Skip Navigation
Login or register
Post-Traumatic Stress Disorder in Extremely Poor Women: Implications for Health Care Clinicians
No Recommendations Yet Click here to recommend.
Add Comment
Subscribe
Share This
Print
No Recommendations Yet Click here to recommend.
Objective
To identify childhood antecedents for lifetime post-traumatic stress disorder (PTSD) and to determine how this diagnosis relates to health and service use among extremely poor women.
Methods
We conducted a secondary data analysis of 425 women in the Worcester Family Research Project, a case-control longitudinal study of 220 sheltered homeless and 216 extremely poor housed (never homeless) women in Worcester, Massachusetts.

Results
We found that extremely poor women with lifetime PTSD were more likely to have grown up in family environments of violence, threat, and anger than those without PTSD. The strongest risk factor for PTSD was childhood sexual abuse with threat. Low-income women with lifetime PTSD had more bodily pain, even when controlling for other health and demographic factors. Women with PTSD experienced more chronic health conditions and had more problematic relationships with their health care providers and perceived more barriers to care.

Conclusion
Many low-income women have difficulty using medical care appropriately because of childhood histories of physical and sexual abuse, the subsequent development of post-trauma responses, and structural barriers to care. Given these factors, it is critical that health care clinicians routinely screen for histories of violence and PTSD and develop treatment plans that ensure safety, link current symptoms with prior experiences, and provide support as necessary. A team approach coordinated by a case manager may be the best strategy. Without routine screening for PTSD and sensitive treatment, many extremely poor women will receive compromised health care and may even be retraumatized. (Authors)
Journal
2001
56
2
79-85
RSS Feed
About Us  -  Contact Us
Home  -  Training  -  Homelessness Resource Center Library  -  Facts  -  Topics  -  Partners  -  Events  -  PATH  -  SSH
Advanced Search
Acknowledgements -  Help -  Accessibility -  SAMHSA Privacy Policy -  Plain Language -  Disclaimer -  SAMHSA Web Site
Download PDF Reader
A program of the U.S. Department of Health and Human Services Substance Abuse & Mental Health Services Administration, Center for Mental Health Services