Gender differences in the factor structure of posttraumatic stress disorder symptoms in war-exposed adolescents

Journal of Anxiety Disorders

Volumn 25, Issue 4, 2011, Pages 604-611

  Armour, Cherie ^a,b   Elhai, Jon D ^c   Layne, Christopher M ^d   Shevlin, Mark ^b   Duraković Belko, Elvira ^e   Djapo, Nermin ^e   Pynoos, Robert S ^d  

^a UNIVERSITY OF SOUTHERN DENMARK   (Denmark)

^b UNIVERSITY OF ULSTER   (United Kingdom)

^c UNIVERSITY OF TOLEDO   (United States)

^d UNIVERSITY OF CALIFORNIA   (United States)

^e UNIVERSITY OF SARAJEVO   (Bosnia and Herzegovina)

Author keywords

Adolescents; CFA; Gender; PTSD; War exposed

Indexed keywords

ADOLESCENT; ARTICLE; AVOIDANCE BEHAVIOR; BOSNIA AND HERZEGOVINA; CONTROLLED STUDY; FACTORIAL ANALYSIS; FEMALE; HIGH SCHOOL STUDENT; HUMAN; HYPERAROUSAL; MALE; NUMBING; POSTTRAUMATIC STRESS DISORDER; PSYCHOLOGICAL AND PSYCHIATRIC PHENOMENA; REEXPERIENCING; SEX DIFFERENCE; WAR;

ADOLESCENT; BOSNIA-HERZEGOVINA; FACTOR ANALYSIS, STATISTICAL; FEMALE; HUMANS; LIFE CHANGE EVENTS; MALE; MODELS, PSYCHOLOGICAL; PSYCHOMETRICS; SEX FACTORS; STRESS DISORDERS, POST-TRAUMATIC; WAR;

EID: 79953730260     PISSN: 08876185     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.janxdis.2011.01.010     Document Type: Article

References (81)

1. American Psychiatric Association Diagnostic and statistical manual of mental disorders 1980, American Psychiatric Association, Washington, DC. 3rd ed.
2. American Psychiatric Association Diagnostic and statistical manual of mental disorders 1994, American Psychiatric Association, Washington, DC. 4th ed.
3. American Psychiatric Association. DSM-5 Development (2010). Proposed draft revisions to DSM disorders and criteria. Retrieved March 16, 2010, from http://www.dsm5.org/ProposedRevisions/.
4. Armour, C., McBride, O., Shevlin, M., & Adamson, G. Testing the robustness of the dysphoria factor of the Simms et al. (2002) Model of PTSD. Psychological Trauma: Theory, Research, Practice and Policy, in press.
5. Armour C., Shevlin M. Testing the dimensionality of PTSD and the specificity of the dysphoria factor. Journal of Loss and Trauma 2010, 15:11-27.
6. Asmundson G., Stapleton J.A., Taylor S. Are avoidance and numbing distinct PTSD symptom clusters?. Journal of Traumatic Stress 2004, 7:467-475.
7. Bentler P.M. Comparative fit indices in structural models. Psychological Bulletin 1990, 107:238-246.
8. Blake D., Weathers F., Nagy L., Kaloupek D., Klauminzer G., Charney D., et al. A clinician rating scale for assessing current and lifetime PTSD: the CAPS-1. Behavior Therapist 1990, 13:187-188.
9. Boelen P.A., van den Hout M.A., van den Bout J. The factor structure of posttraumatic stress disorder symptoms among bereaved individuals: a confirmatory factor analysis. Journal of Anxiety Disorders 2008, 22:1377-1383.
10. Breslau N., Kessler R.C., Chilcoat H.D., Schultz L.R., Davis G.C., Andreski P. Posttraumatic stress disorder in the community: the 1996 Detroit area survey of trauma. Archives of General Psychiatry 1998, 55:626-632.
11. Breslau N., Davis G. Posttraumatic stress disorder in an urban population of young adults: risk factors for chronicity. American Journal of Psychiatry 1992, 149:671-675.
12. Breslau N., Davis G.C., Andreski P., Peterson E. Traumatic events and PTSD in an urban population of young adults. Archives of General Psychiatry 1991, 48:216-222.
13. Breslau N., Chilcoat H.D., Kessler R.C., Davis G.C. Previous exposure to trauma and PTSD effects of subsequent trauma: results from the Detroit area survey of trauma. American Journal of Psychiatry 1999, 156:902-907.
14. Breslau N., Davis G.C., Andreski P., Peterson E.L., Schultz L.R. Sex differences in posttraumatic stress disorder. Archives of General Psychiatry 1997, 54:1044-1048.
15. Brewin C.R., Andrews B., Rose S. Fear, helplessness and horror in posttraumatic stress disorder: investigating DSM-IV criterion A2 in victims of violent crime. Journal of Traumatic Stress 2000, 13:400-509.
16. Clohessy S., Ehlers A. PTSD symptoms, responses to intrusive memories and coping in ambulance service workers. British Journal of Clinical Psychology 1999, 38:251-265.
17. Coffey S.F., Dansky B.S., Falsetti S.A., Saladin M.E., Brady K.T. Screening for PTSD in a substance abuse sample: psychometric properties of a modified version of the PTSD symptom scale self-report. Journal of Traumatic Stress 1998, 11:393-399.
18. Compas B.E., Connor-Smith J.K., Saltzman H., Thomsen A.H., Wadsworth M.E. Coping with stress during childhood and adolescence: problems, progress, and potential in theory and research. Psychological Bulletin 2001, 127:87-127.
19. Compas B.E., Orosan P.G., Grant K.E. Adolescents stress and coping: Implications for psychopathology during adolescents. Journal of Adolescence 1993, 331-349.
20. Cox B.J., Moata N., Clara I., Asmundson G.J.G. The symptom structure of posttraumatic stress disorder in the National Comorbidity Replication Survey. Journal of Anxiety Disorders 2008, 22:1523-1528.
21. Coyne J.C., Racioppo M.W. Never the twain shall meet? Closing the gap between coping research and clinical intervention research. American Psychologist 2000, 55:655-664.
22. Durakovicó-Belko E., Kulenovicó A., {Eth}apicó R. Determinants of Posttraumatic Adjustment in Adolescents from Sarajevo Who Experienced War. Journal of Clinical Psychology 2003, 59:27-40.
23. Elhai J.D., Engdahl R.M., Palmieri P.A., Naifeh J.A., Schweinle A., Jacobs G.A. Assessing posttraumatic stress disorder with or without reference to a single, worst traumatic event: examining differences in factor structure. Psychological Assessment 2009, 21:629-634.
24. Elhai J.D., Ford J.D., Ruggiero K.J., Frueh B.C. Diagnostic alterations for posttraumatic stress disorder: examining data from the national comorbidity survey replication and national survey of adolescents. Psychological Medicine 2009, 39:1957-1966.
25. Elhai J.D., Gray M.J., Docherty A.R., Kashdan T.B., Kose S. Structural validity of the posttraumatic stress disorder checklist among college students with a trauma history. Journal of Interpersonal Violence 2007, 22:1471-1478.
26. Elhai J.D., Palmieri P.A., Biehn T.L., Frueh B.C., Magruder K.M. Posttraumatic stress disorder's frequency and intensity ratings are associated with factor structure differences in military veterans. Psychological Assessment 2010, 22. 732-728.
27. Elklit A., Armour C., Shevlin M. Testing alternative factor models of PTSD and the robustness of the dysphoria factor. Journal of Anxiety Disorders 2010, 24:147-154.
28. Elklit A., Shevlin M. The structure of PTSD symptoms: a test of alternative models using confirmatory factor analysis. British Journal of Clinical Psychology 2007, 46:299-313.
29. Fan X., Sivo S.A. Using Δ goodness-of-fit indexes in assessing mean structure invariance. Structural Equation Modeling 2009, 16:54-67.
30. Fayyad J., Karam E., Karam A.N., Tabet C.C., Ghosn M.B. PTSD in children and adolescents following war. Posttraumatic stress disorders in children and adolescents 2004, W.W. Norton, New York. R.R. Silva (Ed.).
31. Fullerton C.S., Ursano R.J., Epstein R.S., Crowley B., Vance K., Kao T., et al. Gender differences in posttraumatic stress disorder after motor vehicle accidents. American Journal of Psychiatry 2001, 158:1486-1491.
32. Gavranidou M., Rosner R. The weaker sex? Gender and posttraumatic stress disorder. Depression and Anxiety 2003, 17:130-139.
33. Gregorich S.E. Do self-report instruments allow meaningful comparisons across diverse population groups?: testing measurement invariance using the confirmatory factor analysis framework. Medical Care 2006, 44(11, Suppl. 3):S78-S94.
34. Goenjian A.K., Pynoos R.S., Steinberg A.M., Majarian L.M., Asarnow J.R., Karayan I., et al. Psychiatric co morbidity in children after the 1988 earthquake in Armenia. Journal of the American Academy of Child and Adolescent Psychiatry 1995, 43:1174-1184.
35. Harrington T., Newman E. The psychometric utility of two self-report measures of PTSD among women substance users. Addictive Behaviours 2007, 32:2788-2798.
36. Hoyt T., Yeater E.A. Comparison of posttraumatic stress disorder symptom structure models in Hispanic and white college students. Psychological Trauma; Theory, Research, Practice, and Policy 2010, 2:19-30.
37. Hu L., Bentler P.M. Cutoff criteria for fit indexes in covariance structure analysis: conventional criteria versus new alternatives. Structural Equation Modeling 1999, 6:1-55.
38. Jöreskog K., Sörbom D. LISREL 8 user's reference guide 1993, Scientific Software International, Chicago.
39. Kessler R.C., Sonnega A., Bromet E., Hughes M., Nelson C.B. Posttraumatic-stress-disorder in the national comorbidity survey. Archives of General Psychiatry 1995, 52:1048-1060.
40. King D.W., Leskin G.A., King L.A., Weathers F.W. Confirmatory factor analysis of the clinician-administered PTSD scale: evidence for the dimensionality of posttraumatic stress disorder. Psychological Assessment 1998, 10:90-96.
41. Krause E.D., Kaltman S., Goodman L.A., Dutton M.A. Longitudinal factor structure of posttraumatic stress symptoms related to intimate partner violence. Psychological Assessment 2007, 19:165-175.
42. Kuterovac-Jagodicó G. Posttraumatic Stress Symptoms in Croatian Children Exposed to War: A Prospective Study. Journal of Clinical Psychology 2003, 59:9-25.
43. Kutlac M., Layne C.M., Wood J., Saltzman W.S., Stuvland R., Pynoos R.S. Psychological adjustment in war-exposed secondary school students two years after the war: results of a large-scale risk screening survey. Sarajevo 2000: the psychosocial consequences of war. Results of empirical research from the territory of former Yugoslavia 2002, UNICEF, Sarajevo, Yugoslavia. S. Powell, E. Durakovic-Belko (Eds.).
44. Lancaster S.L., Melka S.E., Rodriguez B.F. A factor analytic comparison of five models of PTSD symptoms. Journal of Anxiety Disorders 2009, 23:269-274.
45. Layne C.M., Olsen J.A., Baker A., Legerski J.-P., Isakson B., Pašalić A., et al. Unpacking trauma exposure risk factors and differential pathways of influence: Predicting postwar mental distress in Bosnian adolescents. Child Development 2010, 81(4):1053-1076.
46. Layne C.M., Pynoos R.S., Saltzman W.R., Arslanagic B., Black M., Savjak N., et al. Trauma/grief-focused group psychotherapy: school-based post-war intervention with traumatized Bosnian adolescents. Group Dynamics: Theory, Research, and Practice 2001, 5:277-290.
47. Layne C.M., Saltzman W.R., Poppleton L., Burlingame G.M., Pasalic A., Durakovic E., et al. Effectiveness of a school-based group psychotherapy program for war-exposed adolescents: a randomized controlled trial. Journal of the American Academy of Child and Adolescent Psychiatry 2008, 47:1048-1062.
48. Layne, C. M., Stuvland, R., Saltzman, W. R., Djapo, N., & Pynoos, R. S. (1999). War Trauma Screening Index. Unpublished psychological test. University of California, Los Angeles.
49. Layne C.M., Warren J.S., Hilton S., Lin D., Pasalic A., Fulton J., et al. Measuring adolescent perceived support amidst war and disaster: the multi-sector social support inventory. Adolescents and war: How youth deal with political violence 2009, 145-176. Oxford, New York. B.K. Baker (Ed.).
50. Macksoud M.S., Aber J.L. The war experiences and psychosocial development of children in Lebanon. Child Development 1996, 67:70-88.
51. Mansfield A.J., Williams J., Hourani L.L., Babeu L.A. Measurement invariance of posttraumatic stress disorder symptoms among U.S. military personnel. Journal of Traumatic Stress 2010, 23:91-99.
52. Marshall G.N. posttraumatic stress disorder symptom checklist: factor structure and English-Spanish measurement invariance. Journal of Traumatic Stress 2004, 17:223-230.
53. McDonald S.D., Beckham J.C., Morey R., Marx C., Tupler L.A., Calhoun P.S. Factorial invariance of posttraumatic stress disorder symptoms across three veteran samples. Journal of Traumatic Stress 2008, 21:309-317.
54. McLeer S.V., Deblinger E., Henry D., Orvaschel H. Sexually abused children at high risk for post-traumatic stress disorder. Journal of the American Academy of Child and Adolescent Psychiatry 1992, 31:875-879.
55. Meredith W. Measurement invariance, factor analysis and factorial invariance. Psychometrika 1993, 58:525-543.
56. Meredith W., Teresi J.A. An essay on measurement and factorial invariance. Medical Care 2006, 44(11, Suppl. 3):S69-S77.
57. Muthén, B. O., & Muthén, L. K. (2007). Mplus (Version 5). Los Angeles, California.
58. Naifeh J.A., Elhai J.D., Kashdan T.B., Grubaugh A.L. The PTSD symptom scale's latent structure: an examination of trauma-exposed medical patients. Journal of Anxiety Disorders 2008, 22:1355-1368.
59. Norris F., Perilla J., Murphy A. Postdisaster stress in the United States and Mexico: a cross-cultural test of the multicriterion conceptual model of posttraumatic stress disorder. Journal of Abnormal Psychology 2001, 110:553-563.
60. Palmieri P.A., Fitzgerald L.F. Confirmatory factor analysis of posttraumatic stress symptoms in sexually harassed women. Journal of Traumatic Stress 2005, 18:657-666.
61. Palmieri P.A., Marshall G.N., Schell T.L. Confirmatory factor analysis of posttraumatic stress symptoms in Cambodian refugees. Journal of Traumatic Stress 2007, 20:207-216.
62. Palmieri P.A., Weathers F.W., Difede J., King D.W. Confirmatory factor analysis of the PTSD checklist and the clinician administered PTSD scale in disaster workers exposed to the world trade centre ground zero. Journal of Abnormal Psychology 2007, 116:329-341.
63. Powell, S., & Duraković-Belko, E. (Eds.) (2002). Sarajevo 2000: the psychosocial consequences of war. Results of empirical research from the territory of former Yugoslavia. Internet: http://www.psih.org/.
64. Raftery A.E. Bayesian model selection in social research. Sociological Methodology 1995, 25:111-163.
65. Saul A.L., Grant K.E., Carter J.S. Post-traumatic reactions in adolescents: how well do the DSM-IV PTSD criteria fit the real life experience of trauma exposed youth?. Journal of Abnormal Child Psychology 2008, 36:915-925.
66. Sack W.H., Clarke G.N., Seeley J. Posttraumatic stress disorder across two generations of Cambodian refuges. Journal of the American Academy of Child and Adolescent Psychiatry 1995, 24:1160-1166.
67. Schafer J.L., Graham J.W. Missing data: our view of the state of the art. Psychological Methods 2002, 7:147-177.
68. Schinka J.A., Brown L.M., Borenstein A.R., Mortimer J.A. Confirmatory factor analysis of the PTSD checklist in the elderly. Journal of Traumatic Stress 2007, 20:281-289.
69. Schnider K.R., Elhai J.D., Gray M.J. Coping style use predicts posttraumatic stress and complicated grief symptom severity among college students reporting a traumatic loss. Journal of Counseling Psychology 2007, 54:344-350.
70. Shaw J.A. Children exposed to war/terrorism. Clinical Child and Family Psychology Review 2003, 6:237-246.
71. Shevlin M., McBride O., Armour C., Adamson G. Reconciling the differences between the King et al. (1998) and Simms et al. (2002) factor models of PTSD. Journal of Anxiety Disorders 2009, 23:995-1001.
72. Simms L.J., Watson D., Doebbeling B.N. Confirmatory factor analyses of posttraumatic stress symptoms in deployed and non-deployed veterans of the Gulf War. Journal of Abnormal Psychology 2002, 111:637-647.
73. Spitzer R.L., First M.B., Wakefield J.C. Saving PTSD from itself in DSM-V. Journal of Anxiety Disorders 2007, 21:233-241.
74. Steiger J.H. Structural model evaluation and modification: an interval estimation approach. Multivariate Behavioral Research 1990, 25:173-180.
75. Stein M.B., Walker J.R., Forde D.R. Gender differences in susceptibility to posttraumatic stress disorder. Behaviour Research and Therapy 2000, 38:619-628.
76. Steinberg A.M., Brymer M., Decker K., Pynoos R.S. The UCLA PTSD reaction index. Current Psychiatry Reports 2004, 6:96-100.
77. Tolin D.F., Breslau N. Sex differences in risk of PTSD. PTSD Research Quarterly 2007, 18. Spring.
78. Tolin D.F., Foa E.B. Sex differences in trauma and posttraumatic stress disorder: a quantitative review of 25 years of research. Psychological Bulletin 2006, 132:959-992.
79. Tucker C., Lewis C. A reliability coefficient for maximum likelihood factor analysis. Psychometrika 1973, 38:1-10.
80. Watson D. Rethinking the mood and anxiety disorders: a quantitative hierarchical model for DSM-V. Journal of Abnormal Psychology 2005, 114:522-536.
81. Weathers F.W., Litz B.T., Huska J.A., Keane T.M. The PTSD checklist-civilian version (PCL-C) 1994, National Center for PTSD, Boston, MA.