The combined effect of gender and age on post traumatic stress disorder: do men and women show differences in the lifespan distribution of the disorder?

Springer Science and Business Media LLC - Tập 9 - Trang 1-12 - 2010
Daniel N Ditlevsen1, Ask Elklit2
1Department of Psychology and Multidisciplinary Chronic Pain Clinic, Odense University Hospital, Odense, Denmark
2National Centre for Psychotraumatology, University of Southern Denmark, Odense, Denmark

Tóm tắt

The aim of the study was to examine the combined effect of gender and age on post traumatic stress disorder (PTSD) in order to describe a possible gender difference in the lifespan distribution of PTSD. Data were collected from previous Danish and Nordic studies of PTSD or trauma. The final sample was composed of 6,548 participants, 2,768 (42.3%) men and 3,780 (57.7%) women. PTSD was measured based on the Harvard Trauma Questionnaire, part IV (HTQ-IV). Men and women differed in lifespan distribution of PTSD. The highest prevalence of PTSD was seen in the early 40s for men and in the early 50s for women, while the lowest prevalence for both genders was in the early 70s. Women had an overall twofold higher PTSD prevalence than men. However, at some ages the female to male ratio was nearly 3:1. The highest female to male ratio was found for the 21 to 25 year-olds. The lifespan gender differences indicate the importance of including reproductive factors and social responsibilities in the understanding of the development of PTSD.

Tài liệu tham khảo

Kessler RC, Sonnega A, Bromet E, Hughes M, Nelson CB: Posttraumatic stress disorder in the National Comorbidity Survey. Arch Gen Psychiatry. 1999, 52: 1048-1060.

Riley JC: Rising Life Expectancy: A Global History. 2001, New York, USA: Cambridge University Press

The World Factbook (2009). [https://www.cia.gov/library/publications/the-world-factbook/]

Bloom F, Nelson CA, Lazerson A: Brain, Mind and Behavior. 2001, New York, USA: Worth Publishers

Wang J, Korczykowski M, Rao H, Fan Y, Pluta J, Gur RC, McEwen BS, Detre JA: Gender difference in neural response to psychological stress. Soc Cogn Affect Neurosci. 2007, 2: 227-239. 10.1093/scan/nsm018.

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.

Perkonigg A, Kessler RC, Storz S, Wittchen HU: Traumatic events and post-traumatic stress disorder in the community: prevalence, risk factors and comorbidity. Acta Psychiatr Scand. 2000, 101: 46-59. 10.1034/j.1600-0447.2000.101001046.x.

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.

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. 10.1037/0033-2909.132.6.959.

Cortina LM, Kubiak SP: Gender and posttraumatic stress: sexual violence as an explanation for women's increased risk. J Abnorm Psychol. 2006, 115: 753-759. 10.1037/0021-843X.115.4.753.

Ditlevsen DN: The Trauma Type Related Variance of Gender Differences in PTSD Prevalence: A Meta-analysis of 15 Danish and 3 Icelandic Convenience Samples. 2009, Aarhus, Denmark: Institute of Psychology

Thomson MP, Norris FH, Hanacek B: Age differences in the psychological consequences of hurricane Hugo. Psychol Aging. 1993, 8: 606-616. 10.1037/0882-7974.8.4.606.

Norris FH, Kaniasty K, Conrad ML, Inman GL, Murphy AD: Placing age differences in cultural context: a comparison of the effects of age on PTSD after disasters in the United States, Mexico, and Poland. J Clin Geropsychol. 2002, 8: 153-173. 10.1023/A:1015940126474.

Creamer M, Parslow R: Trauma exposure and posttraumatic stress disorder in the elderly: a community prevalence study. Am J Geriatr Psychiatry. 2008, 16: 853-856. 10.1097/01.JGP.0000310785.36837.85.

Elklit A, Petersen T: Exposure to traumatic events among adolescents in four nations. Torture. 2008, 18: 2-11.

Elklit A, Simonsen E: MCMI-III En introduktion til Millon Clinical Multiaxial Inventory. 2005, Copenhagen, Denmark: Dansk Psykologisk Forlag, [in Danish]

Frueh BC, Grubaugh AL, Acierno R, Elbai JD, Cain G, Magruder KM: Age differences in posttraumatic stress disorder, psychiatric disorders, and healthcare service use among veterans in veterans primary care clinics. Am J Geriatr Psychiatry. 2007, 15: 660-672.

Maercker A, Forstmeier S, Wagner B, Glaesmer H, Brähler E: Posttraumatische Belastungsstörungen in Deutschland: Ergebnisse einer gesamtdeutschen epidemiologischen Untersuchung [in German]. Der Nervenarzt. 2008, 79: 577-586. 10.1007/s00115-008-2467-5.

Spitzer C, Barnow S, Völzke H, John U, Freyberger HJ, Grabe HJ: Trauma and posttraumatic stress disorder in the elderly: findings from a German community study. J Clin Psychiatry. 2008, 69: 693-700. 10.4088/JCP.v69n0501.

Elklit A, O'Connor M: Post-traumatic stress disorder in a Danish population of elderly bereaved. Scand J Psychol. 2005, 46: 439-445. 10.1111/j.1467-9450.2005.00475.x.

Christiansen DM, Elklit A: Risk-factors predict post-traumatic stress disorder differently in men and women. Ann Gen Psychiatry. 2008, 7: 24-10.1186/1744-859X-7-24.

Bromet E, Sonnega A, Kessler RC: Risk factors for DSM-III-R posttraumatic stress disorder: findings from the national comorbidity survey. Am J Epidemiol. 1998, 147: 353-361.

Hapke U, Schumann A, Rumpf HJ, John U, Meyer C: Post-traumatic stress disorder: the role of trauma, pre-existing psychiatric disorders, and gender. Eur Arch Psychiatry Clin Neurosci. 2006, 256: 299-306. 10.1007/s00406-006-0654-6.

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 posttraumatic stress disorder in Indochinese refugees. J Nerv Ment Dis. 1992, 180: 111-116. 10.1097/00005053-199202000-00008.

American Psychiatric Association: Diagnostic and Statistical Manual of Mental Disorders. 1994, Washington, DC: APA, 4

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.

Saxe G, Wolfe J: Gender and posttraumatic stress disorder. Posttraumatic Stress Disorder: A Comprehensive Text. Edited by: Saigh PA, Bremner JD. 1999, Boston, MA, USA: Allyn and Bacon, 160-179.

Dunkel CS, Sefcek JA: Eriksonian lifespan theory and life history theory: an integration using the example of identity formation. Rev Gen Psychol. 2009, 13: 13-23. 10.1037/a0013687.

Erikson EH: Youth: fidelity and diversity. Daedalus. 1988, 117: 1-24.

Rasmusson AM, Friedman MJ: Gender issues in the neurobiology of PTSD. Gender and PTSD. Edited by: Kimerling R, Ouimette P, Wolfe J. 2002, New York, USA: Guilford Press

Saab PG, Matthews KA, Stoney CM, McDonald RH: Premenopausal and postmenopausal women differ in their cardiovascular and neuroendocrine responses to behavioral stressors. Psychophysiology. 1989, 26: 270-280. 10.1111/j.1469-8986.1989.tb01917.x.

Newton TL, Parker BC, Ho IK: Ambulatory cardiovascular functioning in healthy postmenopausal women with victimization histories. Biol Psychol. 2005, 70: 121-130. 10.1016/j.biopsycho.2004.12.003.

Brown C, Lowis MJ: Psychosocial development in the elderly: an investigation into Erikson's ninth stage. J Aging Stud. 2003, 17: 415-426. 10.1016/S0890-4065(03)00061-6.

Erikson EH: The life cycle completed: A review - Extended version. 1998, New York, USA: W. W. Norton & Company

Tornstam L: Gerotranscendence from young old age to old age. [http://www.soc.uu.se/research/gerontology/pdf/gtransoldold.pdf]

Clark LA: Assessment and diagnosis of personality disorder: perennial issues and an emerging reconceptualization. Ann Rev Psychol. 2002, 58: 227-257. 10.1146/annurev.psych.57.102904.190200.

Rounsaville BJ, Alarcon RD, Andrews G, Jackson JS, Kendell RE, Kendler K: Basic nomenclature issues for DSM-V. A Research Agenda for DSM-V. Edited by: Kupfer DJ, First MB, Regier DE. 2002, Washington, DC: American Psychiatric Association, 1-29.

Rossi G, Elklit A, Simonsen E: Empirical evidence for a four factor framework of personality disorder organization: multigroup confirmatory factor analysis of the Millon Clinical Multiaxial Inventory - III personality disorder scales across Belgian and Danish data samples. J Personal Disord. 2010, 24: 128-150. 10.1521/pedi.2010.24.1.128.

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