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OtherSPECIAL ARTICLE

Symptom Patterns Related to Traumatic Exposure Among Female Inmates With and Without a Diagnosis of Posttraumatic Stress Disorder

Janet I. Warren, Ann Booker Loper and Irina Komarovskaya
Journal of the American Academy of Psychiatry and the Law Online September 2009, 37 (3) 294-305;
Janet I. Warren
DSW
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Ann Booker Loper
PhD
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Irina Komarovskaya
PhD
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    Table 1

    Worst Trauma Identified by Each Inmate and Its Relationship to a Diagnosis of PTSD

    TraumaTrauma in Entire Sample*Subsample: Trauma Judged WorstSubsample: Trauma Judged Worst and PTSD Diagnosis
    Violence victim148 (73.6)19 (12.8)6 (31.6)
        Shot or stabbed70 (34.8)11 (15.7)4 (36.4)
        Mugged124 (62.7)7 (05.6)2 (28.6)
        Held captive43 (21.4)1 (02.3)0 (00.0)
    Sexual assault victim122 (60.7)38 (31.1)27 (71.1)
        Sexual assault by relative61 (30.3)21 (34.4)15 (71.4)
        Sexual assault by non-relative95 (47.3)18 (18.9)12 (70.6)
    Disaster55 (27.4)0 (0.0)0 (0.0)
        Natural disaster53 (27.4)0 (0.0)—
        Hazardous materials1 (0.5)0 (0.0)—
    Illness/accident94 (47.3)10 (10.5)1 (09.1)
        Life-threatening illness21 (10.4)4 (19.0)0 (00.0)
        Serious accident80 (39.8)6 (06.3)1 (16.7)
    Harm to other188 (93.5)103 (54.2)56 (54.4)
        Seen serious injury/death122 (60.7)39 (32.0)21 (53.8)
        Unexpected discovery of dead body30 (14.9)3 (10.0)1 (33.3)
    Sudden death of friend/relative172 (85.6)53 (30.5)30 (56.6)
    Terrible event of friend/relative86 (42.8)8 (09.3)4 (50.0)
    Domestic violence93 (46.3)6 (06.5)3 (50)
    Other*62 (30.8)16 (25.8)10 (55.6)
    • Entire sample n = 195 of 203. Data are the number of subjects (percentage of those experiencing each trauma).

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    Table 2

    Endorsement of PTSD Criteria by Inmates with PTSD Diagnosis and Inmates with No PTSD Diagnosis (N = 195)

    PTSD Diagnostic CriteriaSymptom Present n (%)
    PTSD Life Event(n = 103)No PTSD Life Event(n = 92)
    Re-experience symptoms
        Recurrent intrusive thoughts100 (97.1)76 (82.6)
        Recurrent distressing dreams82 (79.6)38 (41.3)
        Re-experience of trauma89 (86.4)43 (46.7)
        Psychological distress at exposure to cues96 (93.2)55 (59.8)
        Physical distress at exposure to cues88 (85.4)41 (44.6)
    Avoidance symptoms
        Avoidance of thoughts87 (84.5)50 (54.3)
        Avoidance of places87 (84.5)40 (43.5)
        Amnesia30 (29.1)6 (06.5)
        Diminished interest in activity86 (83.5)28 (30.4)
        Detachment and estrangement95 (92.2)44 (47.8)
        Restricted affect71 (68.9)30 (32.6)
        Sense of foreshortened future63 (61.2)21 (22.8)
    Arousal symptoms
        Sleep difficulty91 (88.3)42 (45.7)
        Irritability/anger85 (82.5)47 (51.1)
        Difficulty concentrating96 (93.2)39 (42.4)
        Hypervigilance76 (73.8)59 (64.1)
        Exaggerated startle response78 (75.7)27 (29.3)
    • N = 195. Sample includes only inmates who reported at least one trauma and were therefore queried on PTSD criteria. Data are the number experiencing the symptom (percentage of total group).

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    Table 3

    Exploratory Factor Analysis of Symptom/Criteria Structure for All Traumatized Women

    PTSD Symptom and Criteria SetFactor 1IntrusionFactor 2Arousal
    C5Detachment and estrangement.596.390
    D3Difficulty concentrating.615.348
    B4Distress at exposure to symbolic event.598.200
    B5Physiological reactivity to symbolic event.595.294
    C2Efforts to avoid activities and events.551.198
    C1Efforts to avoid thoughts and feelings.527.152
    B3Feeling like event is reoccurring.513.199
    C4Diminished interest and participation.454.377
    B1Keeps thinking about it.398.017
    C7Sense of foreshortened future.343.481
    B2Distressing dreams of event.305.602
    D5Exaggerated startle response.273.558
    C3Inability to remember parts of the trauma−.024.519
    D1Difficulty falling or staying asleep.434.445
    D2Irritability or outbursts of anger.338.408
    C6Restricted affect, for example, love.308.416
    D4Hypervigilance.156.224
    • n = 195.

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Journal of the American Academy of Psychiatry and the Law Online: 37 (3)
Journal of the American Academy of Psychiatry and the Law Online
Vol. 37, Issue 3
September 2009
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Symptom Patterns Related to Traumatic Exposure Among Female Inmates With and Without a Diagnosis of Posttraumatic Stress Disorder
Janet I. Warren, Ann Booker Loper, Irina Komarovskaya
Journal of the American Academy of Psychiatry and the Law Online Sep 2009, 37 (3) 294-305;

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Symptom Patterns Related to Traumatic Exposure Among Female Inmates With and Without a Diagnosis of Posttraumatic Stress Disorder
Janet I. Warren, Ann Booker Loper, Irina Komarovskaya
Journal of the American Academy of Psychiatry and the Law Online Sep 2009, 37 (3) 294-305;
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