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Predictive factors of chronic Post-Traumatic Stress Disorder in rape victims

Published online by Cambridge University Press:  16 April 2020

JM Darves-Bornoz ,
JP Lépine ,
M Choquet ,
C Berger ,
A Degiovanni  and
P Gaillard
JM Darves-Bornoz
Affiliation:
Clinique Psychiatrique Universitaire, Hôpital Universitaire, 37044Tours
JP Lépine
Affiliation:
Service de Psychiatric, Hôpital Universitaire Fernand-Widal, Paris
M Choquet
Affiliation:
Institut National de La Sank et de la Recherche Médicale (INSERM, UnitC U 169), Villejuif
C Berger
Affiliation:
Clinique Gyélcologique Universitaire, Hôpital Universitaire, Tours, France
A Degiovanni
Affiliation:
Clinique Psychiatrique Universitaire, Hôpital Universitaire, 37044Tours
P Gaillard
Affiliation:
Clinique Psychiatrique Universitaire, Hôpital Universitaire, 37044Tours
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Summary

This study aimed to investigate the psychological disorders following rape as well as the course of Post-Traumatic Stress Disorder (PTSD), and to determine clinical factors predictive of chronic PTSD. Seventy-three rape victims were observed in a systematic follow-up study over 1 year following rape using structured interview schedules. The frequency of PTSD was massive. The early disorders predicting PTSD 1 year after rape included somatoform and dissociative disorders, agoraphobia and specific phobias as well as depressive and gender identity disorders and alcohol abuse. Through stepwise logistic regressions, the following were found to be good models of prediction of chronic PTSD 1 year after rape: for the characteristics of the traumas, intrafamily rape, being physically assaulted outside rape, and added physical violence during rape; for the early psychological and behavioural attitudes, low self-esteem, permanent feelings of emptiness and running away; and for early mental disorders, agoraphobia and depressive disorders. Finally, among all these predictive factors, added physical violence during rape, low self-esteem, permanent feelings of emptiness and agoraphobia were shown to constitute a strong model of predictors. People presenting features such as the predictive factors of chronic PTSD found in the study should be asked about a history of rape and symptoms of PTSD.

Keywords

Post-Traumatic Stress Disorderpredictive factorsrapedissociative disorderssomatoform disordersagoraphobia
Type
Original article
Information
European Psychiatry , Volume 13 , Issue 6 , September 1998 , pp. 281 - 287
Copyright
Copyright © Elsevier, Paris 1998

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References

Blank, ASLongitudinal course of Post-Traumatic Stress DisorderDavidson, JRTFoa, EBPost-Traumatic Stress Disorder: DSM-IV and Beyond Washington DC: American Psychiatric Press; 1992. 3–22Google Scholar
Bownes, ITO'Gorman, ECSayers, AAssault characteristics and Post-Traumatic Stress Disorder in rape victims Acta Psychiatr Scand 1991; 83: 27–30CrossRefGoogle ScholarPubMed
Breslau, NDavis, GCAndreski, PPeterson, ETraumatic events and Post-Traumatic Stress Disorder in an urban population of young adults Arch Gen Psychiatry 1991; 48: 216–22210.1001/archpsyc.1991.01810270028003CrossRefGoogle Scholar
Burgess, AWHolmstrom, LLRape trauma syndrome Am J Psychiatry 1974; 131: 981–986CrossRefGoogle ScholarPubMed
Choquet, MLedoux, SAdolescents: Enquête nationale Paris: Editions INSERM — Documentation Française; 1994.Google Scholar
Darves-Bornoz, JMLempérière, TDegiovanni, AGaillard, PSexual victimization in women with schizophrenia and bipolar disorder Soc Psychiatry Psychiatr Epidemiol 1995; 30: 78–8410.1007/BF00794947CrossRefGoogle ScholarPubMed
Davidson, JRTSmith, RDKudler, HSValidity and reliability of the DSM-III criteria for Post-Traumatic Stress Disorder: Experience with a structured interview (SI-PTSD) J Nerv Ment Dis 1989; 177: 336–341CrossRefGoogle Scholar
Davidson, JRTKudler, HSSmith, RDAssessment and pharmacotherapy of Post-Traumatic Stress DisorderGiller, ELBiological assessment and treatment of Post-Traumatic Stress Disorder Washington DC: American Psychiatric Press; 1990. 203–234Google Scholar
di Nardo, PAO'Brien, GTBarlow, DHWaddell, MTBlanchard, EBReliability of DSM-III anxiety categories using a new structured interview Arch Gen Psychiatry 1983; 40: 1070–1074CrossRefGoogle ScholarPubMed
di Nardo, PAMoras, KBarlow, DHRapee, RMBrown, TAReliability of DSM III-R anxiety disorders categories: using the Anxiety Disorders Interview Schedule-Revised (ADIS-R) Arch Gen Psychiatry 1993; 50: 251–256CrossRefGoogle Scholar
Foa, EBRiggs, DSPost-Traumatic Stress Disorder and rapeOldham, JMRiba, MBTasman, AReview of Psychiatry vol 12 1993 American Psychiatric Press Washington DC273–303Google Scholar
Hobbs, CJWynne, JMChild sexual abuse —an increasing rate of diagnosis Lancet ii 1987 837–841CrossRefGoogle Scholar
Keane, TMFairbank, JACaddell, JMImplosive (flooding) therapy reduces symptoms of PTSD in Vietnam combat veterans Behavior Therapy 1989; 20: 245–260CrossRefGoogle Scholar
Kilpatrick, DGVeronen, LJBest, CLFactors predicting psychological distress among rape victimsFigley, CRTrauma and its wake New York: Brunner/Mazel; 1985. 113–141Google Scholar
Lépine, JPLellouch, JClassification and epidemiology of anxiety disordersDarcourt, GMendlewicz, JRacagni, GBrunello, NCurrent therapeutic approaches to panic and other anxiety disorders Int Acad Biomed Drug Res 8 1994 Karger Basel1–14Google Scholar
Pynoos, RSTraumatic stress and developmental psychopathology in children and adolescentsOldham, JMRiba, MBTasman, AReview of Psychiatry vol 12 1993 American Psychiatric Press Washington DC205–238Google Scholar
Roth, SNewman, EThe process of coping with sexual trauma J Trauma Stress 1991; 4: 279–299CrossRefGoogle Scholar
Rothbaum, BOFoa, EBSubtypes of Post-Traumatic Stress Disorder and duration of symptomsDavidson, JRTFoa, EBPost-Traumatic Stress Disorder: DSM-IV and Beyond Washington DC: American Psychiatric Press; 1993. 23–36Google Scholar
Russell, DEHThe incidence and prevalence of intrafamilial and extrafamilial sexual abuse of female children Child Abuse Negl 1983; 7: 133–146CrossRefGoogle Scholar
Spiegel, DHunt, TDondershine, HFDissociation and hypnotizability in Post-Traumatic Stress Disorder Am J Psychiatry 1988; 145: 301–305Google Scholar
Spira, ABajos, NComportements sexuels en France Paris: Editions INSERM — Documentation Française; 1993.Google Scholar
Steinberg, MThe Structured Clinical Interview for DSM-1V Dissociative Disorders (SCID-D) Washington DC: American Psychiatric Press; 1993.Google Scholar
Steinberg, MRounsaville, BCichetti, DVThe Structured Clinical Interview for DSM-III-R Dissociative Disorders: Preliminary report on a new diagnostic instrument Am J Psychiatry 1990; 147: 76–82Google ScholarPubMed
van der Kolk, BAvan der Hart, OThe intrusive past: the flexibility of memory and the engraving of traumaCaruth, CTrauma: Explorations in memory London: The Johns Hopkins University Press; 1995. 158–182Google Scholar
Winfield, IGeorge, LKSwartz, MBlazer, DGSexual assault and psychiatric disorders among a community sample of women Am J Psychiatry 1990; 147: 335–341Google ScholarPubMed
Wyatt, GEThe sexual abuse of American women in childhood Child Abuse Negl 1985; 9: 507–51910.1016/0145-2134(85)90060-2CrossRefGoogle ScholarPubMed
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