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Subjective distress from stressful events and high‐risk behaviors as predictors of PTSD symptom severity in clients with severe mental illness
Author(s) -
O'Hare Thomas,
Sherrer Margaret V.,
Shen Ce
Publication year - 2006
Publication title -
journal of traumatic stress
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.259
H-Index - 134
eISSN - 1573-6598
pISSN - 0894-9867
DOI - 10.1002/jts.20131
Subject(s) - distress , psychology , clinical psychology , psychiatry , sexual abuse , mental health , structural equation modeling , posttraumatic stress , poison control , substance abuse , injury prevention , medicine , medical emergency , statistics , mathematics
Survey data collected from 257 community mental health center clients tested direct and indirect relationships among subjective distress associated with stressful/traumatic events and high‐risk behaviors, substance abuse, and posttraumatic stress disorder (PTSD) symptoms. Structural equation modeling (SEM) revealed substantial direct effects of subjective distress associated with lifetime physical and sexual abuse on PTSD symptom severity. Subjective distress related to high‐risk behaviors (e.g., suicide attempts) mediated subjective distress and PTSD symptom severity. Subjective distress from physical and sexual abuse was also strongly related to problem drinking. Adding gender to the model revealed greater subjective distress from physical and sexual abuse for women and greater drinking problems for men. Otherwise, gender had little effect on the model overall.