Only rare data exist comparing cross-cultural aspects of civilian traumatization. We compared prevalence rates of posttraumatic stress disorder (PTSD) in German and Chinese crime victims, and investigated the cross-cultural effect of 2 interpersonal predictors.
Method:
German (n = 151) and Chinese (n = 144) adult crime victims were assessed several months postcrime. The parallel questionnaire set assessed PTSD symptom severity, disclosure attitudes, social acknowledgement, and demographic and crime characteristics.
Results:
German and Chinese participants differed significantly in their PTSD symptom severity. However, in both samples, disclosure attitudes and social acknowledgement predicted PTSD symptom severity with a similar strength, in addition to the effects of other PTSD predictors.
Conclusions:
The results suggest that interpersonal variables are predictors of PTSD symptom severity in both cultures and should be included in etiologic models of PTSD.
BreslauNDavisGC. Posttraumatic stress disorder in an urban population of young adults: Risk factors for chronicity. Am J Psychiatry. 1992;149(5):671–675.
2.
KesslerRCSonnegaABrometE, Posttraumatic stress disorder in the National Comorbidity Survey. Arch Gen Psychiatry. 1995;52(12):1048–1060.
3.
SteinMBHoflerMPerkoniggA, Patterns of incidence and psychiatric risk factors for traumatic events. Int J Methods Psychiatr Res. 2002;11(4):143–153.
4.
HollifieldMWarnerTDLianN, Measuring trauma and health status in refugees: A critical review. JAMA. 2002;288(5):611–621.
5.
KinzieJDDenneyDRileyC, A cross-cultural study of reactivation of posttraumatic stress disorder symptoms: American and Cambodian psychophysiological response to viewing traumatic video scenes. J Nerv Ment Dis. 1998;186(11):670–676.
6.
NorrisFHPerillaJLMurphyAD. Postdisaster stress in the United States and Mexico: A cross-cultural test of the multicriterion conceptual model of posttraumatic stress disorder. J Abnorm Psychol. 2001;110(4):553–563.
7.
SchützwohlMMaerckerA.Posttraumatische Belastungsreaktionen nach kriminellen Gewaltdelikten. Z Klin Psychol Psychother. 1997;26(4):258–268.
8.
WangXGaoLShinfukuN, Longitudinal study of earthquake-related PTSD in a randomly selected community sample in north China. Am J Psychiatry. 2000;157(8):1260–1266.
9.
HuBSLiangYXHuXY, Posttraumatic stress disorder in co-workers following exposure to a fatal construction accident in China. Int J Occup Environ Health. 2000;6(3):203–207.
10.
LiuATanHZhouJ, An epidemiologic study of posttraumatic stress disorder in flood victims in Hunan China. Can J Psychiatry. 2006;51(6):350–354.
11.
BrewinCRAndrewsBValentineJD. Meta-analysis of risk factors for posttraumatic stress disorder in trauma-exposed adults. J Consult Clin Psychol. 2000;68(5):748–766.
12.
OzerEJBestSRLipseyTL, Predictors of posttraumatic stress disorder and symptoms in adults: A meta-analysis. Psychol Bull. 2003;129(1):52–73.
13.
MüllerJMaerckerA.Disclosure und wahrgenommene gesellschaftliche Wertschätzung als Opfer als Prädiktoren von PTBS bei Kriminalitätsopfern. Z Klin Psychol Psychother. 2006;35(1):49–58.
14.
UllmanSE. Social reactions to child sexual abuse disclosures: A critical review. J Child Sex Abus. 2003;12:89–112.
15.
MaerckerAMüllerJ.Social acknowledgment as a victim or survivor: A scale to measure a recovery factor of PTSD. J Trauma Stress. 2004;17(4):345–351.
16.
JonesBMüllerJMaerckerA.Trauma and posttraumatic reactions in German development aid workers: Prevalences and relationship to social acknowledgement. Int J Soc Psychiatry. 2006;52(2):91–100.
17.
PennebakerJWKiecolt-GlaserJKGlaserR.Disclosure of traumas and immune function: Health implications for psychotherapy. J Consult Clin Psychol. 1988;56(2):239–245.
18.
PennebakerJWTraueHC. Inhibition and psychosomatic processes. In: TraueHCPennebakerJW, editors. Emotion, inhibition, and health. Göttingen (DE): Hogrefe & Huber; 1993. p 146–163.
19.
RichardsJMBealWESeagalJD, Effects of disclosure of traumatic events on illness behavior among psychiatric prison inmates. J Abnorm Psychol. 2000;109(1):156–160.
20.
BrownEJHeimbergRG. Effects of writing about rape: Evaluating Pennebaker's paradigm with a severe trauma. J Trauma Stress. 2001;14:781–790.
21.
BattenSVFolletteVMRasmussen HallML, Physical and psychological consequences of written disclosure among sexual abuse survivors. Behav Ther. 2002;33:107–122.
22.
GidronYPeriTConnollyJF, Written disclosure in posttraumatic stress disorder: Is it beneficial for the patient?J Nerv Ment Dis. 1996;184(8):505–507.
23.
MüllerJMoergeliHPMaerckerA.Disclosure and social acknowledgement as predictors of recovery from posttraumatic stress: A longitudinal study in crime victims. Can J Psychiatry. 2008;53(3):160–168.
24.
MüllerJMaerckerA.Kommunikationsverhalten nach Traumatisierung. Vergleich von Fragebogen- und Textanalysevariablen. Handlung, Kultur, Interpretation. 2002;11(2):308–333.
25.
Bennett-HerbertTLDunkel-SchetterC.Negative social reactions to victims: An overview of responses and their determinants. In: MontadaLFilipSHLernerMJ, editors. Life crises and experiences of loss in adulthood. Hillsdale (NJ): Lawrence Erlbaum Associates; 1992.
26.
UllmanSEFilipasHH. Gender differences in social reactions to abuse disclosures, post-abuse coping and PTSD of child sexual abuse survivors. Child Abuse Negl. 2005;29(2005):767–782.
27.
CordovaMJCunninghamLLCarlsonCR, Social constraints, cognitive processing, and adjustment to breast cancer. J Consult Clin Psychol. 2001;69(4):706–711.
28.
UllmanSEFilipasHH. Predictors of PTSD symptom severity and social reactions in sexual assault victims. J Trauma Stress. 2001;14(2):369–389.
29.
SouthwickSMMorganCA3rdRosenbergR.Social sharing of Gulf War experiences: Association with trauma-related psychological symptoms. J Nerv Ment Dis. 2000;188(10):695–700.
30.
SolomonZ.PTSD and social functioning. A three year prospective study. Soc Psychiatry Psychiatr Epidemiol. 1989;24(3):127–133.
31.
FontanaARosenheckR.Traumatic war stressors and psychiatric symptoms among World War II, Korean, and Vietnam War veterans. Psychol Aging. 1994;9(1):27–33.
32.
HeineSJLehmanDRMarkusHR, Is there a universal need for positive self-regard?Psychol Rev. 1999;106(4):766–794.
33.
MestonCMHeimanJRTrapnellPD, Ethnicity, desirable responding, and self-reports of abuse: A comparison of European- and Asian-ancestry undergraduates. J Consult Clin Psychol. 1999;67(1):139–144.
34.
TriandisHC. Individualism and collectivism. Boulder (CO): Westview Press; 1995.
35.
KitayamaSMesquitaBKarasawaM.Cultural affordances and emotional experience: Socially engaging and disengaging emotions in Japan and the United States. J Pers Soc Psychol. 2006;91(5):890–903.
36.
UchidaYKitayamaSMesquitaB, Is perceived emotional support beneficial? Well-being and health in independent and interdependent cultures. Pers Soc Psychol Bull. 2008;34(6):741–754.
37.
JonesEGFarinaAHastorfAH, Social stigma: The psychology of marked relationships. New York (NY): Freeman; 1984.
38.
TangCS. Childhood experiences of sexual abuse among Hong Kong Chinese college students. Child Abuse Negl. 2002;26:23–37.
39.
FutaKTHsuEHansenD.Child sexual abuse in Asian American families: An examination of cultural factors that influence prevalence, identification and treatment. Clin Psychol. 2001;8:189–209.
40.
HussainRKhanA.Women's perceptions and experiences of sexual violence in marital relationships and its effect on reproductive health. Health Care Women Int. 2008;29(5):468–483.
41.
BackSEJacksonJLFitzgeraldM, Child sexual and physical abuse among college students in Singapore and the United States. Child Abuse Negl. 2003;27(11):1259–1275.
42.
OrthUMaerckerA.Do trials of perpetrators retraumatize crime victims?J Interpers Violence. 2004;19(2):212–227.
43.
WeissDSMarmarCR. The Impact of Event Scale—Revised. In: WilsonJPKeaneTM, editors. Assessing psychological trauma and PTSD. New York (NY): Guilford Press; 1997. p 399–411.
44.
MaerckerASchützwohlM.Erfassung von psychischen Belastungsfolgen: Die Impact of Event Skala—revidierte version (IES-R). Diagnostica. 1998;44(3):130–141.
45.
WuKKChanKS. The development of the Chinese version of Impact of Event Scale—Revised (CIES-R). Soc Psychiatry Psychiatr Epidemiol. 2003;38(2):94–98.
46.
WuJJChanKS. The development of the Chinese version of Impact of Event Scale—Revised (CIES-R). Soc Psychiatry Psychiatr Epidemiol. 2003;38(2):94–98.
47.
MaerckerABeauducelASchützwohlM.Trauma severity and initial reactions as precipitating factors for posttraumatic stress symptoms and chronic dissociation in former political prisoners. J Trauma Stress. 2000;13(4):651–660.
48.
MüllerJBeauducelARaschkaJ, Kommunikationsverhalten nach politischer Haft in der DDR. Entwicklung eines Fragebogens zum Offenlegen der Traumaerfahrungen. Z Polit Psychol. 2000;4:413–427.
49.
RichterDBergerK.Post-traumatic stress disorder following patient assaults among staff members of mental health hospitals: A prospective longitudinal study. BMC Psychiatry. 2006;6(15):1–4.
50.
HuangGZhangYMomartinS, Prevalence and characteristics of trauma and posttraumatic stress disorder in female prisoners in China. Compr Psychiatry. 2006;47(1):20–29.
51.
LiuATanHZhouJ, An epidemiologic study of posttraumatic stress disorder in flood victims in Hunan China. Can J Psychiatry. 2006;51(6):350–354.
52.
GaleaSNandiAVlahovD.The epidemiology of post-traumatic stress disorder after disasters. Epidemiol Rev. 2005;27:78–91.
53.
MaerckerAMohiyeddiniCMüllerM, Traditional versus modern values, self-perceived interpersonal factors, and posttraumatic stress in Chinese and German crime victims. Psychol Psychother. 2009;82(Pt 2):219–232.
