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PTSD Latent Classes and Class Transitions Predicted by Distress and Fear Disorders in Disaster-Exposed Adolescents
Cao, Xing1,2; Wang, Li1,2; Cao, Chengqi1,2; Zhang, Jianxin1,2; Elhai, Jon D.1,3,4
第一作者Xing Cao
通讯作者邮箱wangli1@psych.ac.cn
心理所单位排序1
摘要

This study aimed to determine the population-based typologies of posttraumatic stress disorder (PTSD) symptomatology, the longitudinal patterns of transitions across these typologies, and the predictive effects of distress and fear disorder symptoms on these transitions in a frequently referred but scantly studied population of traumatized youth. A sample of 1,278 Chinese adolescents (54.0% girls) with a mean age of 13.4years (SD=0.8, range = 12-16) completed 2-wave surveys 2.5 and 3.5years after a major disaster. Psychopathological symptoms were assessed with the UCLA PTSD Reaction Index for DSM-IV, the Depression Self-Rating Scale for Children, and the Screen for Child Anxiety Related Emotional Disorders. Latent class analyses identified 4 classes characterized by high, reexperiencing/hypervigilance, dysphoria, and low symptoms, respectively at each time point. Latent transition analyses revealed relatively high levels of temporal stability within low symptom and dysphoria classes but relatively high probabilities of migration from re-experiencing/hypervigilance and high symptom classes into lower symptom classes. Multinomial logistic regression analyses found that some of the between-class movements during the year were predicted by baseline distress or fear disorders. This study provides an initial depiction of both quantitative and qualitative changes in youth's long-term PTSD symptom patterns over time and gives a further elucidation of other forms of posttrauma psychopathology's impacts on PTSD course. These findings carry implications for ongoing evaluation and adjustable intervention individually tailored to youth's PTSD manifestations and comorbidities in the long-term disaster aftermath.

2019
语种英语
DOI10.1080/15374416.2017.1410825
发表期刊JOURNAL OF CLINICAL CHILD AND ADOLESCENT PSYCHOLOGY
ISSN1537-4416
卷号48期号:2页码:332-342
期刊论文类型Article
收录类别SCI
资助项目External Cooperation Program of Chinese Academy of Sciences[153111KYSB20160036] ; Chinese Academy of Sciences President's International Fellowship Initiative[2016VEA019] ; National Natural Science Foundation of China[31471004] ; National Natural Science Foundation of China[31271099]
出版者ROUTLEDGE JOURNALS, TAYLOR & FRANCIS LTD
WOS关键词POSTTRAUMATIC-STRESS-DISORDER ; SELF-RATING SCALE ; MENTAL-HEALTH ; LONGITUDINAL TRAJECTORIES ; DEPRESSIVE REACTIONS ; SYMPTOMS ; ANXIETY ; CHILDREN ; PSYCHOPATHOLOGY ; SCREEN
WOS研究方向Psychology
WOS类目Psychology, Clinical ; Psychology, Developmental
WOS记录号WOS:000460646600013
引用统计
被引频次:6[WOS]   [WOS记录]     [WOS相关记录]
文献类型期刊论文
条目标识符http://ir.psych.ac.cn/handle/311026/28615
专题中国科学院心理健康重点实验室
通讯作者Wang, Li
作者单位1.Chinese Acad Sci, Lab Traumat Stress Studies, CAS Key Lab Mental Hlth, Inst Psychol, Beijing, Peoples R China
2.Univ Chinese Acad Sci, Dept Psychol, 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
推荐引用方式
GB/T 7714
Cao, Xing,Wang, Li,Cao, Chengqi,et al. PTSD Latent Classes and Class Transitions Predicted by Distress and Fear Disorders in Disaster-Exposed Adolescents[J]. JOURNAL OF CLINICAL CHILD AND ADOLESCENT PSYCHOLOGY,2019,48(2):332-342.
APA Cao, Xing,Wang, Li,Cao, Chengqi,Zhang, Jianxin,&Elhai, Jon D..(2019).PTSD Latent Classes and Class Transitions Predicted by Distress and Fear Disorders in Disaster-Exposed Adolescents.JOURNAL OF CLINICAL CHILD AND ADOLESCENT PSYCHOLOGY,48(2),332-342.
MLA Cao, Xing,et al."PTSD Latent Classes and Class Transitions Predicted by Distress and Fear Disorders in Disaster-Exposed Adolescents".JOURNAL OF CLINICAL CHILD AND ADOLESCENT PSYCHOLOGY 48.2(2019):332-342.
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