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Social Psychiatry and Psychiatric Epidemiology

, Volume 52, Issue 1, pp 11–19

First Online: 18 October 2016Received: 24 January 2016Accepted: 10 October 2016

Abstract

PurposeThe prevalence of PTSD differs by gender. Pre-existing psychiatric disorders and different traumas experienced by men and women may explain this. The aims of this study were to assess 1 incidence and prevalence of exposure to traumatic events and PTSD, 2 the effect of pre-existing psychiatric disorders prior to trauma on the risk for PTSD, and 3 the effect the characteristics of trauma have on the risk for PTSD. All stratified by gender.

MethodCIDI was used to obtain diagnoses at the interview stage and retrospectively for the general population N = 1634.

ResultsThe incidence for trauma was 466 and 641 per 100,000 PYs for women and men, respectively. The incidence of PTSD was 88 and 31 per 100,000 PYs. Twelve month and lifetime prevalence of PTSD was 1.7 and 4.3 %, respectively, for women, and 1.0 and 1.4 %, respectively, for men. Pre-existing psychiatric disorders were risk factors for PTSD, but only in women. Premeditated traumas were more harmful.

ConclusionGender differences were observed regarding traumatic exposure and in the nature of traumas experienced and incidences of PTSD. Men experienced more traumas and less PTSD. Pre-existing psychiatric disorders were found to be risk factors for subsequent PTSD in women. However, while trauma happens to most, it only rarely leads to PTSD, and the most harmful traumas were premeditated ones. Primary prevention of PTSD is thus feasible, although secondary preventive efforts should be gender-specific.

KeywordsPost-traumatic stress disorder Trauma Epidemiology Gender differences Pre-existing psychiatric disorders  Download fulltext PDF



Autor: Eva Lassemo - Inger Sandanger - Jan F. Nygård - Knut W. Sørgaard

Fuente: https://link.springer.com/



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