{"title":"跨诊断系统和潜在影响调查分离性和复杂创伤后应激障碍的危险因素:潜在类别分析。","authors":"Maj Hansen, Martin Robinson, Cherie Armour","doi":"10.1037/tra0001851","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>Posttraumatic stress disorder (PTSD) and more complex posttraumatic symptomatology (i.e., dissociative PTSD [D-PTSD] and complex PTSD [CPTSD]) are differently described in the <i>Diagnostic and Statistical Manual of Mental Disorders</i> (5th ed.; <i>DSM-5</i>) and the <i>International Classification of Diseases</i> (11th ed.; <i>ICD-11</i>). Although the choice of system may affect diagnostic prevalence rates and treatment outcome, less is known about the more complex symptoms and their associated risk factors.</p><p><strong>Method: </strong>To investigate both D-PSTD and CPTSD in Northern Irish military veterans (<i>n</i> = 436) using latent class analysis and associated risk factors to gain a deeper understanding of the potential implications of applying one diagnostic system instead of the other.</p><p><strong>Results: </strong>The latent class analyses revealed a <i>DSM-5</i> four-class solution and an <i>ICD-11</i> five-class solution with both a highly symptomatic D-PTSD class (27.52%) and CPTSD class (27.9%) identified. Similar associations with risk factors were found across the diagnostic systems (e.g., medium to strong effect sizes for prior traumatic exposure, depression, anxiety, dissociation, and alcohol use).</p><p><strong>Conclusions: </strong>Both D-PTSD and CPTSD appear to be highly prevalent among Northern Irish veterans, and interestingly, similar effect sizes were found for the investigated risk factors for highly symptomatic groups across diagnostic systems. Research is needed to determine the generalizability of the results. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":20982,"journal":{"name":"Psychological trauma : theory, research, practice and policy","volume":" ","pages":"1680-1690"},"PeriodicalIF":2.3000,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Investigating risk factors of dissociative and complex posttraumatic stress disorder across diagnostic systems and potential implications: Latent class analyses.\",\"authors\":\"Maj Hansen, Martin Robinson, Cherie Armour\",\"doi\":\"10.1037/tra0001851\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objective: </strong>Posttraumatic stress disorder (PTSD) and more complex posttraumatic symptomatology (i.e., dissociative PTSD [D-PTSD] and complex PTSD [CPTSD]) are differently described in the <i>Diagnostic and Statistical Manual of Mental Disorders</i> (5th ed.; <i>DSM-5</i>) and the <i>International Classification of Diseases</i> (11th ed.; <i>ICD-11</i>). Although the choice of system may affect diagnostic prevalence rates and treatment outcome, less is known about the more complex symptoms and their associated risk factors.</p><p><strong>Method: </strong>To investigate both D-PSTD and CPTSD in Northern Irish military veterans (<i>n</i> = 436) using latent class analysis and associated risk factors to gain a deeper understanding of the potential implications of applying one diagnostic system instead of the other.</p><p><strong>Results: </strong>The latent class analyses revealed a <i>DSM-5</i> four-class solution and an <i>ICD-11</i> five-class solution with both a highly symptomatic D-PTSD class (27.52%) and CPTSD class (27.9%) identified. Similar associations with risk factors were found across the diagnostic systems (e.g., medium to strong effect sizes for prior traumatic exposure, depression, anxiety, dissociation, and alcohol use).</p><p><strong>Conclusions: </strong>Both D-PTSD and CPTSD appear to be highly prevalent among Northern Irish veterans, and interestingly, similar effect sizes were found for the investigated risk factors for highly symptomatic groups across diagnostic systems. Research is needed to determine the generalizability of the results. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>\",\"PeriodicalId\":20982,\"journal\":{\"name\":\"Psychological trauma : theory, research, practice and policy\",\"volume\":\" \",\"pages\":\"1680-1690\"},\"PeriodicalIF\":2.3000,\"publicationDate\":\"2025-11-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Psychological trauma : theory, research, practice and policy\",\"FirstCategoryId\":\"102\",\"ListUrlMain\":\"https://doi.org/10.1037/tra0001851\",\"RegionNum\":2,\"RegionCategory\":\"心理学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2025/1/23 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"Q2\",\"JCRName\":\"PSYCHIATRY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Psychological trauma : theory, research, practice and policy","FirstCategoryId":"102","ListUrlMain":"https://doi.org/10.1037/tra0001851","RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/1/23 0:00:00","PubModel":"Epub","JCR":"Q2","JCRName":"PSYCHIATRY","Score":null,"Total":0}
引用次数: 0
摘要
目的:《精神障碍诊断与统计手册》(第5版)对创伤后应激障碍(PTSD)和更复杂的创伤后症状(即分离性PTSD [D-PTSD]和复杂PTSD [CPTSD])有不同的描述;DSM-5)和国际疾病分类(第11版);ICD-11)。虽然系统的选择可能会影响诊断患病率和治疗结果,但对更复杂的症状及其相关危险因素知之甚少。方法:对北爱尔兰退伍军人(n = 436)的D-PSTD和CPTSD进行潜在分类分析和相关危险因素分析,以更深入地了解应用一种诊断系统而不是另一种诊断系统的潜在影响。结果:潜在类别分析显示,DSM-5的四类解决方案和ICD-11的五类解决方案均确定为高度症状D-PTSD类别(27.52%)和CPTSD类别(27.9%)。在整个诊断系统中发现了与风险因素的类似关联(例如,先前创伤暴露、抑郁、焦虑、分离和酒精使用的中等至强效应大小)。结论:D-PTSD和CPTSD在北爱尔兰退伍军人中似乎都非常普遍,有趣的是,在不同诊断系统中,对高症状组的调查风险因素发现了相似的效应大小。需要进行研究以确定结果的普遍性。(PsycInfo Database Record (c) 2025 APA,版权所有)。
Investigating risk factors of dissociative and complex posttraumatic stress disorder across diagnostic systems and potential implications: Latent class analyses.
Objective: Posttraumatic stress disorder (PTSD) and more complex posttraumatic symptomatology (i.e., dissociative PTSD [D-PTSD] and complex PTSD [CPTSD]) are differently described in the Diagnostic and Statistical Manual of Mental Disorders (5th ed.; DSM-5) and the International Classification of Diseases (11th ed.; ICD-11). Although the choice of system may affect diagnostic prevalence rates and treatment outcome, less is known about the more complex symptoms and their associated risk factors.
Method: To investigate both D-PSTD and CPTSD in Northern Irish military veterans (n = 436) using latent class analysis and associated risk factors to gain a deeper understanding of the potential implications of applying one diagnostic system instead of the other.
Results: The latent class analyses revealed a DSM-5 four-class solution and an ICD-11 five-class solution with both a highly symptomatic D-PTSD class (27.52%) and CPTSD class (27.9%) identified. Similar associations with risk factors were found across the diagnostic systems (e.g., medium to strong effect sizes for prior traumatic exposure, depression, anxiety, dissociation, and alcohol use).
Conclusions: Both D-PTSD and CPTSD appear to be highly prevalent among Northern Irish veterans, and interestingly, similar effect sizes were found for the investigated risk factors for highly symptomatic groups across diagnostic systems. Research is needed to determine the generalizability of the results. (PsycInfo Database Record (c) 2025 APA, all rights reserved).
期刊介绍:
Psychological Trauma: Theory, Research, Practice, and Policy publishes empirical research on the psychological effects of trauma. The journal is intended to be a forum for an interdisciplinary discussion on trauma, blending science, theory, practice, and policy.
The journal publishes empirical research on a wide range of trauma-related topics, including:
-Psychological treatments and effects
-Promotion of education about effects of and treatment for trauma
-Assessment and diagnosis of trauma
-Pathophysiology of trauma reactions
-Health services (delivery of services to trauma populations)
-Epidemiological studies and risk factor studies
-Neuroimaging studies
-Trauma and cultural competence