Evidence for a dissociative subtype of PTSD by latent profile and confirmatory factor analyses in a civilian sample

Depression and Anxiety

Volumn 29, Issue 8, 2012, Pages 689-700

  Steuwe, Carolin ^a,b   Lanius, Ruth A ^a,b   Frewen, Paul A ^a,b  

^a LONDON HEALTH SCIENCES CENTRE   (Canada)

^b UNIVERSITY OF WESTERN ONTARIO   (Canada)

Author keywords

comorbidity; confirmatory factor analysis; dissociation; latent class profile analysis; PTSD; subtype

Indexed keywords

ADULT; ARTICLE; CHILD ABUSE; CHILD NEGLECT; COMORBIDITY; CONTROLLED STUDY; DEPERSONALIZATION; DISEASE ASSOCIATION; DISEASE SEVERITY; DISSOCIATIVE DISORDER; FEMALE; HUMAN; INTERVIEW; MAJOR CLINICAL STUDY; MALE; POSTTRAUMATIC STRESS DISORDER; PRIORITY JOURNAL;

ADULT; ADULT SURVIVORS OF CHILD ABUSE; COMORBIDITY; DEPERSONALIZATION; DISSOCIATIVE DISORDERS; FACTOR ANALYSIS, STATISTICAL; FEMALE; HUMANS; MALE; MIDDLE AGED; PREVALENCE; STRESS DISORDERS, POST-TRAUMATIC;

EID: 84864743579     PISSN: 10914269     EISSN: 15206394     Source Type: Journal    
DOI: 10.1002/da.21944     Document Type: Article

References (67)

1. American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders. 4th ed., text revised. Washington, DC: American Psychiatric Press; 1994.
2. Ginzberg K, Butler LD, Saltzman K, Koopman C,. Dissociative reactions in PTSD. In:, Dell PF, O'Neil JA, editors. Dissociation and the Dissociative Disorders-DSM-V and Beyond. New York: Routledge; 2009: 457-469.
3. Chu JA, Frey LM, Ganzel BL, Matthews JA,. Memories of childhood abuse: dissociation, amnesia, and corroboration. Am J Psychiat 1999; 156: 749-755. (Pubitemid 29220074)
4. van der Kolk BA, Pelcovitz D, Roth S, et al. Dissociation, somatization, and affect dysregulation: the complexity of adaptation to trauma. Am J Psychiat 1996; 153: 83-93. (Pubitemid 26230447)
5. Wolf EJ, Miller MW, Reardon AF, et al. A latent class analysis of dissociation and PTSD: evidence for a dissociative subtype. Arch Gen Psychiat, in press.
6. Dalenberg CJ, Brand BL, Gleaves DH, et al. Evaluation of the evidence for the trauma and fantasy models of dissociation. Psychol Bull, in press.
7. Waelde LC, Silvern L, Fairbank JA,. A taxometric investigation of dissociation in Vietnam veterans. J Trauma Stress 2005; 18: 359-369. (Pubitemid 46421984)
8. King DW, Leskin GA, King LA, Weathers FW,. Confirmatory factor analysis of the clinician-administered PTSD scale: evidence for the dimensionality of posttraumatic stress disorder. Psychol Assess 1998; 10: 90-96. (Pubitemid 28292793)
9. Simms LJ, Watson D, Doebbelling BN,. Confirmatory factor analyses of posttraumatic stress symptoms in deployed and nondeployed veterans of the gulf war. J Abnorm Psychol 2002; 111: 637-647. (Pubitemid 35247009)
10. van der Hart O, Nijenhuis E, Steele K, Brown D,. Trauma-related dissociation: conceptual clarity lost and found. Aust NZ J Psychiat 2004; 38: 906-914. (Pubitemid 40028894)
11. American Psychiatric Association. DSM-5 development. 2010. Available at:.
12. Bryant RA, Panasetis P,. The role of panic in acute dissociative reactions following trauma. Br J Clin Psychol 2005; 44: 489-494. (Pubitemid 41723620)
13. Sterlini GL, Bryant RA,. Hyperarousal and dissociation: a study of novice skydivers. Behav Res Ther 2002; 40: 431-437. (Pubitemid 34226602)
14. Friedman MJ,. What might the psychobiology of posttraumatic stress disorder teach us about future approaches to pharmacotherapy? J Clin Psychiat 2000; 61: 44-51. (Pubitemid 30233564)
15. Ginzberg K, Koopman C, Butler LD, et al. Evidence for a dissociative subtype of post-traumatic stress disorder among help-seeking childhood sexual abuse survivors. J Trauma Dissociation 2008; 7: 7-27.
16. Krystal JH, Bennett AL, Bremner JD, et al. Toward a cognitive neuroscience of dissociation and altered memory functions in post-traumatic stress disorder. In:, Friedman MJ, Charney DS, Deutch AY, editors. Neurobiological and Clinical Consequences of Stress: From Normal Adaptation to Post-Traumatic Stress Disorder. Philadelphia, PA: Lippincott Williams & Wilkins Publishers; 1995.
17. Briere J, Hodges M, Godbout N,. Traumatic stress, affect dysregulation, and dysfunctional avoidance: a structural equation model. J Trauma Stress 2010; 23: 767-774.
18. Briere J, Scott C,. Principles of Trauma Therapy: A Guide to Symptoms, Evaluation, and Treatment. Thousand Oaks, CA: Sage; 2006.
19. Waelde LC, Silvern L, Carlson EB, et al. Dissociation in PTSD. In:, Dell PF, O'Neil JA, editors. Dissociation and the Dissociative Disorders-DSM-V and Beyond. New York: Routledge; 2009: 447-456.
20. Lanius RA, Vermetten E, Loewenstein RJ, et al. Emotion modulation in PTSD: clinical and neurobiological evidence for a dissociative subtype. Am J Psychiat 2010; 167: 640-647.
21. Frewen PA, Lanius RA, Dozois DJA, et al. Clinical and neural correlates of alexithymia in posttraumatic stress disorder. J Abnorm Psychol 2008; 117: 171-181. (Pubitemid 351274098)
22. Carlson EB, Dalenberg C, McDade-Montez E,. Dissociation in posttraumatic stress disorder: recommendations for modifying the diagnostic criteria for PTSD. Psychol Trauma, in press.
23. Twaite JA, Rodriguez-Srednicki O,. Childhood sexual and physical abuse and adult vulnerability to PTSD: the mediating effects of attachment and dissociation. J Child Sex Abus 2004; 13: 17-38. (Pubitemid 39195526)
24. Simeon D, Yehuda R, Knutelska M, Schmeidler J,. Dissociation versus posttraumatic stress: cortisol and physiological correlates in adults highly exposed to the World Trade Center attack on 9/11. Psychiat Res 2008; 161: 325-329.
25. Marshall RD, Spitzer R, Liebowitz R,. Review and critique of the new DSM-IV diagnosis of acute stress disorder. Am J Psychiat 1999; 156: 1677-1685. (Pubitemid 29517558)
26. Griffin MG, Resick PA, Mechanic MB,. Objective assessment of peritraumatic dissociation: psychophysiological indicators. Am J Psychiat 1997; 155: 1081-1988.
27. Putman FW, Carlson EB, Ross CA, et al. Patterns of dissociation in clinical and nonclinical sample. J Nerv Ment Dis 1996; 184: 673-679. (Pubitemid 27006438)
28. Lanius RA, Bluhm R, Lanius U, Pain C,. A review of neuroimaging studies in PTSD: heterogeneity of response to symptom provocation. J Psychiatr Res 2006; 40: 709-729. (Pubitemid 44486243)
29. Lanius RA, Williamson PC, Bluhm RL, et al. Functional connectivity of dissociative responses in posttraumatic stress disorder: a functional magnetic resonance imaging investigation. Biol Psychiat 2005; 57: 873-884. (Pubitemid 40488356)
30. Lanius RA, Williamson PC, Boksman K, et al. Brain activation during script-driven imagery induced dissociative responses in PTSD: a functional magnetic resonance imaging investigation. Biol Psychiat 2002; 52: 305-311. (Pubitemid 35245969)
31. Wolf EJ, Lunney C, Miller MW, et al. The dissociative subtype in PTSD: a replication and extension. Depress Anxiety, in press.
32. Bryant RA, Harvey AG,. Acute stress disorder: a critical review of diagnostic issues. Clin Psychol Rev 1997; 17: 757-773. (Pubitemid 27505584)
33. Bernstein DP, Stein JA, Newcomb MD, et al. Development and validation of a brief screening version of the Childhood Trauma Questionnaire. Child Abuse Negl 2003; 27: 169-190. (Pubitemid 36293325)
34. Blake DD, Weathers FW, Nagy LM, et al. The development of a clinician-administered PTSD scale. J Trauma Stress 1995; 8: 75-90.et al.
35. First MB, Spitzer RL, Gibbon M, Williams JBW,. Structured Clinical Interview for DSM-IV axis I disorders, Clinician Version (SCID-CV). Washington, DC: American Psychiatric Press, Inc.; 1996.
36. Longden E, Madill A, Waterman MG,. Dissociation, trauma, and the role of lived experience: toward a new conceptualization of voice hearing. Psychol Bull 2011; 138: 28-76.
37. Bernstein EM, Putnam FW,. Development, reliability, and validity of a dissociation scale. J Nerv Ment Dis 1986; 174: 727-735. (Pubitemid 17210598)
38. Putnam FW,. Dissociative phenomena. In:, Tasman A, editor. Annual Review of Psychiatry Washington, DC: American Psychiatric; 1991: 159-174.
39. Spiegel D,. Trauma, dissociation, memory. Ann N Y Acad Sci 1997; 821: 225-338.
40. Waller NG, Putnam FW, Carlson EB,. Types of dissociation and dissociative types: a taxometric analysis of dissociative experiences. Psychol Methods 1996; 1: 300-321. (Pubitemid 126670227)
41. Weathers FW, Ruscio AM, Keane TM,. Psychometric properties of nine scoring rules for the clinician administered posttraumatic stress disorder scale. Psychol Assess 1999; 11: 124-133. (Pubitemid 29279327)
42. Muthén LK, Muthén BO, MPlus. Los Angeles, CA: Muthén & Muthén; 2007.
43. Schwartz G,. Estimating the dimension of a model. Ann Stat 1978; 6: 461-464.
44. Akaike H,. Factor analysis and AIC. Psychometrika 1987; 52: 317-332.
45. Sclove L,. Application of model-selection criteria to some problems in multivariate analysis. Psychometrika 1987; 52: 333-343.
46. Nylund KL, Asparouhov T, Muthén BO,. Deciding on the number of classes in latent class analysis and growth mixture modeling: a monte carlo simulation study. Struct Equ Modeling 2007; 14: 535-569.
47. McLachlan GJ, Peel D,. Finite Mixture Models. 1st ed. New York: John Wiley & Sons; 2000.
48. Lo Y, Mendell NR, Rubin DB,. Testing the number of components in a normal mixture. Biometrika 2001; 88: 676-778.
49. Muthén LK, Muthén BO,. Mplus User's Guide. 6th ed. Los Angeles, CA: Muthén & Muthén; 1998-2010.
50. Hellawell SJ, Brewin CR,. A comparison of flashbacks and ordinary autobiographical memories of trauma: cognitive resources and behavioral observations. Behav Res Ther 2002; 40: 1143-1156. (Pubitemid 35286626)
51. Hellawell SJ, Brewin CR,. A comparison of flashbacks and ordinary autobiographical memories of trauma: content and language. Behav Res Ther 2004; 42: 1-12. (Pubitemid 38114674)
52. Friedman MJ, Resick PA, Bryant RA, Brewin CR,. Considering PTSD for DSM-5. Depress Anxiety 2011; 28: 750-769.
53. Arbuckle JL, Amos. Chicago: SPSS; 2010.
54. Muthén BC, Kaplan D,. A comparison of some methodologies for the factor analysis of non-normal likert variables. Br J Math Stat Psychol 1985; 38: 171-189.
55. Curran PJ, West SG, Finch JF,. The robustness of test statistics to nonnormality and specification error in confirmatory factor analysis. Psychol Methods 1996; 1: 16-29. (Pubitemid 126421251)
56. Satorra A, Bentler PM,. A scaled difference chi-square test statistic for moment structure analysis. Psychometrika 2001; 66: 507-514. (Pubitemid 33570084)
57. Bentler PM,. Comparative fit indexes in structural models. Psychol Bull 1990; 107: 238-246.
58. Steiger JH,. Structural model evaluation and modification: an interval estimation approach. Multivar Behav Res 1990; 25: 173-180.
59. Hu L, Bentler PM,. Cutoff criteria for fit indexes in covariance structure analysis: conventional criteria versus new alternatives. Struct Equ Modeling 1999; 6: 1999.
60. Chu JA, Dill DL,. Dissociative symptoms in relation to childhood physical and sexual abuse. Am J Psychiat 1990; 147.
61. Carlson EB, Dalenberg C, Armstrong J, et al. Multivariate prediction of posttraumatic symptoms in psychiatric inpatients. J Trauma Stress 2001; 14: 549-567. (Pubitemid 32778073)
62. Briere J,. Multiscale Dissociation Inventory. Odessa: Psychological Assessment Resources; 2002.
63. Mansfield AJ, Kaufman JS, Marshall SW, et al. Deployment and the use of mental health services among U.S. Army wives. N Engl J Med 2010; 362: 101-109.
64. Foote B, Smolin Y, Neft D, Lipschitz D,. Dissociative disorders and suicidality in psychiatric outpatients. J Nerv Ment Dis 2008; 196: 29-36.
65. Spitzer C, Barnow S, Freyberger HJ, Grabe HJ,. Dissociation predicts symptom-related treatment outcome in short-term inpatient psychotherapy. Aust NZ J Psychiat 2007; 41: 682-687. (Pubitemid 47189819)
66. Cloitre M, Petkova E, Wang J,. An examination of a phase-based approach on the course and impact of dissociation among women with PTSD related to childhood abuse. Depress Anxiety, May 1, 5012. epublished ahead of print.
67. Lanius RA, Brand B, Vermetten E, et al. The dissociative subtype of posttraumatic stress disorder: rationale, clinical and neurobiological evidence and implications. Depress Anxiety, March 16, 2012. epublished ahead of print.