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Trauma exposure and post‐traumatic stress disorder in the general population
Open accessAbstract
OBJECTIVE: To examine the lifetime prevalence of trauma experiences and post-traumatic stress disorder (PTSD). METHOD: Questionnaire-assessed PTSD, the type of traumatic event experienced, perceived trauma impact, and trauma frequency in 1824 randomly selected men and women. RESULTS: PTSD lifetime prevalence was estimated at 5.6% with a 1 : 2 male-to-female ratio, in spite of men reporting greater trauma exposure. The highest PTSD risk was associated with sexual and physical assault, robbery and multiple trauma experiences. Controlling for trauma type did not account for gender differences, while controlling for experienced distress did. CONCLUSION: The conditional probability for PTSD varied as a function of trauma type, frequency and impact of the event, with increased rates associated with prevalent trauma exposure and higher perceived distress. The latter accounted for the gender effect, suggesting that gender differences in PTSD in part represent a generally greater vulnerability to stress in women.
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“This finding suggests that making all MBPs trauma-inclusive is likely to be more useful than screening out or creating separate trauma-sensitive programs for trauma survivors with PTSD, as prevalence rates for lifetime trauma exposure (e.g., 80.8%) are estimated to be high within the general population [69].”
From Childhood trauma and subclinical PTSD symptoms predict adverse effects and worse outcomes across two mindfulness-based programs for active depression (2025) · cites this paper as [69]
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“then the estimated normal boundary of 3.5 years may be later, possibly even closer to 4 years.”
From The Stress Acceleration Hypothesis of Nightmares (2017) · cites this paper as [107]
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“The estimation of PTSD lifetime prevalence in those women was 9%, a number that corresponds with the PTSD lifetime prevalence rates of women in the general population [24,25].”
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Evidence-based pharmacotherapy of post-traumatic stress disorder (PTSD)
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“In general, older adults have been found to show lower lifetime PTSD prevalence rates than younger or middle‐aged adults (Frans et al., 2005; Kessler et al., 2005; Spitzer et al., 2008; see Table 1).”
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“…Lifetime exposure to traumatic events is common with reported prevalence of up to 90% in some populations (Breslau et al., 2001; Bruce et al., 2001; Frans et al., 2005), yet it is only a fraction of those that develops the problematic cluster of symptoms comprising the syndrome of post-traumatic…”
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Mental Health Problems in Parents of Children with Congenital Heart Disease
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“There is also good evidence to suggest that females are at greater risk than males of developing PTSD following trauma [22, 23 ].”
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“It also seems that the type of event experienced and the person’s perception of the event influence whether the disorder develops or not (Creamer, McFarlane, & Burgess, 2005; Frans et al., 2005; Norris et al., 2002).”
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“3% (Frans et al., 2005; Kessler et al., 1995), indicating that PTSD is a common problem after experiencing traumatic events.”
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“6% among men (Frans et al., 2005).”
Trauma Type and Gender Effects on PTSD, General Distress, and Peritraumatic Dissociation
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“For the majority of individuals in the general adult population, one traumatic experience is likely to occur within their lifetime (Frans et al., 2005; Breslau, 2009).”
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Posttraumatic stress disorder 1 month after 2008 earthquake in China: Wenchuan earthquake survey
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Arnberg, F., Bergh-Johannesson, K., & Michel, P. (2013) · Journal of Anxiety Disorders · doi:10.1016/j.janxdis.2013.03.011 · Cited by 71
Mental health of workers and volunteers responding to events of 9/11: Review of the literature
Bills, C. B., Levy, N. A. S., Sharma, V., Charney, D. S., Herbert, R., Moline, J. M., & Katz, C. L. (2008) · Mount Sinai Journal of Medicine A Journal of Translational and Personalized Medicine · doi:10.1002/msj.20026 · Cited by 78
Idemudia, E. S., William, J., Boehnke, K., & Wyatt, G. E. (2013) · Journal of Traumatic Stress Disorders & Treatment · doi:10.4172/2324-8947.1000110 · Cited by 76
“[3] study in which they found women more at risk than men.”
BackgroundMcGinty, G., Fox, R. J., Ben‐Ezra, M., Cloître, M., Karatzias, T., Shevlin, M. E., & Hyland, P. (2021) · European Psychiatry · doi:10.1192/j.eurpsy.2021.2239 · Cited by 76
Psychiatric and Emotional Sequelae of Surgical Amputation
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“Studies have found that female gender, low level of education, young age and having children are positively associated with PTSD [16, 22, 35, 45].”
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The prevalence and impact of trauma history in eating disorder patients
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“In a nationally representative study on trauma history in Sweden, Frans et al. (2005) reported that 83% (N 575) of adults between 18 and 34 years had been exposed to at least one PTE during their lifetime.”
BackgroundThe impact of childhood abuse and combat‐related trauma on postdeployment adjustment
Fritch, A. M., Mishkind, M. C., Reger, M. A., & Gahm, G. A. (2010) · Journal of Traumatic Stress · doi:10.1002/jts.20520 · Cited by 70
Psychological implications of admission to critical care
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Hunt, N. C. (2011) · Choice Reviews Online · doi:10.5860/choice.48-4174 · Cited by 69
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Kuhn, E. R., van der Meer, C. A. I., Owen, J. E., Hoffman, J. E., Cash, R., Carrese, P., Olff, M., Bakker, A., Schellong, J., Lorenz, P., et al. (2018) · mHealth · doi:10.21037/mhealth.2018.05.01 · Cited by 67
The Stress Acceleration Hypothesis of Nightmares
Nielsen, T. (2017) · Frontiers in Neurology · doi:10.3389/fneur.2017.00201 · Cited by 63
“If early adversity indeed foreshortens this boundary as the SAH-MI stipulates and if some of Rubin’s (80) participants had experienced prior adversity as might be expected from epidemiological studies (106, 107), then the estimated normal boundary of 3.”
BackgroundBernhard, A., Martinelli, A., Ackermann, K., Saure, D., & Freitag, C. M. (2016) · Neuroscience & Biobehavioral Reviews · doi:10.1016/j.neubiorev.2016.12.019 · Cited by 70
“Pooled estimates of event rates with corresponding 95% confidence intervals were calculated on the base of the Freeman-Tukey double arcsine transformation (Freeman and Tukey, 1950; Miller, 1978) within a random effects model framework.”
MethodJohnson, S. L., Elam, K. K., Rogers, A. A., & Hilley, C. D. (2018) · Prevention Science · doi:10.1007/s11121-018-0943-0 · Cited by 65
Uddin, M., Sipahi, L., Li, J., & Koenen, K. C. (2013) · Depression and Anxiety · doi:10.1002/da.22167 · Cited by 66
“[9] Meta-analysis indicates that the risk of PTSD is equal in men and women following experiences of adult sexual assault;[11] yet since women in general are exposed to greater rates of sexual assault,[9, 20] it is plausible that this greater exposure rate accounts for at least some of the heightened risk of PTSD onse…”
BackgroundInfluentialLau, M. E., & Kristensen, E. (2007) · Acta Psychiatrica Scandinavica · doi:10.1111/j.1600-0447.2006.00977.x · Cited by 63
Luz, M. P., Coutinho, E. S. F., Berger, W., Mendlowicz, M. V., Vilete, L. M. P., Mello, M. F., Quintana, M. I., Bressan, R. A., Andreoli, S. B., Mari, J. D. J., et al. (2015) · Journal of Psychiatric Research · doi:10.1016/j.jpsychires.2015.10.011 · Cited by 62
Lian, Y., Xiao, J., Wang, Q., Ning, L., Guan, S., Ge, H., Li, F., & Liu, J. (2014) · BMC Psychiatry · doi:10.1186/s12888-014-0232-9 · Cited by 65
“This suggests that the heterogeneity of the effects of trauma could in part be mediated by several environmental risk factors, including pre-, peri-, and post-traumatic stressful life events [3-5].”
BackgroundBeyond bullying: Aggravating elements of peer victimization episodes.
Turner, H. A., David Finkelhor, B., Shattuck, A., Hamby, S. L., & Mitchell, K. J. (2014) · School Psychology Quarterly · doi:10.1037/spq0000058 · Cited by 63
Female Victimization and Intimate Partner Violence After the May 12, 2008, Sichuan Earthquake
Chan, K. L., & Zhang, Y. (2011) · Violence and Victims · doi:10.1891/0886-6708.26.3.364 · Cited by 63
Frijling, J. L., van Zuiden, M., Koch, S. B., Nawijn, L., Goslings, J. C., Luitse, J. S., Biesheuvel, T. H., Honig, A., Bakker, F. C., Denys, D., et al. (2014) · BMC Psychiatry · doi:10.1186/1471-244x-14-92 · Cited by 59
“90%) [1-4] and a 7-8% lifetime prevalence of PTSD [1,5],”
BackgroundPost-traumatic stress disorder: a psychiatric disorder requiring urgent attention
Du, J., Diao, H., Zhou, X., Zhang, C., Chen, Y., Gao, Y. F., & Wang, Y. (2022) · Medical Review · doi:10.1515/mr-2022-0012 · Cited by 69
Persson, A., Back, S. E., Killeen, T. K., Brady, K. T., Schwandt, M. L., Heilig, M. A., & Magnusson, Å. (2017) · Journal of Addiction Medicine · doi:10.1097/adm.0000000000000286 · Cited by 58
“Here, we gave COPE, a manual-based type of integrated trauma-focused CBT for PTSD and SUD (Back et al., 2015), at an outpatient unit for women with AUD in Sweden, and evaluated its safety and feasibility.”
InfluentialSerious life events and post-traumatic stress disorder in the Norwegian population
Heir, T., Bonsaksen, T., Grimholt, T. K., Ekeberg, Ø., Skogstad, L., Lerdal, A., & Schou‐Bredal, I. (2019) · BJPsych Open · doi:10.1192/bjo.2019.62 · Cited by 60
Shevlin, M. E., & Elklit, A. (2008) · Nordic Journal of Psychiatry · doi:10.1080/08039480801983992 · Cited by 56
Jowett, S., Karatzias, T., & Albert, I. (2020) · Psychology and Psychotherapy: Theory, Research and Practice · doi:10.1111/papt.12248 · Cited by 55
Metadata
- Authors
- Frans, Ö., Rimmö, P. ‐., Åberg, L., & Fredrikson, M.
- Affiliations
- Uppsala University (SE)
- Dalarna University (SE)
- Corresponding author
- Frans, Ö.
- ORCID
- Fredrikson, M.
- Venue
- Acta Psychiatrica Scandinavica
- Publisher
- Wiley
- Published
- 2005-03
- Volume
- 111
- Issue
- 4
- Pages
- 291-290
- ISSN
- 0001-690X (ISSN-L)
- 1600-0447
- OpenAlex
- W2139994007
- Cited by
- 580
- References
- 59
- Citations by year
- 2026: 20 · 2025: 31 · 2024: 26 · 2023: 27 · 2022: 33 · 2021: 24 · 2020: 31 · 2019: 39 · 2018: 31 · 2017: 39 · 2016: 20 · 2015: 32 · 2014: 28 · 2013: 32 · 2012: 27
- FWCI
- 26.23
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Acta Psychiatrica Scandinavica (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 › Migration, Health and Trauma
- Keywords
- post-traumatic stress disorder, trauma exposure, lifetime prevalence, gender differences, sexual assault, physical assault, robbery, polytrauma, perceived distress, general population
- MeSH terms
- Adolescent, Adult, Aged, Crime, Cross-Sectional Studies, Female, Humans, Life Change Events, Male, Middle Aged, Surveys and Questionnaires, Recurrence, Risk, Sex Offenses, Sex Ratio, Statistics as Topic, Stress Disorders, Post-Traumatic, Sweden, Violence
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