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Journal of Traumatic Stress

, Volume 15, Issue 5, pp 407–413 | Cite as

Gender Differences in Responses to Traumatic Events: A Prospective Study

  • Sara A. Freedman
  • Natali Gluck
  • Rivka Tuval-Mashiach
  • Dalia Brandes
  • Tuvia Peri
  • Arieh Y. Shalev
Article

Abstract

Gender differences in psychological responses to motor vehicle accidents were examined as part of a large-scale prospective study of PTSD. Participants were recruited from an emergency room (n = 275) and interviewed 1 week, 1 month, and 4 months later. No gender differences were seen in the prevalence or recovery from PTSD, or in symptom levels at 1- and 4 months. Women had a higher prevalence of lifetime- and postaccident generalized anxiety disorder. Gender differences were found regarding the type, but not the total number, of potentially traumatic events previously experienced. These results suggest that gender differences in responses to traumatic events are not explained by exposure as such, but rather may result from gender-specific attributes of the event.

gender differences PTSD motor vehicle accidents 

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References

  1. Beck, A. T., Ward, C. H., Mendelson, M., Mock, J., & Erbaugh, J. (1961). An inventory for measuring depression. Archives of General Psychiatry, 4, 561–571.Google Scholar
  2. Blake, D. D., Weathers, F. W., Nagy, L. M., Kaloupek, D. G., Gusman, F. D., Charney, D. S., et al. (1995). The development of a clinician administered PTSD scale. Journal of Traumatic Stress, 8, 75–90.Google Scholar
  3. Blanchard, E. B., Hickling, E. J., Taylor, A. E., Loos, W. R., Forneris, C. A., & Jaccard, A. (1996). Who develops PTSD from motor vehicle accidents? Behavior Research and Therapy, 34, 1–10.Google Scholar
  4. Breslau, N., Chilcoat, H. D., Kessler, R. C., Peterson, E. L., & Lucia, V. C. (1999). Vulnerability to assaultive violence: Further specification of the sex difference in posttraumatic stress disorder. Psychological Medicine, 29, 813–821.Google Scholar
  5. Breslau, N., Davis, G. C., Andreski, P., & Peterson, E. (1991). Traumatic events and posttraumatic stress disorder in an urban population of young adults. Archives of General Psychiatry, 48, 216–222.Google Scholar
  6. Breslau, N. D., Davis, G. C., Andreski, P., Peterson, E. L., & Schultz, L. R. (1997). Sex differences in posttraumatic stress disorder. Archives of General Psychiatry 54, 1044–1048.Google Scholar
  7. Breslau, N., Kessler, R. C., Chilcoat, H. D., Schultz, L. R., Davis, G. C., & Andreski, P. (1998). Trauma and posttraumatic stress disorder in the community: The 1996 Detroit Area Survey of Trauma. Archives of General Psychiatry, 55, 626–632.Google Scholar
  8. Ehlers, A., Mayou, R. A., & Bryant, B. (1998). Psychological predictors of chronic posttraumatic stress disorder after motor vehicle accidents. Journal of Abnormal Psychology, 107, 508–519.Google Scholar
  9. Engel, C. C., Engel, A. L., Campbell, S. J., McFall, M. E., Russo, J., & Katon, W. (1993). Posttraumatic stress disorder symptoms and precombat sexual and physical abuse in Desert Storm veterans. Journal of Nervous and Mental Disease, 181, 683–688.Google Scholar
  10. First, M. B., Spitzer, R. L., Gibbon, M., & Williams, J. B. W. (1995). Structured Clinical Interview for Axis I DSM-IV Disorders—Patient edition (SCID-I/P, Version 2.0). New York: New York State Psychiatric Institute, Biometrics Research Department.Google Scholar
  11. Foa, E. B., Steketee, G., & Rothbaum, B. O. (1989). Behavioral/cognitive conceptualization of post-traumatic stress disorder. Behavior Therapy, 20, 155–176.Google Scholar
  12. Green, B. L. (1996). Trauma History Questionnaire. In B. Stamm (Ed.), Measurement of stress, trauma and adaptation (pp. 366–369). Lutherville, MD: Sidran.Google Scholar
  13. Horowitz, M., Wilner, N., & Alvarez, W. (1979). Impact of Event Scale: A measure of subjective stress. Psychosomatic Medicine, 41, 209–218.Google Scholar
  14. Keane, T. M., Caddell, J. M., & Taylor, K. L. (1988). Mississippi Scale for Combat-Related Posttraumatic Stress Disorder: Three studies in reliability and validity. Journal of Consulting Clinical Psychology, 56, 85–90.Google Scholar
  15. Kessler, R. C., Sonega, A., Bromet, E., Hughes, M., & Nelson, C. B. (1995). Posttraumatic stress disorder in the National Comorbidity Survey. Archives of General Psychiatry, 52, 1048–1060.Google Scholar
  16. Lavik, N. J., Hauff, E., Skrondal, A., & Solberg, O. (1996). Mental disorder among refugees and the impact of persecution and exile: Some findings from an out-patient population. British Journal of Psychiatry, 169, 726–732.Google Scholar
  17. Marmar, C. R., Weiss, D. S., Schlenger, W. E., Fairbank, J. A., Jordan, B. K., Kulka, R. A., et al. (1994). Peritraumatic dissociation and posttraumatic stress in male Vietnam theater veterans. American Journal of Psychiatry, 151, 902–907.Google Scholar
  18. North, C. S., Smith, E. M., & Spitznagel, E. (1997). One-year follow-up of survivors of a mass shooting. American Journal of Psychiatry, 154, 1696–1702.Google Scholar
  19. Palinkas, L. A., Petterson, J. S., Russell, J., & Downs, M. A. (1993). Community patterns of psychiatric disorders after the Exxon Valdez oil spill. American Journal of Psychiatry, 150, 1517–1523.Google Scholar
  20. Perconte, S. T., Wilson, A. T., Pontius, E. B., Dietrick, A. L., & Spiro, K. J. (1993). Psychological and war stress symptoms among deployed and non-deployed reservists following the Persian Gulf War. Military Medicine, 158, 516–521.Google Scholar
  21. Robin, R. W., Chester, B., Rasmussen, J. K., Jaranson, J. M., & Goldman, D. (1997). Prevalence and characteristics of trauma and posttraumatic stress disorder in a southwestern American Indian community. American Journal of Psychiatry, 154, 1582–1588.Google Scholar
  22. Ross, M. C., & Wonders, J. (1993). An exploration of the characteristics of post-traumatic stress disorder in reserve forces deployed during Desert Storm. Archives of Psychiatric Nursing, 7, 265–269.Google Scholar
  23. Schwarzwald, J., Solomon, Z., Weisenberg, M., & Mikulincer, M. (1987). Validation of the impact of event scale for psychological sequelae of combat. Journal of Consulting Clinical Psychology, 55, 251–256.Google Scholar
  24. Shalev, A. Y., Freedman, S., Peri, T., Brandes, D., & Sahar, T. (1997). Predicting PTSD in civilian trauma survivors: Prospective evaluation of self report and clinician administered instruments. British Journal of Psychiatry, 170, 558–564.Google Scholar
  25. Shalev, A. Y., Freedman, S., Peri, T., Brandes, D., Sahar, T., Orr, S. P., et al. (1998). Prospective study of PTSD and depression following trauma. American Journal of Psychiatry, 155, 630–637.Google Scholar
  26. Shalev, A. Y., Peri, T., Canetti, L., & Schreiber, S. (1996). Predictors of PTSD in injured trauma survivors: A prospective study. American Journal of Psychiatry, 153, 219–225.Google Scholar
  27. Sharan, P., Chaudhary, G., Kavathekar, S. A., & Saxena, S. (1996). Preliminary report of psychiatric disorders in survivors of a severe earthquake. American Journal of Psychiatry, 153, 556–558.Google Scholar
  28. Spielberger, C. D. (1983). Manual for State Trait Anxiety Inventory. Palo Alto, C A: Consulting Psychologists Press.Google Scholar
  29. Steinglass, P., & Gerrity, E. (1990). Natural disasters and post-traumatic stress disorder: Short-term versus long-term recovery in two disaster-affected communities. Journal of Applied Social Psychology, 20(21, Pt. 1), 1746–1765.Google Scholar
  30. Stretch, R. H., Knudson, K. H., & Durand, D. (1998). Effects of premilitary and military trauma on the development of post-traumatic stress disorder symptoms in female and male active duty soldiers. Military Medicine, 163, 466–470.Google Scholar
  31. Sutker, P. B., Davis, J. M., Uddo, M., & Ditta, S. R. (1995). Assessment of psychological distress in Persian Gulf troops: Ethnicity and gender comparisons. Journal of Personality Assessment 64, 415–427.Google Scholar
  32. Tobin, G. A., & Ollenburger, J. C. (1996). Predicting levels of post disaster stress inadults following the 93 floods in the upper midwest. Environment and Behaviour, 28, 340–357.Google Scholar
  33. Vreven, D. L., Gudanowski, D. M., King, L. A., & King, D. W. (1995). The civilian version of the Mississippi PTSD scale: A psychometric evaluation. Journal of Traumatic Stress, 8, 91–110.Google Scholar
  34. Yuksel, S. (2000). Collusion and denial of childhood sexual trauma in traditional societies. In A. Y. Shalev, R. Yehuda, & A. S. McFarlane (Eds.), International handbook of human response to trauma (pp. 153–161). New York: Plenum/ Kluwer.Google Scholar

Copyright information

© International Society for Traumatic Stress Studies 2002

Authors and Affiliations

  • Sara A. Freedman
    • 1
  • Natali Gluck
    • 1
  • Rivka Tuval-Mashiach
    • 1
  • Dalia Brandes
    • 1
  • Tuvia Peri
    • 1
  • Arieh Y. Shalev
    • 1
  1. 1.Center for Traumatic Stress, Department of PsychiatryHadassah University HospitalJerusalemIsrael

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