A Distinction Without a Difference? A Multi-Method Approach to Understanding PTSD and Depression Symptom Overlap Among Disaster-Exposed Adolescents.

Autor: Haws JK; Department of Family Medicine, and the Adult and Child Adult & Child Center for Outcomes Research & Delivery Science, University of Colorado School of Medicine, 13199 E. Montview Blvd, Suite 300, Aurora, CO, 80045, USA. james.haws@cuanschutz.edu., Laifer LM; Department of Psychology, University of Nebraska-Lincoln, Lincoln, NE, USA., Acosta LM; Department of Psychology, University of Nebraska-Lincoln, Lincoln, NE, USA., Ralston AL; Department of Psychology, University of Nebraska-Lincoln, Lincoln, NE, USA., Ruggiero KJ; College of Nursing, Medical University of South Carolina, Charleston, SC, USA., Davidson TM; College of Nursing, Medical University of South Carolina, Charleston, SC, USA., Andrews AR 3rd; Department of Psychology, University of Nebraska-Lincoln, Lincoln, NE, USA.
Jazyk: angličtina
Zdroj: Research on child and adolescent psychopathology [Res Child Adolesc Psychopathol] 2023 Jul; Vol. 51 (7), pp. 1021-1035. Date of Electronic Publication: 2023 Mar 07.
DOI: 10.1007/s10802-023-01042-3
Abstrakt: Among adolescents exposed to trauma, posttraumatic stress disorder (PTSD) and major depressive disorder (MDD) commonly co-occur. Despite the prevalence of comorbidity, the question of how PTSD and MDD are related and appropriate conceptual models for understanding their linkage in adolescence remains unclear. This study applies a multi-methodological approach to advance conceptual and theoretical understanding of the overlap between PTSD and MDD diagnoses/symptoms. We tested three methodological approaches with three distinct theoretical underpinnings on the structure of each disorder proposed in the literature: confirmatory factor analysis (CFA) with dimensional constructs, latent class analysis (LCA) with person-based categorical constructs, and network analysis with symptom-to-symptom associations. Across the three different analytical approaches, there was a significant overlap between PTSD and MDD. Overall, there was no compelling evidence for distinct boundaries between disorders among trauma-exposed adolescents. Instead, we found considerable evidence that the typical latent-construct-based conceptualizations, whether categorical or dimensional, may need revision.
(© 2023. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.)
Databáze: MEDLINE
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