Empirical research increasingly suggests that post-traumatic stress disorder (PTSD) is comprised of four factors: re-experiencing, avoidance, numbing, and hyperarousal. Nonetheless, there remains some inconsistency in the findings of factor analyses that form the bulk of this empirical literature.One source of such inconsistency may be assessment measure idiosyncrasies. To examine this issue, we conducted confirmatory factor analyses of interview and self-report data across three trauma samples. Analyses of the interview data indicated a good fit for a four-factor model across all samples; analyses of the self-report data indicated an adequate fit in two of three samples. Overall, findings suggest that measure idiosyncrasies may account for some of the inconsistency in previous factor analyses of PTSD symptoms.
KeywordsFactor structure; Measurement; Post-traumatic stress disorder; Psychological assessment; Test validity; Trauma Both the revised third edition and the fourth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-III-R, DSM-IV; American Psychiatric and Association, 1987, 1994) classify post-traumatic stress disorder (PTSD) as an anxiety disorder that develops in response to a perceived traumatic event. The diagnosis of PTSD is further characterized by three distinct symptom clusters: (1) re-experiencing of the traumatic event through such phenomena as dreams, flashbacks, and intrusive, distressing thoughts; (2) avoidance and © 2007 Elsevier Ltd. All rights reserved. * Corresponding author. Tel.: +1 714 278 8428; fax: +1 714 278 7134. cscher@fullerton.edu (C.D. Scher).. Publisher's Disclaimer: This article appeared in a journal published by Elsevier. The attached copy is furnished to the author for internal non-commercial research and education use, including for instruction at the authors institution and sharing with colleagues. Other uses, including reproduction and distribution, or selling or licensing copies, or posting to personal, institutional or third party websites are prohibited. In most cases authors are permitted to post their version of the article (e.g. (Foa, Zinbarg, & Rothbaum, 1992), and may bear different functional relationships with interpersonal functioning, with physical health, and with symptoms often found co-morbid with post-traumatic stress symptoms (Kimerling, Clum, & Wolfe, 2000;Ruscio, Weathers, King, & King, 2002;Stewart, Conrod, Pihl, & Dongier, 1999;Stewart, Pihl, Conrod, & Dongier, 1998). Thus, a clear understanding of the nature of PTSD symptom clusters has the potential to inform both knowledge of how various PTSD symptoms develop and how these symptoms relate to co-occurring difficulties.Nonetheless, since the advent of DSM-III-R, the adequacy of these clusters for describing PTSD has been questioned. Much of this questioning derives from the findings of factor analyses that have consistently reported between two and four factors, and which have not supported the three-factor, hierarchical structure of PTSD symptoms outlined in the DS...