Multivariate prediction of posttraumatic symptoms in psychiatric inpatients.
Based on a conceptual framework for the long-term effects of childhood abuse, this study examined the capacity of childhood family environment (caretaker dysfunction, neglect, perceived social support), violent abuse (physical and sexual), and individual variables (other abuse) to predict adult psychiatric symptoms of PTSD, dissociation, and depression. Complete interview data were obtained from 178 psychiatric in patients who varied greatly on abuse status and severity. Results of multiple regressions of predictor variables onto the three outcome variables showed that the predictor variables accounted for 15% (for depression) to 42% (for PTSD) of the variance in these symptoms and that violent abuse uniquely accounted for a significant proportion of the variance in outcomes for all three of the symptom groups studied.
Carlson
E B
EB
Department of Veterans Affairs, National Center for PTSD, Palo Alto Health Care System, Menlo Park, California 94025, USA. eve.carlson@med.va.gov
Dalenberg
C
C
Armstrong
J
J
Daniels
J W
JW
Loewenstein
R
R
Roth
D
D
D000328:Adult; D002648:Child; D002649:Child Abuse / Q000523:psychology; D003866:Depressive Disorder / Q000150:complications / Q000523:psychology*; D004213:Dissociative Disorders / Q000150:complications / Q000523:psychology*; D005260:Female; D006801:Humans; D008297:Male; D011237:Predictive Value of Tests; D012044:Regression Analysis; D012944:Social Support; D013313:Stress Disorders, Post-Traumatic / Q000150:complications / Q000175:diagnosis*; D011795:Surveys and Questionnaires