Prospective study of sexually abused girls (Putnam et.al.)

1
Prospective study of sexually abused girls
(Putnam et.al.)
SOMATIC PROBLEMS
ABUSED CONTROL
Limb pain 34 18 Joint pain 25
9 Chest pain 10 0 Headaches 11/month
6/year Self-injury 50
8 Asthma 50 4 Skin rashes 55 14
2
History of either physical or sexual abuse
associated with Higher incidence of early
illness Faster cycling frequencies
Lifetime Axis I and II disorders, including
lifetime history of alcohol and substance
abuse Higher prevalence of medical illness
Pattern of increasing severity of mania in those
who reported history of physical abuse (Early
physical and sexual abuse associated with adverse
course of bipolar illness. Leverich et al., Biol.
Psych., 2000)
3
Organ transplant study- (Stuber et. al.)

• Recipients of heart, liver or kidney transplants
• Age 12 to 20 years at time of interview
• Varying lengths of time since transplant

4
PTSD in Adolescents(Stuber et.al.)

• N 104
• 31.3 had diagnostic levels of PTSD symptoms
  occurring at least two times per month
• 13.3 had diagnostic levels of PTSD symptoms
  occurring at least two times each week

5
Parental PTSD(Stuber et.al.)

• 27.8 (44/158) of parents of solid organ
  transplant recipients reported diagnostic levels
  of PTSD symptoms
• This is similar to levels of responses to natural
  disaster or interpersonal violence

6
Mount Sinai Study

• 19 pediatric liver transplant recipients
• PTSD associated with non-adherence
• Treatment of PTSD improved adherence