Effects of Trauma and PTSD on Self-Reported Physical Functioning in Sexual Minority Women

被引:5
作者
Niles, Andrea N. [1 ,5 ]
Valenstein-Mah, Helen [2 ]
Bedard-Gilligan, Michele [3 ,4 ]
Kaysen, Debra [3 ,4 ]
机构
[1] Univ Calif Los Angeles, Dept Psychol, Los Angeles, CA 90024 USA
[2] Univ Washington, Dept Psychol, Seattle, WA 98195 USA
[3] Univ Washington, Dept Psychiat & Behav Sci, Seattle, WA 98195 USA
[4] Univ Washington, Ctr Study Hlth & Risk Behav, Seattle, WA 98195 USA
[5] Vet Adm Med Ctr, 4150 Clement St 116P, San Francisco, CA 94121 USA
关键词
PTSD; physical functioning; arousal; reactivity; sexual minority women; POSTTRAUMATIC-STRESS-DISORDER; MENTAL-HEALTH; PSYCHIATRIC-DISORDERS; BISEXUAL POPULATIONS; HEART-DISEASE; LIFE EVENTS; GAY; SYMPTOMS; EXPOSURE; RISK;
D O I
10.1037/hea0000543
中图分类号
B849 [应用心理学];
学科分类号
040203 ;
摘要
Objective: Sexual minority women (lesbians, bisexual women, and women who partner with women) experience high rates of trauma exposure, are more likely to develop posttraumatic stress disorder (PTSD), and have high rates of physical health problems compared with heterosexual women. The present study tested whether PTSD may be the mechanism through which trauma exposure affects self-reported physical functioning in this population. Method: In a sample of 857 sexual minority women, we examined the association between trauma exposure and worsening physical functioning (measured using the 12-item Short Form Health Survey) 2 years later, whether PTSD mediated this relationship, and if so, which PTSD symptom clusters best accounted for this mediation. Results: Results showed that more Criterion A traumatic events experienced (based on DSM-IV) predicted greater decline in physical functioning 2 years later, and PTSD symptoms mediated this relationship, explaining 73% of the total effect. The arousal/reactivity symptom cluster was the only significant mediator, explaining 68% of the total effect. Conclusions: Results show that PTSD, and arousal/reactivity symptoms in particular, may be the mechanism through which traumatic events negatively impact self-reported physical functioning. These findings provide further evidence that, for this at risk population, treating PTSD as soon as possible after onset may improve long term physical functioning.
引用
收藏
页码:947 / 954
页数:8
相关论文
共 53 条
[1]  
Allison P. D., 2012, SAS Global Forum, V2012, P1038
[2]  
American Psychiatric Association, 2013, Diagnostic and Statistical Manual of Mental Disorders: DSM-5, V5th ed, DOI 10.1176/appi.books.9780890425596
[3]   The impact of PTSD symptoms on physical and mental health functioning in returning veterans [J].
Asnaani, Anu ;
Reddy, Madhavi K. ;
Shea, M. Tracie .
JOURNAL OF ANXIETY DISORDERS, 2014, 28 (03) :310-317
[4]   Victimization over the life span: A comparison of lesbian, gay, bisexual, and heterosexual siblings [J].
Balsam, KF ;
Rothblum, ED ;
Beauchaine, TP .
JOURNAL OF CONSULTING AND CLINICAL PSYCHOLOGY, 2005, 73 (03) :477-487
[5]   The Relationship Between Assault and Physical Health Complaints in a Sample of Female Drinkers Roles of Avoidant Coping and Alcohol Use [J].
Bedard-Gilligan, Michele ;
Cronce, Jessica M. ;
Lehavot, Keren ;
Blayney, Jessica A. ;
Kaysen, Debra .
JOURNAL OF INTERPERSONAL VIOLENCE, 2014, 29 (08) :1359-1379
[6]   Psychometric properties of the PTSD checklist (PCL) [J].
Blanchard, EB ;
JonesAlexander, J ;
Buckley, TC ;
Forneris, CA .
BEHAVIOUR RESEARCH AND THERAPY, 1996, 34 (08) :669-673
[7]   Overweight and obesity in sexual-minority women: Evidence from population-based data [J].
Boehmer, Ulrike ;
Bowen, Deborah J. ;
Bauer, Greta R. .
AMERICAN JOURNAL OF PUBLIC HEALTH, 2007, 97 (06) :1134-1140
[8]   Posttraumatic stress disorder and physical illness - Results from clinical and epidemiologic studies [J].
Boscarino, JA .
BIOBEHAVIORAL STRESS RESPONSE: PROTECTIVE AND DAMAGING EFFECTS, 2004, 1032 :141-153
[9]   A prospective study of PTSD and early-age heart disease mortality among Vietnam veterans: Implications for surveillance and prevention [J].
Boscarino, Joseph A. .
PSYCHOSOMATIC MEDICINE, 2008, 70 (06) :668-676
[10]   Sexual orientation, health risk factors, and physical functioning in the Nurses' Health Study II [J].
Case, P ;
Austin, SB ;
Hunter, DJ ;
Manson, JE ;
Malspeis, S ;
Willett, WC ;
Spiegelman, D .
JOURNAL OF WOMENS HEALTH, 2004, 13 (09) :1033-1047