THE DISSOCIATIVE SUBTYPE OF PTSD: A REPLICATION AND EXTENSION

Depression and Anxiety, Год журнала: 2012, Номер 29(8), С. 679 - 688

Опубликована: Май 25, 2012

Background The nature of the relationship between dissociation and posttraumatic stress disorder (PTSD) has clinical nosological importance. aim this study was to evaluate evidence for a dissociative subtype PTSD in two independent samples examine pattern personality (PD) comorbidity associated with PTSD. Methods Latent profile analyses were conducted on items reflecting derealization depersonalization archived data: Study 1 included 360 male Vietnam War Veterans combat-related PTSD; 2 284 female active duty service personnel high base rate exposure sexual trauma. Results latent analysis yielded three-class solution both samples: model defined by moderate classes class marked severity coupled levels dissociation. Approximately 15% sample 30% classified into class. Women (but not men) group exhibited higher comorbid avoidant borderline PD diagnoses. Conclusions provide support also suggest that may play role frequent co-occurrence among women. These results are pertinent on-going revisions DSM consideration should be given incorporating revised criteria. Depression Anxiety 00:1–10, 2012. © 2012 Wiley Periodicals, Inc.

Язык: Английский

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Moral Injury: A Mechanism for War-Related Psychological Trauma in Military Family Members

Clinical Child and Family Psychology Review, Год журнала: 2013, Номер 16(4), С. 365 - 375

Опубликована: Июль 12, 2013

Язык: Английский

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Distinguishing war-related PTSD resulting from perpetration- and betrayal-based morally injurious events.

Psychological Trauma Theory Research Practice and Policy, Год журнала: 2017, Номер 9(6), С. 627 - 634

Опубликована: Янв. 9, 2017

We investigated whether potentially morally injurious events (PMIEs) during a combat deployment may lead to PTSD through distinct pathways from danger-based events. also examined the prevalence of perpetration-based PMIEs, which service members behaved in ways that violated their own moral values, and betrayal-based personal expectations were by trusted others.Using sample 867 active duty Marines single infantry battalion engaged heavy ground while deployed Afghanistan, structural equation model was built examine relationships between perpetration- experiences, peritraumatic dissociation reported at 1 month postdeployment, guilt/shame, anger, symptoms 8 months postdeployment.The relationship PMIEs mediated anger (β = .14). There marginal evidence mediation shame guilt .09), .08). No significant direct found any these 3 types subsequent PTSD. Perceived perpetration betrayal accounted for above beyond exposure. Over third experiencing or PMIEs.The associations with PTSD, controlling events, highlight limitations conceptualizations treatments based on fear helplessness as sole etiologic factors. (PsycINFO Database Record

Язык: Английский

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Posttraumatic Stress Disorder in DSM-5: New Criteria, New Measures, and Implications for Assessment

Psychological Injury and Law, Год журнала: 2014, Номер 7(2), С. 93 - 107

Опубликована: Апрель 26, 2014

Язык: Английский

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Transdiagnostic models of anxiety disorder: Theoretical and empirical underpinnings

Clinical Psychology Review, Год журнала: 2017, Номер 56, С. 122 - 137

Опубликована: Март 27, 2017

Язык: Английский

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Eye Movement Desensitization and Reprocessing Versus Cognitive-Behavioral Therapy for Adult Posttraumatic Stress Disorder

The Journal of Nervous and Mental Disease, Год журнала: 2015, Номер 203(6), С. 443 - 451

Опубликована: Май 14, 2015

In Brief Posttraumatic stress disorder (PTSD) is a relatively common mental disorder, with an estimated lifetime prevalence of ∼5.7%. Eye movement desensitization and reprocessing (EMDR) cognitive-behavioral therapy (CBT) are the most often studied effective psychotherapies for PTSD. However, evidence inadequate to conclude which treatment superior. Therefore, we conducted meta-analysis confirm effectiveness EMDR compared CBT adult We searched Medline, PubMed, Ebsco, Proquest, Cochrane (1989–2013) identify relevant randomized control trials comparing included 11 studies (N = 424). Although all had methodological limitations, meta-analyses total PTSD scores revealed that was slightly superior CBT. Cumulative confirmed this subscale symptoms indicated better decreased intrusion arousal severity Avoidance not significantly different between groups. may be more suitable than patients prominent or symptoms. limited number poor quality original suggest caution when drawing final conclusions. Supplemental digital content available in article.

Язык: Английский

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Adjustment disorder: A diagnosis whose time has come

Journal of Affective Disorders, Год журнала: 2017, Номер 227, С. 243 - 253

Опубликована: Окт. 23, 2017

Язык: Английский

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Evidence for two different ICD-11 posttraumatic stress disorders in a community sample of adolescents and young adults

European Archives of Psychiatry and Clinical Neuroscience, Год журнала: 2015, Номер 266(4), С. 317 - 328

Опубликована: Авг. 30, 2015

Язык: Английский

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Impact of the diagnostic changes to post-traumatic stress disorder for DSM-5 and the proposed changes to ICD-11

The British Journal of Psychiatry, Год журнала: 2014, Номер 205(3), С. 230 - 235

Опубликована: Май 9, 2014

There have been changes to the criteria for diagnosing post-traumatic stress disorder (PTSD) in DSM-5 and are proposed ICD-11.To investigate impact of diagnostic PTSD ICD-11 using a large multisite trauma-exposed sample structured clinical interviews.Randomly selected injury patients admitted four hospitals were assessed 72 months post trauma (n = 510). Structured interviews major depressive episode, as well self-report measures disability quality life administered.Current prevalence under scoring was not significantly different from DSM-IV (6.7% v. 5.9%, z 0.53, P 0.59). However, lower than ICD-10 (3.3% 9.0%, -3.8, P<0.001). The current higher 3.3%, 2.5, 0.01). Using tended show rates comorbidity with depression slightly association disability.The systems performed ways terms levels depression, but on other broad key indicators they relatively similar. overlap between those diagnosed by substantial portion met one set criteria. This represents challenge research because phenotype that is studied may be markedly according system used.

Язык: Английский

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The Youth Anxiety Measure for DSM-5 (YAM-5): Development and First Psychometric Evidence of a New Scale for Assessing Anxiety Disorders Symptoms of Children and Adolescents

Child Psychiatry & Human Development, Год журнала: 2016, Номер 48(1), С. 1 - 17

Опубликована: Май 14, 2016

The Youth Anxiety Measure for DSM-5 (YAM-5) is a new self- and parent-report questionnaire to assess anxiety disorder symptoms in children adolescents terms of the contemporary classification system. International panels childhood researchers clinicians were used construct scale consisting two parts: part one consists 28 items measures major disorders including separation disorder, selective mutism, social panic generalized whereas contains 22 that focus on specific phobias (given its overlap with situational phobias) agoraphobia. In general, face validity was good; most successfully linked intended disorders. Notable exceptions mutism items, which frequently considered as some phobia especially natural environment, other type, regularly assigned an incorrect category. A preliminary investigation YAM-5 non-clinical (N = 132) clinically referred 64) indicated measure easy complete by youngsters. addition, support found psychometric qualities measure: is, internal consistency good both parts, well subscales, parent-child agreement appeared satisfactory, there also evidence scale. holds promise tool assessing adolescents.

Язык: Английский

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