Abstract
Language | English |
---|---|
Pages | 476-483 |
Journal | Psychiatry research |
Volume | 225 |
Issue number | 3 |
DOIs | |
Publication status | Published - 2015 |
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Keywords
- ASD subtypes
- Dissociative ASD
- Intrusive ASD
- Latent profile analysis
- Risk factors
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Assessing DSM-5 latent subtypes of acute stress disorder dissociative or intrusive? / Armour, Cherie; Hansen, Maj.
In: Psychiatry research, Vol. 225, No. 3, 2015, p. 476-483.Research output: Contribution to journal › Article
TY - JOUR
T1 - Assessing DSM-5 latent subtypes of acute stress disorder dissociative or intrusive?
AU - Armour, Cherie
AU - Hansen, Maj
PY - 2015
Y1 - 2015
N2 - Acute Stress Disorder (ASD) was first included in the DSM-IV in 1994. It was proposed to account for traumatic responding in the early post trauma phase and to act as an identifier for later Posttraumatic Stress Disorder (PTSD). Unlike PTSD it included a number of dissociative indicators. The revised DSM-5 PTSD criterion included a dissociative-PTSD subtype. The current study assessed if a dissociative-ASD subtype may be present for DSM-5 ASD. Moreover, we assessed if a number of risk factors resulted in an increased probability of membership in symptomatic compared to a baseline ASD profile. We used data from 450 bank robbery victims. Latent profile analysis (LPA) was used to uncover latent profiles of ASD. Multinomial logistic regression was used to determine if female gender, age, social support, peritraumatic panic, somatization, and number of trauma exposures increased or decreased the probability of profile membership. Four latent profiles were uncovered and included an intrusion rather than dissociative subtype. Increased age and social support decreased the probability of individuals being grouped into the intrusion subtype whereas increased peritraumatic panic and somatization increased the probability of individuals being grouped into the intrusion subtype. Findings are discussed in regard to the ICD-11 and the DSM-5.
AB - Acute Stress Disorder (ASD) was first included in the DSM-IV in 1994. It was proposed to account for traumatic responding in the early post trauma phase and to act as an identifier for later Posttraumatic Stress Disorder (PTSD). Unlike PTSD it included a number of dissociative indicators. The revised DSM-5 PTSD criterion included a dissociative-PTSD subtype. The current study assessed if a dissociative-ASD subtype may be present for DSM-5 ASD. Moreover, we assessed if a number of risk factors resulted in an increased probability of membership in symptomatic compared to a baseline ASD profile. We used data from 450 bank robbery victims. Latent profile analysis (LPA) was used to uncover latent profiles of ASD. Multinomial logistic regression was used to determine if female gender, age, social support, peritraumatic panic, somatization, and number of trauma exposures increased or decreased the probability of profile membership. Four latent profiles were uncovered and included an intrusion rather than dissociative subtype. Increased age and social support decreased the probability of individuals being grouped into the intrusion subtype whereas increased peritraumatic panic and somatization increased the probability of individuals being grouped into the intrusion subtype. Findings are discussed in regard to the ICD-11 and the DSM-5.
KW - ASD subtypes
KW - Dissociative ASD
KW - Intrusive ASD
KW - Latent profile analysis
KW - Risk factors
U2 - 10.1016/j.psychres.2014.11.063
DO - 10.1016/j.psychres.2014.11.063
M3 - Article
VL - 225
SP - 476
EP - 483
JO - Psychiatry research
T2 - Psychiatry research
JF - Psychiatry research
SN - 0165-1781
IS - 3
ER -