Physical Health Consequences of Interpersonal Trauma: A Systematic Review of the Role of Psychological Variables
Abstract
Interpersonal forms of trauma are among the most commonly reported traumas. These types of traumas are more damaging to well-being than noninterpersonal forms. They have also been strongly associated with somatic symptoms and more general physical health problems. Nevertheless, the results of trauma studies are mixed and suggest that pathways may vary according to the stressors, mediators, and health outcomes investigated. This article presents a systematic qualitative review of published studies that have investigated interpersonal trauma, its association with physical health, and the potential role of intervening psychological variables. A systematic search was made of four psychology and health electronic databases. Of the 863 studies reviewed, 50 were preselected, 11 of which met the inclusion and methodological quality criteria. All but one study had a cross-sectional design. The findings showed that childhood trauma exposure was the most common category of interpersonal trauma addressed in the reviewed studies and that the physical health variables investigated were diverse. The psychological variables most frequently investigated in the studies were posttraumatic stress disorder, depression, dissociation, and substance abuse. Overall, the results suggest that interpersonal trauma exposure is associated with poorer physical health; however, the role of intervening psychological variables remains unclear. The limitations of the reviewed literature are discussed, and methodological recommendations are made for future research.
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References
An asterisk has been placed next to the references that are included in the systematic review.
American Psychological Association. (2000). Diagnostic and statistical manual of mental disorders (4th text rev. ed.). Washington, DC: Author.
American Psychological Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Arlington, VA: Author.
Anda R. F., Butchart A., Felitti V. J., Brown D. W. (2010). Building a framework for global surveillance of the public health implications of adverse childhood experiences. American Journal of Preventive Medicine, 39, 93–98.
*Basu A., Levendosky A. A., Lonstein J. S. (2013). Trauma sequelae and cortisol levels in women exposed to intimate partner violence. Psychodynamic Psychiatry, 41, 247–276.
Breslau N. (2002). Gender differences in trauma and posttraumatic stress disorder. Journal of Gender Specific Medicine, 5, 34–40.
Breslau N., Davis G. C., Schultz L. R. (2003). Posttraumatic stress disorder and the incidence of nicotine, alcohol, and other drug disorders in persons who have experienced trauma. Archives of General Psychiatry, 60, 289–294.
Breslau N., Kessler R. C. (2001). The stressor criterion in DSM-IV posttraumatic stress disorder: An empirical investigation. Biological Psychiatry, 50, 699–704.
Briere J., Scott C. (2012). Principles of trauma therapy: A guide to symptoms, evaluation, and treatment (2nd ed.). Thousand Oaks, CA: Sage.
*Brown R. J., Schrag A., Trimble M. R. (2005). Dissociation, childhood interpersonal trauma, and family functioning in patients with somatization disorder. American Journal of Psychiatry, 162, 899–905.
Cardeña E., Carlson E. (2011). Acute stress disorder revisited. Annual Review of Clinical Psychology, 7, 245–267.
Chen L. P., Murad M. H., Paras M. L., Colbenson K. M., Sattler A. L., Goranson E. N.…Zirakzadeh A. (2010). Sexual abuse and lifetime diagnosis of psychiatric disorders: Systematic review and meta-analysis. Mayo Clinic Proceedings, 85, 618–629.
Classen C. C., Palesh O. G., Aggarwal R. (2005). Sexual revictimization: A review of the empirical literature. Trauma, Violence & Abuse, 6, 103–129.
Cloitre M., Cohen L. R., Edelman R. E., Han H. (2001). Posttraumatic stress disorder and extent of trauma exposure as correlates of medical problems and perceived health among women with childhood abuse. Women & Health, 34, 1–17.
Cloitre M., Stovall-McClough K. C., Nooner K., Zorbas P., Cherry S., Jackson C. L.…Petkova E. (2010). Treatment for PTSD related to childhood abuse: A randomized controlled trial. American Journal of Psychiatry, 167, 915–924.
Evren C., Dalbudak E., Cetin R., Durkaya M., Evren B. (2010). Relationship of alexithymia, and temperament and character dimensions with lifetime post-traumatic stress disorder in male alcohol-dependent inpatients. Psychiatry and Clinical Neurosciences, 64, 111–119.
Farley M., Cotton A., Msw J. L., Zumbeck S., Spiwak F., Reyes M. E.…Sezgin U. (2004). Prostitution and trafficking in nine countries. An update on violence and posttraumatic stress disorder. Journal of Trauma Practice, 2, 33–74.
Felitti V. J. (2002). The relation between adverse childhood experiences and adult health: Turning gold into lead. The Permanente Journal, 6, 44–47.
Felitti V. J., Anda R. F., Nordenberg D., Williamson D. F., Spitz A. M., Edwards V.…Marks J. S. (1998). Relationship of childhood abuse and household dysfunction to many of the leading causes of death in adults: The Adverse Childhood Experiences (ACE) study. American Journal of Preventive Medicine, 14, 245–258.
Fetzner M. G., McMillan K. A., Sareen J., Asmundson G. J. (2011). What is the association between traumatic life events and alcohol abuse/dependence in people with and without PTSD? Findings from a nationally representative sample. Depression and Anxiety, 28, 632–638.
Foa E. B., Keane T. M., Friedman M. J. (Eds.). (2000). Effective treatments for PTSD: Practice guidelines from the international society for traumatic stress studies (pp. 207–224). New York, NY: Guildford Press.
Forbes D., Creamer M., Bisson J. I., Cohen J. A., Crow B. E., Foa E. B.…Ursano R. J. (2010). A guide of guidelines for the treatment of PTSD and related conditions. Journal of Traumatic Stress, 23, 537–552.
Freyd J. J. (1994). Betrayal trauma: Traumatic amnesia as an adaptive response to childhood abuse. Ethics & Behavior, 4, 307–329.
Freyd J. J. (1996). Betrayal trauma: The logic of forgetting childhood abuse. Cambridge, MA: Harvard University Press.
Freyd J. J., DePrince A. P., Gleaves D. (2007). The state of betrayal trauma theory: Reply to McNally (2007)—Conceptual issues and future directions. Memory, 15, 295–311.
Freyd J. J., Klest B., Allard C. B. (2005). Betrayal trauma: Relationship to physical health, psychological distress, and a written disclosure intervention. Journal of Trauma and Dissociation, 6, 83–104.
Gidycz C. A., Coble C. N., Latham L., Layman M. J. (1993). Sexual assault experience in adulthood and prior victimization experiences. Psychology of Women Quarterly, 17, 151–168.
Gilbert R., Widom C. S., Browne K., Fergusson D., Webb E., Janson S. (2009). Burden and consequences of child maltreatment in high-income countries. Lancet, 3, 68–81.
*Goldsmith R. E., Freyd J. J., DePrince A. P. (2012). Betrayal trauma: Associations with psychological and physical symptoms in young adults. Journal of Interpersonal Violence, 27, 547–567.
Gómez-Pérez L., Abrams P. M., López-Martínez A. E., Asmundson G. J. G. (2012). Trauma exposure and health: The role of depressive and hyperarousal symptoms. Journal of Traumatic Stress, 25, 641–648.
Green B. L., Kimberling R. (2004). Trauma, posttraumatic-stress disorder, and health status. In Schnurr P. P., Green B. L. (Eds.), Trauma and health: Physical health consequences of exposure to extreme stress (pp. 13–42). Washington, DC: American Psychological Association.
Hays K. F., Stanley S. F. (1996). The impact of childhood sexual abuse on women’s dental experiences. Journal of Child Sexual Abuse, 5, 65–67.
Herman J. L. (1992). Complex PTSD: A syndrome in survivors of prolonged and repeated trauma. Journal of Traumatic Stress, 5, 377–391.
*Higgins A. B., Follete V. M. (2002). Frequency and impact of interpersonal trauma in older women. Journal of Clinical Geropsychology, 8, 215–226.
Holmes E. A., Brownc R. J., Manselld W., Fearone R. P., Hunterf E. C. M., Frasquilhoe F., Oakleyg D. A. (2005). Are there two qualitatively distinct forms of dissociation? A review and some clinical implications. Clinical Psychology Review, 25, 1–23.
Holmes E. A., Mathews A. (2010). Mental imagery in emotion and emotional disorders. Clinical Psychological Review, 30, 349–362.
Kendall-Tackett K. A. (2000). Physiological correlates of childhood abuse: Chronic hyperarousal in PTSD, depression, and irritable bowel syndrome. Child Abuse & Neglect, 24, 799–810.
*Koby D. G., Zirakzadeh A., Staab J. P., Seime R., Cha S. S., Nelson C. L.…Worrell G. A. (2010). Questioning the role of abuse in behavioral spells and epilepsy. Epilepsy & Behavior, 19, 584–590.
Koss M. P., Koss P. G., Woodruff W. J. (1991). Deleterious effects of criminal victimization on women’s health and medical utilization. Archives of Internal Medicine, 151, 342–347.
Lewis-Fernández R., Martínez-Taboas A., Sar V., Patel S., Boatin A. (2007). The cross-cultural assessment of dissociation. In Wilson J. P., Tang C. S. (Eds.), Cross-cultural assessment of psychological trauma and PTSD (pp. 279–317). New York, NY: Springer.
*Lilly M. M., Lim B. H. (2013). Shared pathogeneses of posttrauma pathologies: Attachment, emotion regulation, and cognitions. Journal of Clinical Psychology, 69, 737–748.
Lim B. H., Valdez C. E., Lilly M. M. (2015). Making meaning out to interpersonal victimization: The narratives of IPV survivors. Violence Against Women, 21, 1065–1086.
Lipsanen T., Saarijärvi S., Lauerma H. (2004). Exploring the relations between depression, somatization, dissociation an alexithymia—Overlapping or independent constructs? Psychopathology, 37, 200–206.
*McCall-Hosenfeld J. M., Winter S., Heeren T. Y., Liebschutz J. S. (2014). The association of interpersonal trauma with somatic symptom severity in a primary care population with chronic pain: Exploring the role of gender and the mental health sequelae of trauma. Journal of Psychosomatic Research, 77, 196–204.
Moher D., Liberati A., Tetzlaff J., Altman D. G., Group T. P. (2009). Preferred reporting items for systematic reviews and meta-analyses: The PRISMA statement. PLoS Medicine, 6, e1000097.
Olff M., Langeland W., Draijer N., Gersons B. P. R. (2007). Gender differences in posttraumatic stress disorder. Psychological Bulletin, 133, 183–204.
Perestelo-Pérez L. (2013). Standards on how to develop and report systematic reviews in psychology and health. International Journal of Clinical and Health Psychology, 13, 49–57.
Pietrzak R. H., Goldstein R. B., Southwick S. M., Grant B. F. (2011). Prevalence and Axis I comorbidity of full and partial posttraumatic stress disorder in the United States: Results from Wave 2 of the National Epidemiologic Survey on Alcohol and Related Conditions. Journal of Anxiety Disorder, 25, 456–465.
Qureshi S. U., Pyne J. M., Magruder K. M., Schulz P. E., Kunik M. E. (2009). The link between post-traumatic stress disorder and physical comorbidities: A systematic review. Psychiatric Quarterly, 80, 87–97.
Read J. P., Stern A. L., Wolfe J., Ouimette P. C. (1997). Use of a screening instrument in women’s health care: Detecting relationships among victimization history, psychological distress, and medical complaints. Women’s Health, 25, 1–17.
Rohleder N., Wolf J. M., Wolf O. T. (2010). Glucocorticoid sensitivity of cognitive and inflammatory processes in depression and posttraumatic stress disorder. Neuroscience and Biobehavioral Reviews, 35, 104–114.
Romans S., Belaise C., Martin J., Morris E., Raffi A. (2002). Childhood abuse and later medical disorders in women. An epidemiological study. Psychotherapy and Psychosomatics, 71, 141–150.
*Rosenberg H. J., Rosenberg S. D., Wolford G. L., Manganiello P. D., Brunette M. F., Boynton R. A. (2000). The relationship between trauma, PTSD, and medical utilization in three high risk medical populations. International Journal of Psychiatry in Medicine, 30, 247–259.
Runtz M. G. (2002). Health concerns of university women with a history of child physical and sexual maltreatment. Child Maltreatment, 7, 241–253.
Sala T., Cox B. J., Sareen J. (2008). Anxiety disorders and physical illness comorbidity. In Zyolensky M. J., Smits J. A. J. (Eds.), Anxiety in health behaviors and physical illness (pp. 131–154). New York, NY: Springer.
Schnurr P. P., Green B. L. (2004). Understanding relationships among trauma, post-traumatic stress disorder, and health outcomes. Advances in Mind-Body Medicine, 20, 18–29.
Schnurr P. P., Lunney C. A., Bovin M. J., Marx B. P. (2009). Posttraumatic stress disorder and quality of life: Extension of findings to veterans of the wars in Iraq and Afghanistan. Clinical Psychology Review, 29, 727–735.
Scott-Storey K. (2011). Cumulative abuse: Do things add up? An evaluation of the conceptualization, operationalization, and methodological approaches in the study of the phenomenon of cumulative abuse. Trauma, Violence & Abuse, 12, 135–150.
*Seng J. S., Low L. K., Sperlich M., Ronis D. L., Liberzon R. I. (2011). Post-traumatic stress disorder, child abuse history, birthweight and gestational age: A prospective cohort study. BJOG an International Journal of Obstetrics and Gynaecology, 118, 1329–1339.
*Simoni J. M., Ng M. T. (2002). Abuse, health locus of control, and perceived health among HIV-positive women. Health Psychology, 21, 89–93.
*Simpson T. L., Balsam K. F., Cochran B. N., Lehavot K., Gold S. D. (2013). Veterans Administration Health Care utilization among sexual minority veterans. Psychological Services, 10, 223–232.
Sledjeski E. M., Speisman B., Dierker L. C. (2008). Does number of lifetime traumas explain the relationship between PTSD and chronic medical conditions? Answers from the National Comorbidity Survey–Replication (NCS-R). Journal of Behavioral Medicine, 3, 341–349.
Spek V., Nyklícek I., Cuijpers P., Pop V. (2008). Alexithymia and cognitive behaviour therapy outcome for subthreshold depression. Acta Psychiatrica Scandinavica, 118, 164–167.
Stein D. J., Chiu W. T., Hwang I., Kessler R. C., Sampson N., Alonso J.…Nock M. K. (2010). Cross-national analysis of the associations between traumatic events and suicidal behavior: Findings from the WHO World Mental Health Surveys. PLoS One, 5, e10574.
Thakkar R. R., McCanne T. R. (2000). The effects of daily stressors on physical health in women with and without a childhood history of sexual abuse. Child Abuse & Neglect, 24, 209–221.
van der Kolk B. A., McFarlane A. C., van der Hart O. (1996). A general approach to treatment of posttraumatic stress disorder. In van der Kolk B. A., McFarlane A. C., Weisaeth L. (Eds.), Traumatic stress: The effects of overwhelming experience on mind, body, and society (pp. 417–440). New York, NY: Guildford Press.
van der Kolk B. A., Roth S., Pelcovitz D., Sunday S., Spinazzola J. (2005). Disorders of extreme stress: The empirical foundation of a complex adaptation to trauma. Journal of Traumatic Stress, 18, 389–399.
van der Velden P. G., Wittmann L. (2008). The independent predictive value of peritraumatic dissociation for PTSD symptomatology after type I trauma: A systematic review of prospective studies. Clinical Psychology Review, 28, 1009–1020.
Vogt D. S., King D. W., King L. A. (2007). Risk pathways for PTSD: Making sense of the literature. In Friedman M. J., Keane T. M., Resick P. A. (Eds.), Handbook of PTSD: Science and practice (pp. 99–115). New York, NY: Guilford Press.
Wrenn G. L., Wingo A. P., Moore R., Pelletier T., Gutman A. R., Bradley B., Ressler K. J. (2011). The effect of resilience on posttraumatic stress disorder in trauma-exposed inner-city primary care patients. Journal of the National Medical Association, 103, 560–566.
*Yampolsky L., Lev-Wiesel R., Ben-Zion I. Z. (2010). Child sexual abuse: Is it a risk factor for pregnancy? Journal of Advanced Nursing, 66, 2025–2037.
Biographies
Alicia E. López-Martínez teaches and conducts research activities as senior lecturer at the Department of Personality, Assessment, and Psychological Treatment (School of Psychology, Málaga University). Her field of expertise is Health Psychology, chronic pain, and posttraumatic stress disorder.
Elena R. Serrano-Ibáñez is conducting her doctoral thesis at the Department of Personality, Assessment, and Psychological Treatment (School of Psychology, Málaga University) under a predoctoral contract for University Teacher Training (Ministry of Education, Culture, and Sports).
Gema T. Ruiz-Párraga conducts research activities as a postdoctoral researcher at the Department of Personality, Assessment, and Psychological Treatment (School of Psychology, Málaga University). Her field of expertise is posttraumatic stress disorder and chronic pain.
Lydia Gómez-Pérez is teaching and conducting research activities as associate professor at the School of Psychology of the Pontifical Catholic University of Chile. Her field of expertise is chronic pain and trauma.
Carmen Ramírez-Maestre is teaching and conducting research activities as senior lecturer at the Department of Personality, Assessment, and Psychological Treatment (School of Psychology, Málaga University). Her field of expertise is differential psychology and health, particularly chronic pain.
Rosa Esteve undertakes teaching and research activities as full professor at the Department of Personality, Assessment, and Psychological Treatment (School of Psychology, Málaga University). Her field of expertise is personality and health, particularly chronic pain.
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Article first published online: July 25, 2016
Issue published: July 2018
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PubMed: 27456113
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