Table 5.
Associations (Odds Ratios) of Sociodemographics, Potentially Traumatic Experience (PTE) types, and Prior Mental Disorders With DSM-IV/CIDI PTSD Recovery in the National Comorbidity Survey Replication Adolescent Supplement (NCS-A)a (n=259)
| Model 1: Sociodemographics | Model 2: Sociodemographics, Worst event type | Model 3: Sociodemographics, Worst event type, Prior PTEs | Model 4: Sociodemographics, Worst event type, Prior PTEs, Subsequent PTEs | Model 5: Sociodemographics, Worst event type, Prior PTEs, Subsequent PTEs, Prior mental disorders | ||||||
|---|---|---|---|---|---|---|---|---|---|---|
| OR | (95% CI) | OR | (95% CI) | OR | (95% CI) | OR | (95% CI) | |||
|
| ||||||||||
| Age of PTSD onset | ||||||||||
| Early childhood (<5) | 3.1* | (1.0–9.5) | 2.9 | (0.8–10.7) | 2.2 | (0.7–7.1) | 1.8 | (0.5–6.3) | 2.6 | (0.5–13.1) |
| Middle/late childhood (5–10) | 2.3 | (0.9–5.6) | 2.2 | (0.9–5.6) | 1.8 | (0.7–4.6) | 1.6 | (0.6–4.2) | 2.9 | (0.9–9.4) |
| Early adolescence (11–13) | 2.2 | (0.9–5.7) | 2.4 | (0.9–6.0) | 1.9 | (0.7–5.1) | 1.9 | (0.7–5.3) | 2.4 | (0.8–7.2) |
| Adolescence (14+) | 1.0 | [Reference] | 1.0 | [Reference] | 1.0 | [Reference] | 1.0 | [Reference] | 1.0 | [Reference] |
| χ23 | 5.5 | 4.8 | 2.5 | 1.8 | 2.5 | |||||
| Time since PTSD onset (months) | ||||||||||
| 1–3 | 2.1 | (0.7–6.4) | 2.1 | (0.7–6.1) | 2.2 | (0.7–6.5) | 1.9 | (0.6–5.6) | 2.2 | (0.8–6.1) |
| 4–6 | 0.3 | (0.1–1.3) | 0.3 | (0.1–1.2) | 0.3 | (0.1–1.3) | 0.3 | (0.1–1.2) | 0.3 | (0.1–1.2) |
| 7–12 | 1.2 | (0.3–5.0) | 1.2 | (0.3–4.9) | 1.2 | (0.3–5.1) | 1.1 | (0.3–4.2) | 1.2 | (0.3–4.6) |
| 13–24 | 4.1* | (1.4–12.1) | 4.1* | (1.4–12.0) | 4.1* | (1.4–11.6) | 3.7* | (1.4–10.1) | 4.1* | (1.7–10.1) |
| 25+ | 1.0 | [Reference] | 1.0 | [Reference] | 1.0 | [Reference] | 1.0 | [Reference] | 1.0 | [Reference] |
| χ24 | 18.7* | 18.7* | 18.4* | 18.2* | 18.4* | |||||
| Povertyb | ||||||||||
| High poverty | 0.3* | (0.1–0.7) | 0.3* | (0.1–0.6) | 0.3* | (0.1–0.7) | 0.3* | (0.1–0.7) | 0.3* | (0.1–0.7) |
| Low poverty | 1.0 | [Reference] | 1.0 | [Reference] | 1.0 | [Reference] | 1.0 | [Reference] | 1.0 | [Reference] |
| χ21 | 8.6* | 9.0* | 7.5* | 8.1* | 7.5* | |||||
| Nativity | ||||||||||
| Foreign-born | 11.9* | (2.5–56.0) | 11.1* | (2.4–51.5) | 10.5* | (2.2–50.5) | 10.9* | (1.6–74.1) | 13.0* | (2.5–69.0) |
| U.S. born | 1.0 | [Reference] | 1.0 | [Reference] | 1.0 | [Reference] | 1.0 | [Reference] | 1.0 | [Reference] |
| χ21 | 9.9* | 9.4* | 8.6* | 6.0* | 8.6* | |||||
| Prior mental disordersc | ||||||||||
| Fear | 0.7 | (0.4–1.2) | ||||||||
| Distress | 1.6 | (1.0–2.7) | ||||||||
| Behavior | 1.5 | (0.9–2.5) | ||||||||
| Substance | 2.5 | (0.6–10.3) | ||||||||
| Bipolar disorder | 0.0* | (0.0–0.3) | ||||||||
| χ25 | 17.0* | |||||||||
| Worst event categoryd | ||||||||||
| χ24 | 1.0 | 1.1 | 1.0 | 0.9 | ||||||
| Prior PTEse | ||||||||||
| χ24 | 3.8 | 3.6 | 4.7 | |||||||
| Subsequent PTEsf | ||||||||||
| χ24 | 5.6 | 12.6* | ||||||||
Note: PTSD=posttraumatic stress disorder.
Models were estimated using discrete-time survival analysis with person-years as the unit of analysis. Only respondents with lifetime PTSD were included in the analysis.
Poverty was defined using household family income for the past-year relative to the federally defined poverty line based on family size. Poverty was defined as less than three times the poverty line and low poverty (reference group) as 3 or more times the poverty level.
Variables represent counts of fear, distress, behavior, substance, and bipolar disorders with onsets prior to occurrence of respondents’ self-reported worst PTE.
Variables represent worst event type: interpersonal violence, accidents, network/witnessing, and other PTEs.
Variables represent counts of PTEs occurring prior to respondents’ self-reported worst event within each of the four PTE categories: interpersonal violence, accidents, network/witnessing, and other PTEs.
Variables represent counts of PTEs occurring after the respondents’ self-reported worst event within each of the four PTE categories: interpersonal violence, accidents, network/witnessing, and other PTEs.
Significant at the .05 level, 2-sided test