Alternative models of DSM-5 PTSD: Examining diagnostic implications

Murphy, Siobhan and Hansen, Maj and Elklit, Ask S.K. and Yong Chen, Yoke and Raudzah Ghazali, Siti and Shevlin, Mark (2018) Alternative models of DSM-5 PTSD: Examining diagnostic implications. Psychiatry Research, 262. pp. 378-383. ISSN 01651781

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Abstract

The factor structure of DSM-5 posttraumatic stress disorder (PTSD) has been extensively debated with evidence supporting the recently proposed seven-factor Hybrid model. However, despite myriad studies examining PTSD symptom structure few have assessed the diagnostic implications of these proposed models. This study aimed to generate PTSD prevalence estimates derived from the 7 alternative factor models and assess whether pre-established risk factors associated with PTSD (e.g., transportation accidents and sexual victimisation) produce consistent risk estimates. Seven alternative models were estimated within a confirmatory factor analytic framework using the PTSD Checklist for DSM-5 (PCL-5). Data were analysed from a Malaysian adolescent community sample (n = 481) of which 61.7% were female, with a mean age of 17.03 years. The results indicated that all models provided satisfactory model fit with statistical superiority for the Externalising Behaviours and seven-factor Hybrid models. The PTSD prevalence estimates varied substantially ranging from 21.8% for the DSM-5 model to 10.0% for the Hybrid model. Estimates of risk associated with PTSD were inconsistent across the alternative models, with substantial variation emerging for sexual victimisation. These findings have important implications for research and practice and highlight that more research attention is needed to examine the diagnostic implications emerging from the alternative models of PTSD. © 2017 Elsevier B.V.

Item Type: E-Article
Uncontrolled Keywords: Confirmatory factor analysis, Diagnostic implications, Post, traumatic stress disorder, PTSD Checklist for DSM-5,unimas, university, universiti, Borneo, Malaysia, Sarawak, Kuching, Samarahan, ipta, education, research, Universiti Malaysia Sarawak
Subjects: R Medicine > R Medicine (General)
Divisions: Academic Faculties, Institutes and Centres > Faculty of Medicine and Health Sciences
Depositing User: Ibrahim
Date Deposited: 30 Apr 2018 02:16
Last Modified: 30 Apr 2018 02:16
URI: http://ir.unimas.my/id/eprint/20211

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