Australian Centre for Posttraumatic Mental Health and Department of Psychiatry, University of Melbourne, Level 1/340 Albert St., East Melbourne, Victoria 3002, Australia.
J Anxiety Disord. 2012 Jan;26(1):95-101. doi: 10.1016/j.janxdis.2011.09.004. Epub 2011 Oct 1.
This study attempted to extend research indicating that posttraumatic stress disorder (PTSD) factors of Re-experiencing, Avoidance and Hyperarousal are more related to Fear/phobic disorders, while PTSD Dysphoria is more related to Anxious-Misery disorders. Trauma exposure, PTSD and comorbidity data for 668 veteran patients were analysed using confirmatory factor analyses and relative strengths of the relationships between PTSD factors and the Fear and Anxious-Misery factors were assessed. Combining Simms, Watson, and Doebbeling's (2002) model of PTSD symptoms and Krueger's (1999) Fear/Anxious Misery model of mood and anxiety disorders fit the data well. Contrary to previous research, PTSD Re-experiencing, Avoidance and Hyperarousal did not correlate more with the Fear factor; nor did PTSD Dysphoria correlate more with Anxious-Misery. Hyperarousal was more closely related to Fear than was Re-experiencing; however, Avoidance was not. Dysphoria was more closely related to the Anxious-Misery factor than all other PTSD factors.
本研究试图扩展研究，表明创伤后应激障碍（PTSD）的再体验、回避和过度警觉等因素与恐惧/恐惧症更为相关，而 PTSD 苦恼则与焦虑/痛苦障碍更为相关。使用验证性因素分析对 668 名退伍军人患者的创伤暴露、PTSD 和合并症数据进行了分析，并评估了 PTSD 因素与恐惧和焦虑/痛苦因素之间的关系的相对强度。结合 Simms、Watson 和 Doebbeling（2002 年）的 PTSD 症状模型和 Krueger（1999 年）的情绪和焦虑障碍的恐惧/焦虑痛苦模型，数据拟合良好。与之前的研究相反，PTSD 的再体验、回避和过度警觉与恐惧因素没有更相关；PTSD 苦恼也与焦虑/痛苦无关。与再体验相比，过度警觉与恐惧的关系更密切；然而，回避并非如此。苦恼与焦虑/痛苦因素的关系比其他所有 PTSD 因素都更密切。
