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Journal of Psychopathology and Behavioral Assessment

Gepubliceerd in:

01-12-2011

Factor Structure of the PTSD Checklist in a Sample of OEF/OIF Veterans Presenting to Primary Care: Specific and Nonspecific Aspects of Dysphoria

Auteurs: Joah L. Williams, Christopher J. Monahan, Meghan E. McDevitt-Murphy

Gepubliceerd in: Journal of Psychopathology and Behavioral Assessment | Uitgave 4/2011

Abstract

Although DSM-IV-TR diagnostic criteria for posttraumatic stress disorder (PTSD) include three primary symptom clusters, recent evidence from confirmatory factor analyses suggest that the latent structure of PTSD is better represented by four factors, which will likely be reflected in the upcoming DSM-5. Given this likely transition from three to four clusters, the present study sought to examine specific and non-specific aspects of dysphoria in the factor structure of PTSD symptoms in a sample of OEF/OIF combat veterans presenting to a Veterans Affairs primary care clinic. PTSD symptoms were assessed using the PCL-M (Weathers et al. 1993). Results from confirmatory factor analyses suggested that a dysphoria factor involving a number of non-specific distress symptoms may be an important part of the PTSD symptom profile. After controlling for variance due to general psychological distress, we further found that factor loadings on the dysphoria factor were attenuated but continued to significantly load onto the factor, suggesting that dysphoria may be a specific part of the PTSD symptom constellation.

vorige artikel An Exploratory and Confirmatory Factor Analysis of the Affective Control Scale in an Undergraduate Sample

volgende artikel Factor Structure Validation of the Alcohol Dependence Scale in a Heavy Drinking College Sample

American Psychiatric Association (APA). (2000). Diagnostic and statistical manual of mental disorders (4th ed. text revision). Washington, DC: Author.

APA. (2010). Proposed draft revisions to DSM disorders and criteria. Retrieved on February 27, 2010, from http://www.dsm5.org/Pages/Default.aspx

Armour, C., McBride, O., Shevlin, M., & Adamson, G. (2010, December 13). Testing the robustness of the dysphoria factor of the Simms et al. (2002) model of posttraumatic stress disorder. Psychological Trauma: Theory, Research, Practice, and Policy. Advance online publication. doi: 10.1037/a0020848

Asmundson, G. J. G., Frombach, I., McQuaid, J., Pedrelli, P., Lenox, R., & Stein, M. B. (2000). Dimensionality of posttraumatic stress symptoms: A confirmatory factor analysis of DSM-IV symptom clusters and other symptom models. Behaviour Research and Therapy, 38, 203–214. doi:10.1016/S0005-7967(99)00061-3.PubMedCrossRef

Blake, D., Weathers, F., Nagy, L., Kaloupek, D., Klauminzer, G., Charney, D., et al. (1990). Clinician-administered PTSD scale (CAPS). Boston: National Center for Post-Traumatic Stress Disorder, Behavioral Sciences Division.

Blanchard, E. B., Jones-Alexander, J., Buckley, T. C., & Forneris, C. A. (1996). Psychometric properties of the PTSD Checklist (PCL). Behaviour Research and Therapy, 34, 669–673. doi:10.1016/0005-7967(96)00033-2.PubMedCrossRef

Breslau, N., Reboussin, B. A., Anthony, A. C., & Storr, C. L. (2005). The structure of posttraumatic stress disorder: A latent class analysis in 2 community samples. Archives of General Psychiatry, 62, 1343–1351.PubMedCrossRef

Browne, M. W., & Cudeck, R. (1993). Alternative ways of assessing model fit. In K. A. Bollen & J. S. Long (Eds.), Testing structural equation models (pp. 136–162). Newbury Park: Sage.

DuHamel, K. N., Ostroff, J., Ashman, T., Winkel, G., Mundy, E. A., Keane, T., et al. (2004). Construct validity of the posttraumatic stress disorder checklist in cancer survivors: analyses based on two samples. Psychological Assessment, 16, 255–266. doi:10.1037/1040-3590.16.3.255.PubMedCrossRef

Elklit, A., Armour, C., & Shevlin, M. (2010). Testing alternative factor models of PTSD and the robustness of the dysphoria factor. Journal of Anxiety Disorders, 24, 147–154. doi:10.1016/j.janxdis.2009.10.002.PubMedCrossRef

Flack, W. F., Litz, B. T., Hsieh, F. Y., Kaloupek, D. G., & Keane, T. M. (2000). Predictors of emotional numbing revisited: A replication and extension. Journal of Traumatic Stress, 13, 611–618. doi:10.1023/A:1007806132319.PubMedCrossRef

Frueh, B. C., Elhai, J. D., & Acierno, R. (2010). The future of posttraumatic stress disorder in the DSM. Psychological Injury and Law, 3, 260–270. doi:10.1007/s12207-010-9088-6.CrossRef

Frueh, B. C., Hamner, M. B., Cahill, S. P., Gold, P. B., & Hamlin, K. L. (2000). Apparent symptom overreporting in combat veterans evaluated for PTSD. Clinical Psychology Review, 20, 853–885. doi:10.1016/S0272-7358(99)00015-X.PubMedCrossRef

Grant, D. M., Beck, J. G., Marques, L., Palyo, S. A., & Clapp, J. D. (2008). The structure of distress following trauma: Posttraumatic stress disorder, major depressive disorder, and generalized anxiety disorder. Journal of Abnormal Psychology, 117, 662–672. doi:10.1037/a0012591.PubMedCrossRef

Grieger, T. A., Kolkow, T. T., Spira, J. L., & Morse, J. S. (2007). Posttraumatic stress disorder and depression in health care providers returning from deployment to Iraq and Afghanistan. Military Medicine, 172(5), 451–455.PubMed

Hu, L. T., & Bentler, P. M. (1999). Cutoff criteria for fit indexes in covariance structure analysis: conventional criteria versus new alternatives. Structural Equation Modeling, 6, 1–55. doi:10.1080/10705519909540118.CrossRef

Jakupcak, M., Luterek, J., Hunt, S., Conybeare, D., & McFall, M. (2008). Posttraumatic stress and its relationship to physical health functioning in a sample of Iraq and Afghanistan war veterans seeking postdeployment VA health care. Journal of Nervous and Mental Disease, 196, 425–428. doi:10.1097/NMD.0b013e31817108ed.PubMedCrossRef

Kessler, R. C., Sonnega, A., Bromet, E., Hughes, M., & Nelson, C. B. (1995). Posttraumatic stress disorder in the national comorbidity survey. Archives of General Psychiatry, 52, 1048–1060.PubMed

King, D. W., Leskin, G. A., King, L. A., & Weathers, F. W. (1998). Confirmatory factor analysis of the Clinician-Administered PTSD scale: evidence for the dimensionality of posttraumatic stress disorder. Psychological Assessment, 10, 90–96.CrossRef

Krause, E. D., Kaltman, S., Goodman, L. A., & Dutton, M. A. (2007). Longitudinal factor structure of posttraumatic stress symptoms related to intimate partner violence. Psychological Assessment, 19, 165–175. doi:10.1037/1040-3590.19.2.165.PubMedCrossRef

Lancaster, S. L., Melka, S. E., & Rodriguez, B. F. (2009). A factor analytic comparison of five models of PTSD symptoms. Journal of Anxiety Disorders, 23, 269–274. doi:10.1016/j.janxdis.2008.08.001.PubMedCrossRef

Mansfield, A. J., Williams, J., Hourani, L. L., & Babeu, L. A. (2010). Measurement invariance of posttraumatic stress disorder symptoms among U.S. military personnel. Journal of Traumatic Stress, 23, 91–99. doi:10.1002/jts.20492.PubMed

Marshall, G. N. (2004). Posttraumatic stress disorder symptom checklist: factor structure and English-Spanish measurement invariance. Journal of Traumatic Stress, 17, 223–230. doi:10.1023/B:JOTS.0000029265.56982.86.PubMedCrossRef

Marshall, G. N., Schell, T. L., & Miles, J. N. V. (2010). All PTSD symptoms are highly associated with general distress: Ramifications for the dysphoria symptom cluster. Journal of Abnormal Psychology, 119, 126–135. doi:10.1037/a0018477.PubMedCrossRef

McDevitt-Murphy, M. E., Williams, J. L., Bracken, K. L., Fields, J. A., Monahan, C. J., & Murphy, J. G. (2010). PTSD symptoms, hazardous drinking, and health functioning among U.S.OEF/OIF veterans presenting to primary care. Journal of Traumatic Stress, 23, 108–111. doi:10.1002/jts.20482.PubMed

Mellman, T. A. (1997). Psychobiology of sleep disturbances in posttraumatic stress disorder. Annals of the New York Academy of Sciences, 821, 142–149. doi:10.1111/j.1749-6632.1997.tb48275.x.PubMedCrossRef

Mollica, R. F., Caspi-Yavin, Y., Bollini, P., Truong, T., Tor, S., & Lavelle, J. (1992). The Harvard Trauma Questionnaire: validating a cross-cultural instrument for measuring torture, trauma and posttraumatic stress disorder in Indochinese refugees. Journal of Nervous and Mental Disease, 180, 111–116.PubMedCrossRef

Muthèn, L. K., & Muthèn, B. O. (1998–2004). Mplus Users’ Guide. Los Angeles, CA: Muthèn & Muthèn.

Palmieri, P. A., & Fitzgerald, L. F. (2005). Confirmatory factor analysis of posttraumatic stress symptoms in sexually harassed women. Journal of Traumatic Stress, 18, 657–666. doi:10.1002/jts.20074.PubMedCrossRef

Palmieri, P. A., Weathers, F. W., Difede, J., & King, D. W. (2007). Confirmatory factor analysis of the PTSD Checklist and the Clinician-Administered PTSD Scale in disaster workers exposed to the World Trade Center ground zero. Journal of Abnormal Psychology, 116, 329–341. doi:10.1037/0021-843X.116.2.329.PubMedCrossRef

Pietrzak, R. H., Goldstein, M. B., Malley, J. C., Rivers, A. J., & Southwick, S. M. (2010). Structure of posttraumatic stress disorder symptoms and psychosocial functioning in veterans of Operations Enduring Freedom and Iraqi Freedom. Psychiatry Research, 178, 323–329. doi:10.1016/j.psychres.2010.04.039.PubMedCrossRef

Pietrzak, R. H., Johnson, D. C., Goldstein, M. B., Malley, J. C., & Southwick, S. M. (2009). Psychological resilience and postdeployment social support protect against traumatic stress and depressive symptoms in soldiers returning from Operations Enduring Freedom and Iraqi Freedom. Depression and Anxiety, 26, 745–751. doi:10.1002/da.20558.PubMedCrossRef

Ruscio, A. M., Weathers, F. W., King, L. A., & King, D. W. (2002). Male war-zone veterans’ perceived relationships with their children: The importance of emotional numbing. Journal of Traumatic Stress, 15, 351–357. doi:10.1023/A:1020125006371.PubMedCrossRef

Simms, L. J., Watson, D., & Doebbeling, B. N. (2002). Confirmatory factor analyses of posttraumatic stress symptoms in deployed and nondeployed veterans of the Gulf War. Journal of Abnormal Psychology, 111, 637–647. doi:10.1037//0021-834X.111.4.637.PubMedCrossRef

Spitzer, R. L., First, M. B., & Wakefield, J. C. (2007). Saving PTSD from itself in DSM-V. Journal of Anxiety Disorders, 21, 233–241. doi:10.1016/j.janxdis.2006.09.006.PubMedCrossRef

Steiger, J. H. (1990). Structural model evaluation and modification: An interval estimation approach. Multivariate Behavioral Research, 25, 173–180. doi:10.1207/s15327906mbr2502_4.CrossRef

Taylor, S., Kuch, K., Koch, W. J., Crockett, D. J., & Passey, G. (1998). The structure of posttraumatic stress symptoms. Journal of Abnormal Psychology, 107, 154–160. doi:10.1037/0021-843X.107.1.154.PubMedCrossRef

Ware, J. E., & Sherbourne, C. D. (1992). The MOS 36-item Short-Form Health Survey (SF-36): I. Conceptual framework and item selection. Medical Care, 30, 473–483.PubMedCrossRef

Watson, D. (2005). Rethinking the mood and anxiety disorders: A quantitative hierarchical model for DSM-V. Journal of Abnormal Psychology, 114, 522–536. doi:10.1037/0021-843X.114.4.522.PubMedCrossRef

Weathers, F. W., Litz, B. T., Herman, D. S., Huska, J. A., & Keane, T. M. (1993). The PTSD checklist: Reliability, validity, and diagnostic utility. Paper presented at the annual meeting of the International Society for Traumatic Stress Studies, San Antonio, TX.

Yeager, D. E., Magruder, K. M., Knapp, R. G., Nicholas, J. S., & Frueh, C. (2007). Performance characteristics of the posttraumatic stress disorder checklist and SPAN in Veterans Affairs primary care settings. General Hospital Psychiatry, 29, 294–301. doi:10.1016/j.genhosppsych.2007.03.004.PubMedCrossRef

Yuan, K., & Bentler, P. M. (2000). Three likelihood-based methods for mean and covariance structure analysis with nonnormal missing data. Sociological Methodology, 30, 165–200. doi:10.1111/0081-1750.00078.CrossRef

Titel: Factor Structure of the PTSD Checklist in a Sample of OEF/OIF Veterans Presenting to Primary Care: Specific and Nonspecific Aspects of Dysphoria
Auteurs: Joah L. Williams
Christopher J. Monahan
Meghan E. McDevitt-Murphy
Publicatiedatum: 01-12-2011
Uitgeverij: Springer US
Gepubliceerd in: Journal of Psychopathology and Behavioral Assessment / Uitgave 4/2011
Print ISSN: 0882-2689
Elektronisch ISSN: 1573-3505
DOI: https://doi.org/10.1007/s10862-011-9248-3

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