | Issue 1/2012

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Abstract

Background

The aim of the study was to examine a possible trauma type related variance in the gender difference of posttraumatic stress disorder (PTSD) prevalence.

Methods

An analysis was conducted on 18 convenience sample studies including data from a total of 5220 participants. The studies all applied the Harvard Trauma Questionnaire – part IV to assess PTSD. Cohen’s d was used to measure variance in gender differences. Trauma types included disasters and accidents, violence, loss, chronic disease and non-malignant diseases.

Results

The results showed an overall gender difference in PTSD prevalence similar to previous findings. Thus, women had a two-fold higher prevalence of PTSD than men. Besides categorical analyses, dimensional analyses of PTSD severity were also performed; the latter were associated with twice as large effect sizes. Females were more vulnerable to PTSD after disasters and accidents, followed by loss and non-malignant diseases. In violence and chronic disease, the gender differences were smallest.

Conclusions

The findings support the existence of a trauma type related variance in gender differences in PTSD prevalence.
Literature
1.
go back to reference Kessler RC, Sonnega A, Bromet E, Hughes M, Nelson CB: Posttraumatic stress disorder in the National Comorbidity Survey. Arch Gen Psychiatry. 1995, 52: 1048-1060. 10.1001/archpsyc.1995.03950240066012.CrossRefPubMed Kessler RC, Sonnega A, Bromet E, Hughes M, Nelson CB: Posttraumatic stress disorder in the National Comorbidity Survey. Arch Gen Psychiatry. 1995, 52: 1048-1060. 10.1001/archpsyc.1995.03950240066012.CrossRefPubMed
2.
go back to reference Tolin DF, Foa EB: Sex differences in trauma and posttraumatic stress disorder: a quantitative review of 25 years of research. Psychol Bull. 2006, 132: 959-992.CrossRefPubMed Tolin DF, Foa EB: Sex differences in trauma and posttraumatic stress disorder: a quantitative review of 25 years of research. Psychol Bull. 2006, 132: 959-992.CrossRefPubMed
3.
go back to reference Stein MB, Walker JR, Hazen AL, Forde DR: Full and partial posttraumatic stress disorder: findings from a community survey. Am J Psychiatry. 1997, 154: 1114-1119.CrossRefPubMed Stein MB, Walker JR, Hazen AL, Forde DR: Full and partial posttraumatic stress disorder: findings from a community survey. Am J Psychiatry. 1997, 154: 1114-1119.CrossRefPubMed
4.
go back to reference Mollica RF, Caspi-Yavin Y, Bollini P, Truong T, Tor S, Lavelle J: The harvard trauma questionnaire: validating a cross- cultural instrument for measuring torture, trauma, and post-traumatic stress disorder in Indochinese refugees. J Nerv Ment Dis. 1992, 180: 110-115.CrossRef Mollica RF, Caspi-Yavin Y, Bollini P, Truong T, Tor S, Lavelle J: The harvard trauma questionnaire: validating a cross- cultural instrument for measuring torture, trauma, and post-traumatic stress disorder in Indochinese refugees. J Nerv Ment Dis. 1992, 180: 110-115.CrossRef
5.
go back to reference Bödvarsdóttir I, Elklit A: Psychological reactions in Icelandic earthquake survivors. Scand J Psychol. 2004, 45 (1): 3-13. 10.1111/j.1467-9450.2004.00373.x.CrossRefPubMed Bödvarsdóttir I, Elklit A: Psychological reactions in Icelandic earthquake survivors. Scand J Psychol. 2004, 45 (1): 3-13. 10.1111/j.1467-9450.2004.00373.x.CrossRefPubMed
6.
go back to reference Elklit A: Psychological consequences of a firework factory disaster in a local community. Soc Psychiatry Psychiatr Epidemiol. 2007, 42 (8): 664-668. 10.1007/s00127-007-0206-z.CrossRefPubMed Elklit A: Psychological consequences of a firework factory disaster in a local community. Soc Psychiatry Psychiatr Epidemiol. 2007, 42 (8): 664-668. 10.1007/s00127-007-0206-z.CrossRefPubMed
7.
go back to reference Elklit A, Molin K: De psykosociale følger af fyrværkerikatastrofen i Seest. Del 2 – Indsatspersonellet 5 måneder efter. Psykologisk Skriftserie. 2007, 28 (1): 1-104. Elklit A, Molin K: De psykosociale følger af fyrværkerikatastrofen i Seest. Del 2 – Indsatspersonellet 5 måneder efter. Psykologisk Skriftserie. 2007, 28 (1): 1-104.
8.
go back to reference Elklit A, Jones A: The association between anxiety and chronic pain after whiplash injury: gender-specific effects. Clin J Pain. 2006, 22 (5): 487-490. 10.1097/01.ajp.0000208247.18251.bb.CrossRefPubMed Elklit A, Jones A: The association between anxiety and chronic pain after whiplash injury: gender-specific effects. Clin J Pain. 2006, 22 (5): 487-490. 10.1097/01.ajp.0000208247.18251.bb.CrossRefPubMed
9.
go back to reference Elklit A, Reinholt N, Nielsen LH, Blum A, Lasgaard M: Posttraumatic stress disorder among bereaved relatives of cancer patients. J Psychosoc Oncol. 2010, 28 (4): 399-412. 10.1080/07347332.2010.488142.CrossRefPubMed Elklit A, Reinholt N, Nielsen LH, Blum A, Lasgaard M: Posttraumatic stress disorder among bereaved relatives of cancer patients. J Psychosoc Oncol. 2010, 28 (4): 399-412. 10.1080/07347332.2010.488142.CrossRefPubMed
10.
go back to reference Elklit A, O’Connor M: PTSD in a Danish population of elderly bereaved. Scand J Psychol. 2005, 46: 439-445. 10.1111/j.1467-9450.2005.00475.x.CrossRefPubMed Elklit A, O’Connor M: PTSD in a Danish population of elderly bereaved. Scand J Psychol. 2005, 46: 439-445. 10.1111/j.1467-9450.2005.00475.x.CrossRefPubMed
11.
go back to reference Armour C, O’Connor M, Elklit A, Elhai J: Assessing PTSD's latent structure in elderly Bereaved European trauma victims: evidence for a five factor dysphoric and anxious arousal model. J Nerv Ment Dis. 2012, 200: in press Armour C, O’Connor M, Elklit A, Elhai J: Assessing PTSD's latent structure in elderly Bereaved European trauma victims: evidence for a five factor dysphoric and anxious arousal model. J Nerv Ment Dis. 2012, 200: in press
12.
go back to reference Elklit A, Jind L: Forældrereaktioner på spædbarnsdød. 1999, København: Forlaget Skolepsykologi/Dansk Psykologisk Forlag, 1-152. Elklit A, Jind L: Forældrereaktioner på spædbarnsdød. 1999, København: Forlaget Skolepsykologi/Dansk Psykologisk Forlag, 1-152.
13.
go back to reference Jind L, Elklit A, Christiansen D: Cognitive schemata and processing among parents bereaved by infant death. J Clin Psychol Med Settings. 2010, 17 (4): 366-377. 10.1007/s10880-010-9216-1.CrossRefPubMed Jind L, Elklit A, Christiansen D: Cognitive schemata and processing among parents bereaved by infant death. J Clin Psychol Med Settings. 2010, 17 (4): 366-377. 10.1007/s10880-010-9216-1.CrossRefPubMed
14.
go back to reference Gudmundsdóttir DB: Posttraumatic stress disorder and psychosocial distress in children with chronic disease and their families, Risk and resilience factor. 2009, Aarhus, Denmark: Aarhus University, Ph.D. dissertation Gudmundsdóttir DB: Posttraumatic stress disorder and psychosocial distress in children with chronic disease and their families, Risk and resilience factor. 2009, Aarhus, Denmark: Aarhus University, Ph.D. dissertation
15.
go back to reference Gudmundsdóttir HS, Elklit A, Guðdundsdóttir DB: PTSD and psychological distress in Icelandic parents of chronically ill children: Does social support have an effect on parental distress?. Scand J Psychol. 2006, 47: 303-312. 10.1111/j.1467-9450.2006.00512.x.CrossRefPubMed Gudmundsdóttir HS, Elklit A, Guðdundsdóttir DB: PTSD and psychological distress in Icelandic parents of chronically ill children: Does social support have an effect on parental distress?. Scand J Psychol. 2006, 47: 303-312. 10.1111/j.1467-9450.2006.00512.x.CrossRefPubMed
16.
go back to reference Elklit A, Ilfeldt A: Overvægt, psykiske traumer og psykosociale forhold. 2007, Aarhus, Denmark: Aarhus University Elklit A, Ilfeldt A: Overvægt, psykiske traumer og psykosociale forhold. 2007, Aarhus, Denmark: Aarhus University
17.
go back to reference Nielsen MS: Psykiske reaktioner efter rygmarvsskader, Master thesis. 2000, Aarhus, Denmark: Aarhus University Nielsen MS: Psykiske reaktioner efter rygmarvsskader, Master thesis. 2000, Aarhus, Denmark: Aarhus University
18.
go back to reference Elklit A, Hartvig T, Christiansen M: Psychological sequelae in Parents of Extreme Low and Very Low Birth Weight Infants. Clinical Psychology in Medical Settings. 2007, 14: 238-247. 10.1007/s10880-007-9077-4.CrossRef Elklit A, Hartvig T, Christiansen M: Psychological sequelae in Parents of Extreme Low and Very Low Birth Weight Infants. Clinical Psychology in Medical Settings. 2007, 14: 238-247. 10.1007/s10880-007-9077-4.CrossRef
19.
go back to reference Jeggesen A, Gudmundsdóttir DB, Elklit A: Predictors of posttraumatic stress disorder in adolescent and young adult survivors of childhood cancer. Nordic Psychology. 2012, 64: in press Jeggesen A, Gudmundsdóttir DB, Elklit A: Predictors of posttraumatic stress disorder in adolescent and young adult survivors of childhood cancer. Nordic Psychology. 2012, 64: in press
20.
go back to reference Elklit A, Brink O: Acute stress disorder in physical assault victims visiting a Danish emergency ward. Violence Vict. 2003, 18 (4): 461-472. 10.1891/vivi.2003.18.4.461.CrossRefPubMed Elklit A, Brink O: Acute stress disorder in physical assault victims visiting a Danish emergency ward. Violence Vict. 2003, 18 (4): 461-472. 10.1891/vivi.2003.18.4.461.CrossRefPubMed
21.
go back to reference Elklit A, Kurdahl S: De psykologiske følger af knivdrabet på Hasseris Gymnasium. Psykologisk Skriftserie. 2007, 28 (3): 1-94. Elklit A, Kurdahl S: De psykologiske følger af knivdrabet på Hasseris Gymnasium. Psykologisk Skriftserie. 2007, 28 (3): 1-94.
22.
go back to reference Elklit A: Røveriofre – de psykologiske konsekvenser af et væbnet røveri. Psykologisk Skriftsserie. 1999, 24 (5): 1-65. Elklit A: Røveriofre – de psykologiske konsekvenser af et væbnet røveri. Psykologisk Skriftsserie. 1999, 24 (5): 1-65.
23.
go back to reference Breslau N, Kessler RC, Chilcoat HD, Schultz LR, Davis GC, Andreski P: Trauma and posttraumatic stress disorder in the community: the 1996 Detroit area survey of trauma. Arch Gen Psychiatry. 1998, 55: 626-632. 10.1001/archpsyc.55.7.626.CrossRefPubMed Breslau N, Kessler RC, Chilcoat HD, Schultz LR, Davis GC, Andreski P: Trauma and posttraumatic stress disorder in the community: the 1996 Detroit area survey of trauma. Arch Gen Psychiatry. 1998, 55: 626-632. 10.1001/archpsyc.55.7.626.CrossRefPubMed
24.
go back to reference Bach ME: En empirisk belysning og analyse af “emotional numbing” som eventuel selvstændig factor i PTSD. [An empirical description and analysis of "emotional numbing", as a potential independent factor in PTSD]. Psykologisk Studieskriftserie. 2003, 6: 1-132. Bach ME: En empirisk belysning og analyse af “emotional numbing” som eventuel selvstændig factor i PTSD. [An empirical description and analysis of "emotional numbing", as a potential independent factor in PTSD]. Psykologisk Studieskriftserie. 2003, 6: 1-132.
25.
go back to reference Cohen J: Statistical power analysis for the behavioral sciences. 1988, Hillsdale: NJ. Lawrence Earlbaum Associates, 2 Cohen J: Statistical power analysis for the behavioral sciences. 1988, Hillsdale: NJ. Lawrence Earlbaum Associates, 2
26.
go back to reference Norris FH, Foster JD, Weissharr DL: The epidemiology of sex differences in PTSD across developmental, societal, and research contexts. Gender and PTSD. Edited by: Kimerling R, Ouimette P, Wolfe J. 2002, New York: The Guilford Press, 3-42. Norris FH, Foster JD, Weissharr DL: The epidemiology of sex differences in PTSD across developmental, societal, and research contexts. Gender and PTSD. Edited by: Kimerling R, Ouimette P, Wolfe J. 2002, New York: The Guilford Press, 3-42.
27.
go back to reference Averill PM, Beck JG: Posttraumatic stress disorder in older adults: a conceptual review. J Anxiety Disord. 2000, 14: 133-156. 10.1016/S0887-6185(99)00045-6.CrossRefPubMed Averill PM, Beck JG: Posttraumatic stress disorder in older adults: a conceptual review. J Anxiety Disord. 2000, 14: 133-156. 10.1016/S0887-6185(99)00045-6.CrossRefPubMed
Metadata
Title
Gender, trauma type, and PTSD prevalence: a re-analysis of 18 nordic convenience samples
Authors
Daniel N Ditlevsen
Ask Elklit
Publication date
01-12-2012
Publisher
BioMed Central
Published in
Annals of General Psychiatry / Issue 1/2012
Electronic ISSN: 1744-859X
DOI
https://doi.org/10.1186/1744-859X-11-26

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