4.6 Review

Sex differences in trauma and posttraumatic stress disorder: A quantitative review of 25 years of research

Journal

PSYCHOLOGICAL BULLETIN
Volume 132, Issue 6, Pages 959-992

Publisher

AMER PSYCHOLOGICAL ASSOC
DOI: 10.1037/0033-2909.132.6.959

Keywords

posttraumatic stress disorder; PTSD; trauma; sex differences; gender

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Meta-analyses of studies yielding sex-specific risk of potentially traumatic events (PTEs) and post-traumatic stress disorder (PTSD) indicated that female participants were more likely than male participants to meet criteria for PTSD, although they were less likely to experience PTEs. Female participants were more likely than male participants to experience sexual assault and child sexual abuse, but less likely to experience accidents, nonsexual assaults, witnessing death or injury, disaster or fire, and combat or war. Among victims of specific PTEs (excluding sexual assault or abuse), female participants exhibited greater PTSD. Thus, sex differences in risk of exposure to particular types of PTE can only partially account for the differential PTSD risk in male and female participants.

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