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The impact of comorbid diagnoses on the course of posttraumatic stress disorder symptoms in residents of battered women's shelters.
Psychol Trauma. 2018 Nov; 10(6):628-635.PT

Abstract

OBJECTIVE

The current investigation sought to explore the impact of the comorbidities of substance use disorder (SUD), major depressive disorder (MDD), and borderline personality disorder (BPD) on the trajectory of intimate partner violence (IPV)-related posttraumatic stress disorder (PTSD) symptoms across a 6-month follow-up period in IPV survivors who seek shelter. Research has found significant comorbidity of SUD, MDD, and BPD with PTSD (see Green et al., 2006; Kessler, Sonnega, Bromet, Hughes, & Nelson, 1995; Pagura et al., 2010); however, little to no research has explored these relationships in this unique population over time.

METHOD

A sample of 147 residents of battered women's shelters completed study measures at baseline, 1 week, and 3 and 6 months following shelter stay. Participants completed measures assessing for demographics, abuse, and Diagnostic and Statistical Manual of Mental Disorders (4th edition, text revision) diagnoses.

RESULTS

Results of latent growth modeling with the time-invariant covariates of SUD, MDD, and BPD yielded a significant effect of SUD (β = .002, p = .007) on the slope of IPV-related PTSD symptoms controlling for IPV victimization. Significant effects were not identified for BPD (β = .001, p > .05) or MDD (β = .002, p > .05). Results suggest IPV survivors with SUD demonstrated less improvement in PTSD symptoms over 6 months after they left shelter as compared to women without SUD.

CONCLUSION

Findings emphasize the deleterious effects of SUD, above and beyond MDD and BPD, on IPV-related PTSD and highlight the need for assessment and treatment of SUD and PTSD simultaneously in residents of battered women's shelters. Clinical Impact Statement: Findings suggest the need to go beyond standard shelter services to more effectively address and treat co-occurring SUD-PTSD in IPV survivors. (PsycINFO Database Record (c) 2018 APA, all rights reserved).

Authors+Show Affiliations

Department of Psychology, The University of Akron.Department of Education, Lehigh University.OhioGuidestone.Department of Psychology, University of North Texas.Department of Psychology, The University of Akron.Department of Psychology, The University of Akron.Department of Psychology, The University of Akron.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

29154591

Citation

Fedele, Katherine M., et al. "The Impact of Comorbid Diagnoses On the Course of Posttraumatic Stress Disorder Symptoms in Residents of Battered Women's Shelters." Psychological Trauma : Theory, Research, Practice and Policy, vol. 10, no. 6, 2018, pp. 628-635.
Fedele KM, Johnson NL, Caldwell JC, et al. The impact of comorbid diagnoses on the course of posttraumatic stress disorder symptoms in residents of battered women's shelters. Psychol Trauma. 2018;10(6):628-635.
Fedele, K. M., Johnson, N. L., Caldwell, J. C., Shteynberg, Y., Sanders, S. E., Holmes, S. C., & Johnson, D. M. (2018). The impact of comorbid diagnoses on the course of posttraumatic stress disorder symptoms in residents of battered women's shelters. Psychological Trauma : Theory, Research, Practice and Policy, 10(6), 628-635. https://doi.org/10.1037/tra0000335
Fedele KM, et al. The Impact of Comorbid Diagnoses On the Course of Posttraumatic Stress Disorder Symptoms in Residents of Battered Women's Shelters. Psychol Trauma. 2018;10(6):628-635. PubMed PMID: 29154591.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The impact of comorbid diagnoses on the course of posttraumatic stress disorder symptoms in residents of battered women's shelters. AU - Fedele,Katherine M, AU - Johnson,Nicole L, AU - Caldwell,Jennifer C, AU - Shteynberg,Yuliya, AU - Sanders,Sarah E, AU - Holmes,Samantha C, AU - Johnson,Dawn M, Y1 - 2017/11/20/ PY - 2017/11/21/pubmed PY - 2018/12/12/medline PY - 2017/11/21/entrez SP - 628 EP - 635 JF - Psychological trauma : theory, research, practice and policy JO - Psychol Trauma VL - 10 IS - 6 N2 - OBJECTIVE: The current investigation sought to explore the impact of the comorbidities of substance use disorder (SUD), major depressive disorder (MDD), and borderline personality disorder (BPD) on the trajectory of intimate partner violence (IPV)-related posttraumatic stress disorder (PTSD) symptoms across a 6-month follow-up period in IPV survivors who seek shelter. Research has found significant comorbidity of SUD, MDD, and BPD with PTSD (see Green et al., 2006; Kessler, Sonnega, Bromet, Hughes, & Nelson, 1995; Pagura et al., 2010); however, little to no research has explored these relationships in this unique population over time. METHOD: A sample of 147 residents of battered women's shelters completed study measures at baseline, 1 week, and 3 and 6 months following shelter stay. Participants completed measures assessing for demographics, abuse, and Diagnostic and Statistical Manual of Mental Disorders (4th edition, text revision) diagnoses. RESULTS: Results of latent growth modeling with the time-invariant covariates of SUD, MDD, and BPD yielded a significant effect of SUD (β = .002, p = .007) on the slope of IPV-related PTSD symptoms controlling for IPV victimization. Significant effects were not identified for BPD (β = .001, p > .05) or MDD (β = .002, p > .05). Results suggest IPV survivors with SUD demonstrated less improvement in PTSD symptoms over 6 months after they left shelter as compared to women without SUD. CONCLUSION: Findings emphasize the deleterious effects of SUD, above and beyond MDD and BPD, on IPV-related PTSD and highlight the need for assessment and treatment of SUD and PTSD simultaneously in residents of battered women's shelters. Clinical Impact Statement: Findings suggest the need to go beyond standard shelter services to more effectively address and treat co-occurring SUD-PTSD in IPV survivors. (PsycINFO Database Record (c) 2018 APA, all rights reserved). SN - 1942-969X UR - https://www.unboundmedicine.com/medline/citation/29154591/The_impact_of_comorbid_diagnoses_on_the_course_of_posttraumatic_stress_disorder_symptoms_in_residents_of_battered_women's_shelters_ L2 - http://content.apa.org/journals/tra/10/6/628 DB - PRIME DP - Unbound Medicine ER -