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Gender Differences in Posttraumatic Stress Disorder

  • Ana Villamor-García
  • Estibaliz Sáez de Adana
Chapter

Abstract

Posttraumatic stress disorder began to be described in situations of war since Ancient Greece. For this reason the female gender was practically excluded for decades of this diagnosis by a gender issue. Epidemiological differences point to predominance of women over men; even with the highest prevalence of trauma in males, women would be more likely to develop this condition. It is possible that under these figures underlies an oversimplification of epidemiological studies that do not consider certain traumas or certain predispositions determined by the female gender role. In this chapter we aim to review the psychopathological differences that can be found in this syndrome by gender, based on the few studies that address the issue, as we have found before a scientific vacuum yet to be explored.

Gender violence is a major source of trauma, whether acute or chronic, occurring much more frequently in women than in men and that for many years has been silenced; that is why it has not been recorded or studied by experts as a focus of PTSD.

The way we channel and manage emotions is different in male and female, and these strategies that we use as we are men or women can determine the presence or absence of PTSD. The question is whether this is due to biological differences or to the assimilation of how to behave according to the expectations that society has invested in us according to our masculine or feminine gender.

Keywords

Disorder Gender Women Trauma Posttraumatic stress Risk factors Anxiety 

References

  1. 1.
    Alarcón R. Posttraumatic stress disorder. Studies in American veterans and their relevance for Latin America. Neuro-Psiquiat Rev Chil. 2002;40(Suppl 2):35–47.Google Scholar
  2. 2.
    The Holy Bible. Deuteronomy. 20:1–9.Google Scholar
  3. 3.
    Crocq MA, Crocq L. From Shell shock and war neurosis to posttraumatic stress disorder: a history of psychotraumatology. Dialogues Clin Neurosci. 2001;2:47–55.Google Scholar
  4. 4.
    Pinel P. Nosographie Philosóphique. Paris: Bailliére; 1978.Google Scholar
  5. 5.
    Merskey H. Posttraumatic stress disorder and shell shock. In: Berrios GE, Porter R, editors. A history of clinical psychiatry. London: Athlone Press; 1995.Google Scholar
  6. 6.
    Salmon TW. Care and treatment of mental diseases and war neuroses (sell shock) in the British army. Ment Hyg. 1917;1:509–54.Google Scholar
  7. 7.
    Poal G. Enter, stay, move. Psychosocial aspects of the relationship between women and employment. Madrid: Siglo XXI; 1993.Google Scholar
  8. 8.
    Buenaventura Saez C. Gender socialization and psychopathology: a hypothesis for reflection. In: Gonzalez de Chavez MA, editor. Body and female subjectivity. Health and gender. Madrid: Siglo XXI; 1993.Google Scholar
  9. 9.
    Adams CH, Sherer M. Sex-role orientation and psychological adjustment: comparison of MMPI profiles among college women and housewives. J Pers Assess. 1982;46:607–13.PubMedCrossRefGoogle Scholar
  10. 10.
    Bassoff ES, Glass GV. The relationship between sex roles and mental health: a meta-analysis of twenty-six studies. Counseling Psychologist. 1982;10:105–12.CrossRefGoogle Scholar
  11. 11.
    Taylor MC, Hall JA. Psychological androgyny: theories, methods, and conclusions. Psychol Bull. 1982;92:347–66.CrossRefGoogle Scholar
  12. 12.
    Orlofsky JL, O’Heron CA. Stereotypic and nonstereotypic sex role trait and behavior orientations: implications for personal adjustment. J Pers Soc Psychol. 1987;52(5):1034–42.CrossRefGoogle Scholar
  13. 13.
    Flaherty JF, Dusek JB. An investigation of the relationship between psychological androgyny and components of self-concept. J Pers Soc Psychol. 1980;38:984–92.CrossRefGoogle Scholar
  14. 14.
    Gallacher F, Kieger DM. Sex role orientation and fear. J Psychol. 1995;129(1):41–9.PubMedCrossRefGoogle Scholar
  15. 15.
    Thoronton B, Leo R. Gender typing, importance of multiple roles, and mental health consequences for women. Sex Roles. 1992;27(5–6):307–17.CrossRefGoogle Scholar
  16. 16.
    Ward LC, Dillon EA. Psychiatric symptom correlates of the Minnesota multiphasic personality inventory masculinity-femininity scale. Psychol Assess. 1990;2(3):286–8.CrossRefGoogle Scholar
  17. 17.
    Pérez Blasco J, Serra Desfilis E. Influence of traditional female role in anxiety symptoms in a sample of adult women. J Psychol. 1997;13(2):155–61.Google Scholar
  18. 18.
    Jezova D, Jurankova E, Mosnarova A, Kriska M, et al. Neuroendocrine response during stress with relation to gender differences. Acta Neurobiol Exp. 1996;56:779–85.Google Scholar
  19. 19.
    Yehuda R, Southwich SM, Nussbaum G, Wahby V, et al. Low urinary cortisol excretion in patients with posttraumatic stress disorder. J Nerv Ment Dis. 1990;178:366–9.PubMedCrossRefGoogle Scholar
  20. 20.
    Bremner J, Licinio J, Darness A, Krys Tal JM, et al. Elevated CSF corticotropin-releasing factor concentrations in post-traumatic stress disorder. Am J Psychiatry. 1997;154:624–9.PubMedPubMedCentralCrossRefGoogle Scholar
  21. 21.
    Carvajal C. Neurobiological bases and pharmacotherapy of posttraumatic stress disorder. Neuro-Psiquiat Rev Chil. 2002;40(Suppl 2):48–68.Google Scholar
  22. 22.
    Rubinow DR, Schmidt PJ. Gonadal steroids, brain and behavior: role of context. Dialogues Clin Neurosci. 2002;4:123–37.PubMedPubMedCentralGoogle Scholar
  23. 23.
    De Bellis MD, Keshavan MS. Sex differences in brain maturation in maltreatment-related pediatric posttraumatic stress disorder. Neurosci Biobehav Rev. 2003;27:103–17.PubMedCrossRefPubMedCentralGoogle Scholar
  24. 24.
    Bremner JD, Vythiliogam M, Vermetten E, Southwick SM, et al. MRI and PET study of deficits in hippocampal structure and function in women with childhood sexual abuse and posttraumatic stress disorder. Am J Psychiatry. 2003;160:924–32.PubMedCrossRefPubMedCentralGoogle Scholar
  25. 25.
    Stevens JS, Hamann S. Sex differences in brain activation to emotional stimuli: a meta-analysis of neuroimaging studies. Neuropsychologia. 2012;50:1578–93.PubMedCrossRefPubMedCentralGoogle Scholar
  26. 26.
    Lopez-Larson MP, Anderson JS, Ferguson MA, Yurgelun-Todd D. Developmental cognitive neuroscience local brain connectivity and associations with gender and age. Accid Anal Prev. 2010;1:187–97.Google Scholar
  27. 27.
    Farrell MR, Sengelaub DR, Wellman CL. Sex differences and chronic stress effects on the neural circuitry underlying fear conditioning and extinction. Physiol Behav. 2013;122:208–15.PubMedCrossRefPubMedCentralGoogle Scholar
  28. 28.
    Engman J, Linnman C, Van Dijk KRA, Milad MR. Amygdala subnuclei resting-state functional connectivity sex and estrogen differences. Psychoneuroendocrinology. 2016;63:34–42.PubMedCrossRefGoogle Scholar
  29. 29.
    Compère L, Sperduti M, Gallarda T, Anssens A, Lion S, Delhommeau M, et al. Sex differences in the neural correlates of specific and general autobiographical memory. Front Hum Neurosci. 2016;10:285.PubMedPubMedCentralCrossRefGoogle Scholar
  30. 30.
    Alarcón G, Cservenka A, Nagel BJ. Adolescent neural response to reward is related to participant sex and task motivation. Brain Cogn. 2017;111:51–62.PubMedCrossRefGoogle Scholar
  31. 31.
    Wu Y, Li H, Zhou Y, Yu J, Zhang Y, Song M, et al. Sex-specific neural circuits of emotion regulation in the centromedial amygdala. Sci Rep. 2016;6:23112.PubMedPubMedCentralCrossRefGoogle Scholar
  32. 32.
    Nugent AC, Bain EE, Thayer JF, Sollers JJ, Drevets WC. Sex differences in the neural correlates of autonomic arousal: a pilot PET study. Int J Psychophysiol. 2011;80:182–91.PubMedPubMedCentralCrossRefGoogle Scholar
  33. 33.
    Helpman L, Zhu X, Suarez-Jimenez B, Lazarov A, Monk C, Neria Y. Sex differences in trauma-related psychopathology: a critical review of neuroimaging literature (2014–2017). Curr Psychiatry Rep. 2017;19(12):104.PubMedPubMedCentralCrossRefGoogle Scholar
  34. 34.
    Bangasser DA, Valentino RJ. Sex differences in stress-related psychiatric disorders: neurobiological perspectives. Front Neuroendocrinol. 2014;35:303–19.PubMedPubMedCentralCrossRefGoogle Scholar
  35. 35.
    Bangasser DA, Wicks B. Sex-specific mechanisms for responding to stress. J Neurosci Res. 2017;95:75–82.PubMedPubMedCentralCrossRefGoogle Scholar
  36. 36.
    Gilman TL, DaMert JP, Meduri JD, Jasnow AM. Grin1 deletion in CRF neurons sex-dependently enhances fear, sociability, and social stress responsivity. Psychoneuroendocrinology. 2015;58:33–45.PubMedCrossRefGoogle Scholar
  37. 37.
    Li K, Nakajima M, Ibañez-Tallon I, Heintz N. A cortical circuit for sexually dimorphic oxytocin-dependent anxiety behaviors. Cell. 2016;167:60–72.e11.PubMedPubMedCentralCrossRefGoogle Scholar
  38. 38.
    Lukkes JL, Norman KJ, Meda S, Andersen SL. Sex differences in the ontogeny of CRF receptors during adolescent development in the dorsal raphe nucleus and ventral tegmental area. Synapse. 2016;70:125–32.PubMedCrossRefGoogle Scholar
  39. 39.
    Howerton AR, Roland AV, Fluharty JM, et al. Sex differences in corticotropin-releasing factor receptor-1 action within the dorsal raphe nucleus in stress responsivity. Biol Psychol. 2014;75:873–83.CrossRefGoogle Scholar
  40. 40.
    Bangasser DA, Curtis A, Reyes BA, et al. Sex differences in corticotropin-releasing factor receptor signaling and trafficking: potential role in female vulnerability to stress-related psychopathology. Mol Psychiatry. 2010;15(877):896–904.CrossRefGoogle Scholar
  41. 41.
    Bangasser DA, Reyes BA, Piel D, et al. Increased vulnerability of the brain norepinephrine system of females to corticotropin-releasing factor overexpression. Mol Psychiatry. 2013;18:166–73.PubMedCrossRefPubMedCentralGoogle Scholar
  42. 42.
    Bangasser DA, Dong H, Carroll J, et al. Corticotropin-releasing factor overexpression gives rise to sex differences in Alzheimer’s disease-related signaling. Mol Psychiatry. 2016;22(8):1126–33.PubMedPubMedCentralCrossRefGoogle Scholar
  43. 43.
    Sheikh JI, Leskin GA, Klein DF. Gender differences in panic disorder: findings from the National Comorbidity Survey. Am J Psychiatry. 2002;159:55–8.CrossRefGoogle Scholar
  44. 44.
    Kessler RC, Petukhova M, Sampson NA, Zaslavsky AM, Wittchen HU. Twelve-month and lifetime prevalence and lifetime morbid risk of anxiety and mood disorders in the United States. Int J Methods Psychiatr Res. 2012;21:169–84.PubMedPubMedCentralCrossRefGoogle Scholar
  45. 45.
    Breslau N. Gender differences in trauma and posttraumatic stress disorder. J Gend Specif Med. 2002;5:34–40.PubMedPubMedCentralGoogle Scholar
  46. 46.
    Tolin DF, Foa EB. Sex differences in trauma and posttraumatic stress disorder: a quantitative review of 25 years of research. Psychol Bull. 2006;132:959–92.PubMedCrossRefPubMedCentralGoogle Scholar
  47. 47.
    Wiersielis KR, Wicks B, Simko H, et al. Sex differences in corticotropin releasing factor-evoked behavior and activated networks. Psychoneuroendocrinology. 2016;73:204–16.PubMedPubMedCentralCrossRefGoogle Scholar
  48. 48.
    Cole RD, Kawasumi Y, Parikh V, Bangasser DA. Corticotropin releasing factor impairs sustained attention in male and female rats. Behav Brain Res. 2016;296:30–4.PubMedCrossRefGoogle Scholar
  49. 49.
    Viau V, Bingham B, Davis J, Lee P, Wong M. Gender and puberty interact on the stress-induced activation of parvocellular neurosecretory neurons and corticotropin-releasing hormone messenger ribonucleic acid expression in the rat. Endocrinology. 2005;146:137–46.PubMedCrossRefGoogle Scholar
  50. 50.
    Carey MP, Deterd CH, de Koning J, Helmerhorst F, De Kloet ER. The influence of ovarian steroids on hypothalamic-pituitary-adrenal regulation in the female rat. J Endocrinol. 1995;144:311–21.PubMedCrossRefPubMedCentralGoogle Scholar
  51. 51.
    Atkinson HC, Waddell BJ. Circadian variation in basal plasma corticosterone and adrenocorticotropin in the rat: sexual dimorphism and changes across the estrous cycle. Endocrinology. 1997;138:3842–8.PubMedCrossRefPubMedCentralGoogle Scholar
  52. 52.
    Curtis AL, Bethea T, Valentino RJ. Sexually dimorphic responses of the brain norepinephrine system to stress and corticotropin-releasing factor. Neuropsychopharmacology. 2006;31:544–54.PubMedCrossRefPubMedCentralGoogle Scholar
  53. 53.
    Bangasser DA, Wiersielis KR. Sex differences in stress responses: a critical role for corticotropin-releasing factor. Hormones. 2018;17:5–13.PubMedCrossRefPubMedCentralGoogle Scholar
  54. 54.
    Ferrando Bundío L. Mental health and gender in clinical practice (Ch. 2). Barcelona: Ars Médica; 2007. p. 19–23.Google Scholar
  55. 55.
    Punamaki RL, Komproe IH. The role of peritraumatic dissociation and gender in the association between trauma and mental health in a Palestinian community simple. Am J Psychiatry. 2005;162:545–51.CrossRefGoogle Scholar
  56. 56.
    Mitev YA, Dawish M, Wolf SS, Holsboer F, Almeida OF, Patchev VK. Gender differences in the regulation of 3 alpha-hydroxysteroid dehydrogenase in rat brain and sensitivity to neurosteroid-mediated stress protection. Neuroscience. 2003;20:541–9.CrossRefGoogle Scholar
  57. 57.
    Fairbank J. Posttraumatic stress disorder. London: M. Dunitz; 2000.Google Scholar
  58. 58.
    Breslau N, Davis GC. Traumatic events and posttraumatic stress disorder in an urban population of young adults. Arch Gen Psychiatry. 1991;48(3):216–22.PubMedCrossRefPubMedCentralGoogle Scholar
  59. 59.
    Stein MB, Walker JR, Hazen AL, Forde DR. Full and partial posttraumatic stress disorder: findings from a community survey. Am J Psychiatry. 1997;154(8):1114–9.PubMedCrossRefPubMedCentralGoogle Scholar
  60. 60.
    Ezkurra J, Glez Pinto A, Gutierrez M. Psychiatry and women. Madrid: Grupo Aula Médica, SL; 2006.Google Scholar
  61. 61.
    Correa E, Jadresic E. Psychopathology of women. 2nd ed. Chile: Editorial Mediterraneo; 2005. Chapter 17.Google Scholar
  62. 62.
    McLaughlin KA, Conron KJ, Koenen KC, Gilman SE. Childhood adversity, adult stressful life events, and risk of past-year psychiatric disorder: a test of the stress sensitization hypothesis in a population-based sample of adults. Psychol Med. 2010;40(10):1647–58.PubMedCrossRefPubMedCentralGoogle Scholar
  63. 63.
    Pereda N, Guilera G, Forns M, Gomez-Benito J. The prevalence of child sexual abuse in community and student samples: a meta-analysis. Clin Psychol Rev. 2009;29(4):328–38.PubMedCrossRefPubMedCentralGoogle Scholar
  64. 64.
    Stoltenborgh M, van Ijzendoorn MH, Euser EM, Bakermans-Kranenburg MJ. A global perspective on child sexual abuse: meta-analysis of prevalence around the world. Child Maltreat. 2011;16(2):79–101.PubMedCrossRefPubMedCentralGoogle Scholar
  65. 65.
    Andrews G, Corry J, Slade T, Issakidis C, Swanston H. Child sexual abuse. In: Ezzati M, Lopez A, Rodgers A, Murray C, editors. Comparative quantification of health risks: global and regional burden of disease attributable to selected major risk factors, vol. 2. Geneva: World Health Organization; 2004. p. 1851–940.Google Scholar
  66. 66.
    Sancheza SE, Pineda O, Chavesc DZ, Zhong Q-Y, Gelayed B, Simone GE, Rondonf MB, Williamsd MA. Childhood physical and sexual abuse experiences associated with posttraumatic stress disorder among pregnant women. Ann Epidemiol. 2017;27(11):716–23.CrossRefGoogle Scholar
  67. 67.
    Stein MB, Walker JR, Forde DR. Gender differences in susceptibility to posttraumatic stress disorder. Behav Res Ther. 2000;38:619–28.PubMedCrossRefGoogle Scholar
  68. 68.
    Pulcino T, Galea S, Ahern J, Resnick H, et al. Posttraumatic stress in women after the September 11 terrorist attacks in New York City. J Women’s Health. 2003;12:809–20.CrossRefGoogle Scholar
  69. 69.
    Fullerton C, Ursano R, Epstein R, Crowley B, et al. Gender differences in posttraumatic stress disorder after motor vehicle accidents. Am J Psychiatry. 2001;158:1486–91.PubMedCrossRefPubMedCentralGoogle Scholar
  70. 70.
    Ruggiero KJ, Smith DW, Hanson RF, Resnick HS, et al. Is disclosure of childhood rape associated with mental health outcome? Results from the National Women’s Study. Child Maltreat. 2004;9:62–77.PubMedCrossRefPubMedCentralGoogle Scholar
  71. 71.
    Soderquist J, Wijma K, Wijma B. Traumatic stress in late pregnancy. J Anxiety Disord. 2004;18:127–42.PubMedCrossRefPubMedCentralGoogle Scholar
  72. 72.
    Engelhard IM, van der Hount MA, Arntz A. Posttraumatic stress disorder after pregnancy loss. Gen Hosp Psychiatry. 2001;23:62–6.PubMedCrossRefPubMedCentralGoogle Scholar
  73. 73.
    Lindberg NM, Wellisch DK. Identification of traumatic stress reactions in women at increased risk of breast cancer. Psychosomatics. 2004;45:7–16.PubMedCrossRefPubMedCentralGoogle Scholar
  74. 74.
    Sutherland C, Bybee D, Sullivan C. The long-term effects of battering on women’s health. J Women’s Health. 1998;4:41–70.Google Scholar
  75. 75.
    McCann IL, Pearlman LA. Psychological trauma and the adult survivor: theory, therapy, and transformation. New York: Brunner/Mazel; 1990.Google Scholar
  76. 76.
    Resick PA, Schnicke MK. Cognitive processing therapy for rape victims: a treatment manual. Newbury Park: Sage Publications; 1993.Google Scholar
  77. 77.
    Shin KM, Cho S-M, Lee SH, Chung YK. A pilot prospective study of the relationship among cognitive factors, shame, and guilt proneness on posttraumatic stress disorder symptoms in female victims of sexual violence. Korean Med Sci. 2014;29:831–6.CrossRefGoogle Scholar
  78. 78.
    Ursano RJ, Kao T, Fullerton CS. PTSD and meaning: human structuring chaos. J Nerv Ment Dis. 1992;180:756–9.PubMedCrossRefPubMedCentralGoogle Scholar
  79. 79.
    Resnick HS, Kilpatrick DG, Dansky BS, Saunders BE, et al. Prevalence of civilian trauma and posttraumatic stress disorder in a representative national sample of women. J Consult Clin Psychol. 1993;61:984–91.PubMedCrossRefPubMedCentralGoogle Scholar
  80. 80.
    Davidson JR. Trauma: the impact of posttraumatic stress disorder. Psychopharmacol J. 2000;14(2 Suppl):S5–12.CrossRefGoogle Scholar
  81. 81.
    Rock Bennasar M. In: Psychiatry SL, editor. Neurotic disorders. Barcelona: Spanish Society of Psychiatry and Spanish Society of Biological Psychiatry; 2002.Google Scholar
  82. 82.
    Dick K. “The Invisible War” United States. 2012.Google Scholar
  83. 83.
    Breslau N, Davis GC, Peterson EL, Schultz L. Psychiatric sequelae of posttraumatic stress disorder in women. Arch Gen Psychiatry. 1997;54:81–7.PubMedCrossRefGoogle Scholar
  84. 84.
    Kohen D. Women and mental health. New York: Oxford University Press; 2010.Google Scholar
  85. 85.
    Kessler RC, Sonnega A, Bromet E, Hughes ME, et al. Posttraumatic stress disorder in the National Comorbidity Survey. Arch Gen Psychiatry. 1995;52:1048–60.PubMedCrossRefGoogle Scholar
  86. 86.
    Breslau N, Davis GC, Peterson EL, Schultz L. Trauma and posttraumatic stress disorder in the community: the 1996 Detroit Area Survey of Trauma. Arch Gen Psychiatry. 1998;55:626–32.PubMedCrossRefGoogle Scholar
  87. 87.
    Cienachanowski P, Katon W. Posttraumatic stress disorder. Last updated 30 Nov 2012. Uptodate.com. Available at:. http://www.uptodate.com/contents/posttraumatic-stress-disorder.
  88. 88.
    Viana MC, de Souza Dantas H, Farid Gattaz W, Andrade LH. Gender differences in exposure to traumatic events and post-traumatic stress disorder in the São Paulo Megacity Mental Health Survey, Brazil: prevalence, distribution and conditional risk. 5th World Congress on Women’s Mental Health; 2013.Google Scholar
  89. 89.
    Vieweg WV, Julius DA, Fernandez A, Beatty-Brooks M, Hettema JM, Pandurangi AK. Posttraumatic stress disorder: clinical features, pathophysiology, and treatment. Am J Med. 2006;119(5):383.PubMedCrossRefGoogle Scholar
  90. 90.
    Macmillan HL, Fleming JE, Trocme N, Boyle MJ, Wong M, Racine UA, Beardslee WR, Offord DR. Prevalence of child physical and sexual abuse in the community: results from the Ontario Health Supplement. Am J Med. 1997;278:131–5.Google Scholar
  91. 91.
    Horowitz K, Weine S, Jekel J. PTSD symptoms in urban adolescent girls: compounded community trauma. J Acad Child Adolesc Psychiatry. 1995;34:1353–61.CrossRefGoogle Scholar
  92. 92.
    Byrne CA, Resnick HS, Kulpatrick DG, Best CL, et al. The socioeconomic impact of interpersonal violence on women. J Consult Clin Psychol. 1999;67:362–6.PubMedCrossRefGoogle Scholar
  93. 93.
    Polimanti R, et al. A putative causal relationship between genetically determined female body shape and posttraumatic stress disorder. Genome Med. 2017;9:99.PubMedPubMedCentralCrossRefGoogle Scholar
  94. 94.
    Howard LM. Domestic violence and mental health. 5th World Congress on Women’s Mental Health; 2013.Google Scholar
  95. 95.
    Echeburúa E, de Corral P, Amor PJ. Differential profiles of PTSD in different types of victims. Analysis and behavior modification, vol. 24(96), 1998.Google Scholar
  96. 96.
    Gaviria S. Violence against women in South America. 5th World Congress on Women’s Mental Health; 2013.Google Scholar
  97. 97.
    McCauley J, Kern DE, Kolodner K, Hill L, et al. The battering syndrome: prevalence and clinical characteristics of domestic violence in primary care internal medicine practices. Ann Intern Med. 1995;123:737–46.PubMedCrossRefGoogle Scholar
  98. 98.
    Browne A. Violence against women by male partners: prevalence, outcomes, and policy implications. Am Psychol. 1993;48:1077–87.PubMedCrossRefGoogle Scholar
  99. 99.
    Sassetti MR. Domestic violence. Prim Care. 1993;20:289–305.PubMedGoogle Scholar
  100. 100.
    Polusny MA, Follette VM. Long-term correlates of child sexual abuse; theory and review of the empirical literature. Appl Prev Psychol. 1995;4:143–66.CrossRefGoogle Scholar
  101. 101.
    Vizcarra MB, Cortes J, Bustos L, Alarcon M, et al. Violencia married in the city of Temuco: a study of prevalence and associated factors. Chile Rev Med. 2001;129:1405–12.Google Scholar
  102. 102.
    Arcos E, Uarac M, Molina I, Repossi A, et al. Impact of domestic violence on reproductive and neonatal health. Rev Med Chile. 2003;131:1454–62.PubMedCrossRefPubMedCentralGoogle Scholar
  103. 103.
    Russell DE. The incidence and prevalence of intrafamilial and extrafamilial sexual abuse of female children. Child Abuse Negl. 1982;7:133–46.CrossRefGoogle Scholar
  104. 104.
    Greenfeld LA. Sex offenses and offenders: an analysis on data on rape and sexual assault. Washington, DC: U.S. Department of Justice; 1997. Publication # NCH 163.Google Scholar
  105. 105.
    Black MC, Basile KC, Breiding MJ, Smith SG, Walters ML, Merrick MT, November MRS. National intimate partner and sexual violence survey. Atlanta, GA: Centers for Disease Control, National Center for Injury Prevention and Control, Division of Violence Prevention; 2011.Google Scholar
  106. 106.
    Golding JM. Intimate partner violence as a risk factor for mental disorders: a meta-analysis. Violence Against Women. 1999;14:99–132.Google Scholar
  107. 107.
    Weiss NH, Johnson CD, Contractor A, Peasant C, Swan SC, Sullivan TP. Racial/ethnic differences moderate associations of coping strategies and posttraumatic stress disorder symptom clusters among women experiencing partner violence: a multigroup path analysis. Anxiety Stress Coping. 2017;30(3):347–63.  https://doi.org/10.1080/10615806.2016.1228900.CrossRefPubMedPubMedCentralGoogle Scholar
  108. 108.
    Norris FH, Foster JD, Weisshaar DL. The epidemiology of sex differences in PTSD across developmental, societal, and research contexts. In: Kimerling R, Ouimette P, Wolfe J, editors. Gender and PTSD. The Guilford Press: New York; 2002.Google Scholar
  109. 109.
    Hourani L, Williams J, Bray R, Kandel D. Gender differences in the expression of PTSD symptoms among active duty military personnel. J Anxiety Disord. 2015;29:101–8.PubMedCrossRefPubMedCentralGoogle Scholar
  110. 110.
    Felliti VJ, Anda RF, Nordenberg D, Williamson DF, et al. Relationship of childhood abuse and household dysfunction to many of the leading causes of death in adults: the adverse childhood experience (ACE) study. Am J Prev Med. 1998;14:145–58.Google Scholar
  111. 111.
    Ticona Benavente SB, Santos Monteiro EM, Siqueira Costa AL. Diferencias de género en la percepción de estrés y estrategias de afrontamiento en pacientes con cáncer colorrectal que reciben quimioterapia. Aquichan. 2015;15(1):9–20.  https://doi.org/10.5294/aqui.2015.15.1.2.CrossRefGoogle Scholar
  112. 112.
    Levenson R, Carstensen L, Gottman J. The influence of age and gender on affect, physiology and their interrelations: a study of long-term marriages. J Pers Soc Psychol. 1994;67:56–68.PubMedCrossRefPubMedCentralGoogle Scholar
  113. 113.
    Kessler RC. Posttraumatic stress disorder: the burden to the Individual and to society. J Clin Psychiatry. 2000;61(Suppl 5):4–12.PubMedPubMedCentralGoogle Scholar
  114. 114.
    Brody LR. On understanding gender differences in the expression on emotion: gender roles, socialization and language. In: Ablon S, Brown D, Khantzian E, Mack J, editors. Human feelings: exploration in affect development and meaning. Hillsdale, NJ: Analytic Press; 1993. p. 89–121.Google Scholar
  115. 115.
    Gross JJ. The emerging field of emotion regulation: an integrative review. Rev Gen Psychol. 1998;2:271–99.CrossRefGoogle Scholar
  116. 116.
    Lennon R, Eisenberg N. Gender and age differences in empathy and sympathy. In: Eisenberg N, Strayer J, editors. Empathy and its development. New York: Cambridge University Press; 1987. p. 195–217.Google Scholar
  117. 117.
    Hoek-Seam N. Susan. Emotion regulation and psychopathology: the role of gender. Annu Rev Clin Psychol. 2012;8:161–87.CrossRefGoogle Scholar
  118. 118.
    Olff M, Langeland W, Draijer N, Gersons BPR. Gender differences in posttraumatic stress disorder. Psychol Bull. 2007;133:183–204.PubMedCrossRefPubMedCentralGoogle Scholar
  119. 119.
    Eisler RM, Skidmore JR. Masculine gender role stress scale development and component factors in the appraisal of stressful situations. Behav Modif. 1987;11(2):123–36.PubMedPubMedCentralCrossRefGoogle Scholar
  120. 120.
    Cromer LDM, Smyth JM. Making meaning of trauma: trauma exposure doesn’t tell the whole story. J Contemp Psychother. 2010;40(2):65–72.  https://doi.org/10.1007/s10879-009-9130-8.CrossRefGoogle Scholar
  121. 121.
    Hu J, Feng B, Zhu Y, Wang W, Xie J, Zheng X. Gender differences in PTSD: susceptibility and resilience. 2017.  https://doi.org/10.5772/65287.Google Scholar
  122. 122.
    Hyde JS, Mezulis AH, Abramson LY. The ABCs of depression: integrating affective, biological, and cognitive models to explain the emergence of the gender difference in depression. Psychol Rev. 2008;115:291–313.PubMedCrossRefPubMedCentralGoogle Scholar
  123. 123.
    Nolen-Hoeksema S. Responses to depression and their effects on the duration of depressive episodes. J Abnorm Psychol. 1991;100:569–82.PubMedCrossRefGoogle Scholar
  124. 124.
    Zahn-Waxler C, Shirtcliff EA, Marceau K. Disorders of childhood and adolescence: gender and psychopathology. Annu Rev Clin Psychol. 2008;4:275–303.PubMedCrossRefGoogle Scholar
  125. 125.
    Hayes SC, Wilson KG, Gifford EV, Follette VM, Strosahl KD. Experiential avoidance and behavioral disorders: a functional dimensional approach to diagnosis and treatment. J Consult Clin Psychol. 1996;64:1152–68.PubMedCrossRefGoogle Scholar
  126. 126.
    Billings AG, Moos RH. The role of coping responses and social resources in attenuating the stress of life events. J Behav Med. 1981;4:139–57.PubMedCrossRefGoogle Scholar
  127. 127.
    Eisenberg N, Hofer C, Vaughan J. Effortful control and its socioemotional very important consequences. See Gross. 2007;2007:287–306.Google Scholar
  128. 128.
    Kochanska G, Murray KT, Harlan ET. Effortful control in early childhood: continuity and change, antecedents, and implications for social development. Dev Psychol. 2000;36:220–32.PubMedCrossRefGoogle Scholar
  129. 129.
    Rothbart MK, Bates JE. Temperament. In: Damon W, Eisenberg N, editors. Handbook of child psychology, Social, emotional and personality development, vol. 3. New York: Wiley; 2006. p. 105–76.Google Scholar
  130. 130.
    Aldana A, Nolen-Hoeksema S, Schweizer S. Emotion regulation strategies across psychopathology: a meta-analytic review. Clin Psychol Rev. 2010;30:217–37.CrossRefGoogle Scholar
  131. 131.
    Mor N, Winquist J. Self-focused attention and negative affect: a meta-analysis. Psychol Bull. 2002;128:638–62.PubMedCrossRefPubMedCentralGoogle Scholar
  132. 132.
    Rood L, Roelofs J, Bogels SM, Nolen-Hoeksema S, Schouten E. The influence of emotion-focused rumination and distraction on depressive symptoms in non-clinical youth: a meta-analytic review. Clin Psychol Rev. 2009;29:607–16.PubMedCrossRefPubMedCentralGoogle Scholar
  133. 133.
    Watkins ER. Constructive and unconstructive repetitive thought. Psychol Bull. 2008;134:163–206.PubMedPubMedCentralCrossRefGoogle Scholar
  134. 134.
    Clohessy S, Ehlers A. PTSD symptoms, response to intrusive memories and coping in ambulance service workers. Br J Clin Psychol. 1999;38:251–65.PubMedCrossRefPubMedCentralGoogle Scholar
  135. 135.
    Fresco DM, Frankel AN, Mennin DS, Turk CL, Heimberg RG. Distinct and overlapping features of rumination and worry: the relationship of cognitive production to negative affective states. Cogn Ther Res. 2002;26:179–88.CrossRefGoogle Scholar
  136. 136.
    Harrington JA, Blankenship V. Ruminative thoughts and their relation to depression and anxiety. J Appl Soc Psychol. 2002;32:465–85.CrossRefGoogle Scholar
  137. 137.
    Mayou RA, Ehlers A, Bryant B. Posttraumatic stress disorder after motor vehicle accidents: 3-year follow-up of a prospective longitudinal study. Behav. Res Ther. 2002;40:665–75.PubMedCrossRefPubMedCentralGoogle Scholar
  138. 138.
    Nolen-Hoeksema S. The role of rumination in depressive disorders and mixed anxiety/depressive symptoms. J Abnorm Psychol. 2000;109:504–11.PubMedCrossRefPubMedCentralGoogle Scholar
  139. 139.
    Schwartz JAJ, Koenig LJ. Response styles and negative affect among adolescents. Cogn Ther Res. 1996;20:13–36.CrossRefGoogle Scholar
  140. 140.
    Segerstrom SC, Tsao JCI, Alden LE, Craske MG. Worry and rumination: repetitive thought as a concomitant and predictor of negative mood. Cogn Ther Res. 2000;24:671–88.CrossRefGoogle Scholar
  141. 141.
    Andrews B, Brewin CR, Rose S. Gender, social support, and PTSD in victims of violent crime. J Traum Stress. 2003;16(4):421–7.CrossRefGoogle Scholar
  142. 142.
    Crevier MG, Marchand A, Nachar N, Guay S. Overt social support behavior. Psychol Trauma. 2014;6(5):519–26.PubMedPubMedCentralCrossRefGoogle Scholar
  143. 143.
    Zoellner LA, Foa EB, Brigidi BD. Interpersonal friction and PTSD in female victims of sexual and nonsexual assault. J Traum Stress. 1999;12(4):689–700.CrossRefGoogle Scholar
  144. 144.
    Jain KM, Davey-Rothwell M, Crossnohere NL, Latkin CA. Post-traumatic stress disorder, neighborhood residency and satisfaction, and social network characteristics among underserved women in Baltimore, Maryland. Women’s Health Issues. 2018;28(3):273–80.PubMedPubMedCentralCrossRefGoogle Scholar
  145. 145.
    Mellings TMB, Alden LE. Cognitive processes in social anxiety: the effects of self-focus, rumination, and anticipatory processing. Behav Res Ther. 2000;38:243–57.PubMedCrossRefPubMedCentralGoogle Scholar
  146. 146.
    Ehlers A, Mayou RA, Bryant B. Psychological predictors of chronic posttraumatic stress disorder after motor vehicle accidents. J Abnorm Psychol. 1998;107:508–19.PubMedCrossRefPubMedCentralGoogle Scholar
  147. 147.
    Murray J, Ehlers A, Mayou RA. Dissociation and post-traumatic stress disorder: two prospective studies of road traffic accident survivors. Br J Psychiatry. 2002;180:363–8.PubMedCrossRefPubMedCentralGoogle Scholar
  148. 148.
    McLaughlin KA, Nolen-Hoeksema S. Transdiagnostic rumination as a factor in depression and anxiety. Behav Res Ther. 2011;49:186–93.PubMedCrossRefPubMedCentralGoogle Scholar
  149. 149.
    Watkins ER. Depressive rumination and co-morbidity: evidence for brooding as to transdiagnostic process. J Ration Emot Cogn Behav Ther. 2009;27:160–75.PubMedPubMedCentralCrossRefGoogle Scholar
  150. 150.
    Wenzlaff RM, Wegner DM. Thought suppression. Annu Rev Psychol. 2000;51:59–91.PubMedCrossRefPubMedCentralGoogle Scholar
  151. 151.
    Fischer AH, Rodriguez Mosquera AM, van Vianen AE, Manstead AS. Gender and culture differences in emotion. Emotion. 2004;1:87–94.CrossRefGoogle Scholar
  152. 152.
    Olff M. Sex and gender differences in post-traumatic stress disorder: an update. Eur J Psychotraumatol. 2017;8:1351204.PubMedCentralCrossRefGoogle Scholar
  153. 153.
    Benight CC, Bandura A. Social cognitive theory of posttraumatic recovery: the role of perceived self-efficacy. Behav Res Ther. 2004a;42:1129–48.PubMedCrossRefGoogle Scholar
  154. 154.
    Bosmans MW, Benight CC, van der Knaap LM, Winkel FW, van der Velden PG. The associations between coping self-efficacy and posttraumatic stress symptoms 10 years postdisaster: differences between men and women. J Trauma Stress. 2013;26(2):184–91.PubMedCrossRefGoogle Scholar
  155. 155.
    Benight CC, Cieslak R, Molton IR, Johnson LE. Self-evaluative appraisals of coping capability and posttraumatic distress following motor vehicle accidents. J Consult Clin Psychol. 2008;76(4):677–85.PubMedCrossRefGoogle Scholar
  156. 156.
    Lambert JE, Benight CC, Wong T, Johnson LE. Cognitive bias in the interpretation of physiological sensations, coping self-efficacy, and psychological distress after intimate partner violence. Psychol Trauma Theory Res Pract Policy. 2013;5(5):494–500.CrossRefGoogle Scholar
  157. 157.
    Luszczynska A, Benight CC, Cieslak R. Self-efficacy and health-related outcomes of collective trauma: a systematic review. Eur Psychol. 2009a;14(1):51–62.CrossRefGoogle Scholar
  158. 158.
    Samuelson KW, Bartel A, Valadez R, Jordan JT. PTSD symptoms and perception of cognitive problems: the roles of posttraumatic cognitions and trauma coping self-efficacy. Psychol Trauma Theory Res Pract Policy. 2017;9:537–44.  https://doi.org/10.1037/tra0000210.CrossRefGoogle Scholar
  159. 159.
    Smith AJ, Abeyta AA, Hughes M, Jones RT. Persistent grief in the aftermath of mass violence: the predictive roles of posttraumatic stress symptoms, self-efficacy, and disrupted worldview. Psychol Trauma Theory Res Pract Policy. 2015;7(2):179–86.CrossRefGoogle Scholar
  160. 160.
    Boals A. Events that have become central to identity: gender differences in the centrality of events scale for positive and negative events. Appl Cogn Psychol. 2010;24:107–21.CrossRefGoogle Scholar
  161. 161.
    Solomon Z, Gelkopf M, Bleich A. Is terror gender-blind? Gender differences in reaction to terror events. Soc Psychiatry Psychiatr Epidemiol. 2005;40(12):947–54.PubMedCrossRefGoogle Scholar
  162. 162.
    Wei-Na MA, Hua XU. Relationship among life events, self-efficacy and emotion in middle school students. Chin J Clin Psychol. 2006;3:303–5.Google Scholar
  163. 163.
    Wolfe T, Ray S. The role of event centrality, coping and social support in resilience and posttraumatic growth among women and men. Int J Ment Health Promot. 2015;17(2):78–96.CrossRefGoogle Scholar
  164. 164.
    Barrett L, Bliss-Moreau E. She’s emotional. He’s having a bad day: attributional Explanations for emotion stereotypes. Emotion. 2009;9:648–58.CrossRefGoogle Scholar
  165. 165.
    Brody LR, Hall JA. Gender and emotion in context. In: Lewis M, Haviland JM, Barrett LF, editors. Handbook of emotions. New York: Guilford; 1993. p. 89–121.Google Scholar
  166. 166.
    Deaux K, Major B. Putting gender into context: an interactive model of gender-related behavior. Psychol Rev. 1987;94:369–89.CrossRefGoogle Scholar
  167. 167.
    Fabes RA, Martin CL. Gender and age stereotypes of emotionality. Staff Soc Psychol Bull. 1991;17:532–40.CrossRefGoogle Scholar
  168. 168.
    Fischer AH, Manstead ASR. The relation between gender and emotions in different cultures. In: Fischer AH, editor. Gender and emotion: social psychological perspectives. New York: Cambridge University Press; 2000. p. 71–94.CrossRefGoogle Scholar
  169. 169.
    LaFrance M, Banaji M. Toward a reconsideration of the gender-emotion relationship. In: Clark MS, editor. Emotion and social behavior. Newbury Park, CA: Sage; 1992. p. 178–201.Google Scholar
  170. 170.
    Shields SA. Women, men, and the dilemma of emotion. In: Shaver P, Hendrick C, editors. Sex and gender: review of personality and social psychology. Thousand Oaks, CA: Sage; 1987. p. 229–50.Google Scholar
  171. 171.
    Tamres LK, Janicki D, Helgeson VS. Sex differences in coping behavior: a meta-analytic review and an examination of relative coping. Staff Soc Psychol Rev. 2002;6:2–30.CrossRefGoogle Scholar
  172. 172.
    Mauss IB, Evers C, Wilhelm FH, Gross JJ. How to bite your tongue without blowing your top: implicit evaluation of emotion regulation predicts affective responding to anger provocation. Personal Soc Psychol Bull. 2006;32:589–602.CrossRefGoogle Scholar
  173. 173.
    Franciskovic T, Stevanovic A, Colic M. Coping strategies and PTSD among female civilian victims of war. 5th World Congress on Women’s Mental Health; 2013.Google Scholar
  174. 174.
    Howell HB, Brawman-Mintzer O, Monnier J, Yonkers KA. Generalized anxiety disorder in women. Psychiatr Clin North Am. 2001;24:165–78.PubMedPubMedCentralCrossRefGoogle Scholar
  175. 175.
    Breslau N, Davis G. Posttraumatic stress disorder in an urban population of young adults: risk factors for chronicity. Am J Psychiatry. 1992;149:671–5.PubMedCrossRefGoogle Scholar
  176. 176.
    Buta E, Masheb R, Gueorguieva R, Bathulapalli H, Brandt CA, Goulet JL. Posttraumatic stress disorder diagnosis and gender are associated with accelerated weight gain trajectories in veterans during the post-deployment period. Eat Behav. 2018;29:8–13.PubMedPubMedCentralCrossRefGoogle Scholar
  177. 177.
    Woodhead C, Wessely S, Jones N, Fear NT, Hatch SL. Impact of exposure to combat during deployment to Iraq and Afghanistan on mental health by gender. Psychol Med. 2012;42(4):1985–96.PubMedCrossRefGoogle Scholar
  178. 178.
    Simons JS, Gaher RM, Jacobs GA, Meyer D, Johnson-Jimenez E. Associations between alcohol use and PTSD symptoms among American Red Cross Disaster Relief Workers responding to the 9/11/2001 attacks. Am J Drug Alcohol Abuse. 2005;31(2):285–304.PubMedCrossRefGoogle Scholar
  179. 179.
    Ginsburg GS, Silverman WK. Gender role orientation and fearfulness in children with anxiety disorders. J Anxiety Disord. 2000;14:57–67.PubMedCrossRefGoogle Scholar
  180. 180.
    Roy K. Brownhill S, gender differences in depression risk and coping factors in a clinical sample. Acta Psychiatr Scand. 2002;106:45–53.PubMedCrossRefGoogle Scholar
  181. 181.
    Bundio LF. Mental health and gender in clinical practice. 1st ed. Group Communication Ars XXI, SL; 2007.Google Scholar
  182. 182.
    Brady KT, et al. Comorbidity of psychiatric disorders and posttraumatic stress disorder. J Clin Psychiatry. 2000;61:22–32.PubMedCrossRefGoogle Scholar
  183. 183.
    Breslau N. Epidemiologic studies of trauma, posttraumatic stress disorder and other psychiatric disorders. Can J Psychiatr. 2002;47:923–9.CrossRefGoogle Scholar
  184. 184.
    Brady KT. Posttraumatic stress disorders and comorbidity: recognizing the many faces of PTSD. J Clin Psychiatry. 1997;58(Suppl 9):12–5.PubMedGoogle Scholar
  185. 185.
    Carvajal C, González M, Carbonell CG, Trucco M. PTSD in work accidents. Neuro-Psiquiat Rev Chil. 1997;35:161–5.Google Scholar
  186. 186.
    Brown PJ, Recupero PR, Stout R. PTSD substance abuse comorbidity and treatment utilization. Addict Behav. 1995;20:251–4.PubMedCrossRefPubMedCentralGoogle Scholar
  187. 187.
    Danky BS, Roitsch JC, Brady KT, Saladin ME. Posttraumatic stress disorder. Posttraumatic stress disorder and substance abuse. Use of research in a clinical setting. J Trauma Stress. 1997;10:141–8.Google Scholar
  188. 188.
    Kimerling R. An investigation of sex differences in non psychiatric morbidity associated with posttraumatic stress disorder. J Am Med Women’s Assoc. 2004;59:42–7.Google Scholar
  189. 189.
    Resnick P. An exploration of PTSD and MDD comorbidity. Presented at the 150th Annual Meeting. New York: American Psychiatric Association; 2004.Google Scholar
  190. 190.
    Stein MB, Lang AJ, Lafaye C, Satz L, et al. Relationship of sexual assault history to somatic symptoms and health anxiety in women. Gen Hosp Psychiatry. 2004;26(3):178–83.PubMedCrossRefPubMedCentralGoogle Scholar
  191. 191.
    Kimerlin R, Clum G, Wolfe J. Relationships among trauma exposure, chronic posttraumatic stress disorders symptoms and self reported health in women: replication and extension. J Trauma Stress. 2000;13:115–28.CrossRefGoogle Scholar
  192. 192.
    Dobbie DJ, Kivlahan DR, Maynard C, Bush K, et al. Posttraumatic stress disorder in female veterans: association with self-reported health problems and functional impairment. Arch Intern Med. 2004;164:394–400.CrossRefGoogle Scholar
  193. 193.
    Hembree EA, Cachil SP, Foa EB. Impact of personality disorder on treatment outcome form female assault survivors with chronic posttraumatic stress disorder. J Personal Disord. 2004;18:117–27.CrossRefGoogle Scholar
  194. 194.
    Van Ameringen MA, Mancini CL, Pipe B, Oakman D et al. Chilc abuse and the development of PTSD in a Canadian epidemiological sample. Presented at the 157th Annual Meeting. New York: American Psychiatry Association; 2004.Google Scholar
  195. 195.
    Gohar A, Schnabel RB, Hughes M, Zeller T, Blankenberg S, Pasterkamp G, den Ruijter H. Underrepresentation of sex in reporting traditional and emerging biomarkers for primary prevention of cardiovascular disease: a systematic review. Eur Heart J Qual Care Clin Outcomes. 2015;2:99–107.CrossRefGoogle Scholar
  196. 196.
    Onose T, Sakata Y, Nochioka K, Miura M, Yamauchi T, Tsuji K, Abe R, Oikawa T, Kasahara S, Sato M, Shiroto T, Miyata S, Takahashi J, Shimokawa H. Sex differences in post-traumatic stress disorder in cardiovascular patients after the Great East Japan Earthquake: a report from the CHART-2 Study. Eur Heart J Qual Care Clin Outcomes. 2017;3:224–33.PubMedCrossRefGoogle Scholar
  197. 197.
    Neria Y, Bromet EJ, Sievers S, Lavelle J, Fochtmann LJ. Trauma exposure and post-traumatic stress disorder in psychosis: findings from a first admission cohort. J Consult Clin Psychol. 2002;70:246–51.PubMedCrossRefPubMedCentralGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Ana Villamor-García
    • 1
  • Estibaliz Sáez de Adana
    • 1
  1. 1.Alava University HospitalVitoriaSpain

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