Please use this identifier to cite or link to this item:
Scopus Web of Science® Altmetric
Full metadata record
DC FieldValueLanguage
dc.contributor.authorForbes, D.-
dc.contributor.authorLockwood, E.-
dc.contributor.authorPhelps, A.-
dc.contributor.authorWade, D.-
dc.contributor.authorCreamer, M.-
dc.contributor.authorBryant, R.-
dc.contributor.authorMcFarlane, A.-
dc.contributor.authorSilove, D.-
dc.contributor.authorRees, S.-
dc.contributor.authorChapman, C.-
dc.contributor.authorSlade, T.-
dc.contributor.authorMills, K.-
dc.contributor.authorTeesson, M.-
dc.contributor.authorO’Donnell, M.-
dc.identifier.citationJournal of Clinical Psychiatry, 2014; 75(02):147-153-
dc.description.abstract<h4>Objective</h4>Interpersonal trauma and violence is currently considered a global public health emergency. However, studies have not differentiated between intimate interpersonal trauma and nonintimate interpersonal trauma in their impact on posttraumatic stress disorder (PTSD) symptomatology. This cross-sectional study based on epidemiologic data examined the differential likelihoods of endorsing PTSD symptoms following 3 categories of trauma: noninterpersonal (eg, accidents, natural disasters), nonintimate interpersonal (physical assaults perpetrated by nonintimates), and intimate interpersonal (physical assaults perpetrated by intimates or caregivers and sexual assaults).<h4>Method</h4>DSM-IV PTSD symptom data drawn from a weighted subsample (N = 1,012) of people reporting "most severe" reactions following one of the above types of trauma in the 2007 Australian National Survey of Mental Health and Well-Being (NSMHWB) were analyzed using binary logistic regression.<h4>Results</h4>Participants reporting intimate interpersonal compared with noninterpersonal trauma were significantly (P < .001) more likely to endorse core symptoms (intrusive reexperiencing, avoidance of reminders, hypervigilance, and startle response) of PTSD. The intimate interpersonal trauma group members were significantly more likely than the nonintimate interpersonal trauma group members to endorse distress at reminders (odds ratio [OR] = 3.2; P < .001; 99.7% CI, 1.3-7.9), avoiding thinking about the event (OR = 3.2; P < .001; 99.7% CI, 1.3-7.7), detachment from others (OR = 3.2; P < .001; 99.7% CI, 1.2-8.9), and restricted affect (OR = 4.1; P < .001; 99.7% CI, 1.5-11.3). Participants reporting nonintimate interpersonal and noninterpersonal traumas did not significantly differ except in endorsement of behavioral avoidance (OR = 2.8; P < .001; 99.7% CI, 1.2-6.6), hypervigilance (OR = 2.5; P = .002; 99.7% CI, 1.0-6.3), and exaggerated startle response (OR = 3.5; P < .001; 99.7% CI, 1.7-7.4).<h4>Conclusions</h4>Survivors of intimate trauma appear to experience particularly severe intrusive memories and reminders of past trauma and suppression of emotional responsivity. The unique impact of interpersonal trauma, however, intimate or otherwise, compared with noninterpersonal trauma, is the experience of an environment as unsafe and unpredictable, due to the potential of human threat. Such findings have significant implications for the assessment of and interventions for survivors of interpersonal violence.-
dc.description.statementofresponsibilityDavid Forbes, Emma Lockwood, Andrea Phelps, Darryl Wade, Mark Creamer, Richard A. Bryant, Alexander McFarlane, Derrick Silove, Susan Rees, Cath Chapman, Tim Slade, Katherine Mills, Maree Teesson, and Meaghan O, Donnell-
dc.publisherPhysicians Postgraduate Press-
dc.rights© Copyright 2013 Physicians Postgraduate Press-
dc.subjectCross-Sectional Studies-
dc.subjectInterpersonal Relations-
dc.subjectLife Change Events-
dc.subjectStress Disorders, Post-Traumatic-
dc.subjectSex Offenses-
dc.subjectDomestic Violence-
dc.subjectAged, 80 and over-
dc.subjectMiddle Aged-
dc.subjectYoung Adult-
dc.titleTrauma at the hands of another: distinguishing PTSD patterns following intimate and nonintimate interpersonal and noninterpersonal trauma in a nationally representative sample-
dc.typeJournal article-
dc.identifier.orcidMcFarlane, A. [0000-0002-3829-9509]-
Appears in Collections:Aurora harvest 3
Medicine publications

Files in This Item:
There are no files associated with this item.

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.