Adolescent posttraumatic stress disorder: An examination of factor structure reliability in two national samples

被引：22

作者：

Ayer, Lynsay A. ^{[1
]}

Cisler, Josh M. ^{[2
]}

Danielson, Carla Kmett ^{[3
]}

Amstadter, Ananda B. ^{[4
]}

Saunders, Benjamin E. ^{[3
]}

Kilpatrick, Dean G. ^{[3
]}

机构：

[1] Univ Vermont, Dept Psychiat, Vermont Ctr Children Youth & Families, Burlington, VT 05401 USA

[2] Univ Arkansas Med Sci, Inst Psychiat Res, Brain Imaging Res Ctr, Little Rock, AR 72205 USA

[3] Med Univ S Carolina, Dept Psychiat & Behav Sci, Natl Crime Victims Res & Treatment Ctr, Charleston, SC USA

[4] Virginia Commonwealth Univ, Dept Psychiat, Virginia Inst Psychiat & Behav Genet, Richmond, VA 23284 USA

来源：

JOURNAL OF ANXIETY DISORDERS | 2011年 / 25卷 / 03期

关键词：

Posttraumatic stress disorder (PTSD); Assessment; Diagnosis; Trauma; Adolescents; MONOZYGOTIC TWINS DISCORDANT; CONFIRMATORY FACTOR-ANALYSIS; MEDIAL PREFRONTAL CORTEX; VIETNAM VETERANS; COMBAT EXPOSURE; PTSD; DIMENSIONALITY; COMORBIDITY; SYMPTOMS; MODEL;

D O I：

10.1016/j.janxdis.2010.11.004

中图分类号：

B849 [应用心理学];

学科分类号：

040203 ;

摘要：

A four-factor structure of posttraumatic stress disorder (PTSD) has been proposed for DSM-V based on empirical evidence that it is superior to the three-factor DSM-IV structure. However, most studies reveal multiple structures fit the data well in adolescent samples, and high factor correlations have been reported. Within two national samples of adolescents, we tested eight PTSD factor structures, which have never been compared in a single study. Confirmatory factor analyses (CFA) of PTSD symptoms were conducted in two national samples of adolescents: the National Survey of Adolescents (NSA; N=4023) and the NSA-Replication (NSA-R; N=3614). CFA revealed that all models provided very good fit to both samples (RMSEAs =.021-.039), though the one-factor model can be rejected, and correlations between factors were high (rs =.80-1.0). Potential interpretations of these findings include: (1) the indicators (i.e., symptoms) need refinement; or (2) relevant symptoms have yet to be identified. (C) 2010 Elsevier Ltd. All rights reserved.

引用

页码：411 / 421

页数：11

共 55 条

[1]

American Psychiatric Association, 2013, Diagnostic and statistical manual of mental disorders, DOI 10.1176/appi.books.9780890425596

[2] Genetics of PTSD: Fear Conditioning as a Model for Future Research [J].

Amstadter, Ananda B. ;

Nugent, Nicole R. ;

Koenen, Karestan C. .

PSYCHIATRIC ANNALS, 2009, 39 (06) :358-+

[3]

[Anonymous], 2010, MPLUS TECHNICAL APPE

[4] Dimensionality of posttraumatic stress disorder symptoms in children exposed to disaster: Results from confirmatory factor analyses [J].

Anthony, JL ;

Lonigan, CJ ;

Hecht, SA .

JOURNAL OF ABNORMAL PSYCHOLOGY, 1999, 108 (02) :326-336

[5] Dimensionality of posttraumatic stress symptoms: a confirmatory factor analysis of DSM-IV symptom clusters and other symptom models [J].

Asmundson, GJG ;

Frombach, I ;

McQuaid, J ;

Pedrelli, P ;

Lenox, R ;

Stein, MB .

BEHAVIOUR RESEARCH AND THERAPY, 2000, 38 (02) :203-214

[6]

Blake D.D., 1990, BEHAV THERAPIST, V18, P187

[7] Autonomic and respiratory characteristics of posttraumatic stress disorder and panic disorder [J].

Blechert, Jens ;

Michael, Tanja ;

Grossman, Paul ;

Lajtman, Marta ;

Wilhelm, Frank H. .

PSYCHOSOMATIC MEDICINE, 2007, 69 (09) :935-943

[8] TRIPARTITE MODEL OF ANXIETY AND DEPRESSION - PSYCHOMETRIC EVIDENCE AND TAXONOMIC IMPLICATIONS [J].

CLARK, LA ;

WATSON, D .

JOURNAL OF ABNORMAL PSYCHOLOGY, 1991, 100 (03) :316-336

[9] Diagnostic alterations for post-traumatic stress disorder: examining data from the National Comorbidity Survey Replication and National Survey of Adolescents [J].

Elhai, Jon D. ;

Ford, Julian D. ;

Ruggiero, Kenneth J. ;

Frueh, B. Christopher .

PSYCHOLOGICAL MEDICINE, 2009, 39 (12) :1957-1966

[10] Assessing Posttraumatic Stress Disorder With or Without Reference to a Single, Worst Traumatic Event: Examining Differences in Factor Structure [J].

Elhai, Jon D. ;

Engdahl, Ryan M. ;

Palmieri, Patrick A. ;

Naifeh, James A. ;

Schweinle, Amy ;

Jacobs, Gerard A. .

PSYCHOLOGICAL ASSESSMENT, 2009, 21 (04) :629-634

← 1 2 3 4 5 6 →