College of Education, Mindanao State University, Iligan Institute of Technology, Philippines.
Global and Community Mental Health Research Group, Faculty of Social Sciences (E21), University of Macau, Avenida da Universidade, Taipa, Macau, Hong Kong Special Administrative Region; Department of Health, Behavior and Society, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
Psychiatry Res. 2017 Dec;258:1-8. doi: 10.1016/j.psychres.2017.09.057. Epub 2017 Sep 25.
An increasing number of studies investigated the latent factor structure of posttraumatic stress disorder (PTSD) symptomatology following the new fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5). To date, there is no consensus on the best representation of PTSD. This study examined six latent PTSD models in a sample of Filipino post-disaster relocatees (N = 523). Further investigation on the relationship of the best-fitting model to generalized anxiety disorder (GAD) in the latent level was conducted. The seven-factor hybrid model consisting of intrusion, avoidance, negative affect, anhedonia, externalizing behaviors, anxious arousal, and dysphoric arousal, was the best fitting model. Latent associations between the factors in the hybrid model and GAD suggest there are core and transdiagnostic features of PTSD. These findings have implications for understanding the underlying mechanism of PTSD and can inform the development of trauma-related interventions, particularly among post-disaster relocatees.
越来越多的研究调查了新的《精神障碍诊断与统计手册》(DSM-5)第五版之后创伤后应激障碍(PTSD)症状的潜在因素结构。迄今为止,对于 PTSD 的最佳表现形式尚无共识。本研究在菲律宾灾后重新安置者样本(N=523)中检验了六种潜在 PTSD 模型。进一步调查了最佳拟合模型与潜在水平上广泛性焦虑障碍(GAD)的关系。由侵入、回避、负性情绪、快感缺失、外化行为、焦虑唤醒和烦躁唤醒组成的七因素混合模型是最佳拟合模型。混合模型中各因素与 GAD 之间的潜在关联表明,PTSD 存在核心和跨诊断特征。这些发现对于理解 PTSD 的潜在机制具有意义,并可以为创伤相关干预措施的发展提供信息,特别是在灾后重新安置者中。