Nov. 20, 2006

Stress Disorder More Common In Women?

Study: PTSD More Likely In Women Despite More Traumas Among Men

  •  (AP)

  • Video Archive Eye On Health

    CBS News medical correspondent Dr. Jon LaPook examines various health issues and treatments.

  • Quiz Medical Exam

    Give your brain a checkup with these health quizzes.

(WebMD)  Men may experience more traumatic events than women, but a new study shows women are more likely to develop posttraumatic stress disorder (PTSD).

Researchers say men and women respond to trauma and stress differently, and the criteria used to diagnose PTSD may help explain the higher rates of the disorder among women.

PSTD is an anxiety disorder developed after experiencing a traumatic event. Symptoms may include flashbacks or re-experiencing the trauma, sleep problems, nightmares, panic attacks, and depression.

"Cognitive and emotional responses to traumatic events make a diagnosis of PTSD more likely," write researchers David Tolin, PhD, of the University of Connecticut School of Medicine, and Edna Foa, PhD, of the University of Pennsylvania School of Medicine, in Psychological Bulletin.

"So even though men may experience more traumas, they don't seem to have the same emotional responses to traumatic events," the researchers say.

In contrast, men are less likely to experience anxiety or depression but more likely to report behavior or drug problems after trauma, they say. Men are also more likely to become irritable, angry, or violent after experiencing a traumatic event.

PTSD More Common in Women

For their study, the researchers reviewed 290 studies conducted between 1980 and 2005 to determine who is more at risk for potentially traumatic events and PTSD — men or women.

The results showed men have a higher risk of experiencing traumatic events. But women have higher rates of the disorder.

Specifically, the researchers found women are more likely to have experienced sexual assault and child sexual abuse, but less likely to have experienced accidents, nonsexual assaults, disaster or fire, combat or war, or to witness death or injury.

Multiple Traumas May Play Role

The researchers say the results suggest sexual trauma may cause more emotional suffering and be more likely to cause posttraumatic stress disorder than other types of trauma.

But this only partially explains women's higher PTSD rates.

The study showed women still had higher PTSD rates than men when both sexes were compared on the same type of trauma. For example, female survivors of motor vehicle accidents were more likely to report symptoms of PTSD than male survivors.

Instead, researchers say experiencing more than one type of trauma may make women more prone to PTSD than men.

"The data suggest that the female victims will have brought to the table a much greater risk of abuse and sexual assault prior to the accident; this could place them at higher risk of developing PTSD after the accident even though the current accident may not have caused all the symptoms," Tolin says in a news release.

Researchers say understanding that responses to trauma vary by gender as well as by individual should help experts develop better tools for diagnosing posttraumatic stress disorder in both men and women.

"Simple checklists or short interviews are insufficient for assessing trauma, and this is what is used most in these types of situations," they say.

"More thorough assessments are needed to know if someone will suffer long-lasting symptoms from an accident, attack, or disaster," write the researchers.




SOURCE: Tolin, D. Psychological Bulletin, November 2006; vol 132: pp 959-992. News release, American Psychological Association.



By Jennifer Warner
Reviewed by Louise Chang
Copyright 2006, WebMD Inc. All rights reserved.
Add a Comment
by steve762us November 21, 2006 8:31 PM EST
Oy! Sueneely, there are indeed *several* therapeutic approaches for helping with PTSD; you may need to seek out a therapist who works with it, however. Google "national center PTSD VA" and you can read for hours about PTSD.
Memerider, childhood sexual abuse can set up faulty ways of looking at the world and your place in it, relationships, roles etc that increase your vulnerability for, and likelihood of, further trauma...until you "unlearn" the misunderstandings, you may tend to continue "being a victim", not a good place to be. Again, there's help...but you'll have to trust, first, for the process to begin.
Reply to this comment
by luvny-2009 November 21, 2006 12:28 PM EST
memerider are you serious? What state are you from? That's just plain awful, my God you must be a strong person. I am so sorry that you had to go through all of that.
Reply to this comment
by memerider November 21, 2006 11:53 AM EST
This makes sense. I've had several males attempt to sexually assault me--once at age 5, a man tried to lure me into a sexual situation. I knew something was very wrong, although I didn't know what it was all about. I didn't tell my mother because I was afraid I'd get in trouble (5 year old thinking). One was a boss when I was in my mid-20s, who I managed to "talk down," and another was on a date in college when I was 19, and his frat brothers knocked the door in when they heard me screaming. I also had 2 men try to abduct me when I was waiting at a school bus stop when I was 15 and another man tried to abduct me when I was waiting for the ice cream man at age 10.

Am I alone in having so many such incidents? And I grew up in an area where people still brag about the low crime rate--the wealthiest county in the U.S. according to a recent article. I'm actually surprised as my resilience.
Reply to this comment
by sueneely November 21, 2006 2:52 AM EST
AMEN.......I've had this disorder for years.
Of course, there is no treatment.
Reply to this comment

Exclusive Webshow

Best-selling author Mitch Albom on his first nonfiction work since "Tuesdays with Morrie." Watch Now

Latest News
News in Pictures
Scroll Left Scroll Right
Connect with CBS News

Stay connected with the CBS News using your favorite social networks and online news applications: