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Am J Psychiatry 163:881-884, May 2006
doi: 10.1176/appi.ajp.163.5.881
© 2006 American Psychiatric Association
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Symptoms of Posttraumatic Stress Disorder in a Community Sample of Low-Income Pregnant Women

Megan V. Smith, M.P.H., Karalee Poschman, M.P.H., Mary A. Cavaleri, Ph.D., Heather B. Howell, M.S.W., and Kimberly A. Yonkers, M.D.

OBJECTIVE: The purpose of this study was to examine symptoms of posttraumatic stress disorder (PTSD) in a community sample of low-income pregnant women who met the DSM–IV diagnostic criteria for the disorder. METHOD: Pregnant women (N=948) were screened for trauma, PTSD, depression, and co-occurring illicit substance use. PTSD symptoms were compared in traumatized pregnant women and a sample of nonpregnant traumatized women from the National Comorbidity Survey. RESULTS: Suicidal thoughts and a high degree of psychiatric comorbidity were common in pregnant women with PTSD. Pregnant women were selectively and significantly less likely to endorse reexperiencing symptoms of PTSD (29.5%, N=82), compared to nonpregnant women (79.4%, N=464). CONCLUSIONS: PTSD in pregnancy was associated with comorbidity, poor health behaviors, and lower recall of memory-related PTSD symptoms. Further prospective study is needed.




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M. P. Twohig and W. T. O'Donohue
Treatment of Posttraumatic Stress Disorder with Exposure Therapy During Late Term Pregnancy
Clinical Case Studies, December 1, 2007; 6(6): 525 - 535.
[Abstract] [PDF]




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