Research Department, Combat Stress.
Psychol Trauma. 2024 Mar;16(3):513-521. doi: 10.1037/tra0001426. Epub 2023 Jan 26.
Complex posttraumatic stress disorder (CPTSD) and moral injury are receiving increasing empirical attention. The network approach offers a novel method to understand the association between such mental health constructs.
The present study investigated: (a) the network structure of CPTSD symptom clusters according to the International Trauma Questionnaire to determine centrality (i.e., the most influential symptom cluster) and (b) the network structure of CPTSD symptom clusters and moral injury symptoms according to the Moral Injury Outcome Scale to determine bridge symptoms (i.e., the symptoms linking comorbid presentation of CPTSD and moral injury) within a clinical sample of veterans.
and were found to be most central in the CPTSD network, and , and were found to be the strongest bridge symptoms in the CPTSD and moral injury network.
The two networks suggest a key role of disturbance in self-organization symptoms in the presentation of CPTSD and its association with moral injury among treatment-seeking veterans. Despite the limitations of the present study, it offers an insightful starting point as the first network analysis study of CPTSD in treatment-seeking veterans as well as its association with moral injury. Implications in terms of points of intervention and further research are discussed. (PsycInfo Database Record (c) 2024 APA, all rights reserved).
创伤后应激障碍（CPTSD）和道德伤害越来越受到实证研究的关注。网络方法为理解这些心理健康结构之间的关系提供了一种新的方法。
本研究调查了：（a）根据国际创伤问卷确定 CPTSD 症状群的网络结构，以确定中心性（即最具影响力的症状群）；（b）根据道德伤害结局量表确定 CPTSD 症状群和道德伤害症状的网络结构，以确定桥接症状（即连接 CPTSD 和道德伤害共病表现的症状），在一个退伍军人的临床样本中。
在 CPTSD 网络中，被发现是最核心的症状，而 、 和 则被发现是 CPTSD 和道德伤害网络中最强的桥接症状。
这两个网络表明，自我组织障碍症状在寻求治疗的退伍军人中 CPTSD 的表现及其与道德伤害的关联中起着关键作用。尽管本研究存在局限性，但它提供了一个有见地的起点，是对寻求治疗的退伍军人中 CPTSD 及其与道德伤害的关联的首次网络分析研究。讨论了干预点和进一步研究的意义。（PsycInfo 数据库记录（c）2024 APA，保留所有权利）。
