Relations between the underlying dimensions of PTSD and major depression using an epidemiological survey of deployed Ohio National Guard soldiers

被引:38
作者
Biehn, Tracey L. [1 ]
Contractor, Ateka [1 ]
Elhai, Jon D. [1 ,2 ]
Tamburrino, Marijo [2 ]
Fine, Thomas H. [2 ]
Prescott, Marta R. [3 ]
Shirley, Edwin [4 ]
Chan, Philip K. [4 ]
Slembarski, Renee [4 ]
Liberzon, Israel [5 ,6 ]
Calabrese, Joseph R. [4 ]
Galea, Sandro [3 ]
机构
[1] Univ Toledo, Dept Psychol, Toledo, OH 43606 USA
[2] Univ Toledo, Dept Psychiat, Toledo, OH 43606 USA
[3] Columbia Univ, Mailman Sch Publ Hlth, New York, NY 10027 USA
[4] Case Western Reserve Univ, Dept Psychiat, Cleveland, OH 44106 USA
[5] VA Ann Arbor Hlth Syst, Mental Hlth Serv, Ann Arbor, MI USA
[6] Univ Michigan, Dept Psychiat, Ann Arbor, MI 48109 USA
关键词
Posttraumatic stress disorder; Major depressive disorder; Factor analysis; Military veterans; Comorbidity; POSTTRAUMATIC-STRESS-DISORDER; PATIENT HEALTH QUESTIONNAIRE-9; SPINAL-CORD-INJURY; PRIMARY-CARE; PSYCHOMETRIC PROPERTIES; COMORBIDITY SURVEY; SYMPTOM CRITERIA; DSM-V; PHQ-9; CHECKLIST;
D O I
10.1016/j.jad.2012.06.013
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Background: In the present study, the authors investigated the relationship between the underlying symptom dimensions of posttraumatic stress disorder (PTSD) and dimensions of major depressive disorder (MDD). Method: A sample of 1266 Ohio National Guard soldiers with a history of overseas deployment participated and were administered the PTSD Checklist (assessing PTSD) and Patient Health Questionnaire-9 (assessing depression). Results: Using confirmatory factor analysis, results demonstrated that both PTSD's dysphoria and hyperarousal factors were more related to depression's somatic than non-somatic factor. Furthermore, depression's somatic factor was more related to PTSD's dysphoria than hyperarousal factor. Limitations: Limitations of this study include the use of self-report measures and a predominately male military sample. Conclusions: Results indicate that PTSD's dysphoria factor is related to depression specifically by way of depression's somatic construct. Given PTSD's substantial dysphoria/distress component, these results have implications for understanding the nature of PTSD's high comorbidity with depression. (C) 2012 Elsevier B.V. All rights reserved.
引用
收藏
页码:106 / 111
页数:6
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