Understanding trajectories of underlying dimensions of posttraumatic psychopathology.
Understanding trajectories of underlying dimensions of posttraumatic psychopathology.
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DOI：
10.1016/j.jad.2021.01.086
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发表时间：
2021-04-01
影响因子：
6.6
通讯作者：
Shetty V
中科院分区：
文献类型：
--
作者：
Sumner JA;Rünger D;Robles TF;Lowe SR;Elashoff D;Shetty V
研究提出了创伤后心理症状的四种模式轨迹：弹性、慢性、延迟发作、恢复。然而，大多数研究都集中在精神疾病的症状上（例如，创伤后应激障碍、抑郁症），其受到异质性和症状重叠的限制。我们研究了创伤后横切创伤后症状维度的轨迹和轨迹成员的预测因素。在这项纵向研究中，427名主要是西班牙裔/拉丁裔创伤性损伤幸存者，在住院期间和创伤后约1个月和5个月评估创伤后精神病理学症状。使用潜在类成长分析，我们估计了几个创伤后症状维度的轨迹：重新体验，回避，焦虑觉醒，麻木，焦虑觉醒，损失和威胁。然后，我们研究了社会人口统计学和创伤相关的特征（在住院期间测量）作为每个维度的轨迹成员的预测因素。四个轨迹（弹性，慢性，延迟发作，恢复）出现的所有维度，但损失和威胁，这体现了三个轨迹（弹性，慢性，延迟发作）。在各个维度中，失业（7个维度中的7个）、年龄较大（3/7）、女性（3/7）和攻击性创伤（2/7）一致预测了慢性（与弹性）轨迹的成员资格。在几个方面，失业率也区分了创伤后几天出现类似症状水平的参与者，但随着时间的推移而出现分歧。创伤后症状维度结构的测量在评估中不同。这项研究提供了创伤性损伤后跨诊断症状维度的不同轨迹的证据。就业状况成为最重要的预测轨迹成员。研究需要更好地了解这些创伤后症状维度轨迹的病因和后果。
Research suggests four modal trajectories of psychological symptoms after traumatic injury: Resilient, Chronic, Delayed Onset, Recovery. However, most studies focus on symptoms of psychiatric disorders (e.g., posttraumatic stress disorder, depression), which are limited by heterogeneity and symptom overlap. We examined trajectories of cross-cutting posttraumatic symptom dimensions following traumatic injury and predictors of trajectory membership. In this longitudinal study of 427 predominantly Hispanic/Latino traumatic injury survivors, posttraumatic psychopathology symptoms were assessed during hospitalization and approximately one and five months post-trauma. Using latent class growth analysis, we estimated trajectories of several posttraumatic symptom dimensions: re-experiencing, avoidance, anxious arousal, numbing, dysphoric arousal, loss, and threat. We then examined sociodemographic and trauma-related characteristics (measured during hospitalization) as predictors of trajectory membership for each dimension. Four trajectories (Resilient, Chronic, Delayed Onset, Recovery) emerged for all dimensions except loss and threat, which manifested three trajectories (Resilient, Chronic, Delayed Onset). Across dimensions, membership in the Chronic (vs. Resilient) trajectory was consistently predicted by unemployment (7 of 7 dimensions), followed by older age (3/7), female sex (3/7), and assaultive trauma (2/7). For several dimensions, unemployment also distinguished between participants who presented with similar symptom levels days after trauma, but then diverged over time. Measures of posttraumatic symptom dimension constructs differed across assessments. This study provides evidence of distinct trajectories across transdiagnostic symptom dimensions after traumatic injury. Employment status emerged as the most important predictor of trajectory membership. Research is needed to better understand the etiologies and consequences of these posttraumatic symptom dimension trajectories.
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DOI：
10.20982/tqmp.05.1.p011
发表时间：
2009-01-01
期刊：
TUTORIALS IN QUANTITATIVE METHODS FOR PSYCHOLOGY
影响因子：
--
作者：
Andruff, Heather;Carraro, Natasha;Louvet, Benoit
通讯作者：
Louvet, Benoit
影响因子：
34.7
作者：
Casey, B. J.;Craddock, Nick;Cuthbert, Bruce N.;Hyman, Steven E.;Lee, Francis S.;Ressler, Kerry J.
通讯作者：
Ressler, Kerry J.
DOI：
10.1097/00005373-199808000-00018
发表时间：
1998-08-01
影响因子：
--
作者：
Holbrook, TL;Anderson, JP;Hoyt, DB
通讯作者：
Hoyt, DB
影响因子：
4.4
作者：
Haagsma JA;Polinder S;Olff M;Toet H;Bonsel GJ;van Beeck EF
通讯作者：
van Beeck EF
影响因子：
2.7
作者：
Bonanno, George A.;Kennedy, Paul;Elfstrom, Mangus L.
通讯作者：
Elfstrom, Mangus L.