Sexual trauma is more strongly associated with tonic immobility than other types of trauma - A population based study

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dc.citation.volume215
dc.contributor.authorKalaf, Juliana
dc.contributor.authorFreire Coutinho, Evandro Silva
dc.contributor.authorPereira Vilete, Liliane Maria
dc.contributor.authorLuz, Mariana Pires
dc.contributor.authorBerger, William
dc.contributor.authorMendlowicz, Mauro
dc.contributor.authorVolchan, Eliane
dc.contributor.authorAndreoli, Sergio Baxter [UNIFESP]
dc.contributor.authorQuintana, Maria Ines [UNIFESP]
dc.contributor.authorMari, Jair de Jesus [UNIFESP]
dc.contributor.authorFigueira, Ivan
dc.coverageAmsterdam
dc.date.accessioned2020-07-13T11:53:05Z
dc.date.available2020-07-13T11:53:05Z
dc.date.issued2017
dc.description.abstractBackground: Tonic immobility is an involuntary motor and vocal inhibition reaction, considered the last-ditch response of the defensive cascade model. It is elicited in context of inescapable threat and perception of entrapment. Our aim was to investigate the association between different traumatic events and peritraumatic tonic immobility (PTI) in a representative sample of the general population. Methods: This is a cross-sectional study of general population from Rio de Janeiro and S (a) over tildeo Paulo with 3231 victims of traumatic events aged 15-75 years who completed the Tonic Immobility Scale (TIS). We calculated the frequency of the different traumatic events and estimated the mean scores with 95% confidence intervals for each traumatic event, controlling for the potential confounders using multiple linear regression models. Finally, we calculated the proportion of individual scoring zero in TIS for the 16 traumatic events. Results: PTI scores in child sexual abuse and adult sexual violence were almost twice as high as in other types of traumatic events, even when controlled for gender and educational level. Torture and war also showed high PTI scores, but these were based on very small number of cases and need to be interpreted with caution. Furthermore, victims of sexual trauma had the lowest proportion of individuals with total absence of PTI symptoms. Limitations: This is a cross-sectional study and causal inferences must be drawn with caution. Conclusions: Peritraumatic tonic immobility is more strongly associated with sexual trauma, particularly in childhood, than to other types of trauma in the general population.en
dc.description.affiliationUniv Fed Rio de Janeiro IPUB UFRJ, Inst Psychiat, Rio De Janeiro, RJ, Brazil
dc.description.affiliationEscola Nacl Saude Publ ENSP FIOCRUZ, Dept Epidemiol, Rio De Janeiro, RJ, Brazil
dc.description.affiliationUniv Fed Fluminense, Niteroi, RJ, Brazil
dc.description.affiliationUniv Fed Rio de Janeiro IBCCF UFRJ, Inst Biophys Carlos Chagas Filho, Rio De Janeiro, RJ, Brazil
dc.description.affiliationUniv Fed Sao Paulo, Dept Psychiat, Sao Paulo, SP, Brazil
dc.description.affiliationUnifespUniv Fed Sao Paulo, Dept Psychiat, Sao Paulo, SP, Brazil
dc.description.sourceWeb of Science
dc.description.sponsorshipNational Research Council (CNPq)
dc.description.sponsorshipState of Sao Paulo Funding Agency (FAPESP)
dc.description.sponsorshipCoordination for the Improvement of Higher Education Personnel (CAPES)
dc.description.sponsorshipNational Council for Scientific and Technological Development (CNPq)
dc.description.sponsorshipCarlos Chagas Filho Foundation of Research Support in Rio de Janeiro (FAPERJ)
dc.description.sponsorshipIDCNPq: 420122/2005-2
dc.description.sponsorshipIDFAPESP: 2004/15039-0
dc.description.sponsorshipIDCNPq: 06575/2011-6
dc.format.extent71-76
dc.identifierhttp://dx.doi.org/10.1016/j.jad.2017.03.009
dc.identifier.citationJournal Of Affective Disorders. Amsterdam, v. 215, p. 71-76, 2017.
dc.identifier.doi10.1016/j.jad.2017.03.009
dc.identifier.issn0165-0327
dc.identifier.urihttps://repositorio.unifesp.br/handle/11600/54384
dc.identifier.wosWOS:000401213300010
dc.language.isoeng
dc.publisherElsevier Science Bv
dc.relation.ispartofJournal Of Affective Disorders
dc.rightsAcesso restrito
dc.subjectTonic immobilityen
dc.subjectTraumatic eventsen
dc.subjectSexual violenceen
dc.subjectSexual abuse, childen
dc.subjectPost-traumatic stress disorderen
dc.titleSexual trauma is more strongly associated with tonic immobility than other types of trauma - A population based studyen
dc.typeArtigo
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