title: Trauma experiences and mental health among incarcerated women.
abstract: Female offenders have different risk factors for offending than do male offenders, and elevated rates of interpersonal victimization such as physical, emotional, and sexual abuse, and family and community violence, are common in histories of incarcerated women. We used factor analysis to examine patterns of traumatic events experienced by women in jail and explored how these patterns were associated with 4 psychiatric disorders (posttraumatic stress disorder [PTSD], major depression, bipolar disorder, and substance use disorder) observed in this sample.
  
  
  
  A total of 464 women from 9 jails in 4 geographic regions in the United States comprised the sample. Women participated in diagnostic interviews to assess trauma exposure and psychiatric disorders.
  
  
  
  Three factors described the observed patterns of trauma exposure: family dysfunction (FD), interpersonal violence (IPV), and external events (EE). Life events were analyzed as a separate group of items. FD and IPV each contributed independently to the odds of having each of the 4 mental disorders studied; significant odds ratios were in the range of 1.38-2.05. All 3 factors contributed to the diagnosis of bipolar disorder. The only diagnosis to which stressful life events made a unique contribution was to the likelihood of having PTSD.
  
  
  
  This work provides further support for the importance of assessing trauma exposure of women in jail, especially the family context, as well as mental health. Implementation and testing of evidence-based treatment approaches that address trauma-related distress in correctional settings are warranted. (PsycINFO Database Record
authors.affiliation: Department of Psychiatry.
authors.forename: Bonnie L
authors.initials: BL
authors.lastname: Green
authors.affiliation: Department of Psychiatry.
authors.forename: Priscilla
authors.initials: P
authors.lastname: Dass-Brailsford
authors.affiliation: Department of Psychiatry.
authors.forename: Alejandra
authors.initials: A
authors.lastname: Hurtado de Mendoza
authors.affiliation: Department of Psychiatry.
authors.forename: Mihriye
authors.initials: M
authors.lastname: Mete
authors.affiliation: Department of Psychology, Idaho State University.
authors.forename: Shannon M
authors.initials: SM
authors.lastname: Lynch
authors.affiliation: College of Social Work, University of South Carolina.
authors.forename: Dana D
authors.initials: DD
authors.lastname: DeHart
authors.affiliation: Ethnic Studies Department, University of Colorado.
authors.forename: Joanne
authors.initials: J
authors.lastname: Belknap
mesh_terms: D000328:Adult; D001714:Bipolar Disorder / Q000453:epidemiology*; D003865:Major Depressive Disorder / Q000453:epidemiology*; D000069581:Exposure to Violence / Q000706:statistics & numerical data*; D005195:Family Relations; D005260:Female; D006801:Humans; D008875:Middle Aged; D011329:Prisoners / Q000706:statistics & numerical data*; D000067073:Psychological Trauma / Q000453:epidemiology*; D013313:Stress Disorders, Post-Traumatic / Q000453:epidemiology*; D019966:Substance-Related Disorders / Q000453:epidemiology*; D014481:United States; D055815:Young Adult