Clinical presentations in combat veterans diagnosed with posttraumatic stress disorder
Clinical presentations in combat veterans diagnosed with posttraumatic stress disorder
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DOI：
10.1002/jclp.10135
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发表时间：
2003-03-01
影响因子：
3
通讯作者：
Hamner, MB
中科院分区：
文献类型：
--
作者：
Elhai, JD;Frueh, BC;Hamner, MB
本文通过对明尼苏达多相人格量表 2（MMPI-2；Butcher、Graham、Ben-Porath、Tellegen、Dahlstrom 和 Kaemmer，2001）临床和有效性量表进行聚类分析，调查了被诊断患有创伤后应激障碍 (PTSD) 的男性退伍军人的症状模式亚型。参与者是 126 名退伍军人，他们在退伍军人事务医疗中心寻求门诊治疗，以治疗与战斗相关的创伤后应激障碍 (PTSD)。使用多种统计方法评估了两个拟合良好的 MMPI-2 聚类解决方案（四聚类解决方案和三聚类解决方案）。确定了最适合数据的四集群解决方案。后续分析证明了 MMPI-2“假坏”量表和内容量表、贝克抑郁量表（BDI；Beck、Ward、Mendelson、Mock 和 Erbaugh，1961）、解离体验量表（DES；Bernstein 和 Putnam，1986）、密西西比战斗 PTSD 量表（M-PTSD；Keane、Caddall 和 Taylor， 1988），临床医生-Ad 制定了 PTSD 量表（CAPS-1；Blake 等人，1990）。集群在残疾寻求状况、就业状况和收入方面也存在差异。简要讨论了使用 MMPI-2 对患有 PTSD 的退伍军人进行研究和临床实践的影响。 (C) 2003 年 Wiley 期刊公司。
This article investigated subtypes of symptom patterns among male combat veterans diagnosed with posttraumatic stress disorder (PTSD) through a cluster analysis of their Minnesota Multiphasic Personality Inventory-2 (MMPI-2; Butcher, Graham, Ben-Porath, Tellegen, Dahlstrom, & Kaemmer, 2001) clinical and validity scales. Participants were 126 veterans seeking outpatient treatment for combat-related PTSD at a Veterans Affairs Medical Center. Two well-fitting MMPI-2 cluster solutions (a four-cluster solution and a three-cluster solution) were evaluated with several statistical methods. A four-cluster solution was determined to best fit the data. Follow-up analyses demonstrated between-cluster differences on MMPI-2 "fake bad" scales and content scales, the Beck Depression Inventory (BDI; Beck, Ward, Mendelson, Mock, & Erbaugh, 1961), Dissociative Experiences Scale (DES; Bernstein & Putnam, 1986), Mississippi Combat PTSD scale (M-PTSD; Keane, Caddall, & Taylor, 1988), and Clinician-Ad ministered PTSD Scale (CAPS-1; Blake et al., 1990). Clusters also were different in disability-seeking status, employment status, and income. Implications for research and clinical practice using the MMPI-2 with combat veterans presenting with PTSD are briefly addressed. (C) 2003 Wiley Periodicals, Inc.