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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
First AuthorXing Cao
2019
Source PublicationJOURNAL OF CLINICAL CHILD AND ADOLESCENT PSYCHOLOGY
Correspondent Emailwangli1@psych.ac.cn
ISSN1537-4416
SubtypeArticle
Volume48Issue:2Pages:332-342
Contribution Rank1
Abstract

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.

DOI10.1080/15374416.2017.1410825
Indexed BySCI
Language英语
Funding ProjectExternal 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]
WOS Research AreaPsychology
WOS SubjectPsychology, Clinical ; Psychology, Developmental
WOS IDWOS:000460646600013
PublisherROUTLEDGE JOURNALS, TAYLOR & FRANCIS LTD
WOS KeywordPOSTTRAUMATIC-STRESS-DISORDER ; SELF-RATING SCALE ; MENTAL-HEALTH ; LONGITUDINAL TRAJECTORIES ; DEPRESSIVE REACTIONS ; SYMPTOMS ; ANXIETY ; CHILDREN ; PSYCHOPATHOLOGY ; SCREEN
Citation statistics
Document Type期刊论文
Identifierhttp://ir.psych.ac.cn/handle/311026/28615
Collection中国科学院心理健康重点实验室
Corresponding AuthorWang, Li
Affiliation1.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
Recommended Citation
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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