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DSM-5 Posttraumatic Stress Disorder Symptom Structure in Disaster-Exposed Adolescents: Stability across Gender and Relation to Behavioral Problems
Cao, Xing1,2; Wang, Li1; Cao, Chengqi1,2; Zhang, Jianxin1; Elhai, Jon D.3,4; Li Wang
2017-05-01
Source PublicationJOURNAL OF ABNORMAL CHILD PSYCHOLOGY
Correspondent Emailwangli1@psych.ac.cn
ISSN0091-0627
SubtypeArticle
Volume45Issue:4Pages:803-814
Abstract

Given the significant modifications to posttraumatic stress disorder (PTSD) symptom criteria from DSM-IV to DSM-5, a better understanding of the dimensionality underlying DSM-5 PTSD symptoms among adolescents is needed. However, to date, whether gender moderates the latent structure of DSM-5 PTSD symptoms in youth remains unclear. Meanwhile, little is known about how distinct PTSD dimensions relate to adolescent behavioral problems. The aim of this study was to fill these gaps. A sample of 1184 disaster-exposed Chinese adolescents (53.8 % girls) with age ranging from 13 to 17 years (M = 14.3, SD = 0.8) completed the PTSD Checklist for DSM-5, and the Withdrawn, Aggressive Behavior, and Delinquent Behavior subscales of the Youth Self-Report. Confirmatory factor analyses revealed that the seven-factor hybrid PTSD model provided the best fit to the data for both girls and boys. Measurement equivalence of this model held across gender, although girls had higher mean scores than boys on some factors. Differential patterns of associations emerged between PTSD dimensions and behavioral problems, with anhedonia symptoms most strongly relating to social withdrawal, and externalizing behavior symptoms most strongly relating to aggression and delinquency. These findings further support the gender invariance and external criterion validity of the newly refined hybrid model that best represents DSM-5 PTSD symptom structure in youth, and carry implications for accurate assessment, diagnosis, and gender comparison of DSM-5 PTSD symptomatology, and potential symptom targets for PTSD intervention among adolescent disaster survivors.

KeywordPosttraumatic Stress Disorder Dsm-5 Measurement Invariance Behavioral Problems Adolescents
DOI10.1007/s10802-016-0193-1
Indexed BySSCI
Language英语
Funding OrganizationNational Key Technology Research and Development Program of China(2013BAI08B02) ; Key Research Program of the Chinese Academy of Sciences(KJZD-EW-L04) ; National Natural Science Foundation of China(31271099 ; Chinese Academy of Sciences President's International Fellowship Initiative(2016VEA019) ; Outstanding Young Investigator Foundation of the Institute of Psychology, Chinese Academy of Sciences ; 31471004)
WOS Research AreaPsychology
WOS SubjectPsychology, Clinical ; Psychology, Developmental
WOS IDWOS:000399299100014
WOS HeadingsSocial Sciences
WOS KeywordCONFIRMATORY FACTOR-ANALYSIS ; DIMENSIONAL STRUCTURE ; FIT INDEXES ; EXTERNALIZING BEHAVIORS ; FACTORIAL INVARIANCE ; NATIONAL-HEALTH ; PRIMARY-CARE ; PTSD ; VETERANS ; MODEL
Citation statistics
Document Type期刊论文
Identifierhttp://ir.psych.ac.cn/handle/311026/21341
Collection中国科学院心理健康重点实验室
Corresponding AuthorLi Wang
Affiliation1.Chinese Acad Sci, Inst Psychol, Lab Traumat Stress Studies, Key Lab Mental Hlth, 16 Lincui Rd, Beijing 100101, Peoples R China
2.Univ Chinese Acad Sci, Beijing, Peoples R China
3.Univ Toledo, Dept Psychol, Toledo, OH 43606 USA
4.Univ Toledo, Dept Psychiat, 2801 W Bancroft St, Toledo, OH 43606 USA
Recommended Citation
GB/T 7714
Cao, Xing,Wang, Li,Cao, Chengqi,et al. DSM-5 Posttraumatic Stress Disorder Symptom Structure in Disaster-Exposed Adolescents: Stability across Gender and Relation to Behavioral Problems[J]. JOURNAL OF ABNORMAL CHILD PSYCHOLOGY,2017,45(4):803-814.
APA Cao, Xing,Wang, Li,Cao, Chengqi,Zhang, Jianxin,Elhai, Jon D.,&Li Wang.(2017).DSM-5 Posttraumatic Stress Disorder Symptom Structure in Disaster-Exposed Adolescents: Stability across Gender and Relation to Behavioral Problems.JOURNAL OF ABNORMAL CHILD PSYCHOLOGY,45(4),803-814.
MLA Cao, Xing,et al."DSM-5 Posttraumatic Stress Disorder Symptom Structure in Disaster-Exposed Adolescents: Stability across Gender and Relation to Behavioral Problems".JOURNAL OF ABNORMAL CHILD PSYCHOLOGY 45.4(2017):803-814.
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