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Pathways from assaultive violence to post-traumatic stress, depression, and generalized anxiety symptoms through stressful life events: longitudinal mediation models

Published online by Cambridge University Press:  03 May 2017

S. R. Lowe ,
S. Joshi ,
S. Galea ,
A. E. Aiello ,
M. Uddin ,
K. C. Koenen  and
M. Cerdá
S. R. Lowe*
Affiliation:
Department of Psychology, Montclair State University, Montclair, NJ, USA
S. Joshi
Affiliation:
Department of Epidemiology, University of Minnesota, Minneapolis, MN, USA
S. Galea
Affiliation:
Departmentof Epidemiology, Boston University School of Public Health, Boston, MA, USA
A. E. Aiello
Affiliation:
Department of Epidemiology, University of North Carolina at Chapel Hill Gillings School of Global Public Health, Chapel Hill, NC, USA
M. Uddin
Affiliation:
Department of Psychology, University of Illinois at Urbana-Champaign, Champaign, IL, USA
K. C. Koenen
Affiliation:
Department of Epidemiology, Harvard T. H. Chan School of Public Health, Boston, MA, USA
M. Cerdá
Affiliation:
Department Emergency Medicine, University of California at Davis, Davis, CA, USA
*
*Address for correspondence: S. R. Lowe, Ph.D., Department of Psychology, Montclair State University, 1 Normal Avenue, Montclair, NJ 07043, USA. (Email: lowes@mail.montclair.edu)
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Abstract

Background

Assaultive violence events are associated with increased risk for adverse psychiatric outcomes, including post-traumatic stress (PTS), depression, and generalized anxiety. Prior research has indicated that economic, legal, and social stressors that could follow assaultive events may explain the increased risk for adverse psychiatric outcomes, yet longitudinal studies have not adequately examined this pathway. In the current study, we aimed to address this limitation.

Methods

Participants (N = 1360) were part of a longitudinal population-based study of adults living in Detroit. At three waves, participants indicated their exposure to assaultive violence and economic, legal, and social stressors, and completed inventories of PTS, depression, and generalized anxiety. Longitudinal mediation models were used to test the hypothesized pathway from assaultive violence to each psychiatric outcome.

Results

The hypothesized models evidenced good fit with the data and, in each, the paths from Wave 1 (W1) assaultive violence to W2 stressors, and from W2 stressors to W3 symptoms were significant (range of Standardized Estimates: 0.09–0.15, all p < 0.01). Additionally, the indirect paths from W1 assaultive violence to W3 symptoms were significant (range of Standardized Estimates: 0.01–0.02, all p < 0.05).

Conclusions

The findings illustrate that the economic, legal, and social stressors that could follow assaultive violence increase risk for a range of psychiatric symptoms. Although future research is needed, the results suggest that investment in interventions that prevent and mitigate assaultive violence survivors’ exposure to such stressors may be an effective way to prevent mental illness in the aftermath of violent assaults.

Keywords

Assaultive violencedepressiongeneralized anxietypost-traumatic stressstressful life events
Type
Original Articles
Information
Psychological Medicine , Volume 47 , Issue 14 , October 2017 , pp. 2556 - 2566
Copyright
Copyright © Cambridge University Press 2017 

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References

Adams, AE, Bybee, D, Tolman, RM, Sullivan, CM, Kennedy, AC (2013). Does job stability mediate the relationship between intimate partner violence and mental health among low-income women. American Journal of Orthopsychiatry 83, 600–608.Google Scholar
APA (1994). Diagnostic and Statistical Manual of Mental Disorders, 4th edn. American Psychiatric Association: Washington, DC.Google Scholar
Beeble, ML, Bybee, D, Sullivan, CM (2010). The impact of resource constraints on the psychological well-being of survivors of intimate partner violence over time. Journal of Community Psychology 38, 943–958.Google Scholar
Blanchard, EB, Jones-Alexander, J, Buckley, TC, Forneris, CA (1996). Psychometric properties of the PTSD Checklist (PCL). Behavioral Research and Therapy 34, 669–673.Google Scholar
Boardman, JD (2004). Stress and physical health: the role of neighborhoods as mediating and moderating processes. Social Science & Medicine 58, 2473–2483.Google Scholar
Boardman, JD, Finch, BK, Ellison, CG, Williams, DS, Jackson, JS (2001). Neighborhood disadvantage, stress, and drug use among adults. Journal of Health and Social Behavior 42, 151–165.CrossRefGoogle ScholarPubMed
Breslau, N, Kessler, RC, Chilcoat, HD, Schultz, LR, Davis, GC, Andreski, P (1998). Trauma and posttraumatic stress disorder in the community: the 1996 Detroit area survey of trauma. Archives of General Psychiatry 55, 626–633.Google Scholar
Bryne, CA, Resnick, HS, Kilpatrick, DG, Best, CL, Saunders, BE (1999). The socioeconomic impact of interpersonal violence on women. Journal of Consulting and Clinical Psychology 67, 362–366.Google Scholar
Campbell, R, Wasco, SM, Ahrens, CE, Sefl, T, Barnes, HE (2001). Preventing the ‘second rape’: rape survivors’ experiences with community service providers. Journal of Interpersonal Violence 16, 1239–1259.Google Scholar
Cerdá, M, DiGangi, J, Galea, S, Koenen, K (2012). Epidemiologic research on interpersonal violence and common psychiatric disorders: where do we go from here? Depression & Anxiety 29, 359–385.Google Scholar
Cougle, JR, Resnick, H, Kilpatrick, DG (2009). Does prior exposure to interpersonal violence increase risk of PTSD following subsequent exposure? Behaviour Research and Therapy 47, 1012–1017.Google Scholar
Davis, JL, Petretic-Jackson, PA (2000). The impact of child sexual abuse on adult interpersonal functioning: a review and synthesis of the empirical literature. Aggression and Violent Behavior 5, 291–328.CrossRefGoogle Scholar
Goldmann, E, Aiello, A, Uddin, M, Delva, J, Koenen, K, Gant, LM, Galea, S (2011). Pervasive exposure to violence and posttraumatic stress disorder in a predominantly African American Urban Community: The Detroit Neighborhood Health Study. Journal of Traumatic Stress 24, 747–751.Google Scholar
Hammen, C (2006). Stress generation in depression: reflection on its origins, research, and future directions. Journal of Clinical Psychology 62, 1065–1082.Google Scholar
Hassija, CM, Gray, MJ (2012). Negative social reactions to assault disclosure as a mediator between self-blame and posttraumatic stress symptoms among survivors of interpersonal assault. Journal of Interpersonal Violence 27, 3425–3441.Google Scholar
Herman, JL (2003). The mental health of crime victims. Journal of Traumatic Stress 16, 159–166.Google Scholar
Hu, L, Bentler, P (1999). Cutoff criteria for fit indexes in covariance structure: conventional criteria versus new alternatives. Structural Equation Modeling 6, 1–55.Google Scholar
Kessler, RC, Sonnega, A, Bromet, E, Hughes, M, Nelson, CB (1995). Posttraumatic stress disorder in the National Comorbidity Survey. Archives of General Psychiatry 52, 1048–1060.Google Scholar
Kroenke, K, Spitzer, R (2002). The PHQ-9: a new depression diagnostic and severity measure. Psychiatric Annals 32, 1–9.Google Scholar
Loya, RM (2014). The role of sexual violence in creating and maintaining economic insecurity among asset-poor women of color. Violence Against Women 20, 1299–1310.Google Scholar
Lowe, SR, Walsh, K, Uddin, M, Galea, S, Koenen, KC (2014). Bidirectional relationships between trauma exposure and posttraumatic stress: a longitudinal study of Detroit residents. Journal of Abnormal Psychology 123, 533–544.CrossRefGoogle Scholar
Macmillan, R (2000). Adolescent victimization and income deficits in adulthood: rethinking the costs of criminal violence from a life-course perspective. Criminology 38, 553–587.Google Scholar
Martin, A, Rief, W, Klaiberg, A, Braehler, E (2006). Validity of the brief Patient Health Questionnaire mood scale (PHQ-9) in the general population. General Hospital Psychiatry 28, 71–77.CrossRefGoogle ScholarPubMed
McLaughlin, KA, Koenen, KC, Hill, ED, Petukhova, M, Sampson, NA, Zaslavsky, AM, Kessler, RC (2013). Trauma exposure and posttraumatic stress disorder in a national sample of adolescents. Journal of the American Academy of Child and Adolescent Psychiatry 52, 815–830.Google Scholar
Mueller, J, Moergeli, H, Maercker, A (2008). Disclosure and social acknowledgment as predictors of recovery from posttraumatic stress: a longitudinal study in crime victims. The Canadian Journal of Psychiatry 53, 160–168.Google Scholar
Muthén, LK, Muthén, BO (1998–2012). Mplus User's Guide, 7th edn. Muthén & Muthén: Los Angeles, CA.Google Scholar
Osenback, JE, Stubbs, J, Wang, J, Russo, J, Zatzick, D (2009). Legal events as predictors of posttraumatic stress in injured trauma survivors. Psychiatry 72, 70–78.Google Scholar
Polusny, MA, Follette, VM (1995). Long-term correlates of child sexual abuse: theory and review of the empirical literature. Applied and Preventive Psychology 4, 143–166.Google Scholar
Relyea, M, Ullman, SE (2015). Unsupported or turned against: understanding how two types of negative social reactions to sexual assault relate to postassault outcomes. Psychology of Women Quarterly 39, 37–52.Google Scholar
Selig, JP, Preacher, KJ (2009). Mediation models for longitudinal data in developmental research. Research in Human Development 6, 144–164.Google Scholar
Spitzer, RL, Kroenke, K, Williams, JBW, Lowe, B (2006). A brief measure for assessing Generalized Anxiety Disorder: The GAD-7. Archives of Internal Medicine 166, 1092–1097.Google Scholar
Tracy, M, Norris, FH, Galea, S (2011). Differences in the determinants of posttraumatic stress disorder and depression after a mass traumatic event. Depression and Anxiety 28, 666–675.Google Scholar
Uddin, M, Aiello, A, Wildman, DE, Koenen, KC, Pawelec, G, de los Santos, R, Goldmann, E, Galea, S (2010). Epigenetic and immune function profiles associated with posttraumatic stress disorder. Proceedings of the National Academy of Sciences 107, 9470–9475.CrossRefGoogle ScholarPubMed
Walsh, RM, Bruce, SE (2011). The relationships between perceived levels of control, psychological distress, and legal system variables in a sample of sexual assault survivors. Violence against Women 17, 603–618.CrossRefGoogle Scholar
Weathers, F, Litz, B, Herman, D, Huska, J, Keane, T (1993). The PTSD Checklist (PCL): Reliability, Validity, and Diagnostic Utility. Paper presented at the Annual Convention of the International Society for Traumatic Stress Studies: San Antonio, TX.Google Scholar
Weathers, FW, Ford, J (1996). Psychometric properties of the PTSD Checklist (PCL-C, PCL-S, PCL-M, PCL-PR). In Measurement of Stress, Trauma, and Adaptation (ed. Stamm, B. H.), pp. 250–251. Sidran: Lutherville, MD.Google Scholar
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