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Violence and risk of PTSD, major depression, substance abuse/dependence, and comorbidity: results from the national survey of adolescents
Abstract
With a national household probability sample of 4,023 telephone-interviewed adolescents ages 12-17, this study provides prevalence, comorbidity, and risk-factor data for posttraumatic stress disorder (PTSD), major depressive episode (MDE), and substance abuse/dependence (SA/D). Roughly 16% of boys and 19% of girls met criteria for at least 1 diagnosis. Six-month PTSD prevalence was 3.7% for boys and 6.3% for girls, 6-month MDE prevalence was 7.4% for boys and 13.9% for girls, and 12-month SA/D prevalence was 8.2% for boys and 6.2% for girls. PTSD was more likely to be comorbid than were MDE and SA/D. Results generally support the hypothesis that exposure to interpersonal violence (i.e., physical assault, sexual assault, or witnessed violence) increases the risk of these disorders and of diagnostic comorbidity.
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Metadata
- Authors
- Kilpatrick, D. G., Ruggiero, K. J., Acierno, R., Saunders, B. E., Resnick, H. S., & Best, C. L.
- Affiliations
- Medical University of South Carolina (US)
- Venue
- Journal of Consulting and Clinical Psychology
- Published
- 2003
- Volume
- 71
- Issue
- 4
- Pages
- 692-700
- ISSN
- 0022-006X (ISSN-L)
- 1939-2117
- OpenAlex
- W2147668737
- Cited by
- 1,590
- References
- 29
- Citations by year
- 2026: 16 · 2025: 26 · 2024: 45 · 2023: 37 · 2022: 55 · 2021: 79 · 2020: 104 · 2019: 86 · 2018: 115 · 2017: 84 · 2016: 92 · 2015: 117 · 2014: 98 · 2013: 110 · 2012: 86
- FWCI
- 37.06
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Consulting and Clinical Psychology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
- Social Sciences › Psychology › Clinical Psychology › Child Abuse and Trauma
- Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
- Keywords
- post-traumatic stress disorder, major depressive episode, substance abuse, substance dependence, comorbidities, interpersonal violence, adolescent mental health, prevalence, risk factors, sexual assault, physical assault, witnessing violence, gender differences
- MeSH terms
- Adolescent, Adolescent Behavior, Child, Depressive Disorder, Major, Major Depressive Disorder, Female, Humans, Male, Surveys and Questionnaires, Risk Factors, Stress Disorders, Post-Traumatic, Violence, Comorbidity, Prevalence, Substance-Related Disorders
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