Factor structure of PTSD, and relation with gender in trauma survivors from India.
Factor structure of PTSD, and relation with gender in trauma survivors from India.
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DOI：
10.3402/ejpt.v5.25547
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发表时间：
2014
影响因子：
5
通讯作者：
Koot HM
中科院分区：
文献类型：
--
作者：
Charak R;Armour C;Elklit A;Angmo D;Elhai JD;Koot HM
创伤后应激障碍(PTSD)的因素结构在西方国家得到了广泛的研究。一些研究已经在亚洲评估了创伤后应激障碍的因素结构(中国、斯里兰卡和马来西亚)，但很少有研究直接评估印度成年人样本中的创伤后应激障碍的因素结构。此外，在印度一个以父权制为主、性别角色强大的社会中，评估创伤后应激障碍因素与性别之间的联系变得势在必行。本研究的目的是根据DSM-IV-TR(APA，2000)中定义的创伤后应激障碍的流行模型，对创伤幸存者的印度样本进行创伤后应激障碍的因素结构评估，并评估创伤后应激障碍因素与性别之间的关系。样本包括来自印度查谟和克什米尔的313名参与者(55.9%女性)，他们经历过自然灾害(N=200)或因越境射击而流离失所(N=113)。对现有的三个创伤后应激障碍模型--两个四因素模型(情绪麻木和烦躁不安)和一个五因素模型(烦躁不安)--进行了验证性因素分析，并加入了性别作为协变量。这三个相互竞争的模型具有相似的匹配指数，尽管焦虑性唤醒模型的匹配性明显好于情绪麻木和焦虑症模型。在再体验和焦虑唤醒两个维度上存在性别差异。研究结果表明，创伤后应激障碍的焦虑性唤醒模型是最好的模型，尽管所有模型的拟合指数都很相似。与男性相比，女性在重体验和焦虑唤醒因子上得分更高。根据印度的社会环境，讨论了创伤后应激障碍的两个因素之间的性别差异。
The factor structure of posttraumatic stress disorder (PTSD) has been extensively studied in Western countries. Some studies have assessed its factor structure in Asia (China, Sri Lanka, and Malaysia), but few have directly assessed the factor structure of PTSD in an Indian adult sample. Furthermore, in a largely patriarchal society in India with strong gender roles, it becomes imperative to assess the association between the factors of PTSD and gender. The purpose of the present study was to assess the factor structure of PTSD in an Indian sample of trauma survivors based on prevailing models of PTSD defined in the DSM-IV-TR (APA, 2000), and to assess the relation between PTSD factors and gender. The sample comprised of 313 participants (55.9% female) from Jammu and Kashmir, India, who had experienced a natural disaster (N=200) or displacement due to cross-border firing (N=113). Three existing PTSD models—two four-factor models (Emotional Numbing and Dysphoria), and a five-factor model (Dysphoric Arousal)—were tested using Confirmatory Factor Analysis with addition of gender as a covariate. The three competing models had similar fit indices although the Dysphoric Arousal model fit significantly better than Emotional Numbing and Dysphoria models. Gender differences were found across the factors of Re-experiencing and Anxious arousal. Findings indicate that the Dysphoric Arousal model of PTSD was the best model; albeit the fit indices of all models were fairly similar. Compared to males, females scored higher on factors of Re-experiencing and Anxious arousal. Gender differences found across two factors of PTSD are discussed in light of the social milieu in India.
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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：
3.3
作者：
Asmundson, GJG;Stapleton, JA;Taylor, S
通讯作者：
Taylor, S
影响因子：
5
作者：
Fodor, Kinga E.;Unterhitzenberger, Johanna;Alisic, Eva
通讯作者：
Alisic, Eva
影响因子：
11.3
作者：
Contractor, Ateka A.;Layne, Christopher M.;Elhai, Jon D.
通讯作者：
Elhai, Jon D.
影响因子：
10.3
作者：
Armour, Cherie;Elhai, Jon D.;Pynoos, Robert S.
通讯作者：
Pynoos, Robert S.