Fulltext

Determinants of the development of post-traumatic stress disorder, in the general population

Perrin, Marc ; Vandeleur, Caroline ; Castelao, Enrique ; Rothen, Stéphane ; Glaus, Jennifer ; Vollenweider, Peter ; Preisig, Martin

In: Social Psychiatry and Psychiatric Epidemiology, 2014, vol. 49, no. 3, p. 447-457

Ajouter à la liste personnelle
    Titre
    • Determinants of the development of post-traumatic stress disorder, in the general population
    Auteur
    • Perrin, Marc. Department of Psychiatry, Center for Research in Psychiatric Epidemiology and Psychopathology (CEPP), University Hospital of Lausanne, Site de Cery, 1008, Prilly, Switzerland
    • Vandeleur, Caroline. Department of Psychiatry, Center for Research in Psychiatric Epidemiology and Psychopathology (CEPP), University Hospital of Lausanne, Site de Cery, 1008, Prilly, Switzerland
    • Castelao, Enrique. Department of Psychiatry, Center for Research in Psychiatric Epidemiology and Psychopathology (CEPP), University Hospital of Lausanne, Site de Cery, 1008, Prilly, Switzerland
    • Rothen, Stéphane. Department of Psychiatry, Center for Research in Psychiatric Epidemiology and Psychopathology (CEPP), University Hospital of Lausanne, Site de Cery, 1008, Prilly, Switzerland
    • Glaus, Jennifer. Department of Psychiatry, Center for Research in Psychiatric Epidemiology and Psychopathology (CEPP), University Hospital of Lausanne, Site de Cery, 1008, Prilly, Switzerland
    • Vollenweider, Peter. Department of Internal Medicine, Lausanne University Hospital, Lausanne, Switzerland
    • Preisig, Martin. Department of Psychiatry, Center for Research in Psychiatric Epidemiology and Psychopathology (CEPP), University Hospital of Lausanne, Site de Cery, 1008, Prilly, Switzerland
    Type de document
    • Postprint
    Langue
    • Anglais
    Publié dans
    • Social Psychiatry and Psychiatric Epidemiology, 2014, vol. 49, no. 3, p. 447-457. Springer Berlin Heidelberg
    Autre version électronique
    Identifiant OAI-PMH
    • oai:doc.rero.ch:325158
    Summary
    Purpose: To assess (1) the lifetime prevalence of exposure both to trauma and post-traumatic stress disorder (PTSD); (2) the risk of PTSD by type of trauma; and (3) the determinants of the development of PTSD in the community. Methods: The Diagnostic Interview for Genetic Studies was administered to a random sample of an urban area (N=3,691). Results: (1) The lifetime prevalence estimates of exposure to trauma and PTSD were 21.0 and 5.0%; respectively, with a twice as high prevalence of PTSD in women compared to men despite a similar likelihood of exposure in the two sexes; (2) Sexual abuse was the trauma involving the highest risk of PTSD; (3) The risk of PTSD was most strongly associated with sexual abuse followed by preexisting bipolar disorder, alcohol dependence, antisocial personality, childhood separation anxiety disorder, being victim of crime, witnessing violence, Neuroticism and Problem-focused coping strategies. After adjustment for these characteristics, female sex was no longer found to be significantly associated with the risk of PTSD. Conclusions: The risk for the development of PTSD after exposure to traumatic events is associated with several factors including the type of exposure, preexisting psychopathology, personality features and coping strategies which independently contribute to the vulnerability to PTSD.