Prospective associations between DSM–5 PTSD symptom clusters and suicidal ideation in treatment-seeking veterans.

2019 ◽  
Vol 16 (2) ◽  
pp. 321-328 ◽  
Author(s):  
Adam G. Horwitz ◽  
Lynsey Miron ◽  
Kelly P. Maieritsch
Keyword(s):  
Suicidal Ideation ◽  
Ptsd Symptom ◽  
Symptom Clusters ◽  
Treatment Seeking ◽  
Dsm 5

scholarly journals Associations Between PTSD Symptom Custers and Longitudinal Changes in Suicidal Ideation: Comparison Between 4-Factor and 7-Factor Models of DSM-5 PTSD Symptoms

2021 ◽  
Vol 12 ◽  
Author(s):  
Che-Sheng Chu ◽  
Po-Han Chou ◽  
Shao-Cheng Wang ◽  
Masaru Horikoshi ◽  
Masaya Ito
Keyword(s):  
Suicidal Ideation ◽  
Externalizing Behavior ◽  
Ptsd Symptom ◽  
Factor Model ◽  
Symptom Clusters ◽  
Ptsd Symptoms ◽  
Longitudinal Changes ◽  
Dsm 5 ◽  
Using Data

Objective: The association between posttraumatic stress disorder (PTSD) and suicidal ideation (SI) is well-known. However, a few studies have investigated the associations between PTSD symptom clusters based on the fifth edition of the Diagnostic and Statistical Manual for Mental Disorders (DSM-5) and changes in suicide risk longitudinally.Methods: We adopted a longitudinal study design using data from the National Survey for Stress and Health of 3,090 of the Japanese population. The first and second surveys were conducted on November 2016 and March 2017, respectively. The suicidal ideation attributes scale was applied to assess the severity of suicidal ideation at baseline and the follow-up period. A multivariate linear regression model was conducted to examine the associations between the 4- or 7-factor model of PTSD symptom clusters at baseline and longitudinal changes in SI.Results: Overall, 3,090 subjects were analyzed (mean age, 44.9 ± 10.9 years; 48.8% female) at Baseline, and 2,163 completed the second survey. In the 4-factor model, we found that the severity of negative alternations in cognition and mood were significantly associated with increased SI after 4 months. In the 7-factor model, we found that the severity of anhedonia and externalizing behavior at baseline was significantly associated with increased SI during the follow-up period.Conclusions: We found that the seven-factor model of DSM-5 PTSD symptoms may provide greater specificity in predicting longitudinal SI change in the general population. Closely monitoring specific PTSD core symptoms may be more effective in mitigating key clinical and functional outcomes.

DSM-5 PTSD symptom clusters and suicidal ideation in veterans

2020 ◽  
Vol 288 ◽  
pp. 112942 ◽  
Author(s):  
Lily A. Brown ◽  
Shirley Chen ◽  
Kevin Narine ◽  
Ateka A. Contractor ◽  
David Oslin
Keyword(s):  
Suicidal Ideation ◽  
Ptsd Symptom ◽  
Symptom Clusters ◽  
Dsm 5

scholarly journals A Prospective Investigation of the Impact of Distinct Posttraumatic (PTSD) Symptom Clusters on Suicidal Ideation

2017 ◽  
Vol 41 (4) ◽  
pp. 645-653 ◽  
Author(s):  
Maria Panagioti ◽  
Ioannis Angelakis ◽  
Nicholas Tarrier ◽  
Patricia Gooding
Keyword(s):  
Depressive Symptoms ◽  
Suicidal Ideation ◽  
Ptsd Symptom ◽  
Symptom Clusters ◽  
Self Report ◽  
Ptsd Symptoms ◽  
Cross Sectional ◽  
The Impact

AbstractInconsistent findings have been reported by previous cross-sectional studies regarding the association between specific posttraumatic stress disorder (PTSD) symptom clusters and suicidality. To advance the understanding of the role of specific PTSD symptoms in the development of suicidality, the primary aim of this study was to investigate the predictive effects of the three specific PTSD symptom clusters on suicidal ideation prospectively. Fifty-six individuals diagnosed with PTSD completed a two-stage research design, at baseline and 13–15 months follow-up. The clinician administered PTSD scale (CAPS) was used to assess the severity of the PTSD symptom clusters and validated self-report measures were used to assess suicidal ideation, severity of depressive symptoms and perceptions of defeat entrapment. The results showed that only the hyperarousal symptom cluster significantly predicted suicidal ideation at follow-up after controlling for baseline suicidal ideation, severity of depressive symptoms and perceptions of defeat and entrapment. These findings suggest that both disorder-specific and transdiagnostic factors are implicated in the development of suicidal ideation in PTSD. Important clinical implications are discussed in terms of predicting and treating suicidality in those with PTSD.

scholarly journals PTSD's risky behavior criterion: Relation with DSM-5 PTSD symptom clusters and psychopathology

2017 ◽  
Vol 252 ◽  
pp. 215-222 ◽  
Author(s):  
Ateka A. Contractor ◽  
Nicole H. Weiss ◽  
Paula Dranger ◽  
Camilo Ruggero ◽  
Cherie Armour
Keyword(s):  
Risky Behavior ◽  
Ptsd Symptom ◽  
Symptom Clusters ◽  
Dsm 5

scholarly journals Sexual Dysfunction in Male Canadian Armed Forces Members and Veterans Seeking Mental Health Treatment

2019 ◽  
Author(s):  
J Don Richardson ◽  
Felicia Ketcheson ◽  
Lisa King ◽  
Callista A Forchuk ◽  
Renée Hunt ◽  
...  
Keyword(s):  
Sexual Dysfunction ◽  
Sexual Desire ◽  
Ptsd Symptom ◽  
Armed Forces ◽  
Symptom Clusters ◽  
Treatment Seeking ◽  
Regression Analyses ◽  
Medication Usage ◽  
Canadian Armed Forces ◽  
Male Treatment

Abstract Introduction There is mixed evidence regarding how posttraumatic stress disorder (PTSD) symptom clusters are associated with sexual dysfunction (SD), and most studies to date have failed to account for potentially confounding variables. Our study sought to explore the unique contribution of PTSD symptom clusters on (a) lack of sexual desire or pleasure, and (b) pain or problems during sexual intercourse, after adjusting for comorbidities and medication usage. Materials and Methods Participants included 543 male treatment-seeking veterans and Canadian Armed Forces (CAF) personnel (aged <65 years), referred for treatment between September 2006 and September 2014. Each participant completed self-report measures of demographic variables, depressive symptom severity, chronic pain, alcohol misuse, and psychotropic medication usage as part of a standard clinical intake protocol. Hierarchical ordinal logistic regression analyses were used to determine the incremental contribution of PTSD symptom clusters on sexual dysfunction. Results Nearly three-quarters (71.5%) of participants reported a lack of sexual desire or pleasure and 40.0% reported pain or problems during intercourse. Regression analyses suggested that avoidant/numbing symptoms were the only symptoms to be independently associated with lacking sexual desire or pleasure (AOR = 1.10; 95% CI 1.05–1.15). None of the PTSD symptom clusters were independently associated with pain or problems during intercourse. Conclusions Sexual dysfunction is prevalent among male treatment-seeking CAF personnel and veterans. Results suggest that PTSD symptoms are differentially associated with sexual desire or pleasure concerns. Assessing sexual function among CAF personnel and veterans seeking treatment for PTSD is critical in order to treat both conditions and improve overall functioning.

scholarly journals Impulsivity facets’ predictive relations with DSM–5 PTSD symptom clusters.

2017 ◽  
Vol 9 (1) ◽  
pp. 76-79 ◽  
Author(s):  
Michelle E. Roley ◽  
Ateka A. Contractor ◽  
Nicole H. Weiss ◽  
Cherie Armour ◽  
Jon D. Elhai
Keyword(s):  
Ptsd Symptom ◽  
Symptom Clusters ◽  
Dsm 5 ◽  
Predictive Relations

Trauma Exposure, Post-traumatic Stress Symptoms, and Indices of Parenting

2020 ◽  
pp. 088626052095864
Author(s):  
Rachel Wamser-Nanney ◽  
Julia C. Sager
Keyword(s):  
Indirect Effect ◽  
Traumatic Stress ◽  
Parental Support ◽  
Ptsd Symptom ◽  
Trauma Exposure ◽  
Symptom Clusters ◽  
Post Traumatic Stress ◽  
Dsm 5 ◽  
Stress Symptoms ◽  
Post Traumatic

Previous studies have reported that trauma exposure and post-traumatic stress symptoms (PTSS) may increase the risk for parenting difficulties, yet it is not clear whether trauma exposure and PTSS independently contribute to parenting-related indices or whether there is an indirect effect of trauma exposure on parenting-related outcomes through PTSS. Further, the associations between PTSS and parenting outcomes utilizing the most recent Diagnostic and Statistical Manual ( DSM-5) post-traumatic stress disorder (PTSD) criteria are unknown. The aims of the current study were to determine: (a) whether trauma exposure and PTSS are related to parenting indices; (b) if trauma exposure is associated with parenting factors indirectly through PTSS; and (c) whether the DSM-5 PTSD symptom clusters are each linked with parenting outcomes. Participants were 225 trauma-exposed parents ( Mage = 36.81; SD = 8.32) from a Midwestern University or Amazon’s Mechanical Turk (MTurk). Cumulative trauma had an indirect effect on parental satisfaction, support, involvement, limit-setting, and autonomy via PTSS. The specific PTSD symptom clusters also demonstrated distinct ties to parenting outcomes. Higher levels of alterations in reactivity and arousal symptoms were associated with lower parental support and satisfaction, as expected. Avoidance symptoms were also inversely related to parental autonomy. However, a positive relationship was noted between intrusion symptoms and support, and changes in cognitions and mood were unrelated to parenting indices. PTSS may better explain decrements in aspects of parenting than trauma exposure. Certain types of PTSD symptoms, particularly trauma-related changes in reactivity and arousal, may be relevant in understanding and improving parenting outcomes among trauma-exposed parents.

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