All PTSD symptoms are highly associated with general distress: ramifications for the dysphoria symptom cluster.
All PTSD symptoms are highly associated with general distress: ramifications for the dysphoria symptom cluster.
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DOI：
10.1037/a0018477
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发表时间：
2010-02
影响因子：
4.6
通讯作者：
Miles, Jeremy N. V.
中科院分区：
文献类型：
--
作者：
Marshall, Grant N.;Schell, Terry L.;Miles, Jeremy N. V.
本研究使用从两个遭受创伤的样本（即社区暴力幸存者（N = 294）和野火撤离者（N = 234））收集的纵向数据来检验拟议重新制定创伤后应激障碍（PTSD）症状结构的关键主张。这个理论，我们称之为 PTSD-烦躁症模型，假设 PTSD 的 17 种症状中有 8 种反映了烦躁症或一般心理困扰，并且可能会被弱化以提高 PTSD 结构的效用。对于每个样本，我们分析了两个时间点的 PTSD 症状和一般痛苦的测量结果。每个样本的评估都观察到了一致的结果：所有 17 种 PTSD 症状都与一般痛苦的测量高度相关。此外，我们没有发现任何证据表明烦躁症状比 PTSD 特定症状与一般痛苦的相关性更高。结果对区分 PTSD 相对特有的症状和一般心理困扰的更广泛特征的症状的概念基础和临床效用提出了质疑。
This study used longitudinal data collected from two trauma-exposed samples, i.e., survivors of community violence (N = 294) and wildfire evacuees (N = 234) to examine a key claim underlying a proposed reformulation of the symptom structure of posttraumatic stress disorder (PTSD). This theory, which we term the PTSD-Dysphoria model, posits that 8 of 17 symptoms of PTSD reflect dysphoria or general psychological distress and might be deemphasized to improve the utility of the PTSD construct. For each sample, we analyzed PTSD symptoms and measures of general distress administered at two time points. A consistent pattern of findings was observed across assessments for each sample: all 17 PTSD symptoms were highly associated with measures of general distress. Moreover, we found no evidence that dysphoria symptoms were more highly correlated than PTSD-specific symptoms with general distress. Results call into question both the conceptual basis and the clinical utility of differentiating between symptoms that appear to be relatively specific to PTSD and those that seem more broadly characteristic of general psychological distress.
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DOI：
10.1080/10705519909540118
发表时间：
1999-01-01
影响因子：
6
作者：
Hu, Li-tze;Bentler, Peter M.
通讯作者：
Bentler, Peter M.
影响因子：
4.6
作者：
Marshall, Grant N.;Schell, Terry L.;Shetty, Vivek
通讯作者：
Shetty, Vivek
影响因子：
3.3
作者：
Miles, Jeremy N. V.;Marshall, Grant N.;Schell, Terry L.
通讯作者：
Schell, Terry L.
影响因子：
4.6
作者：
Brown, TA;Chorpita, BF;Barlow, DH
通讯作者：
Barlow, DH
影响因子：
5.9
作者：
Andrykowski, MA;Cordova, MJ;Miller, TW
通讯作者：
Miller, TW