The DOI matches its Crossref record; 258 of the 259 references it cites were found in a registry or an index.
Gender differences in posttraumatic stress disorder.
Abstract
One of the most consistent findings in the epidemiology of posttraumatic stress disorder (PTSD) is the higher risk of this disorder in women. Explanations reviewed within a psychobiological model of PTSD suggest that women's higher PTSD risk may be due to the type of trauma they experience, their younger age at the time of trauma exposure, their stronger perceptions of threat and loss of control, higher levels of peri-traumatic dissociation, insufficient social support resources, and greater use of alcohol to manage trauma-related symptoms like intrusive memories and dissociation, as well as gender-specific acute psychobiological reactions to trauma. This review demonstrates the need for additional research of the gender differences in posttraumatic stress. Recommendations are made for clinical practice.
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In the citing paper
“Research has consistently shown that men and women exhibit different patterns of media consumption and varying emotional responses to distressing (media) content [196,197].”
From Impact of Media-Induced Uncertainty on Mental Health: Narrative-Based Perspective. (2025) · cites this paper as [197]
In the citing paper
“Men may experience higher levels of anger and frustration when exposed to content that challenges their values or sense of control [197].”
From Impact of Media-Induced Uncertainty on Mental Health: Narrative-Based Perspective. (2025) · cites this paper as [197]
In the citing paper
“A consistent pattern in PTSD research is that females are twice as likely to develop PTSD as males 76 .”
From Post‐traumatic stress disorder: a state‐of‐the‐art review of evidence and challenges (2019) · cites this paper as [76]
Citations
Cites
Diagnostic and Statistical Manual of Mental Disorders
Williams, J. B. W., & First, M. B. (2013) · Oxford University Press eBooks · doi:10.1093/acrefore/9780199975839.013.104 · Cited by 109,845
Posttraumatic Stress Disorder in the National Comorbidity Survey
Kessler, R. C. (1995) · Archives of General Psychiatry · doi:10.1001/archpsyc.1995.03950240066012 · Cited by 10,379
Bonanno, G. A. (2004) · American Psychologist · doi:10.1037/0003-066x.59.1.20 · Cited by 6,851
Protective and Damaging Effects of Stress Mediators
McEwen, B. S. (1998) · New England Journal of Medicine · doi:10.1056/nejm199801153380307 · Cited by 6,733
A cognitive model of posttraumatic stress disorder
Ehlers, A., & Clark, D. M. (2000) · Behaviour Research and Therapy · doi:10.1016/s0005-7967(99)00123-0 · Cited by 6,147
Dickerson, S. S., & Kemeny, M. E. (2004) · Psychological Bulletin · doi:10.1037/0033-2909.130.3.355 · Cited by 5,881
Meta-analysis of risk factors for posttraumatic stress disorder in trauma-exposed adults
Brewin, C. R., Andrews, B., & Valentine, J. D. (2000) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.68.5.748 · Cited by 5,243
Psychological stress and the human immune system: a meta-analytic study of 30 Years of inquiry
Segerstrom, S. C., & Miller, G. E. (2004) · Psychological Bulletin · doi:10.1037/0033-2909.130.4.601 · Cited by 3,334
Predictors of posttraumatic stress disorder and symptoms in adults: a meta-analysis
Ozer, E. J., Best, S. R., Lipsey, T. L., & Weiss, D. S. (2003) · Psychological Bulletin · doi:10.1037/0033-2909.129.1.52 · Cited by 3,322
Biobehavioral responses to stress in females: Tend-and-befriend, not fight-or-flight.
Taylor, S. E., Klein, L. C., Lewis, B. P., Gruenewald, T. L., Gurung, R. A. R., & Updegraff, J. A. (2000) · Psychological Review · doi:10.1037/0033-295x.107.3.411 · Cited by 3,308
Cited by
Sorted by citations
Trauma and PTSD in the WHO World Mental Health Surveys
Kessler, R. C., Aguilar-Gaxiola, S., Alonso, J., Benjet, C., Bromet, E. J., Cardoso, G., Degenhardt, L., de Girolamo, G., Dinolova, R. V., Ferry, F., et al. (2017) · European Journal of Psychotraumatology · doi:10.1080/20008198.2017.1353383 · Cited by 1,661
Liu, N., Zhang, F., Wei, C., Jia, Y., Shang, Z., Sun, L., Wu, L., Sun, Z., Zhou, Y., Wang, Y., et al. (2020) · Psychiatry Research · doi:10.1016/j.psychres.2020.112921 · Cited by 1,548
“It has been proposed that hyper-activation of neural fear processing networks can explain gender differences in PTSS prevalence (Olff et al., 2007) .”
BackgroundGalanis, P., Vraka, I., Fragkou, D., Bilali, A., & Kaitelidou, D. (2021) · Journal of Advanced Nursing · doi:10.1111/jan.14839 · Cited by 993
Rates of post-traumatic stress disorder in trauma-exposed children and adolescents: meta-analysis
Alisic, E., Zalta, A. K., van Wesel, F., Larsen, S. E., Hafstad, G. S., Hassanpour, K., & Smid, G. E. (2014) · British Journal of Psychiatry · doi:10.1192/bjp.bp.113.131227 · Cited by 930
Mersky, J. P., Topitzes, J., & Reynolds, A. J. (2013) · Child Abuse & Neglect · doi:10.1016/j.chiabu.2013.07.011 · Cited by 729
“Our results should be viewed with some caution, however, because data were not available to evaluate PTSD and other specific anxiety disorders that may be more prevalent among females than among males in the wake of adverse events (Afifi et al., 2008; Dube et al., 2005; Olff et al., 2007).”
Result
Metadata
- Authors
- Olff, M., Langeland, W., Draijer, N., & Gersons, B. P. R.
- Affiliations
- Amsterdam UMC Location University of Amsterdam (NL)
- Vrije Universiteit Amsterdam (NL)
- Venue
- Psychological Bulletin
- Published
- 2007
- Volume
- 133
- Issue
- 2
- Pages
- 183-204
- ISSN
- 0033-2909 (ISSN-L)
- 1939-1455
- OpenAlex
- W2072944527
- Semantic Scholar
- cb3fabbf50ff1505b95b8ac8786ada0903601aae
- Cited by
- 1,058
- References
- 259
- Citations by year
- 2026: 30 · 2025: 48 · 2024: 59 · 2023: 67 · 2022: 78 · 2021: 56 · 2020: 106 · 2019: 47 · 2018: 46 · 2017: 66 · 2016: 66 · 2015: 64 · 2014: 58 · 2013: 57 · 2012: 50
- FWCI
- 41.82
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Psychological Bulletin (publishedVersion)
- PubMed (publishedVersion)
- Pure Amsterdam UMC (publishedVersion)
- Data Archiving and Networked Services (DANS) (submittedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
- Social Sciences › Psychology › Clinical Psychology › Child Abuse and Trauma
- Social Sciences › Psychology › Clinical Psychology › Psychoanalysis and Psychopathology Research
- Keywords
- post-traumatic stress disorder, gender differences, women, trauma exposure, threat perception, loss of control, social support, alcohol consumption, intrusive memories, psychobiological model, clinical practice
- MeSH terms
- Adaptation, Psychological, Age Factors, Cognition, Culture, Female, Humans, Hydrocortisone, Hypothalamo-Hypophyseal System, Life Change Events, Male, Oxytocin, Pituitary-Adrenal System, Sex Factors, Social Support, Stress Disorders, Post-Traumatic
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