1. Lifetime Interpersonal Victimization Profiles and Mental Health Problems in a Nationally Representative Panel of Trauma-Exposed Adults From the United Kingdom.
- Author
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Charak R, Vang ML, Shevlin M, Ben-Ezra M, Karatzias T, and Hyland P
- Subjects
- Adult, Adult Survivors of Child Abuse statistics & numerical data, Adverse Childhood Experiences statistics & numerical data, Aged, Aged, 80 and over, Anxiety epidemiology, Anxiety psychology, Cross-Sectional Studies, Depression epidemiology, Depression psychology, Exposure to Violence statistics & numerical data, Female, Humans, Male, Middle Aged, Sex Offenses psychology, Sex Offenses statistics & numerical data, Stress Disorders, Post-Traumatic psychology, Surveys and Questionnaires, United Kingdom, Young Adult, Adult Survivors of Child Abuse psychology, Adverse Childhood Experiences psychology, Exposure to Violence psychology, Stress Disorders, Post-Traumatic epidemiology
- Abstract
Traumatic event exposure has been associated with negative psychological outcomes. There is, however, a dearth of research on revictimization. The current study examined patterns of lifetime interpersonal victimization based on six types of childhood maltreatment, physical and sexual assault, and assault with a weapon during adulthood via latent class analysis (LCA), with gender as covariate. Using a three-step approach, we assessed differences across the latent classes in symptoms and diagnosis of depression, anxiety, and DSM-5 posttraumatic stress disorder (PTSD). A trauma-exposed adult sample representative of the United Kingdom population (N = 1,051) was recruited online through a research panel. The mean participant age 47.18 years (SD = 15.00, range: 18-90 years; 68.4% female). The LCA identified five classes: lifetime polyvictimization (8.3%; 69.5% female), sexual revictimization (13.7%; 96.5% female), physical revictimization (12.5%; 1.5% male), childhood trauma (25.9%; 85.6% female), and limited victimization (39.7%; 40.3% female). Compared to the other classes, the polyvictimization class, followed by the childhood trauma class, demonstrated the highest scores on anxiety, depression, and posttraumatic stress symptoms. The polyvictimization class had nearly a nine- to 33-fold increase in risk of depression, OR = 9.48, 95% CI [3.34, 26.87]; anxiety, OR = 12.10, 95% CI [5.36, 27.36]; and PTSD diagnoses, OR = 33.63, 95% CI [16.35, 69.43], compared to the limited victimization class. The findings facilitate the identification of individuals at risk for revictimization and indicate that evidence-based clinical interventions should be targeted toward those with exposure to revictimization and childhood trauma exposure to alleviate mental health challenges., (© 2020 International Society for Traumatic Stress Studies.)
- Published
- 2020
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