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.

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.

Portuguese Version of the Posttraumatic Stress Disorder Checklist for DSM-5 (PCL-5): Comparison of Latent Models and Other Psychometric Properties in a Sample of Fire Fighters

2019 ◽  
Author(s):  
Teresa Carvalho ◽  
Carolina da Motta ◽  
José Pinto Gouveia
Keyword(s):  
Psychometric Properties ◽  
Externalizing Behavior ◽  
Convergent Validity ◽  
Factor Model ◽  
Latent Structure ◽  
Ptsd Symptoms ◽  
Portuguese Version ◽  
Dsm 5 ◽  
Competing Models ◽  
Arousal Model

<p>The PCL (Weathers et al., 1993) is a useful and widely used measure to assess PTSD symptoms in clinical and research contexts, exhibiting adequate psychometric properties across its several versions and translations (e. g. Carvalho et al., 2015; Wilkins et al., 2011). The current study analyzed the psychometric properties (latent structure, internal consistency, temporal reliability, and convergent validity) of the Portuguese version of the PCL for the DSM-5 (PCL-5, Weathers et al., 2013) in a sample of firefighters. This study also aimed to contribute with empirical data to clarify the best latent structure of DSM-5 PTSD symptoms. Specifically, the DSM-5 four-factor model and other competing models for PTSD symptoms (four-factor Dysphoria model, five-factor Dysphoric Arousal model, six-factor Anhedonia model, six-factor Externalizing Behavior model, and seven-factor Hybrid model) applied to PCL-5 were analyzed and compared in this paper.<br></p>

scholarly journals Portuguese Version of the Posttraumatic Stress Disorder Checklist for DSM-5 (PCL-5): Comparison of Latent Models and Other Psychometric Analyses

2019 ◽  
Author(s):  
Teresa Carvalho ◽  
Carolina da Motta ◽  
José Pinto Gouveia
Keyword(s):  
Psychometric Properties ◽  
Externalizing Behavior ◽  
Convergent Validity ◽  
Factor Model ◽  
Latent Structure ◽  
Ptsd Symptoms ◽  
Portuguese Version ◽  
Dsm 5 ◽  
Competing Models ◽  
Arousal Model

<p>The PCL (Weathers et al., 1993) is a useful and widely used measure to assess PTSD symptoms in clinical and research contexts, exhibiting adequate psychometric properties across its several versions and translations (e. g. Carvalho et al., 2015; Wilkins et al., 2011). The current study analyzed the psychometric properties (latent structure, internal consistency, temporal reliability, and convergent validity) of the Portuguese version of the PCL for the DSM-5 (PCL-5, Weathers et al., 2013) in a sample of firefighters. This study also aimed to contribute with empirical data to clarify the best latent structure of DSM-5 PTSD symptoms. Specifically, the DSM-5 four-factor model and other competing models for PTSD symptoms (four-factor Dysphoria model, five-factor Dysphoric Arousal model, six-factor Anhedonia model, six-factor Externalizing Behavior model, and seven-factor Hybrid model) applied to PCL-5 were analyzed and compared in this paper.<br></p>

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 Portuguese Version of the Posttraumatic Stress Disorder Checklist for DSM-5 (PCL-5): Comparison of Latent Models and Other Psychometric Analyses

2019 ◽  
Author(s):  
Teresa Carvalho ◽  
Carolina da Motta ◽  
José Pinto Gouveia
Keyword(s):  
Psychometric Properties ◽  
Externalizing Behavior ◽  
Convergent Validity ◽  
Factor Model ◽  
Latent Structure ◽  
Ptsd Symptoms ◽  
Portuguese Version ◽  
Dsm 5 ◽  
Competing Models ◽  
Arousal Model

<p>The PCL (Weathers et al., 1993) is a useful and widely used measure to assess PTSD symptoms in clinical and research contexts, exhibiting adequate psychometric properties across its several versions and translations (e. g. Carvalho et al., 2015; Wilkins et al., 2011). The current study analyzed the psychometric properties (latent structure, internal consistency, temporal reliability, and convergent validity) of the Portuguese version of the PCL for the DSM-5 (PCL-5, Weathers et al., 2013) in a sample of firefighters. This study also aimed to contribute with empirical data to clarify the best latent structure of DSM-5 PTSD symptoms. Specifically, the DSM-5 four-factor model and other competing models for PTSD symptoms (four-factor Dysphoria model, five-factor Dysphoric Arousal model, six-factor Anhedonia model, six-factor Externalizing Behavior model, and seven-factor Hybrid model) applied to PCL-5 were analyzed and compared in this paper.<br></p>

scholarly journals A Network Analysis of DSM-5 posttraumatic stress disorder symptoms and correlates in U.S. military veterans

2016 ◽  
Author(s):  
Eiko I Fried
Keyword(s):  
Suicidal Ideation ◽  
Cue Reactivity ◽  
Trauma Survivors ◽  
Ptsd Symptoms ◽  
Dsm 5 ◽  
Posttraumatic Stress Disorder Symptoms ◽  
Assessment And Treatment ◽  
Recent Developments ◽  
Nationally Representative ◽  
Anxiety Depression

Object: Recent developments in psychometrics enable the application ofnetwork models to analyze psychological disorders, such as PTSD. Instead ofunderstanding symptoms as indicators of an underlying common cause, thisapproach suggests symptoms co-occur in syndromes due to causalinteractions. The current study has two goals: (1) examine the networkstructure among the 20 DSM-5 PTSD symptoms, and (2) incorporate clinicallyrelevant variables to the network to investigate whether PTSD symptomsexhibit differential relationships with suicidal ideation, depression,anxiety, physical quality of life (QoL), mental QoL, age, and sex. Method:We utilized a nationally representative U.S. military veteran’s sample; andanalyzed the data from a subsample of 221 veterans who reported clinicallysignificant DSM-5 PTSD symptoms. Networks were estimated using Gaussiangraphical models and the lasso regularization. Results: The 20-item DSM-5PTSD network revealed that symptoms were positively connected within thenetwork. The most central symptoms were negative trauma-related emotions,flashbacks, detachment, and physiological cue reactivity. Especially strongconnections emerged between nightmares and flashbacks; blame of self orothers and negative trauma-related emotions, detachment and restrictedaffect; and hypervigilance and exaggerated startle response. Incorporationof clinically relevant covariates into the network revealed paths betweenself-destructive behavior and suicidal ideation; concentration difficultiesand anxiety, depression, and mental QoL; and depression and restrictedaffect. Conclusion: These results demonstrate the utility of a networkapproach in modeling the structure of DSM-5 PTSD symptoms, and suggestdifferential associations between specific DSM-5 PTSD symptoms and clinicaloutcomes in trauma survivors. Implications of these results for informingthe assessment and treatment of this disorder, are discussed.

The Association Between Posttraumatic Stress Symptoms and Anxiety Sensitivity in a College Sample

2020 ◽  
pp. 003329412094822
Author(s):  
Nicole M. Caulfield ◽  
Rachel L. Martin ◽  
Aaron M. Norr ◽  
Daniel W. Capron
Keyword(s):  
Posttraumatic Stress ◽  
Anxiety Sensitivity ◽  
Ptsd Symptom ◽  
Traumatic Event ◽  
Physical Symptoms ◽  
Symptom Clusters ◽  
Posttraumatic Stress Symptoms ◽  
Sensitivity Index ◽  
Ptsd Symptoms ◽  
Stress Symptoms

Background/Objectives One-half of all U.S. adults will experience at least one traumatic event, and of those, approximately 11% develop posttraumatic stress disorder (PTSD) symptoms. Despite efficacious treatments for PTSD, one-third of people diagnosed still express symptoms after treatment.Thus, it is important to identify underlying factors that may be associated with PTSD symptom clusters to improve treatment efficacy. One potential factor is anxiety sensitivity (AS), or “the fear of fear,” and includes three different subfactors: physical, cognitive, and social concerns, yet few studies have examined this association using the Anxiety Sensitivity Index-3. Method Participants included 65 undergraduate students from a Southeastern University who were elevated on anxiety sensitivity cognitive concerns and experienced at least one traumatic event. Participants completed measures of trauma exposure, anxiety sensitivity, posttraumatic stress symptoms, and suicidal ideation. Results Results revealed that AS physical symptoms had the most robust association with potential PTSD symptoms and individual PTSD symptom clusters with the exception of the avoidance and numbing cluster Conclusions These findings may help clarify the nature of the relationship between PTSD symptoms and AS using the most updated measure of AS (ASI-3).

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