ORIGINAL PAPER
Self-reported health profiles of trauma victims with and without psychiatric histories
1
University of North Dakota, Grand Forks, ND, United States
Submission date: 2023-08-28
Final revision date: 2024-03-18
Acceptance date: 2024-04-22
Online publication date: 2024-06-24
KEYWORDS
TOPICS
ABSTRACT
Background:
This study examined associations between self-reported trauma exposure and physical health status after control of vari-ance associated with psychiatric disturbance. Physical and mental health diagnoses were examined among participants with and without histories of trauma and post-traumatic stress disorder (PTSD).
Participants and procedure:
College (n = 2,320) and national (n = 663) respondents were surveyed to identify trauma histories defined using the primary DSM-5 diagnostic criterion for PTSD. Respondents also identified lifetime diagnoses for a range of medical and psychiatric conditions. They were also asked to provide a self-assessment of their own current physical health status using a ten-point scaling metric.
Results:
Support was found for all three hypotheses: (H1) Self-identified trauma was associated with higher prevalence rates for 16 of 18 medical diagnoses; (H2) PTSD diagnoses were associated with higher prevalence rates than trauma alone for 6 of 16 medical conditions; and (H3) Self-reported trauma was associated with higher prevalence rates for 7 of 18 medical condi-tions among respondents who denied psychiatric histories.
Conclusions:
Trauma exposure both with and without co-occurring psychiatric illness was associated with substantially higher rates of self-reported physical illness. Practitioners and researchers should recognize the potential significance of self-identified trauma and the range of potential biosocial implications that may warrant monitoring.
This study examined associations between self-reported trauma exposure and physical health status after control of vari-ance associated with psychiatric disturbance. Physical and mental health diagnoses were examined among participants with and without histories of trauma and post-traumatic stress disorder (PTSD).
Participants and procedure:
College (n = 2,320) and national (n = 663) respondents were surveyed to identify trauma histories defined using the primary DSM-5 diagnostic criterion for PTSD. Respondents also identified lifetime diagnoses for a range of medical and psychiatric conditions. They were also asked to provide a self-assessment of their own current physical health status using a ten-point scaling metric.
Results:
Support was found for all three hypotheses: (H1) Self-identified trauma was associated with higher prevalence rates for 16 of 18 medical diagnoses; (H2) PTSD diagnoses were associated with higher prevalence rates than trauma alone for 6 of 16 medical conditions; and (H3) Self-reported trauma was associated with higher prevalence rates for 7 of 18 medical condi-tions among respondents who denied psychiatric histories.
Conclusions:
Trauma exposure both with and without co-occurring psychiatric illness was associated with substantially higher rates of self-reported physical illness. Practitioners and researchers should recognize the potential significance of self-identified trauma and the range of potential biosocial implications that may warrant monitoring.
REFERENCES (60)
1.
Afari, N., Ahumada, S. M., Wright, L. J., Mostoufi, S., Golnari, G., Reis, V., & Cuneo J. G. (2014). Psychological trauma and functional somatic syndromes: a systematic review and meta-analysis. Psychosomatic Medicine, 76, 2–11. https://doi.org/10.1097/PSY.00....
2.
Aguinis, H., Gottfredson, R. K., & Joo, H. (2013). Best-practice recommendations for defining, identifying, and handling outliers. Organizational Research Methods, 16, 270–301. https://doi.org/10.1177/109442....
3.
Allen, M. S., Iliescu, D., & Greiff, S. (2022). Single item measures in psychological science. European Journal of Psychological Assessment, 38, 1–5. https://doi.org/10.1027/1015-5....
4.
American Psychiatric Association (2013). Diagnostic and statistical manual of mental disorders: DSM-5. APA Pub-lishing.
5.
Anda, R. F., Felitti, V. J., Bremner, J. D., Walker, J. D., Whitfield, C., Perry, B. D., Dube, S. R., & Giles, W. H. (2006). The enduring effects of abuse and related adverse experiences in childhood. A convergence of evidence from neurobiology and epidemiology. European Archives of Psychiatry and Clinical Neuroscience, 256, 174–186. https://doi.org/10.1007/s00406....
6.
Andriessen, K., Mowll, J., Lobb, E., Draper, B., Dudley, M., & Mitchell, P. B. (2018). “Don’t bother about me.” The grief and mental health of bereaved adolescents. Death Studies, 42, 607–615. https://doi.org/10.1080/074811....
7.
Asmundson, G. J., & Katz, J. (2009). Understanding the co-occurrence of anxiety disorders and chronic pain: State-of-the-art. Depression and Anxiety, 26, 888–901. https://doi.org/10.1002/da.206....
8.
Baumeister, D., Akhtar, R., Ciufolini, S., Pariante, C. M., & Mondelli, V. (2016). Childhood trauma and adulthood inflammation: a meta-analysis of peripheral C-reactive protein, interleukin-6 and tumour necrosis factor-α. Molecular Psychiatry, 21, 642–649. https://doi.org/10.1038/mp.201....
9.
Bickers, D. R., Lim, H. W., Margolis, D., Weinstock, M. A., Goodman, C., Faulkner, E., Gould, C., Gemmen, E., Dall, T., American Academy of Dermatology Association, & Society for Investigative Dermatology (2006). The burden of skin diseases: 2004 a joint project of the American Academy of Dermatology Association and the Society for Investigative Dermatology. Journal of the American Academy of Dermatology, 55, 490–500. https://doi.org/10.1016/j.jaad....
10.
Buhrmester, M., Kwang, T., & Gosling, S. (2011). Amazon’s Mechanical Turk: a new source of inexpensive, yet high-quality, data? Perspectives on Psychological Science, 6, 3-5. https://doi.org/10.1177/174569....
11.
Burleigh, T., Kennedy, R., & Clifford, S. (2018). How to screen out VPS and international respondents using Qual-trics: a protocol. SSRN Electronic Journal, 3265459. https://doi.org/10.2139/ssrn.3....
12.
Cicchetti, D. (2016). Socioemotional, personality, and biological development: Illustrations from a multilevel de-velopmental psychopathology perspective on child maltreatment. Annual Review of Psychology, 67, 187–211. https://doi.org/10.1146/annure....
13.
Cicchetti, D., & Rogosch, F. A. (2001). The impact of child maltreatment and psychopathology on neuroendocrine functioning. Development and Psychopathology, 13, 783–804. https://doi.org/10.1017/S09545....
14.
Centers for Disease Control and Prevention (CDC). Diseases and conditions. Retrieved from https://www.cdc.gov. Statistics for selected medical illnesses were retrieved from the following CDC sources: Cancer (www.cdc.gov/nchs/fastats/cancer.htm); Hypertension (www.cdc.gov/nchs/data/hus/2017/053.pdf); Migraine (https://ftp.cdc.gov/pub/Health...); Diabetes, liver disease, and ulcers (https://ftp.cdc.gov/pub/Health...); Asthma (www.cdc.gov/asthma/most_recent_national_asthma_data.htm); Coronary heart disease (https://ftp.cdc.gov/pub/Health...); Seizure disorder (www.cdc.gov/mmwr/volumes/67/wr/mm6715a1.htm?s_cid=mm6715a1_e#T1_down); Fibromyalgia (www.cdc.gov/arthritis/basics/fibromyalgia.htm); Arthritis (https://nccd.cdc.gov/cdi/rdPag...=); HIV/AIDS (www.cdc.gov/hiv/statistics/overview/ataglance.html).
15.
Dong, M., Dube, S. R., Felitti, V. J., Giles, W. H., & Anda, R. F. (2003). Adverse childhood experiences and self-reported liver disease: New insights into the causal pathway. Archives of Internal Medicine, 163, 1949–1956. https://doi.org/10.1001/archin....
16.
Dong, M., Giles, W. H., Felitti, V. J., Dube, S. R., Williams, J. E., Chapman, D. P., & Anda, R. F. (2004). Insights into causal pathways for ischemic heart disease: Adverse childhood experiences study. Circulation, 110, 1761–1766. https://doi.org/10.1161/01.CIR....
17.
Dube, S. R., Anda, R. F., Felitti, V. J., Edwards, V. J., & Croft, J. B. (2002). Adverse childhood experiences and per-sonal alcohol abuse as an adult. Addictive Behaviors, 27, 713–725. https://doi.org/10.1016/S0306-....
18.
Dube, S. R., Felitti, V. J., Dong, M., Chapman, D. P., Giles W. H., & Anda, R. F. (2003). Childhood abuse, neglect, and household dysfunction and the risk of illicit drug use: The adverse childhood experiences study. Pediatrics, 111, 564–572. https://doi.org/10.1542/peds.1....
19.
Dube, S. R., Williamson, D. F., Thompson, T., Felitti, V. J., & Anda, R. F. (2004). Assessing the reliability of retro-spective reports of adverse childhood experiences among adult HMO members attending a primary care clin-ic. Child Abuse & Neglect, 28, 729–737. https://doi.org/10.1016/j.chia....
20.
Felitti, V. J., Anda, R. F., Nordenberg, D., Williamson, D. F., Spitz, A. M., Edwards, V., Koss, M. P., & Marks, J. S. (1998). Relationship of childhood abuse and household dysfunction to many of the leading causes of death in adults. The Adverse Childhood Experiences (ACE) Study. American Journal of Preventive Medicine, 14, 245–258. https://doi.org/10.1016/s0749-....
21.
Fergusson, D. M., Horwood, L. J., & Boden, J. M. (2011). Structural equation modeling of repeated retrospective reports of childhood maltreatment. International Journal of Methods in Psychiatric Research, 20, 93–104. https://doi.org/10.1002/mpr.33....
22.
Fleiss, J. L., Levin, B., & Paik, M. C. (2003) Statistical methods for rates and proportions (3rd ed.). John Wiley & Sons.
23.
Goodwin, R. D., & Stein, M. B. (2004). Association between childhood trauma and physical disorders among adults in the United States. Psychological Medicine, 34, 509–520. https://doi.org/10.1017/S00332....
24.
Gosling, S. D., Vazire, S., Srivastava, S., & John, O. P. (2004). Should we trust web-based studies? A comparative analysis of six preconceptions about internet questionnaires. American Psychologist, 59, 93–104. https://doi.org/10.1037/0003-0....
25.
Husarewycz, M. N., El-Gabalawy, R., Logsetty, S., & Sareen, J. (2014). The association between number and type of traumatic life experiences and physical conditions in a nationally representative sample. General Hospital Psychiatry, 36, 26–32. https://doi.org/10.1016/j.genh....
26.
Hillis, S. D., Anda, R. F., Dube, S. R., Felitti, V. J., Marchbanks, P. A., & Marks, J. S. (2004). The association between adverse childhood experiences and adolescent pregnancy, long-term psychosocial outcomes, and fetal death. Pediatrics, 113, 320–327. https://doi.org/10.1542/peds.1....
27.
Hillis, S. D., Anda, R. F., Felitti, V. J., & Marchbanks, P. A. (2001). Adverse childhood experiences and sexual risk behaviors in women: a retrospective cohort study. Family Planning Perspectives, 33, 206–211. https://doi.org/10.1363/332060....
28.
Hillis, S. D., Anda, R. F., Felitti, V. J., Nordenberg, D., & Marchbanks, P. A. (2000). Adverse childhood experiences and sexually transmitted diseases in men and women: a retrospective study. Pediatrics, 106, E11. https://doi.org/10.1542/peds.1....
29.
Jeppesen, R., & Benros, M. E. (2019). Autoimmune diseases and psychotic disorders. Frontiers in Psychiatry, 10, 131. https://doi.org/10.3389/fpsyt.....
30.
Kennedy, R., Clifford, S., Burleigh, T., Waggoner, P. D., Jewell, R., & Winter, N. J. G. (2020). The shape of and solu-tions to the MTurk quality crisis. Political Science Research and Methods, 8, 614–629. https://doi.org/10.1017/psrm.2....
31.
Kessler, R. C., Ormel, J., Demler, O., & Stang, P. E. (2003). Comorbid mental disorders account for the role im-pairment of commonly occurring chronic physical disorders: Results from the national comorbidity survey. Journal of Occupational and Environmental Medicine, 45, 1257–1266. https://doi.org/10.1097/01.jom....
32.
Keyes, K. M., McLaughlin, K. A., Demmer, R. T., Cerdá, M., Koenen, K. C., Uddin, M., & Galea, S. (2013). Poten-tially traumatic events and the risk of six physical health conditions in a population‐based sample. Depression and Anxiety, 30, 451–460. https://doi.org/10.1002/da.220....
33.
Kim, J., Cicchetti, D., Rogosch, F. A., & Manly, J. T. (2009). Child maltreatment and trajectories of personality and behavioral functioning: Implications for the development of personality disorder. Development and Psycho-pathology, 21, 889–912. https://doi.org/10.1017/S09545....
34.
King, A. R., Kuhn, S. K, Brezinski, S., Jowkar, M., & Smith, K. (2019). Psychotropic medication use among trauma-tized individuals with and without psychiatric histories. Current Psychopharmacology, 8, 1–13. https://doi.org/10.2174/221155....
35.
Lang, J., McKie, J., Smith, H., McLaughlin, A., Gillberg, C., Shiels, P. G., & Minnis, H. (2020). Adverse childhood experiences, epigenetics and telomere length variation in childhood and beyond: a systematic review of the lit-erature. European Child & Adolescent Psychiatry, 29, 1329–1338. https://doi.org/10.1007/s00787....
36.
Lauterbach, D., Vora, R., & Rakow, M. (2005). The relationship between posttraumatic stress disorder and self-reported health problems. Psychosomatic Medicine, 67, 939–947. https://doi.org/10.1097/01.psy....
37.
Lindert, J., von Ehrenstein, O., Grashow, R., Gal, G., Braehler, E., & Weisskopf, M. (2014). Sexual and physical abuse in childhood is associated with depression and anxiety over the life course: Systematic review and meta-analysis. International Journal of Public Health, 59, 359–372. https://doi.org/10.1007/s00038....
38.
Lovell, R. M., & Ford, A. C. (2012). Global prevalence of and risk factors for irritable bowel syndrome: a meta-analysis. Clinical Gastroenterology Hepatology, 10, 712–721.e4. https://doi.org/10.1016/j.cgh.....
39.
Mark, C. A., Poltavski, D. V., Petros, T., & King, A. (2019). Differential executive functioning in young adulthood as a function of experienced child abuse. International Journal of Psychophysiology, 135, 126–135. https://doi.org/10.1016/j.ijps....
40.
Mayer, E. A., Naliboff, B. D., Chang, L., & Coutinho, S. V. (2001). Stress and irritable bowel syndrome. American Journal of Physiology-Gastrointestinal and Liver Physiology, 280, G519–G524. https://doi.org/10.1152/ajpgi.....
41.
Michael, C., & Cooper, M. (2013). Post-traumatic growth following bereavement: a systematic review of the litera-ture. Counselling Psychology Review, 28, 18–33.
42.
Moss, A., & Litman, L. (2018, August 10). Concerns about bots on Mechanical Turk: Problems and solutions. Re-trieved from https://www.cloudresearch.com/....
43.
Ogińska-Bulik, N. (2018). Post-traumatic positive changes among parents who have experienced the loss of a child – the role of social support. Health Psychology Report, 6, 118–125. https://doi.org/10.5114/hpr.20....
44.
Oshri, A., Rogosch, F. A., & Cicchetti, D. (2013). Child maltreatment and mediating influences of childhood per-sonality types on the development of adolescent psychopathology. Journal of Clinical Child Adolescent Psychol-ogy, 42, 287–301. https://doi.org/10.1080/153744....
45.
Paolucci, E. O., Genuis, M. L., & Violato, C. (2001). A meta-analysis of the published research on the effects of child sexual abuse. The Journal of Psychology, 135, 17–36. https://doi.org/10.1080/002239....
46.
Payette, Y., de Moura, C. S., Boileau, C., Bernatsky, S., & Noisel, N. (2020). Is there an agreement between self-reported medical diagnosis in the CARTaGENE cohort and the Québec administrative health databases? Inter-national Journal of Population Data Science, 5, 1155. https://doi.org/10.23889/ijpds....
47.
Rahmandani, A., Salma, S., Kaloeti, D. V., Sakti, H., & Suparno, S. (2022). Which dimensions of forgiveness medi-ate and moderate childhood trauma and depression? Insights to prevent suicide risk among university stu-dents. Health Psychology Report, 10, 177–190. https://doi.org/10.5114/hpr/15....
48.
Rich-Edwards, J. W., Spiegelman, D., Lividoti Hibert, E. N., Jun, H. J., Todd, T. J., Kawachi, I., & Wright, R. J. (2010). Abuse in childhood and adolescence as a predictor of type 2 diabetes in adult women. American Journal of Pre-ventive Medicine, 39, 529–536. https://doi.org/10.1016/j.amep....
49.
Rowley, R. (2011). The 25 most common medical diagnoses. Retrieved from https://www.practicefusion.com....
50.
Sauver, J. L., Warner, D. O., Yawn, B. P., Jacobson, D. J., McGree, M. E., Pankratz, J. J., Melton, L. J., 3rd, Roger, V. L., Ebbert, J. O., & Rocca, W. A. (2013). Why patients visit their doctors: Assessing the most prevalent condi-tions in a defined American population. Mayo Clinic Proceedings, 88, 56–67. https://doi.org/10.1016/j.mayo....
51.
Scales, C. D., Smith, A. C., Hanley, J. M., Saigal, C. S., & Urologic Diseases in America Project. (2012). Prevalence of kidney stones in the United States. European Urology, 62, 160–165. https://doi.org/10.1016/j.euru....
52.
Schwartz, L. E., Howell, K. H., & Jamison, L. E. (2018). Effect of time since loss on grief, resilience, and depression among bereaved emerging adults. Death Studies, 42, 537–547. https://doi.org/10.1080/074811....
53.
Shmagel, A., Foley, R., & Ibrahim, H. (2016). Epidemiology of chronic low back pain in US adults: Data from the 2009-2010 National Health and Nutrition Examination Survey. Arthritis Care & Research, 68, 1688–1694. https://doi.org/10.1002/acr.22....
54.
Shaw, B. A., & Krause, N. (2002). Exposure to physical violence during childhood, aging, and health. Journal of Aging and Health, 14, 467–494. https://doi.org/10.1177/089826....
55.
Sledjeski, E., Speisman, B., & Dierker, L. (2008). Does number of lifetime traumas explain the relationship be-tween PTSD and chronic medical conditions? Answers from the national comorbidity survey-replication (NCS-R). Journal of Behavioral Medicine, 31, 341–349. https://doi.org/10.1007/s10865....
56.
Spinhoven, P., Elzinga, B. M., Van Memert, A. M., Rooij, M., & Penninx, B. W. (2016). Childhood maltreatment, maladaptive personality types and level and course of psychological distress: a six-year longitudinal study. Journal of Affective Disorders, 191, 100–108. https://doi.org/10.1016/j.jad.....
57.
Subica, A. M., Claypoole, K. H., & Wylie, A. M. (2012). PTSD’s mediation of the relationships between trauma, depression, substance abuse, mental health, and physical health in individuals with severe mental illness: Eval-uating a comprehensive model. Schizophrenia Research, 136, 104–109. https://doi.org/10.1016/j.schr....
58.
Sykes, M., Blanchard, E., Lackner, J., Keefer, L., & Krasner, S. (2003). Psychopathology in irritable bowel syn-drome: Support for a psychophysiological model. Journal of Behavioral Medicine, 26, 361–372. https://doi.org/1024209111909.
59.
van der Feltz-Cornelis, C. M., Potters, E. C., van Dam, A., Koorndijk, R. P. M., Elfeddali, I., & van Eck van der Sluijs, J. F. (2019). Adverse childhood experiences (ACE) in outpatients with anxiety and depressive disorders and their association with psychiatric and somatic comorbidity and revictimization. Cross-sectional observa-tional study. Journal of Affective Disorders, 246, 458–464. https://doi.org/10.1016/j.jad.....
60.
Veliz, P., McCabe, S. E., Eckner, J. T., & Schulenberg, J. E. (2017). Prevalence of concussion among US adolescents and correlated factors. JAMA, 318, 1180–1182. https://doi.org/10.1001/jama.2....
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