Examining the DSM-5 latent structures of posttraumatic stress disorder in a national sample of student veterans

Drake-Brooks, Malisa M.; Hinkson, Kent D.; Osteen, Philip; Bryan, Craig J.

doi:10.1016/j.janxdis.2020.102262

Cited by 5 publications

(3 citation statements)

References 52 publications

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“…Since the change in the conceptualization of PTSD to the current four-factor model used in DSM–5 , few studies have examined different factor models in order to find the best fit. Available data are conflicting, with different publications fostering a two- (e.g., Bondjers et al, 2019; Thorisdottir et al, 2020); three- (e.g., Gelaye et al, 2017); five- (e.g., Drake-Brooks et al, 2020; Gentes et al, 2014); six- (e.g., Cyniak-Cieciura et al, 2017; Drake-Brooks et al, 2020); or seven-factor model (e.g., Cyniak-Cieciura et al, 2017; Drake-Brooks et al, 2020; Hansen et al, 2017). In the current study, the two-factor model composed of the birth-related symptoms and general symptoms factors was fitting well the data, according to all fit indices.…”

Section: Discussionmentioning

confidence: 99%

Measurement and conceptualization of maternal PTSD following childbirth: Psychometric properties of the City Birth Trauma Scale—French Version (City BiTS-F).

Sandoz¹,

Hingray²,

Stuijfzand³

et al. 2022

Psychological Trauma: Theory, Research, Practice, and Policy

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Section: Discussionmentioning

confidence: 99%

Measurement and conceptualization of maternal PTSD following childbirth: Psychometric properties of the City Birth Trauma Scale—French Version (City BiTS-F).

Sandoz¹,

Hingray²,

Stuijfzand³

et al. 2022

Psychological Trauma: Theory, Research, Practice, and Policy

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show abstract

“…Later authors echoed concerns about previous factor-analytic work, suggesting that modeling factors in PTSD research using the PCL-5 has become overly data-driven and deviates from research-informed statistical and methodological approaches (Rasmussen et al, 2019). Recent factor-analytic work that incorporated these recommendations also suggested that one-factor models be further evaluated, despite highlighting the more complex multifactor models based on statistical difference testing (Drake-Brooks et al, 2020). Overall, these findings compel further research into the PCL-5 factor structure and this scale’s functioning with specific patient populations.…”

Section: Purpose Of the Studymentioning

confidence: 99%

Factor structure and psychometric performance of the PCL-5 in a clinical sample of veterans seeking treatment in a VA PTSD outpatient clinic.

Jenkins‐Guarnieri¹,

McEuin²,

Smolenski³

et al. 2023

Psychological Assessment

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There is a clear need to improve the measurement of posttraumatic symptoms in veterans seeking trauma-focused treatment. We evaluated the structure and psychometric performance of the Posttraumatic Stress Disorder (PTSD) Checklist for the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (PCL-5) in a naturalistic sample of veterans engaging in evidence-based therapy in a Veterans Affairs (VA) PTSD outpatient clinic. We collected data from 500 sequential patients at the beginning and end of treatment, evaluating the PCL-5 factor structure followed by psychometric analyses. Results align with recent research following rigorous methods and advanced statistical techniques in suggesting a unidimensional factor structure for the PCL-5, with indications for its items representing a general factor with no clear support for multiple factors or subscales aligned with specific symptom clusters. In addition, psychometric analyses suggest a wider range of potential cutoff scores predicting PTSD diagnosis that may be specific to this population or setting. Given the remaining research questions surrounding the PCL-5 and its structure and functioning specifically, as well as the evolving conceptualizations of PTSD as a psychological disorder, further research is needed to guide clinical practice and future research.

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“…In addition to their exposure to the potential trauma of combat, military personnel are under additional stressors by virtue of their immersion in military training and lifestyle. Military recruits often experience stress related to acculturating into the military, being separated from their families, and stressors inherent in military training (e.g., receiving live gunfire, parachuting from aircraft, vehicle accidents; Drake-Brooks et al, 2020; McGurk et al, 2006; van der Meulen et al, 2020). Military personnel’s exposure to a range of potentially traumatic stressors may contribute to their higher levels of resilience (Aronson et al, 2020; Isaacs et al, 2017).…”

Section: Trauma and Resiliencementioning

confidence: 99%

The effect of military service and trauma exposure on resilience.

Sanborn¹,

Yalch²,

Bongar³

2022

Traumatology

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Research suggests that military personnel are more resilient than civilians, but there are few studies on why this may be. Resilience may be a function of simply being a soldier (e.g., via selection or training) or may be a result of surviving traumatic experiences inherent in the job. However, there is little research into the degree to which military status and trauma exposure influence resilience. In this study, we address this by examining the effects of military service membership and trauma exposure on resilience in a sample of military personnel and civilian adults (N = 252). Results indicated that those who were either military members or endorsed trauma exposure were on average more resilient than those who did not. However, whereas trauma exposure increased the resilience of civilians, it contributed only minimally to military personnel's resilience. In effect, civilians exposed to trauma "caught up" to soldiers with respect to resilience. These findings are consistent with previous research suggesting that military personnel are on average more resilient than civilians, with the caveat that civilians who survive trauma have the potential to be just as a resilient.

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Examining the DSM-5 latent structures of posttraumatic stress disorder in a national sample of student veterans

Cited by 5 publications

References 52 publications

Measurement and conceptualization of maternal PTSD following childbirth: Psychometric properties of the City Birth Trauma Scale—French Version (City BiTS-F).

Measurement and conceptualization of maternal PTSD following childbirth: Psychometric properties of the City Birth Trauma Scale—French Version (City BiTS-F).

Factor structure and psychometric performance of the PCL-5 in a clinical sample of veterans seeking treatment in a VA PTSD outpatient clinic.

The effect of military service and trauma exposure on resilience.

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