Assaultive violence and the risk of posttraumatic stress disorder following a subsequent trauma.

Abstract:

:Breslau, Peterson, and Shultz (2008) reported that prior trauma alone, in the absence of PTSD, did not predict an increased PTSD risk, relative to no prior trauma. Only prior trauma that resulted in PTSD predicted an increased PTSD risk following a subsequent trauma. Recently, Cougle, Resnick, and Kilpatrick (2009) proposed that the effect of prior trauma might vary by type of prior trauma, a possibility not considered in Breslau et al. They report that childhood sexual or physical assault, in the absence of PTSD, increased the PTSD risk following a subsequent trauma. This report examines the PTSD effects of prior assaultive violence, using data from Breslau et al. (1998). The study assessed PTSD in relation to up to three events. Analysis was performed on the subset with PTSD assessment for two distinct events, the earliest trauma and a subsequent trauma (n=967), using as reference persons with no prior trauma (n=972). Neither prior assaultive violence nor other prior traumas, in the absence of PTSD, influenced the subsequent risk of PTSD. In contrast, prior PTSD increased considerably the PTSD risk of a subsequent trauma. The limitations in Cougle et al. (2009) and in this study and future research directions are discussed.

journal_name

Behav Res Ther

authors

Breslau N,Peterson EL

doi

10.1016/j.brat.2010.07.001

subject

Has Abstract

pub_date

2010-10-01 00:00:00

pages

1063-6

issue

10

eissn

0005-7967

issn

1873-622X

pii

S0005-7967(10)00144-0

journal_volume

48

pub_type

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