Prospective study of sexually abused girls

(Putnam et.al.)

Prospective study of sexually abused girls

(Putnam et.al.)

SOMATIC PROBLEMSSOMATIC PROBLEMSSOMATIC PROBLEMSSOMATIC PROBLEMS

ABUSEDABUSED CONTROLCONTROL

Limb painLimb pain 34%34% 18%18%

Joint painJoint pain 25%25% 9% 9%

Chest painChest pain 10%10% 0% 0%

HeadachesHeadaches 11/month11/month 6/year 6/year

Self-injurySelf-injury 50%50% 8% 8%

AsthmaAsthma 50%50% 4% 4%

Skin rashesSkin rashes 55%55% 14% 14%

History of either physical or sexual abuse associated with:

* Higher incidence of early illness

* Faster cycling frequencies

* Lifetime Axis I and II disorders, including lifetime history of alcohol and substance abuse

* Higher prevalence of medical illness

* Pattern of increasing severity of mania in those who reported history of physical abuse

(Early physical and sexual abuse associated with adverse course of bipolar illness. Leverich et al., Biol. Psych., 2000)

Organ transplant study- (Stuber et. al.)

• Recipients of heart, liver or kidney transplants

• Age 12 to 20 years at time of interview

• Varying lengths of time since transplant

PTSD in Adolescents(Stuber et.al.)

• N= 104

• 31.3% had diagnostic levels of PTSD symptoms occurring at least two times per month

• 13.3% had diagnostic levels of PTSD symptoms occurring at least two times each week

Parental PTSD(Stuber et.al.)

27.8% (44/158) of parents of solid organ transplant recipients reported diagnostic levels of PTSD symptoms

This is similar to levels of responses to natural disaster or interpersonal violence

Mount Sinai Study

19 pediatric liver transplant recipients

PTSD associated with non-adherence

Treatment of PTSD improved adherence