Broman-Fulks Joshua J, Ruggiero Kenneth J, Green Bradley A, Kilpatrick Dean G, Danielson Carla Kmett, Resnick Heidi S, Saunders Benjamin E
Appalachian State University and Medical University of South Carolina, Boone, NC 28608, USA.
Behav Ther. 2006 Dec;37(4):364-80. doi: 10.1016/j.beth.2006.02.006. Epub 2006 Jul 28.
Current psychiatric nosology depicts posttraumatic stress disorder (PTSD) as a discrete diagnostic category. However, only one study has examined the latent structure of PTSD, and this study suggested that PTSD may be more accurately conceptualized as an extreme reaction to traumatic life events rather than a discrete clinical syndrome. To build on the existing literature base, the present research examined the latent structure of posttraumatic stress reactions by applying three taxometric procedures (MAXEIG, MAMBAC, and L-Mode) to data collected from large nationally representative samples of women (ns=2684 and 3033) and adolescents (n=3775). Results consistently provided evidence for a dimensional PTSD solution across samples and statistical procedures. These findings have important implications for the theory, assessment, and investigation of posttraumatic stress reactions.
当前的精神疾病分类学将创伤后应激障碍(PTSD)描述为一个独立的诊断类别。然而,仅有一项研究考察了PTSD的潜在结构,且该研究表明,PTSD可能更准确地被概念化为对创伤性生活事件的一种极端反应,而非一种独立的临床综合征。为在现有文献基础上进一步拓展,本研究通过对从具有全国代表性的大规模女性样本(n = 2684和3033)和青少年样本(n = 3775)收集的数据应用三种分类分析程序(MAXEIG、MAMBAC和L - 模式),考察了创伤后应激反应的潜在结构。结果一致为跨样本和统计程序的维度性PTSD解决方案提供了证据。这些发现对创伤后应激反应的理论、评估和研究具有重要意义。