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https://hdl.handle.net/2440/63121
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Type: | Journal article |
Title: | A longitudinal analysis of posttraumatic stress disorder symptoms and their relationship with Fear and Anxious-Misery disorders: Implications for DSM-V |
Author: | Forbes, D. Parslow, R. Creamer, M. O'Donnell, M. Bryant, R. McFarlane, A. Silove, D. Shalev, A. |
Citation: | Journal of Affective Disorders, 2010; 127(1-3):147-152 |
Publisher: | Elsevier Science BV |
Issue Date: | 2010 |
ISSN: | 0165-0327 1573-2517 |
Statement of Responsibility: | David Forbes, Ruth Parslow, Mark Creamer, Meaghan O'Donnell, Richard Bryant, Alexander McFarlane, Derrick Silove, Arieh Shalev |
Abstract: | This paper examined the hypothesis that PTSD-unique symptom clusters of re-experiencing, active avoidance and hyperarousal were more related to the fear/phobic disorders, while shared PTSD symptoms of dysphoria were more closely related to Anxious-Misery disorders (MDD/GAD). Confirmatory factor and correlation analyses examining PTSD, anxiety and mood disorder data from 714 injury survivors interviewed 3, 12 and 24-months following their injury supported this hypothesis with these relationships remaining robust from 3-24 months posttrauma. Of the nine unique fear-oriented PTSD symptoms, only one is currently required for a DSM-IV diagnosis. Increasing emphasis on PTSD fear symptoms in DSM-V, such as proposed DSM-V changes to mandate active avoidance, is critical to improve specificity, ensure inclusion of dimensionally distinct features and facilitate tailoring of treatment. |
Keywords: | Trauma PTSD Fear Anxious-Misery Factors Latent |
Rights: | Copyright © 2010 Elsevier B.V. All rights reserved. |
DOI: | 10.1016/j.jad.2010.05.005 |
Grant ID: | http://purl.org/au-research/grants/nhmrc/359284 http://purl.org/au-research/grants/nhmrc/300304 |
Published version: | http://dx.doi.org/10.1016/j.jad.2010.05.005 |
Appears in Collections: | Aurora harvest Public Health publications |
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