Relationships among adverse childhood experiences, posttraumatic stress disorder symptom clusters, and health in women veterans

Aims.To investigate whether adverse childhood experiences (ACEs) modify the impact of exposure to a natural disaster (the 2011 Great East Japan earthquake and tsunami) on the occurrence of posttraumatic stress disorder (PTSD) among older people.Methods.Data were collected as part of the Japan Gerontological Evaluation Study (JAGES), which is an on-going epidemiological survey investigating social determinants of health among older people across Japan. Information on PTSD symptoms based on the Screening Questionnaire for Disaster Mental Health, traumatic exposure to the earthquake (i.e., house damage and loss of relatives/friends during the earthquake/tsunami) and ACEs was obtained from 580 participants aged 65 or older living in Iwanuma City, Miyagi Prefecture, which suffered severe damage as a result of the earthquake and the subsequent tsunami in March 2011. Associations were examined using Poisson regression analysis with a robust variance estimator after adjusting for covariates.Results.The prevalence of PTSD was 9.7% in this population; compared to those with no traumatic experience, the prevalence of PTSD was approximately two times higher among those who experienced the loss of close friends/relatives (PR = 1.84, 95% CI = 1.11–3.03, p = 0.018), or whose house was damaged (PR = 2.15, 95% CI = 1.07–4.34, p = 0.032). ACE was not significantly associated with PTSD. Stratified analyses by the presence of ACE showed that damage due to the earthquake/tsunami was associated with PTSD only among those without ACEs; more specifically, among non-ACE respondents the PR of PTSD associated with house damage was 6.67 (95% CI = 1.66–26.80), while for the loss of a relative or a close friend it was 3.56 (95% CI = 1.18–10.75). In contrast, no statistically significant associations were observed among those with ACEs.Conclusion.Following the Great East Japan earthquake/tsunami in 2011 a higher risk of developing PTSD symptoms was observed in 2013 especially among older individuals without ACEs. This suggests that ACEs might affect how individuals respond to subsequent traumatic events later in life.

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Racial/Ethnic Differences in the Impact of Adverse Childhood Experiences on Posttraumatic Stress Disorder in a Nationally Representative Sample of Adolescents

Child and Adolescent Social Work Journal ◽

10.1007/s10560-018-0585-x ◽

2018 ◽

Vol 36 (5) ◽

pp. 449-457 ◽

Cited By ~ 3

Author(s):

Jennifer Elkins ◽

Harold E. Briggs ◽

Keva M. Miller ◽

Irang Kim ◽

Roberto Orellana ◽

...

Keyword(s):

Posttraumatic Stress Disorder ◽

Posttraumatic Stress ◽

Ethnic Differences ◽

Adverse Childhood Experiences ◽

Stress Disorder ◽

Childhood Experiences ◽

Adverse Childhood ◽

Nationally Representative ◽

The Impact ◽

Racial Ethnic

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Adverse Childhood Experiences, Posttraumatic Stress Disorder Symptoms, and Emotional Intelligence in Partner Aggression

Violence and Victims ◽

10.1891/0886-6708.vv-d-12-00026 ◽

2013 ◽

Vol 28 (3) ◽

pp. 513-530 ◽

Cited By ~ 14

Author(s):

Rachael M. Swopes ◽

Daniel V. Simonet ◽

Anna E. Jaffe ◽

Robert P. Tett ◽

Joanne L. Davis

Keyword(s):

Posttraumatic Stress Disorder ◽

Emotional Intelligence ◽

Posttraumatic Stress ◽

Adverse Childhood Experiences ◽

Stress Disorder ◽

Self Regulation ◽

Ptsd Symptoms ◽

Partner Aggression ◽

Childhood Experiences ◽

Adverse Childhood

Intimate partner violence (IPV) has been linked to childhood abuse, posttraumatic stress disorder (PTSD), and low emotional intelligence (EI). Relationships among adverse childhood experiences (ACE), PTSD symptoms, and partner aggression (i.e., generalized tendency to aggress toward one’s partner) were assessed in 108 male IPV offenders. It was hypothesized that ACE is positively correlated with partner aggression, PTSD mediates the ACE-aggression relationship, and the ACE-PTSD-aggression mediation varies by selected EI facets. Results indicate that ACE has an indirect effect on partner aggression via PTSD and PTSD mediates the ACE–aggression link when emotional self-regulation is low and when intuition (vs. reason) is high. Trauma-exposed IPV offenders may benefit from comprehensive treatments focusing on PTSD symptoms, emotional control, and reasoning skills to reduce aggression.

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Identification of risk for posttraumatic stress disorder symptom clusters early after trauma

Journal of Health Psychology ◽

10.1177/1359105320934192 ◽

2020 ◽

pp. 135910532093419

Author(s):

Sydney C Timmer-Murillo ◽

Joshua C Hunt ◽

Timothy Geier ◽

Karen J Brasel ◽

Terri A deRoon-Cassini

Keyword(s):

Posttraumatic Stress Disorder ◽

Posttraumatic Stress ◽

Stress Disorder ◽

Traumatic Injury ◽

Symptom Clusters ◽

Post Discharge ◽

Cognitive Risk ◽

Disorder Symptom ◽

Life Threat ◽

Mood And Cognition

The current study examined how the injured trauma survivor screen (ITSS), a hospital-administered screener of posttraumatic stress disorder (PTSD) and depression, differentially predicted PTSD symptom cluster severity. Participants from a Level 1 trauma center ( n = 220) completed the ITSS while inpatient and PTSD symptoms were assessed one-month post discharge. Perceived life threat and intentionality of injury were key predictors of avoidance, re-experiencing, and hyperarousal symptom clusters. However, negative alterations in mood and cognition cluster seemed best predicted by mood and cognitive risk factors. Therefore, the ITSS provides utility in differentially predicting symptom clusters and treatment planning after traumatic injury.

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