Structural relations between DSM-5 PTSD and major depression symptoms in military soldiers

Structural relations between DSM-5 PTSD and major depression symptoms in military soldiers
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DOI:
10.1016/j.jad.2015.01.034
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发表时间:
2015-04-01
影响因子:
6.6
通讯作者:
Galea, Sandro
Galea, Sandro
中科院分区:
医学2区
文献类型:
--
作者:
Elhai, Jon D.;Contractor, Ateka A.;Galea, Sandro

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背景:创伤后应激障碍(PTSD)和重性抑郁障碍(MDD)经常共病。一种解释是,这种comorphism的PTSD有一个星座的“烦躁不安”的症状,类似depression.Method:使用验证性因素分析,我们测试的作用DSM-5 PTSD的烦躁不安因素与MDD症状的躯体和非躯体的精神病理学维度。对672名俄亥俄州国民警卫队士兵进行了创伤后应激障碍(PTSD)和抑郁症(MDD)症状的DSM-5量表的流行病学调查。局限性:局限性包括普遍性的流行病学人口的创伤暴露的退伍军人,而不是平民,并依赖于销售报告measurements. Conclusions:临床精神病理学和并发症的PTSD的影响进行了讨论,包括vvhether PTSD应完善,删除其非特异性症状。(C)2015 Elsevier BM. All rights reserved.
Background: Post traumatic stress disorder (PTSD) and major depressive disorder (MDD) are frequently comorbid. One explanation for this comorbidity is that PTSD has a constellation of "dysphoria" symptoms resembling depression.Method: Using confirmatory factor analysis we tested the role of DSM-5 PTSD's dysphoria factor in relation to MDD symptom dimensions of somatic and non somatic psychopathology. 672 Ohio National Guard soldiers completed DSM-5 measures of PTSD and MDD symptoms in an epidemiological study.Results: Results indicated that in contrast to other PTSD factors, PTSD's dysphoria factor was more related to MDD's somatic and non somatic factors. Limitations: Limitations include generalizability to the epidemiological population of trauma exposed military veterans rather than civilians, and reliance on sell report measures.Conclusions: Implications concerning clinical psychopathology and comorbidity of PTSD arc discussed, including vvhether PTSD should be refined by removing its non-specific symptoms. (C) 2015 Elsevier BM. All rights reserved.