Post-traumatic stress disorder (PTSD)

We used the DANLIFE cohort to examine the association between trajectories of childhood adversity and post-traumatic stress disorder (PTSD). The trajectories were previously defined into five groups: low adversity; early-life material deprivation; persistent material deprivation; loss or threat of loss; and high adversity.

Compared to the low-adversity group, children exposed to adversity were more likely to be diagnosed with PTSD in early adulthood. The adjusted hazard ratio for PTSD varied from 1.4 (95% CI: 1.3–1.5) in the early-life material deprivation group to 3.7 (3.3–4.1) in the high-adversity group, which corresponds to 8.3 extra cases of PTSD per 10,000 person-years. The relative associations were comparable in men and women, but approximately twice as many women than men were affected. The highest burden was amongst women in the high-adversity group.

The cumulative number of individuals aged 16—38 with PTSD is highest in the high adversity group, especially among women. The low adversity group includes the lowest number of individuals with PTSD across all ages and among both men and women.
Cumulative incidence plots of PTSD occurrence according to childhood adversities and sex. Data from the DANLIFE cohort (n = 1,277,548). El-Khoury et al. J Psychiatr Res. 2021 Feb 16;136:274–80.