ERIC Number: EJ868872
Record Type: Journal
Publication Date: 2009-Dec
Abstractor: As Provided
Reference Count: 0
Lifetime Traumatic Events and High-Risk Behaviors as Predictors of PTSD Symptoms in People with Severe Mental Illnesses
O'Hare, Thomas; Sherrer, Margaret V.
Social Work Research, v33 n4 p209-218 Dec 2009
Research is limited regarding the role of high-risk behaviors, trauma, and posttraumatic stress disorder (PTSD) symptoms in people with severe mental illnesses (SMI). The current survey of 276 community mental health clients diagnosed with either a schizophrenia spectrum disorder or a major mood disorder examined the mediating role of lifetime high-risk behaviors with regard to lifetime traumatic events and PTSD symptom severity measured by the PTSD Symptom Scale-Interview version. Structural equation modeling revealed that lifetime high-risk behaviors had significant direct effects on PTSD symptom severity, and high-risk behaviors partially mediated the relationship between lifetime trauma and PTSD symptom severity. Lifetime trauma had the greatest total effect on PTSD symptoms, followed by primary Axis I diagnosis and lifetime high-risk behaviors. Implications for practice with people with SMI include more thorough assessments of trauma, PTSD, and high-risk behaviors and use of coping skills approaches to reduce high-risk behaviors. Limitations of the study include the cross-sectional nature of the data.
Descriptors: Structural Equation Models, Schizophrenia, Posttraumatic Stress Disorder, Coping, Severity (of Disability), Symptoms (Individual Disorders), Mental Disorders, Severe Disabilities, At Risk Persons, Emotional Disturbances, Experience
National Association of Social Workers (NASW). 750 First Street NE Suite 700, Washington, DC 20002. Tel: 800-227-3590; e-mail: firstname.lastname@example.org; Web site: http://www.naswpress.org
Publication Type: Journal Articles; Reports - Research
Education Level: N/A
Authoring Institution: N/A