Post-traumatic stress disorder associated with sexual assault among women in the WHO World Mental Health Surveys

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  • dc.contributor.author Scott, Kate M.
  • dc.contributor.author Koenen, Karestan C.
  • dc.contributor.author King, Andrew
  • dc.contributor.author Petukhova, Maria
  • dc.contributor.author Alonso Caballero, Jordi
  • dc.contributor.author Bromet, Evelyn J.
  • dc.contributor.author Bruffaerts, Ronny
  • dc.contributor.author Bunting, Brentan
  • dc.contributor.author de Jonge, Peter
  • dc.contributor.author Haro Abad, Josep Maria
  • dc.contributor.author Karam, Elie G.
  • dc.contributor.author Lee, Sing
  • dc.contributor.author Medina Mora, Maria Elena
  • dc.contributor.author Navarro Mateu, Fernando
  • dc.contributor.author Sampson, Nancy A.
  • dc.contributor.author Shahly, Victoria
  • dc.contributor.author Stein, Dan J.
  • dc.contributor.author Torres, Yolanda
  • dc.contributor.author Zaslavsky, Alan M.
  • dc.contributor.author Kessler, Ronald C.
  • dc.date.accessioned 2019-05-15T07:54:16Z
  • dc.date.available 2019-05-15T07:54:16Z
  • dc.date.issued 2018
  • dc.description.abstract Background: Sexual assault is a global concern with post-traumatic stress disorder (PTSD), one of the common sequelae. Early intervention can help prevent PTSD, making identification of those at high risk for the disorder a priority. Lack of representative sampling of both sexual assault survivors and sexual assaults in prior studies might have reduced the ability to develop accurate prediction models for early identification of high-risk sexual assault survivors. Methods: Data come from 12 face-to-face, cross-sectional surveys of community-dwelling adults conducted in 11 countries. Analysis was based on the data from the 411 women from these surveys for whom sexual assault was the randomly selected lifetime traumatic event (TE). Seven classes of predictors were assessed: socio-demographics, characteristics of the assault, the respondent's retrospective perception that she could have prevented the assault, other prior lifetime TEs, exposure to childhood family adversities and prior mental disorders. Results: Prevalence of Diagnostic and Statistical Manual of Mental Disorders IV (DSM-IV) PTSD associated with randomly selected sexual assaults was 20.2%. PTSD was more common for repeated than single-occurrence victimization and positively associated with prior TEs and childhood adversities. Respondent's perception that she could have prevented the assault interacted with history of mental disorder such that it reduced odds of PTSD, but only among women without prior disorders (odds ratio 0.2, 95% confidence interval 0.1–0.9). The final model estimated that 40.3% of women with PTSD would be found among the 10% with the highest predicted risk. Conclusions: Whether counterfactual preventability cognitions are adaptive may depend on mental health history. Predictive modelling may be useful in targeting high-risk women for preventive interventions.
  • dc.description.sponsorship The ESEMeD project is funded by the European Commission (Contracts QLG5-1999-01042; SANCO 2004123, and EAHC 20081308), the Piedmont Region (Italy)), Fondo de Investigación Sanitaria, Instituto de Salud Carlos III, Spain (FIS 00/0028), Ministerio de Ciencia y Tecnología, Spain (SAF 2000-158-CE), Departament de Salut, Generalitat de Catalunya, Spain, Instituto de Salud Carlos III (CIBER CB06/02/0046, RETICS RD06/0011 REM-TAP), and other local agencies and by an unrestricted educational grant from GlaxoSmithKline.
  • dc.format.mimetype application/pdf
  • dc.identifier.citation Scott KM, Koenen KC, King A, Petukhova MV, Alonso J, Bromet EJ et al. Post-traumatic stress disorder associated with sexual assault among women in the WHO World Mental Health Surveys. Psychol Med. 2018;48(1):155-67. DOI: 10.1017/S0033291717001593
  • dc.identifier.doi http://dx.doi.org/10.1017/S0033291717001593
  • dc.identifier.issn 0033-2917
  • dc.identifier.uri http://hdl.handle.net/10230/37228
  • dc.language.iso eng
  • dc.publisher Cambridge University Press
  • dc.relation.ispartof Psychological Medicine. 2018;48(1):155-67
  • dc.relation.projectID info:eu-repo/grantAgreement/ES/1PN/SAF2000-158-CE
  • dc.rights © Cambridge University Press. The published version of the article: Scott KM, Koenen KC, King A, Petukhova MV, Alonso J, Bromet EJ, Bruffaerts R, Bunting B, de Jonge P, Haro JM, Karam EG, Lee S, Medina-Mora ME, Navarro-Mateu F, Sampson NA, Shahly V, Stein DJ, Torres Y, Zaslavsky AM, Kessler RC. Post-traumatic stress disorder associated with sexual assault among women in the WHO World Mental Health Surveys. Psychol Med. 2018; 48(1):155-167. DOI 10.1017/S0033291717001593 is available at https://www.cambridge.org/core/journals/psychological-medicine.
  • dc.rights.accessRights info:eu-repo/semantics/openAccess
  • dc.subject.keyword Post-traumatic stress disorder
  • dc.subject.keyword PTSD
  • dc.subject.keyword Sexual assault
  • dc.title Post-traumatic stress disorder associated with sexual assault among women in the WHO World Mental Health Surveys
  • dc.type info:eu-repo/semantics/article
  • dc.type.version info:eu-repo/semantics/acceptedVersion

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