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Childhood Adversity and Traumatic Stress among Inpatients at a Psychiatric Hospital in the Baltimore Area from 1993-1995

Version
v0
Resource Type
Dataset : clinical data, survey data
Creator
  • Carlson, Eve (Veterans Affairs Palo Alto Health Care System)
Other Title
  • Archival Version (Subtitle)
Publication Date
2016-04-15
Funding Reference
  • United States Department of Health and Human Services. National Institutes of Health. National Institute of Mental Health. Violence and Traumatic Stress Research Branch
Language
English
Free Keywords
abused children; child health; child neglect; depression (psychology); mental health; post-traumatic stress disorder; psychological wellbeing; sexual abuse; social support
Description
  • Abstract

    Childhood Adversity and Traumatic Stress among Inpatients at a Psychiatric Hospital in the Baltimore Area from 1993-1995 includes data collected from adult patients at a psychiatric hospital about their experiences and symptoms throughout their lives. The study sought to address the following research topics: The capacity of childhood family environment (caretaker dysfunction, neglect, perceived social support), violent abuse (physical and sexual), and individual variables (other abuse) to predict adult psychiatric symptoms of post-traumatic stress disorder, dissociation, and depression.; How psychiatric inpatient research participants appraised the level of upset and potential usefulness of research participation related to trauma-focused research interviews.; What patterns of gaps in memory are reported across types of abuse (physical, sexual, neglect) and other types of traumatic stress.; Whether and how low positive affect is related to specific childhood adversities, including abuse, neglect, caretaker dysfunction, and low childhood social support.; In addition, data from the study were used to develop and validate a self-report measure of traumatic stress symptoms and a brief, structured interview of self-destructiveness. The data include diagnoses, psychological symptoms, and structured interview responses related to physical and sexual abuse, post-traumatic stress disorder, and self-destructive behavior. Age, sex, marital status, race, and socioeconomic status comprise the demographic data.
  • Methods

    The data are not weighted. There is no weight variable included in this dataset.
  • Methods

    ICPSR data undergo a confidentiality review and are altered when necessary to limit the risk of disclosure. ICPSR also routinely creates ready-to-go data files along with setups in the major statistical software formats as well as standard codebooks to accompany the data. In addition to these procedures, ICPSR performed the following processing steps for this data collection: Checked for undocumented or out-of-range codes..
  • Methods

    Presence of Common Scales: Structured Interview for PTSD (SI-PTSD), Structured Interview for Self Destructiveness (SI-SD), Symptom Checklist-90-Revised (SCL-90-R), Dissociative Experiences Scale (DES), Structured Interview for Social Support as a Child (SI-SSC), Modified version of Physical Violence Scale of the Conflict Tactics Scales (CTS), Hollingshead's Two-Factor Index of Social Position
  • Methods

    Response Rates: 55 percent
  • Table of Contents

    Datasets:

    • DS1: Dataset
Temporal Coverage
  • 1993-02 / 1995-10
    Time period: 1993-02--1995-10
  • 1993-02 / 1995-10
    Collection date: 1993-02--1995-10
Geographic Coverage
  • Baltimore
  • Maryland
  • United States
Sampled Universe
Inpatients in a psychiatric hospital.
Sampling
Participants were inpatients in a large, private, nonprofit psychiatric hospital primarily serving urban and suburban areas. The researchers sought to interview all newly admitted patients during a 3.5-year period who were between the ages of 30 and 45 (in order to limit the length of the recall period for childhood experiences). During the study period, 2,468 patients in the specified age range were admitted and their therapists were contacted. The researchers received replies to their contacts in regard to 1,013 of these patients rapidly enough to permit contact before the patient was discharged. Because the average length of stay for patients was only seven days by the end of the first year of data collection, patients were often on the verge of discharge by the time their therapists received the researchers' request. Therapists receiving the requests may have failed to respond when they knew a patient would be leaving the hospital before he or she could have been interviewed, but researchers were not able to collect data on the reasons for therapist nonresponse. Of therapists who replied, permission was given in regard to interviewing 884 patients (87 percent) and permission was refused in regard to 129 patients (13 percent). Of the 884 patients researchers were given permission to approach, 293 were discharged before they could be contacted. Of the 591 patients researchers did contact, 217 completed all or most of the interview, 180 declined to participate, and 194 were not interviewed because they were discharged, were not available to be interviewed, or did not complete the interview. Although the final number of patients interviewed is small compared to the number admitted during the study period, the actual refusal rate was 30 percent (180 of 591).
Collection Mode
  • face-to-face interview, on-site questionnaire

Note
Funding insitution(s): United States Department of Health and Human Services. National Institutes of Health. National Institute of Mental Health. Violence and Traumatic Stress Research Branch (R29 MH49401).
Availability
Delivery
This version of the study is no longer available on the web. If you need to acquire this version of the data, you have to contact ICPSR User Support (help@icpsr.umich.edu).
Alternative Identifiers
  • 36168 (Type: ICPSR Study Number)
Relations
  • Is previous version of
    DOI: 10.3886/ICPSR36168.v1
Publications
  • Carlson, Eve B., McDade-Montez, Elizabeth, Armstrong, Judith, Dalenberg, Constance, Loewenstein, Richard J.. Development and initial validation of the structured interview for self-destructive behaviors. Journal of Trauma and Dissociation.14, (3), 312-327.2013.
    • ID: 10.1080/15299732.2012.762822 (DOI)
  • Etter, Darryl W., Gauthier, Justin R., McDade-Montez, Elizabeth, Cloitre, Marylene, Carlson, Eve B.. Positive affect, childhood adversity, and psychopathology in psychiatric inpatients. European Journal of Psychotraumatology.4, 2013.
    • ID: 10.3402/ejpt.v4i0.20771 (DOI)
  • Carlson, Eve B., Newman, Elana, Daniels, Jill Walker, Armstrong, Judith, Roth, David, Loewenstein, Richard. Distress in response to and perceived usefulness of trauma research interviews. Journal of Trauma and Dissociation.4, (2), 131-142.2003.
    • ID: 10.1300/J229v04n02_08 (DOI)
  • Carlson, Eve B.. Psychometric study of a brief screen for PTSD: Assessing the impact of multiple traumatic events. Assessment.8, (4), 431-441.2001.
    • ID: 10.1177/107319110100800408 (DOI)
  • Carlson, Eve B., Dalenberg, Constance, Armstrong, Judith, Daniels, Jill Walker, Loewenstein, Richard, Roth, David. Multivariate prediction of posttraumatic symptoms in psychiatric inpatients. Journal of Traumatic Stress.14, (3), 549-567.2001.
    • ID: 10.1023/A:1011164707774 (DOI)
  • Carlson, E.B., Armstrong, J., Loewenstein, R., Roth, D.. Relationships between traumatic experiences and symptoms of posttraumatic stress, dissociation, and amnesia. Trauma, Memory, and Dissociation.Washington, DC: American Psychiatric Press. 1998.
  • Carlson, E.B., Armstrong, J., Loewenstein, R.. Reported amnesia for childhood abuse and other traumatic events in psychiatric inpatients. Recollections of Trauma: Scientific Research and Clinical Practice.New York, NY: Plenum Publishing. 1997.

Update Metadata: 2016-05-03 | Issue Number: 2 | Registration Date: 2016-04-15

Carlson, Eve (2016): Childhood Adversity and Traumatic Stress among Inpatients at a Psychiatric Hospital in the Baltimore Area from 1993-1995. Archival Version. Version: v0. ICPSR - Interuniversity Consortium for Political and Social Research. Dataset. https://doi.org/10.3886/ICPSR36168