The DSM-5 dissociative-PTSD subtype: Can levels of depression, anxiety, hostility, and sleeping difficulties differentiate between dissociative-PTSD and PTSD in rape and sexual assault victims?
The DSM-5 dissociative-PTSD subtype: Can levels of depression, anxiety, hostility, and sleeping difficulties differentiate between dissociative-PTSD and PTSD in rape and sexual assault victims?
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DOI：
10.1016/j.janxdis.2013.12.008
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发表时间：
2014-05-01
影响因子：
10.3
通讯作者：
Elhai, Jon D.
中科院分区：
文献类型：
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作者：
Armour, Cherie;Elklit, Ask;Elhai, Jon D.
DSM-5目前在其命名中包括分离性创伤后应激障碍亚型。几项研究已经证实，在美国退伍军人和美国平民样本中都存在分离型PTSD亚型。研究已经开始评估区分分离性和非分离性创伤后应激障碍的具体因素。目前的研究采用了一种新的方法来调查在使用欧洲性侵犯和强奸受害者(N=351)时是否存在分离性FTSD亚型。利用潜伏期分析，我们假设一组离散的个体将代表分离型创伤后应激障碍亚型。我们还假设，抑郁、愤怒、敌意和睡眠困难的程度将把分离性创伤后应激障碍与没有分离的类似严重形式的创伤后应激障碍区分开来。结果表明，创伤后应激障碍分为四组，分别为基线、中度、重度和分离性创伤后应激障碍。分离型创伤后应激障碍组占样本的13.1%，在抑郁、焦虑、敌意和睡眠困难方面的平均得分明显较高。对治疗计划和新出版的DSM-5的影响进行了讨论。(C)2014爱思唯尔有限公司。保留所有权利。
The DSM-5 currently includes a dissociative-PTSD subtype within its nomenclature. Several studies have confirmed the dissociative-PTSD subtype in both American Veteran and American civilian samples. Studies have begun to assess specific factors which differentiate between dissociative vs. non-dissociative PTSD. The current study takes a novel approach to investigating the presence of a dissociative-FTSD subtype in its use of European victims of sexual assault and rape (N = 351). Utilizing latent Profile Analyses, we hypothesized that a discrete group of individuals would represent a dissociative-PTSD subtype. We additionally hypothesized that levels of depression, anger, hostility, and sleeping difficulties would differentiate dissociative-PTSD from a similarly severe form of PTSD in the absence of dissociation. Results concluded that there were four discrete groups termed baseline, moderate PTSD, high PTSD, and dissociative-PTSD. The dissociative-PTSD group encompassed 13.1% of the sample and evidenced significantly higher mean scores on measures of depression, anxiety, hostility, and sleeping difficulties. Implications are discussed in relation to both treatment planning and the newly published DSM-5. (c) 2014 Elsevier Ltd. All rights reserved.