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Research on Child and Adolescent Psychopathology

Gepubliceerd in:

07-03-2023

A Distinction Without a Difference? A Multi-Method Approach to Understanding PTSD and Depression Symptom Overlap Among Disaster-Exposed Adolescents

Auteurs: James Kyle Haws, Lauren M. Laifer, Laura M. Acosta, Allura L. Ralston, Kenneth J. Ruggiero, Tatiana M. Davidson, Arthur R. Andrews III

Gepubliceerd in: Research on Child and Adolescent Psychopathology | Uitgave 7/2023

Abstract

Among adolescents exposed to trauma, posttraumatic stress disorder (PTSD) and major depressive disorder (MDD) commonly co-occur. Despite the prevalence of comorbidity, the question of how PTSD and MDD are related and appropriate conceptual models for understanding their linkage in adolescence remains unclear. This study applies a multi-methodological approach to advance conceptual and theoretical understanding of the overlap between PTSD and MDD diagnoses/symptoms. We tested three methodological approaches with three distinct theoretical underpinnings on the structure of each disorder proposed in the literature: confirmatory factor analysis (CFA) with dimensional constructs, latent class analysis (LCA) with person-based categorical constructs, and network analysis with symptom-to-symptom associations. Across the three different analytical approaches, there was a significant overlap between PTSD and MDD. Overall, there was no compelling evidence for distinct boundaries between disorders among trauma-exposed adolescents. Instead, we found considerable evidence that the typical latent-construct-based conceptualizations, whether categorical or dimensional, may need revision.

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Titel: A Distinction Without a Difference? A Multi-Method Approach to Understanding PTSD and Depression Symptom Overlap Among Disaster-Exposed Adolescents
Auteurs: James Kyle Haws
Lauren M. Laifer
Laura M. Acosta
Allura L. Ralston
Kenneth J. Ruggiero
Tatiana M. Davidson
Arthur R. Andrews III
Publicatiedatum: 07-03-2023
Uitgeverij: Springer US
Gepubliceerd in: Research on Child and Adolescent Psychopathology / Uitgave 7/2023
Print ISSN: 2730-7166
Elektronisch ISSN: 2730-7174
DOI: https://doi.org/10.1007/s10802-023-01042-3

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