The Latent Structure of Posttraumatic Stress Disorder Among Adolescents

The Latent Structure of Posttraumatic Stress Disorder Among Adolescents
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DOI:
10.1002/jts.20399
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发表时间:
2009-04-01
影响因子:
3.3
通讯作者:
Saunders, Benjamin E.
Saunders, Benjamin E.
中科院分区:
医学3区
文献类型:
--
作者:
Broman-Fulks, Joshtia J.;Ruggiero, Kenneth J.;Saunders, Benjamin E.

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关于创伤后应激障碍(PTD)是代表一种离散的临床综合征还是对创伤性生活事件的极端反应,人们一直在争论。最近使用主要是成人样本的税收计量研究似乎支持创伤后应激障碍的维度模型,这引发了人们对当前精神病学病因学的效用的质疑,该研究将创伤后应激障碍描述为一个独特的实体。本研究试图使用税收计量学程序在2885名青少年的全国流行病学样本中检查创伤后应激反应的潜在结构。结果与以前的分类研究一致,支持创伤后应激反应的维度模型。讨论了这些发现对公共政策的影响,以及创伤后应激反应的病因和评估。
Debate has arisen over whether posttraumatic stress disorder (PT D) is most accurately conceptualized as representing a discrete clinical syndrome or an extreme reaction to traumatic life events. Recent taxometric research using predominantly adult samples appears to support a dimensional model of PTSD, raising questions research using about the utility of current psychiatric nosology which depicts PTSD as a distinct entity. The present study sought to use taxometric procedures to examine the latent structure of posttraumatic stress reactions among a national epidemiologic sample of 2,885 adolescents. Results were consistent with previous taxometric studies in supporting in supporting a dimensional model of posttraumatic stress reactions. The implications of these findings for public policy, as well as the etiology and assessment of posttraumatic stress reactions, are discussed.