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Family functioning, trauma exposure and PTSD: A cross sectional study.

Abstract：

OBJECTIVE:Only a minority of trauma-exposed individuals go on to develop post traumatic stress disorder (PTSD). Previous studies in high income countries suggest that maladaptive family functioning adversities (MFFA) in childhood may partially explain individual variation in vulnerability to PTSD following trauma. We test in a lower middle-income setting (Sri Lanka) whether: (1) MFFA is associated with trauma exposure; (2) MFFA moderates the association between exposure to trauma and later (a) PTSD (b) other psychiatric diagnoses; and (3) any association between MFFA and PTSD is explained by experiences of interpersonal violence, cumulative trauma exposure or comorbid psychopathology. METHODS:We conducted a population study of 3995 twins and 2019 singletons residing in Colombo, Sri Lanka. Participants completed the Composite International Diagnostic Interview, including nine traumatic exposures and a questionnaire on MFFA. RESULTS:23.4% of participants reported exposure to MFFA. We found that (1) MFFA was strongly associated with trauma exposure (2) MFFA moderates the association between trauma exposure and both (a) PTSD and (b) other DSM psychiatric diagnosis. (3) This was not explained by interpersonal violence, cumulative trauma exposure or other psychopathology. CONCLUSIONS:MFFA moderates the association between trauma and PTSD, and the association between trauma and non-PTSD psychopathology.

journal_name

J Affect Disord

journal_title

Journal of affective disorders

authors

Dorrington S,Zavos H,Ball H,McGuffin P,Sumathipala A,Siribaddana S,Rijsdijk F,Hatch SL,Hotopf M

doi

10.1016/j.jad.2018.11.056

subject

Has Abstract

pub_date

2019-02-15 00:00:00

pages

645-652

eissn

0165-0327

issn

1573-2517

pii

S0165-0327(18)31291-6

journal_volume

245

pub_type

杂志文章

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