Trauma Exposure, Posttraumatic Stress, and Psychiatric Comorbidity in Female Juvenile Offenders
Abstract
Objective To document the rate of posttraumatic stress disorder (PTSD) in female juvenile offenders and its relationship to trauma history, comorbid diagnoses, attributional style, and family functioning.Method The psychological profiles and trauma histories of 100 incarcerated female juvenile offenders (ages 13.5-19 years) were assessed using a semistructured interview. Two self-report measures were used to assess family functioning and attributional style.Results High rates of PTSD were reported by offenders (37%), with sexual abuse the precipitant in 70% of cases. Offenders with PTSD had significantly more comorbid diagnoses than those without (PTSD = 5.4, no PTSD = 3.1, p < .001). The majority (73%) of comorbid diagnoses appeared concurrently with or after PTSD onset. The presence of four or more psychiatric diagnoses (OR = 14.48, p < .001) and a history of sexual abuse (OR = 7.91, p < .001) were independently associated with a diagnosis of PTSD among female juvenile offenders.Conclusions These results suggest a link among trauma, PTSD, and the development of further psychopathology in female juvenile offenders. This link highlights the importance of comprehensive diagnosis and treatment of this and other comorbid disorders to ensure the effectiveness of interventions designed to treat antisocial behavior.
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PTSD commonly co-occurs with other psychiatric conditions such as major depressive disorder, anxiety disorder, substance abuse, and ADHD.
“In addition, PTSD commonly co-occurs with other psychiatric conditions, such as major depressive disorder,7 anxiety disorder,7 substance abuse8 and attention deficit hyperactivity disorder (ADHD).9”
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- Authors
- Dixon, A., Howie, P., & Starling, J.
- Affiliations
- The University of Sydney (AU)
- Corresponding author
- Dixon, Angela
- ORCID
- Starling, Jean
- Venue
- Journal of the American Academy of Child & Adolescent Psychiatry
- Publisher
- Elsevier BV
- Published
- 2005-08
- Volume
- 44
- Issue
- 8
- Pages
- 798-806
- ISSN
- 0890-8567 (ISSN-L)
- OpenAlex
- W2070929059
- Cited by
- 146
- References
- 30
- Citations by year
- 2025: 2 · 2024: 3 · 2023: 3 · 2022: 4 · 2021: 7 · 2020: 9 · 2019: 7 · 2018: 5 · 2017: 7 · 2016: 11 · 2015: 10 · 2014: 7 · 2013: 12 · 2012: 9
- FWCI
- 7.70
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of the American Academy of Child & Adolescent Psychiatry (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 › Psychopathy, Forensic Psychiatry, Sexual Offending
- Keywords
- post-traumatic stress disorder, female juvenile offenders, trauma exposure, sexual abuse, psychiatric comorbidity, attributional style, family functioning, incarcerated adolescents, antisocial behavior, psychopathology
- MeSH terms
- Adolescent, Adult, Child, Child Abuse, Sexual, Female, Humans, Juvenile Delinquency, Life Change Events, Prisoners, Risk Factors, Stress Disorders, Post-Traumatic, Violence, Comorbidity, Prevalence, Conduct Disorder, Substance-Related Disorders
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