Cumulative effect of multiple trauma on symptoms of posttraumatic stress disorder, anxiety, and depression in adolescents

Suliman, Sharain; Mkabile, Siyabulela; Fincham, Dylan; Ahmed, Rashid; Stein, Dan J.; Seedat, Soraya

doi:10.1016/j.comppsych.2008.06.006

Cited by 342 publications

(284 citation statements)

References 30 publications

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“…The prevalence of adult physical IPV and sexual assault in this sample is similar to what has been identifi ed in other South African studies (Dunkle et al, 2004;Seedat et al, 2009;Suliman et al, 2009), with about half of the women reporting lifetime physical IPV from a sexual partner and a quarter reporting a history of sexual assault. It is notable, however, that our sample was young, and lifetime prevalence of IPV and assault is likely to increase over time.…”

Section: Discussionsupporting

confidence: 68%

“…Previous studies among women have shown that increasing types of traumatic experiences (e.g., childhood and adult abuse) were associated with greater trauma symptoms (Follette et al, 1996;Gold et al, 1994). In addition, a study in South Africa documented an increasing number of traumas among adolescents to be associated with greater PTSD symptoms (Suliman et al, 2009). However, it is important to note that the number of categories endorsed is not equivalent to the number of instances or the severity of the experience.…”

Section: Discussionmentioning

confidence: 75%

“…The prevalence of traumatic experiences also is very high in this setting, especially among women. Studies have documented that nearly half of South African women experience physical or sexual assault from a male partner in their lifetimes (Dunkle et al, 2004;, and more than 30% have a history of childhood sexual abuse Suliman et al, 2009). In South Africa, women also are vulnerable to other types of traumatic events, including violent crimes and the unexpected loss of children or loved ones (Gass et al, 2011).…”

mentioning

confidence: 99%

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Posttraumatic Stress Disorder Symptoms Mediate the Relationship Between Traumatic Experiences and Drinking Behavior Among Women Attending Alcohol Serving Venues in a South African Township

Watt

Ranby

Meade

et al. 2012

J. Stud. Alcohol Drugs

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ABSTRACT. Objective: South Africa has high rates of traumatic experiences and alcohol abuse or dependence, especially among women. Traumatic experiences often result in symptoms of posttraumatic stress disorder (PTSD), and PTSD has been associated with hazardous drinking. This article examines the relationship between traumatic events and hazardous drinking among women who patronized alcohol-serving venues in South Africa and examines PTSD as a mediator of this relationship. Method: A total of 560 women were recruited from a Cape Town township. They completed a computerized assessment that included alcohol consumption, history of traumatic events, and PTSD symptoms. Mediation analysis examined whether PTSD symptoms mediated the relationship between the number of traumatic event categories experienced (range: 0-7) and drinking behavior. Results: The mean Alcohol Use Disorders Identifi cation Test score in the sample was 12.15 (range: 0-34, SD = 7.3), with 70.9% reaching criteria for hazardous drinking (AUDIT ≥ 8). The mean PTSD score was 36.32 (range: 17-85, SD = 16.3), with 20.9% meeting symptom criteria for PTSD (PTSD ChecklistCivilian Version ≥ 50). Endorsement of traumatic experiences was high, including adult emotional (51.8%), physical (49.6%), and sexual (26.3%) abuse; childhood physical (35.0%) and sexual (25.9%) abuse; and other types of trauma (83%). All categories of traumatic experiences, except the "other" category, were associated with hazardous drinking. PTSD symptoms mediated 46% of the relationship between the number of traumatic categories experienced and drinking behavior. Conclusions: Women reported high rates of hazardous drinking and high levels of PTSD symptoms, and most had some history of traumatic events. There was a strong relationship between traumatic exposure and drinking levels, which was largely mediated by PTSD symptoms. Substance use interventions should address histories of trauma in this population, where alcohol may be used in part to cope with past traumas. (J. Stud. Alcohol Drugs, 73, 549-558, 2012)

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Section: Discussionsupporting

confidence: 68%

Section: Discussionmentioning

confidence: 75%

mentioning

confidence: 99%

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Posttraumatic Stress Disorder Symptoms Mediate the Relationship Between Traumatic Experiences and Drinking Behavior Among Women Attending Alcohol Serving Venues in a South African Township

Watt

Ranby

Meade

et al. 2012

J. Stud. Alcohol Drugs

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“…In addition to normative categories, students enrolled at South African universities are also exposed to context-specific stressors. These context-specific stressors include, but are not limited to, being first-generation students, socio-economic challenges, high incidence of traumatic stress and, in some instances, a school system that does not adequately prepare them for the challenges of higher education (Suliman et al, 2009;Van Heerden-Pieterse, 2015).…”

Section: Stress In the Academic Contextmentioning

confidence: 99%

Stress-Management Strategies among First-Year Students at a South African University: A Qualitative Study

Mason¹

2017

JSAA

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This article reports on a qualitative study that explored the use of coping strategies among first-year students in managing academic-related stressors. Qualitative data were collected using a non-probability and purposive sample. A total of 225 first-year students who were registered at a South African university participated in the study by writing naïve sketches. A narrative framework was adopted and data were analysed using thematic analysis. Six categories of stressors emerged from the data and were categorised as financial, spiritual, physical, emotional, mental and institutional. The qualitative findings also pointed to three prominent coping strategies, namely problem-focused coping, emotion-focused coping and meaning-making. The reported outcomes of employing coping strategies included both positive and negative aspects. An overarching theme, entitled 'hanging in there' was interpreted from the data and points to an innate sense of hope that assists participants in managing stressors. Implications for student affairs practitioners and areas for further study are discussed.

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“…Also, Prigerson et al in 1996 found that psychological abuse and parental loss were risk factors for the development of adult psychiatric disorders [5]. In SAD [9] and PTSD [10], childhood traumas include physical abuse [11][12][13], sexual abuse [12][13][14][15][16][17][18], and emotional abuse [19][20][21][22][23].…”

Section: Introductionmentioning

confidence: 99%

An Analysis of Early Developmental Trauma in Social Anxiety Disorder and Posttraumatic Stress Disorder

Bishop¹,

Riedl²,

Bakelaar³

et al. 2015

Holistic Perspectives on Trauma

Self Cite

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Background: The early contributions of childhood trauma (emotional, physical, sexual, and general) have been hypothesized to play a significant role in the development of anxiety disorders, such as posttraumatic stress disorder (PTSD) and social anxiety disorder (SAD). The aim of this study was to assess childhood trauma differences between PTSD and SAD patients and healthy controls, as measured by the Early Trauma Inventory.

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Cumulative effect of multiple trauma on symptoms of posttraumatic stress disorder, anxiety, and depression in adolescents

Cited by 342 publications

References 30 publications

Posttraumatic Stress Disorder Symptoms Mediate the Relationship Between Traumatic Experiences and Drinking Behavior Among Women Attending Alcohol Serving Venues in a South African Township

Posttraumatic Stress Disorder Symptoms Mediate the Relationship Between Traumatic Experiences and Drinking Behavior Among Women Attending Alcohol Serving Venues in a South African Township

Stress-Management Strategies among First-Year Students at a South African University: A Qualitative Study

An Analysis of Early Developmental Trauma in Social Anxiety Disorder and Posttraumatic Stress Disorder

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