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Test of the dynamic interplay between DSM-5 PTSD symptom clusters in children and adolescents
Li, Gen1,2; Wang, Li1,2; Cao, Chengqi1,2; Fang, Ruojiao1,2; Chen, Chen1,2; Qiao, Xue1,2; Yang, Haibo3; Forbes, David4; Elhai, Jon D.5,6
First AuthorLi, Gen
Correspondent Emailwangli1@psych.ac.cn (l. wang)
Contribution Rank1
Abstract

Background: Revealing the dynamic interplay between posttraumatic stress disorder (PTSD) symptom clusters has always been an important topic in traumatic stress studies. Based on longitudinal studies, different hypotheses have been proposed to explain PTSD symptom dynamics. But currently, no study have been conducted to test these hypotheses in children and adolescents. Methods: Data were derived from a longitudinal study of child and adolescent traumatic event survivors of an explosion accident (N = 659). DSM-5 PTSD symptoms was measured by the PTSD Checklist-5 (PCL-5) at 4, 8, and 13 months after the disaster. Latent difference score (LDS) modeling was used to evaluate the dynamic interplay between clusters. Results: The results of LDS model indicated that intrusion level positively predicted subsequent rate of increase for hyperarousal (p =.008) and negative changes in cognitions and mood symptoms (p =.036). Also, intrusion level trended to positively predict subsequent increase rate of avoidance symptoms (p =.059). Conclusions: This study expands previous knowledge of dynamic relations between symptom clusters during the maintenance and fluctuation of child and adolescent PTSD symptoms. By using new methodology, this study provided novel evidence for the hypothesis that intrusion symptom plays an important role in maintaining other PTSD symptoms.

KeywordPosttraumatic stress symptom Structural equation modeling Longitudinal DSM-5 Child
2020-12-01
DOI10.1016/j.janxdis.2020.102319
Source PublicationJOURNAL OF ANXIETY DISORDERS
ISSN0887-6185
Volume76Pages:5
Subtype实证研究
Indexed BySCI
Funding ProjectKey Project of the National Social Science Foundation of China[20ZDA079] ; National Natural Science Foundation of China[31471004] ; National Natural Science Foundation of China[31971020] ; Key Project of Research Base of Humanities and Social Sciences of Ministry of Education[16JJD190006] ; Key Research Program of the Chinese Academy of Sciences[ZDRW-XH-2019-4]
PublisherPERGAMON-ELSEVIER SCIENCE LTD
WOS KeywordPOSTTRAUMATIC-STRESS-DISORDER ; LONGITUDINAL COURSE ; EXPOSURE ; TRAUMA ; MODEL ; HYPERAROUSAL
WOS Research AreaPsychology ; Psychiatry
WOS SubjectPsychology, Clinical ; Psychiatry
WOS IDWOS:000591676900024
Citation statistics
Document Type期刊论文
Identifierhttp://ir.psych.ac.cn/handle/311026/33519
Collection中国科学院心理健康重点实验室
Corresponding AuthorWang, Li
Affiliation1.Chinese Acad Sci, Inst Psychol, Lab Traumat Stress Studies, CAS Key Lab Mental Hlth, Beijing, Peoples R China
2.Univ Chinese Acad Sci, Dept Psychol, Beijing, Peoples R China
3.Tianjin Normal Univ, Acad Psychol & Behav, Tianjin, Peoples R China
4.Univ Melbourne, Phoenix Australia Ctr Posttraumat Mental Hlth, Dept Psychiat, Carlton, Vic, Australia
5.Univ Toledo, Dept Psychol, Toledo, OH 43606 USA
6.Univ Toledo, Dept Psychiat, 2801 W Bancroft St, Toledo, OH 43606 USA
First Author AffilicationKey Laboratory of Mental Health, CAS
Corresponding Author AffilicationKey Laboratory of Mental Health, CAS
Recommended Citation
GB/T 7714
Li, Gen,Wang, Li,Cao, Chengqi,et al. Test of the dynamic interplay between DSM-5 PTSD symptom clusters in children and adolescents[J]. JOURNAL OF ANXIETY DISORDERS,2020,76:5.
APA Li, Gen.,Wang, Li.,Cao, Chengqi.,Fang, Ruojiao.,Chen, Chen.,...&Elhai, Jon D..(2020).Test of the dynamic interplay between DSM-5 PTSD symptom clusters in children and adolescents.JOURNAL OF ANXIETY DISORDERS,76,5.
MLA Li, Gen,et al."Test of the dynamic interplay between DSM-5 PTSD symptom clusters in children and adolescents".JOURNAL OF ANXIETY DISORDERS 76(2020):5.
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