An evaluation of competing models for the structure of PTSD symptoms using external measures of comorbidity.

An evaluation of competing models for the structure of PTSD symptoms using external measures of comorbidity.
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DOI:
10.1002/jts.20559
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发表时间:
2010-10
影响因子:
3.3
通讯作者:
Mark W. Miller;E. Wolf;K. Harrington;T. Brown;D. Kaloupek;T. Keane
Mark W. Miller;E. Wolf;K. Harrington;T. Brown;D. Kaloupek;T. Keane
中科院分区:
医学3区
文献类型:
--
作者:
Mark W. Miller;E. Wolf;K. Harrington;T. Brown;D. Kaloupek;T. Keane

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对创伤后应激障碍(PTSD)症状结构的研究支持两个4因素模型:King(King,Leskin,King,& Weathers,1998)和Simms/沃森模型(Simms,沃森,& Doebbeling,2002)。该研究使用从1,128名越南退伍军人中提取的数据,通过比较与潜在内化共病变量和MMPI-2重组临床(RC)量表的五个量表的关联来评估它们(Tellegen et al.,2003年)。西姆斯/沃森烦躁因素未能显示出上级的收敛或判别效度与外部措施相对于麻木或过度觉醒因素的国王模型的证据。研究结果提出的建议,放弃麻木和过度觉醒症状之间的区别,有利于焦虑为基础的模型的问题。
Research on the structure of posttraumatic stress disorder (PTSD) symptoms has yielded support for two 4-factor models: the King (King, Leskin, King, & Weathers, 1998) and Simms/Watson models (Simms, Watson, & Doebbeling, 2002). This study evaluated them using data drawn from 1,128 Vietnam veterans by comparing associations with a latent internalizing comorbidity variable and five scales from the MMPI-2 Restructured Clinical (RC) Scales (Tellegen et al., 2003). The Simms/Watson dysphoria factor failed to show evidence of superior convergent or discriminant validity in association with external measures relative to the numbing or hyperarousal factors of the King model. Findings raise questions about proposals to abandon the distinction between numbing and hyperarousal symptoms in favor of a dysphoria-based model.