Latent profiles of DSM-5 PTSD symptoms and the "Big Five" personality traits
Latent profiles of DSM-5 PTSD symptoms and the "Big Five" personality traits
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DOI：
10.1016/j.janxdis.2015.10.005
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发表时间：
2016-01-01
影响因子：
10.3
通讯作者：
Pietrzak, Robert H.
中科院分区：
文献类型：
--
作者：
Contractor, Ateka A.;Armour, Cherie;Pietrzak, Robert H.
DSM-5 PTSD症状和人格特征的类型学进行了评估方面的应对方式和治疗偏好使用的数据从1266创伤暴露的退伍军人，其中大多数是男性（n = 1097，加权89.6%）。潜在特征分析表明最适合的5类解决方案; PTSD无症状和情绪稳定（Cl）;主要的再体验和回避症状和情绪不太稳定（C2）;亚综合征PTSD（C3）;情绪/认知的主要负面变化和组合的内化-外化特征（C4）;和高PTSD严重程度和组合的内化-外化特征（C5）。与C5相比，Cl成员不太可能使用自我分心，否认和物质使用，更可能使用积极应对; C2和C4成员不太可能使用否认，更可能使用行为脱离; C3成员不太可能使用否认和工具应对，更可能使用积极应对;大多数班级不太可能寻求心理健康治疗。与C1相比，C2成员更倾向于使用自我分心、物质使用、行为脱离，更不倾向于使用积极应对，C3成员更倾向于使用自我分心、物质使用，更不倾向于使用积极重构和接纳;和C4成员更可能使用否认，物质使用，情感支持和行为脱离，而不太可能使用积极应对，积极的重构和接受;所有班级都更有可能寻求心理健康治疗。情绪稳定性是最具特色的类型。其他影响进行了讨论。(C)2015爱思唯尔有限公司版权所有。
Typologies of DSM-5 PTSD symptoms and personality traits were evaluated in regard to coping styles and treatment preferences using data from 1266 trauma-exposed military veterans of which the majority were male (n = 1097; weighted 89.6%). Latent profile analyses indicated a best-fitting 5-class solution; PTSD asymptomatic and emotionally stable (Cl); predominant re-experiencing and avoidance symptoms and less emotionally stable (C2); subsyndromal PTSD (C3); predominant negative alterations in mood/cognitions and combined internalizing-externalizing traits (C4); and high PTSD severity and combined internalizing-externalizing traits (C5). Compared to C5, Cl members were less likely to use self-distraction, denial, and substance use and more likely to use active coping; C2 and C4 members were less likely to use denial and more likely to use behavioral disengagement; C3 members were less likely to use denial and instrumental coping and more likely to use active coping; most classes were less likely to seek mental health treatment. Compared to Cl, C2 members were more likely to use self-distraction, substance use, behavioral disengagement and less likely to use active coping; C3 members were more likely to use self-distraction, and substance use, and less likely to use positive reframing, and acceptance; and C4 members were more likely to use denial, substance use, emotional support, and behavioral disengagement, and less likely to use active coping, positive reframing, and acceptance; all classes were more likely to seek mental health treatment. Emotional stability was most distinguishing of the typologies. Other implications are discussed. (C) 2015 Elsevier Ltd. All rights reserved.