Lifetime trauma exposure, gender, and DSM–5 PTSD symptoms among adolescents in Malaysia.

2017 ◽  
Vol 23 (3) ◽  
pp. 235-239
Author(s):  
Siti Raudzah Ghazali ◽  
Ask Elklit ◽  
M. Ameenudeen Sultan ◽  
Rekaya Vincent Balang ◽  
Yoke Yong Chen
2021 ◽  
pp. 106342662098262
Author(s):  
Stephanie Miodus ◽  
Maureen A Allwood ◽  
Nana Amoh

Attention-deficit/hyperactivity disorder (ADHD) and posttraumatic stress disorder (PTSD) are highly comorbid among children and adolescents with a history of maltreatment and trauma. This comorbidity is linked to increased symptom severity and poor academic and social outcomes. Such negative outcomes are shown to have further negative outcomes during the college years. However, research has yet to directly examine the associations between ADHD, trauma exposure, and PTSD among college students. To address this gap, the current study examined the relations between childhood ADHD symptoms, lifetime trauma exposure, and current PTSD symptoms among a racially and ethnically diverse group of college students ( N = 454). Analyses controlled for symptoms of depression and anxiety and examined demographic differences. Findings indicated that college students with a childhood history of elevated ADHD symptoms reported significantly higher numbers of trauma exposure and PTSD symptoms. Findings also indicated that trauma-related arousal symptoms and more general depressive symptoms were the strongest mediators in the association between ADHD symptoms and trauma exposure. These results have implications for child and adolescent clinical interventions, as well as for college counseling and accessibility services related to psychological well-being and academic accommodations.


SLEEP ◽  
2021 ◽  
Vol 44 (Supplement_2) ◽  
pp. A303-A303
Author(s):  
Carmela Alcántara ◽  
Sarah Diaz

Abstract Introduction Greater perceived neighborhood safety (PNS) has been linked to better sleep quality and longer sleep duration. There is also evidence that past exposure to traumatic events may be associated with lower perceived personal safety and poor mental health. Yet, the moderating effects of lifetime trauma exposure on the association between PNS and sleep (duration & latency), has not been assessed. Methods We used cross-sectional data from 190 healthy NYC Latino adults. Lifetime trauma exposure was measured using the Life Events Checklist [LEC] (a count of traumatic events that happened to or were witnessed). In the first set of models, we regressed self-reported sleep duration in minutes (continuous), on PNS (safe vs. not safe), a single item scale, with three covariates (i.e. age, gender, education). In the second set, self-reported sleep latency in minutes, replaced sleep duration. To test for moderation, interaction terms—LEC x PNS—were added to covariate-adjusted models. In sensitivity analyses, regression models were re-run with adjustment for PTSD symptoms, and with short sleep duration (<7hours) as the outcome. Results On average, participants were 37.9 years old (SE= 1.02), 65.8% female, 59.5% foreign-born, and 33.2% completed < Bachelor’s degree. Overall, 43.68% slept <7 hours and 83.68% were exposed to >1 traumatic event in their lifetime. In adjusted models, each traumatic event (b= -2.95, SE = 1.34, p=0.03) was negatively associated with sleep duration. When PTSD symptoms was added, trauma was no longer statistically significant (b=-1.08, SE=1.02, p=0.18). However, each traumatic event exposure was associated with a 10% higher odds of short sleep duration (OR= 1.10, CI=1.02, 1.15), and this association remained significant with adjustment for PTSD symptoms. No interaction terms were significant. In models for sleep latency, there were no statistically significant main effects for LEC or interaction terms. Conclusion We found a dose response in the negative association between lifetime exposure to trauma and sleep duration, but not sleep latency. Trauma history did not moderate the association between PNS and sleep. These results suggest that short sleep duration may be particularly sensitive to lifetime exposure to trauma independent of neighborhood safety. Future studies should replicate these results in population-based samples. Support (if any):


2008 ◽  
Author(s):  
Christopher J. Monahan ◽  
Meghan E. McDevitt-Murphy ◽  
James G. Murphy ◽  
Matthew P. Martens ◽  
Katherine L. Bracken ◽  
...  

2019 ◽  
Author(s):  
Teresa Carvalho ◽  
Carolina da Motta ◽  
José Pinto Gouveia

<p>The PCL (Weathers et al., 1993) is a useful and widely used measure to assess PTSD symptoms in clinical and research contexts, exhibiting adequate psychometric properties across its several versions and translations (e. g. Carvalho et al., 2015; Wilkins et al., 2011). The current study analyzed the psychometric properties (latent structure, internal consistency, temporal reliability, and convergent validity) of the Portuguese version of the PCL for the DSM-5 (PCL-5, Weathers et al., 2013) in a sample of firefighters. This study also aimed to contribute with empirical data to clarify the best latent structure of DSM-5 PTSD symptoms. Specifically, the DSM-5 four-factor model and other competing models for PTSD symptoms (four-factor Dysphoria model, five-factor Dysphoric Arousal model, six-factor Anhedonia model, six-factor Externalizing Behavior model, and seven-factor Hybrid model) applied to PCL-5 were analyzed and compared in this paper.<br></p>


2006 ◽  
Vol 19 (5) ◽  
pp. 955-961 ◽  
Author(s):  
Philipp Kuwert ◽  
Carsten Spitzer ◽  
Anna Träder ◽  
Harald J. Freyberger ◽  
Michael Ermann

Background: The aim of the study was to determine the amount of trauma impact, post-traumatic stress symptoms and current psychopathological distress in a sample of former German children of World War II.Methods: 93 participants were recruited through the local press, and assessed using the modified Post-traumatic Diagnostic Scale (PDS) and the Symptom Checklist (SCL-90-R).Results: Subjects reported a high qualitative and quantitative degree of trauma exposure. 13.8% reported PTSD-related symptoms after the war, and 10.8% reported current symptoms. PTSD symptoms after World War II were significantly correlated with current psychopathological distress.Conclusions: In line with other studies, our data document a high degree of trauma exposure during warchildhood. In comparison with other studies on PTSD in warchildren, there is a persisting high prevalence of war-associated PTSD symptoms in this sample. Despite some methodological limitations, our data underline the urgent need for further studies on the ageing group of former children of World War II.


Author(s):  
Dusko Stupar ◽  
Dejan Stevanovic ◽  
Panos Vostanis ◽  
Olayinka Atilola ◽  
Paulo Moreira ◽  
...  

Abstract Background Exposure to traumatic events in childhood is associated with the development and maintenance of various psychiatric disorders, but most frequently with posttraumatic stress disorder (PTSD). The aim of this study was to evaluate the types of traumatic events experienced and the presence and predictors of PTSD symptoms among adolescents from the general population from ten low- and middle-income countries (LMICs). Methods Data were simultaneously collected from 3370 trauma-exposed adolescents (mean age = 15.41 [SD = 1.65] years, range 12–18; 1465 (43.5%) males and 1905 (56.5%) females) in Brazil, Bulgaria, Croatia, Indonesia, Montenegro, Nigeria, the Palestinian Territories, the Philippines, Romania, and Serbia, with Portugal, a high-income country, as a reference point. The UCLA PTSD Reaction Index for the DSM-5 (PTSD-RI-5) was used for the assessment of traumatic events and PTSD symptoms. Results The most frequently reported traumatic events were death of a close person (69.7%), witnessing violence other than domestic (40.5%), being in a natural disaster (34.4%) and witnessing violent death or serious injury of a close person (33.9%). In total, 28.5% adolescents endorsed two to three DSM-5 PTSD criteria symptoms. The rates of adolescents with symptoms from all four DSM-5 criteria for PTSD were 6.2–8.1% in Indonesia, Serbia, Bulgaria, and Montenegro, and 9.2–10.5% in Philippines, Croatia and Brazil. From Portugal, 10.7% adolescents fall into this category, while 13.2% and 15.3% for the Palestinian Territories and Nigeria, respectively. A logistic regression model showed that younger age, experiencing war, being forced to have sex, and greater severity of symptoms (persistent avoidance, negative alterations in cognitions and mood, and alterations in arousal and reactivity) were significant predictors of fulfilling full PTSD criteria. Conclusions Nearly every third adolescent living in LMICs might have some PTSD symptoms after experiencing a traumatic event, while nearly one in ten might have sufficient symptoms for full DSM-5 PTSD diagnosis. The findings can inform the generation of PTSD burden estimates, allocation of health resources, and designing and implementing psychosocial interventions for PTSD in LMICs.


2017 ◽  
Vol 35 (21-22) ◽  
pp. 4709-4731 ◽  
Author(s):  
Melissa J. London ◽  
Mary C. Mercer ◽  
Michelle M. Lilly

Recent research has demonstrated that first responders may report posttraumatic growth (PTG), positive psychological changes that arise in the aftermath of a trauma. Less is known regarding the perception of PTG among 9-1-1 telecommunicators, a group of first responders exposed to a high degree of lifetime trauma, including duty-related trauma as well as early and non-duty-related trauma. Moreover, the impact of childhood trauma on the processes involved in the perception of growth is less clear. While some distress is needed to facilitate processes that lead to the perception of PTG, it has been suggested that positive associations between PTG and pathology reflect avoidant coping or represent an illusory component of PTG. Structural equation models were used to examine early trauma exposure, coping, and pathology in predicting PTG among 9-1-1 telecommunicators ( N = 788). In separate models using active and avoidant forms of coping, childhood trauma exposure had an indirect effect on PTG through coping. In a model considering both forms of coping, childhood trauma had an indirect effect on PTG through psychopathology, but not through coping. The results show that early trauma exposure leads to the perception of growth through pathways indicative of both adaptive and maladaptive coping processes.


2018 ◽  
Vol 29 (3) ◽  
pp. 468-474 ◽  
Author(s):  
S Megan Berthold ◽  
Richard F Mollica ◽  
Derrick Silove ◽  
Alvin Kuowei Tay ◽  
James Lavelle ◽  
...  

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