Associations Among Childhood Trauma, Childhood Mental Disorders, and Past‐Year Posttraumatic Stress Disorder in Military and Civilian Men

Autor:	Gin S Malhi, Blair S. Grace, Rebecca Syed Sheriff, Miranda Van Hooff, Alexander C. McFarlane
Rok vydání:	2019
Předmět:	Adult Male 050103 clinical psychology medicine.medical_specialty Adolescent Alcohol Drinking Anxiety Logistic regression Structural equation modeling Stress Disorders Post-Traumatic Young Adult 03 medical and health sciences 0302 clinical medicine Risk Factors Prevalence medicine Child and adolescent psychiatry Humans 0501 psychology and cognitive sciences Young adult Child Psychiatry Depression (differential diagnoses) Depression business.industry 05 social sciences Australia Odds ratio Middle Aged Mental health 030227 psychiatry Psychiatry and Mental health Clinical Psychology Military personnel Military Personnel business
Zdroj:	Journal of Traumatic Stress. 32:712-723
ISSN:	1573-6598 0894-9867
DOI:	10.1002/jts.22450
Popis:	To identify early life factors associated with posttraumatic stress disorder (PTSD), we investigated the association between childhood trauma and mental disorders with International Classification of Diseases (ICD)-diagnosed past-year PTSD in employed military and civilian men. Data were derived from the 2010 Australian Defence Force (ADF) Mental Health Prevalence and Wellbeing Study (N = 1,356) and the 2007 Australian Bureau of Statistics (ABS) National Survey of Mental Health and Wellbeing Study (N = 2,120) and analyzed using logistic regression and generalized structural equation modeling. After controlling for demographics, PTSD was associated with childhood anxiety, adjusted odds ratio (AOR) = 3.94, 95% CI [2.36, 6.58]; and depression, AOR = 7.01, 95% CI [2.98, 16.49], but not alcohol use disorders, in the ADF. In civilians, PTSD was associated with childhood anxiety only, AOR = 7.06, 95% CI [3.50, 14.22]. These associations remained significant after controlling for childhood and adult trauma in both populations and service factors and deployment, combat, or adult trauma in the ADF. In both populations, PTSD was associated with more than three types of childhood trauma: AOR = 2.97, 95% CI [1.53, 5.75] for ADF and AOR = 5.92, 95% CI [3.00, 11.70] for ABS; and childhood interpersonal, but not noninterpersonal, trauma: AOR = 3.08, 95% CI [1.61, 5.90] for ADF and AOR = 6.63, 95% CI [2.74, 16.06] for ABS. The association between childhood trauma and PTSD was fully mediated by childhood disorder in the ADF only. Taking a lifetime perspective, we have identified that the risk of PTSD from childhood trauma and disorder is potentially predictable and, therefore, modifiable.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::b9c38da7b41048c792668388867647d6 https://doi.org/10.1002/jts.22450 Zobrazit plný text záznamu Plný text ve formátu PDF Plný text ve formátu HTML
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