Evidence map›Paper›PMID 34916131›Full record

ArticleThe American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry2022

Trauma, Post-Traumatic Stress Disorder, and Treatment Among Middle-Aged and Older Women in the Nurses' Health Study II.

Laura Sampson, Shaili C Jha, Andrea L Roberts, Rebecca B Lawn, Kristen M Nishimi, Andrew Ratanatharathorn, Jennifer A Sumner, Jae H Kang, Laura D Kubzansky, Eric B Rimm and 1 more

Open access · greenAbstract read
In one paragraph

Article in The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
1.6field-weighted citation impact, top 15% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 21 citations in OpenAlex.

  1. Article
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  5. Lifetime trauma exposure and accelerated epigenetic aging among midlife women.Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2025
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  10. Observational
  11. Childhood and Adulthood Trauma Associate With Cognitive Aging Among Black and White Older Adults.The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry · 2024
    Article
  12. Article
  13. Pre-pandemic resilience to trauma and mental health outcomes during COVID-19.Social psychiatry and psychiatric epidemiology · 2023
    Article
  14. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 5 institutions in 1 country.

Laura SampsonDepartment of Epidemiology, Harvard T.H. Chan School of Public Health (L.S., S.C.J., R.B.L., A.R., E.B.R., K.C.K.), Boston, MA. Electronic address: Lasampson@hsph.harvard.edu.
Shaili C JhaDepartment of Epidemiology, Harvard T.H. Chan School of Public Health (L.S., S.C.J., R.B.L., A.R., E.B.R., K.C.K.), Boston, MA.
Andrea L RobertsDepartment of Environmental Health, Harvard T.H. Chan School of Public Health (A.L.R.), Boston, MA.
Rebecca B LawnDepartment of Epidemiology, Harvard T.H. Chan School of Public Health (L.S., S.C.J., R.B.L., A.R., E.B.R., K.C.K.), Boston, MA.
Kristen M NishimiDepartment of Psychiatry and Weill Institute for Neurosciences, University of California San Francisco (K.M.N.), San Francisco, CA; Mental Health Service, San Francisco Veterans Affairs Medical Center (K.M.N.), San Francisco, CA.
Andrew RatanatharathornDepartment of Epidemiology, Harvard T.H. Chan School of Public Health (L.S., S.C.J., R.B.L., A.R., E.B.R., K.C.K.), Boston, MA; Department of Epidemiology, Columbia Mailman School of Public Health (A.R.), New York, NY.
Jennifer A SumnerDepartment of Psychology, University of California (J.A.S.), Los Angeles, CA.
Jae H KangChanning Division of Network Medicine, Department of Medicine, Brigham and Women's Hospital (J.H.K., E.B.R.), Boston, MA.
Laura D KubzanskyDepartment of Social and Behavioral Sciences, Harvard T.H. Chan School of Public Health (L.D.K., K.C.K.), Boston, MA.
Eric B RimmDepartment of Epidemiology, Harvard T.H. Chan School of Public Health (L.S., S.C.J., R.B.L., A.R., E.B.R., K.C.K.), Boston, MA; Channing Division of Network Medicine, Department of Medicine, Brigham and Women's Hospital (J.H.K., E.B.R.), Boston, MA; Department of Nutrition, Harvard T.H. Chan School of Public Health (E.B.R.), Boston, MA.
Karestan C KoenenDepartment of Epidemiology, Harvard T.H. Chan School of Public Health (L.S., S.C.J., R.B.L., A.R., E.B.R., K.C.K.), Boston, MA; Department of Social and Behavioral Sciences, Harvard T.H. Chan School of Public Health (L.D.K., K.C.K.), Boston, MA; Psychiatric & Neurodevelopmental Genetics Unit, Department of Psychiatry, Massachusetts General Hospital (K.C.K.), Boston, MA.
Harvard University · USBrigham and Women's Hospital · USMassachusetts Department of Public Health · USSan Francisco VA Medical Center · USUniversity of California, Los Angeles · US

Funding

Life Course Cancer Epidemiology Cohort in WomenU01CA176726 · NCI · HARVARD UNIVERSITY D/B/A HARVARD SCHOOL OF PUBLIC HEALTH · PI ELIASSEN, A. HEATHER, WILLETT, WALTER C. · 2018 to 2025
$22.4M
Training Program in Psychiatric Genetics and Translational ResearchT32MH017119 · NIMH · HARVARD UNIVERSITY (SCH OF PUBLIC HLTH) · PI KARESTAN C KOENEN, Jukka-Pekka Onnela · 1985 to 2026
$8.9M
CVD Epidemiology Training Program in Behavior, the Environment and Global HealthT32HL098048 · NHLBI · HARVARD UNIVERSITY D/B/A HARVARD SCHOOL OF PUBLIC HEALTH · PI Goodarz Danaei, ERIC B RIMM · 2009 to 2026
$6.9M
Post Traumatic Stress Disorder and Accelerated Aging in WomenR01MH101269 · NIMH · HARVARD SCHOOL OF PUBLIC HEALTH · PI KOENEN, KARESTAN C, KUBZANSKY, LAURA D · 2014 to 2021
$6.5M
Identifying Early Intervention Targets for Reducing Cardiovascular Risk in Posttraumatic StressR01HL139614 · NHLBI · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI SUMNER, JENNIFER A · 2018 to 2022
$3.9M
Bounce Back Now: A Low-Cost Intervention to Facilitate Post-Disaster RecoveryR01MH107641 · NIMH · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI GALEA, SANDRO, RUGGIERO, KENNETH J · 2015 to 2018
$3.1M
Optimizing Efforts to Restore Psychiatric and Social Function After a Major HurricaneR01MH119193 · NIMH · BOSTON UNIVERSITY MEDICAL CAMPUS · PI GRADUS, JAIMIE L., RUGGIERO, KENNETH J · 2020 to 2023
$2.5M
Posttraumatic Stress and Cardiovascular Risk in Women: Tests of Biological MechanismsK01HL130650 · NHLBI · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI SUMNER, JENNIFER A · 2016 to 2020
$815k
Advance Care Planning and Health Care Utilization in Aging WomenR21AG051001 · NIA · BRIGHAM AND WOMEN'S HOSPITAL · PI KANG, JAE H · 2016 to 2017
$486k
NCI NIH HHS U01 CA176726NHLBI NIH HHS K01 HL130650NHLBI NIH HHS R01 HL139614NHLBI NIH HHS T32 HL098048NIA NIH HHS R21 AG051001NIMH NIH HHS R01 MH101269NIMH NIH HHS R01 MH107641NIMH NIH HHS R01 MH119193NIMH NIH HHS T32 MH017119
6 · The paper itself

Abstract

objectiveTrauma and post-traumatic stress disorder (PTSD) are common among women and associated with negative health outcomes across the life course. Relatively few studies, however, have examined the epidemiology of trauma, PTSD, and treatment among middle-aged and older civilian women, who are at elevated risk for adverse health outcomes. We aimed to characterize trauma, PTSD, and trauma-related treatment prevalence and correlates in a large cohort of middle-aged and older women.

designCross-sectional, nested substudy within the Nurses' Health Study II cohort.

settingUnited States, 2018-2020.

participants33,327 current or former nurses, aged 53-74 years. MEASUREMENTS: 16-item modified version of the Brief Trauma Questionnaire; modified PTSD Checklist for the Diagnostic and Statistical Manual, Version 5.

resultsThe majority (82.2%) of women reported one or more lifetime traumas. The most common trauma types were unexpected death of a loved one (44.9%) and interpersonal violence (43.5%). Almost 30% reported occupational (nursing-related) trauma. Among the trauma-exposed, 10.5% met criteria for lifetime PTSD and 1.5% had past-month PTSD. One-third of lifetime PTSD cases were due to interpersonal violence event types. One-third of women with lifetime PTSD-and nearly half of those with PTSD from a nursing-related trauma-reported never receiving trauma-related treatment. Women aged 65 years and older with PTSD were less likely to be in treatment than those aged less than 65 years.

conclusionHistory of trauma and PTSD is prevalent in this population, and a treatment gap persists. Addressing this treatment gap is warranted, particularly among older women and those with nursing-related trauma.

Indexed as

NursesStress Disorders, Post-TraumaticAgedCross-Sectional StudiesFemaleHumansLife Change EventsMiddle AgedPrevalenceUnited StatesViolenceagingepidemiologynursingPTSDTraumatreatmentwomen

Identifiers

PMID34916131
PMCPMC8983445
OpenAlexW3212974873

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.