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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 prevalence of posttraumatic stress among women requesting induced abortion
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“The highest PTSD risk score was associated with sexual and physical assault, robbery, and multiple trauma experiences (Frans et al. 2005).”
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Contributors to Screening Positive for Mental Illness in Lebanon's Shatila Palestinian Refugee Camp
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“According to statistical estimates, the prevalence of PTSD ranges from 1 and 5% in studies of the general population (7, 8), and from 3 and 58% in high-risk groups such as conflict areas (9,”
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“Those respondents who scored 0–13 on PSS were considered to have low perceived stress, a score between 14 and 26 was considered moderate perceived stress, and those who scored 27–40 were considered to have high perceived stress.(47) Depression was measured by Patient Health Questionnaire (PHQ-9) with a score of 10 or…”
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“Lifetime prevalence of PTSD in the Swedish population has been estimated to about 6%, with the highest PTSD risk associated with sexual and physical assault, robbery and multiple trauma experiences [2].”
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“28 As regards the prevalence of PTSD of 5.6% in Sweden 31 the proportion with points (cid”
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Posttraumatic Growth Moderates Suicide Risk Among Trauma Exposed Undergraduates
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Development of the Interpretation Bias Index for PTSD
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“, physical or sexual assault, serious accident or injury) during their lifetime (Frans et al. 2005; Kessler et al. 1995).”
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“This delusional memory is often the only reality survivors retain of their ICU experience and it could be argued that this is the biographical memory of their traumatic event, the nature of which, i.e. perceiving a risk of death, is associated with a high risk of PTSD (American Psychiatric Association, 2000).”
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“Although the lifelong prevalence of PTSD is estimated to be two times higher in women than in men, it has been reported that men experience more frequent traumatic experiences than women during their lifetime (Frans et al. 2005).”
BackgroundPosttraumatic Stress Disorder in Female Cancer Patients: An Inappropriate Diagnosis in Oncology?
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“Post-traumatic stress disorder (PTSD) is at least twice as likely to occur in women as men following traumatic events ( Breslau, 2002 ; Frans, Rimmo, Aberg, & Fredrikson, 2005 ).”
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“Across nations, time, study type, or diagnostic criteria, women have been reported to be at higher risk for PTSD than men (Ben-Ezra et al., 2018; Frans, Rimmo, Aberg, & Fredrikson, 2005; Kessler, Sonnega, Bromet, Hughes, & Nelson, 1995; Otten et al., 2021).”
BackgroundThe Dutch Version of the Centrality of Event Scale (CES)
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Adapting Trauma-Focused Cognitive Behavioral Therapy to Treat Complex Trauma in Police Officers
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“Women are more likely than men to develop PTSD following trauma in a female-to-male ratio of approximately 2:1 [11,12].”
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“Women are also at a higher risk for PTSD (Frans et al., 2005), even when they are subjected to the same type of trauma as men (Tolin and Foa, 2006; Van Loey et al., 2003).”
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“Additionally, the sample primarily identified as female gender (78%); although men report higher rates of trauma exposure, women are diagnosed with PTSD at higher rates [65].”
BackgroundJohansen, V. A., Wahl, A. K., & Weisæth, L. (2008) · Scandinavian Journal of Caring Sciences · doi:10.1111/j.1471-6712.2007.00550.x · Cited by 13
Prevalence of PTSD and related factors in communities living in conflictual area: Diyarbakir case.
Yaşan, A., Saka, G., Ertem, M., Özkan, M., & Ataman, M. (2008) · PubMed · Cited by 13
Post-traumatic stress disorder among Syrian refugees in Greece
Theofanidis, D., Karavasileiadou, S., & Almegewly, W. H. (2022) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2022.911642 · Cited by 14
“, no war, major conflict or other major mass event (35).”
BackgroundExamination of a novel measure of trauma‐related drinking to cope
Hawn, S. E., Aggen, S. H., Cusack, S. E., Spit for Science Working Group, Dick, D. M., & Amstadter, A. B. (2020) · Journal of Clinical Psychology · doi:10.1002/jclp.22972 · Cited by 12
Wimalawansa, S. J. (2013) · Asian Journal of Medical Sciences · doi:10.3126/ajms.v5i2.8537 · Cited by 17
Lundell, I. W., Öhman, S., Poromaa, I. S., Högberg, U., Sydsjö, G., & Svanberg, A. S. (2015) · European journal of contraception & reproductive health care · doi:10.3109/13625187.2014.1002032 · Cited by 11
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#NotOkay: Stories About Abuse on Instagram and Twitter
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“However, whereas over 80% of individuals ever experience a traumatic event, only a relatively small fraction (~15%) will develop PTSD [3, 4].”
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The Temporal Relationship Between Coping Self-Efficacy and Dissociation in Undergraduate Students
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Maples‐Keller, J. L., Hyatt, C. S., Sleep, C. E., Stevens, J. S., Fenlon, E. E., Jovanović, T., Rothbaum, B. O., Ressler, K. J., Carter, S. E., Bradley, B., et al. (2021) · Personality Disorders Theory Research and Treatment · doi:10.1037/per0000477 · Cited by 12
The functional role of locus coeruleus microglia in the female stress response
Smiley, C. E., Pate, B. S., Bouknight, S. J., Harrington, E. N., Jasnow, A. M., & Wood, S. K. (2025) · Molecular Psychiatry · doi:10.1038/s41380-025-02971-9 · Cited by 11
“Interestingly, while men report greater levels of overall trauma exposure, women develop PTSD at twice the rate of males [5].”
Pappaccogli, M., Monaco, S. D., Georges, C. M. G., Petit, G., Eula, E., Ritscher, S., Lengelé, J., Fanelli, E., Severino, F., Renkin, J. P., et al. (2019) · Blood Pressure · doi:10.1080/08037051.2019.1633908 · Cited by 11
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Trastorno de estrés postraumático en enfermeras durante la pandemia de COVID-19
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Psychische Folgen von früheren und akuten Traumatisierungen bei Älteren
Hucklenbroich, K., Burgmer, M., & Heuft, G. (2014) · Zeitschrift für Gerontologie und Geriatrie · doi:10.1007/s00391-014-0625-x · Cited by 10
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“Additionally, although several prior studies included participants who had experienced multiple previous trauma types, participants were categorized based on their self-reported most distressing trauma (Frans et al., 2005; Shakespeare-Finch & Armstrong, 2010).”
Victimization and PTSD in Ugandan Youth
Mandrup, L., & Elklit, A. (2014) · Open Journal of Epidemiology · doi:10.4236/ojepi.2014.43020 · Cited by 10
“Indeed, previous research finds that traffic accidents are less likely to precipitate PTSD compared to interpersonal and volatile traumas [53] [54].”
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Personality characteristics, trauma and symptoms of PTSD : a population study in Iraq
الجوراني, خ. ع. ا. ح. (2013) · Cited by 10
Trauma as a Public Health Issue: Epidemiology of Trauma and Trauma-Related Disorders
Mew, E. J., Koenen, K. C., & Lowe, S. R. (2022) · Springer eBooks · doi:10.1007/978-3-030-97802-0_2 · Cited by 9
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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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