Golder Seana, Engstrom Malitta, Hall Martin T, Higgins George E, Logan T K
Kent School of Social Work.
School of Social Policy & Practice, University of Pennsylvania.
Am J Orthopsychiatry. 2015 Jul;85(4):382-391. doi: 10.1037/ort0000057. Epub 2015 Apr 27.
Latent class analysis was used to identify subgroups of victimized women (N = 406) on probation and parole differentiated by levels of general psychological distress. The 9 primary symptom dimensions from the Brief Symptom Inventory (BSI) were used individually as latent class indicators (Derogatis, 1993). Results identified 3 classes of women characterized by increasing levels of psychological distress; classes were further differentiated by posttraumatic stress disorder symptoms, cumulative victimization, substance use and other domains of psychosocial functioning (i.e., sociodemographic characteristics; informal social support and formal service utilization; perceived life stress; and resource loss). The present research was effective in uncovering important heterogeneity in psychological distress using a highly reliable and easily accessible measure of general psychological distress. Differentiating levels of psychological distress and associated patterns of psychosocial risk can be used to develop intervention strategies targeting the needs of different subgroups of women. Implications for treatment and future research are presented.
潜在类别分析用于识别处于缓刑和假释期的受害女性(N = 406)的亚组,这些亚组根据一般心理困扰程度进行区分。简明症状量表(BSI)的9个主要症状维度分别用作潜在类别指标(德罗加蒂斯,1993年)。结果确定了3类女性,其特征是心理困扰程度不断增加;这些类别在创伤后应激障碍症状、累积受害情况、物质使用以及心理社会功能的其他领域(即社会人口学特征;非正式社会支持和正式服务利用情况;感知到的生活压力;以及资源损失)方面进一步区分。本研究有效地利用了一种高度可靠且易于获取的一般心理困扰测量方法,揭示了心理困扰方面的重要异质性。区分心理困扰水平和相关的心理社会风险模式可用于制定针对不同亚组女性需求的干预策略。文中还阐述了对治疗和未来研究的启示。