Latent profiles of PTSD symptoms in women exposed to intimate partner violence

被引:34
|
作者
Hebenstreit, Claire L. [1 ,2 ]
Maguen, Shira [1 ,2 ]
Koo, Kelly H. [1 ,2 ]
DePrince, Anne P. [3 ]
机构
[1] San Francisco VA Med Ctr, San Francisco, CA 94121 USA
[2] Univ Calif San Francisco, San Francisco, CA 94143 USA
[3] Univ Denver, Denver, CO 80208 USA
关键词
Intimate partner violence; Posttraumatic stress disorder; Appraisal; Female; POSTTRAUMATIC-STRESS-DISORDER; SEXUAL ASSAULT; SOCIAL SUPPORT; SELF-BLAME; PSYCHOLOGICAL DISTRESS; DISSOCIATIVE SUBTYPE; PREDICTING PTSD; ABUSE; IMPACT; MODEL;
D O I
10.1016/j.jad.2015.03.047
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Background: Studies have utilized latent class analysis ([CA) and latent profile analysis ([PA) to examine posttraumatic stress disorder (PTSD) symptom profiles in a range of populations. Further study is needed to explore symptom profiles among women exposed to intimate partner violence (IPV). The current study examined latent symptom profiles in a sample of IPV-exposed women, and explored traumarelated cognitive appraisals associated with these PTSD symptom presentations. Methods: An LPA was conducted using cross-sectional data from a non-treatment seeking community sample of women recruited following a police-reported incident of IPV by a male perpetrator (N_229), Nlultinomial regression analyses determined associations between latent profile membership and trauma-related appraisals. Results: The LPA identified five PTSD symptom profiles: Low Symptom (46% of the sample); Low Symptom with High Hypervigilance (17%); Intermediate Symptom (16%); Intermediate Symptom with High Hypervigilance (11%); and High Symptom (10%). Trauma-related appraisals, including fear, alienation, and self-blame, were the strongest independent predictors of PTSD symptom profile membership. Limitations: The study focused on female victims of IPV by a male partner, and findings may not generalize to other gender configurations (e.g. same sex couples, male victims, etc.). The LPA is crosssectional, and the stability of these profiles over time warrants further study. Conclusions: These findings suggest the need for careful consideration of differences among IPV-exposed women within the larger context of PTSD research and clinical intervention. Identifying latent subgroups may provide an empirical basis for practitioners to design and implement PTSD intervention efforts that are tailored to specific symptom profiles. Published by Elsevier B.V.
引用
收藏
页码:122 / 128
页数:7
相关论文
共 50 条
  • [21] Complex PTSD in survivors of intimate partner violence: risk factors related to symptoms and diagnoses
    Fillol, C. Fernandez
    Pitsiakou, C.
    Garcia, M. Perez
    Teva, I
    Hidalgo-Ruzzante, N.
    EUROPEAN JOURNAL OF PSYCHOTRAUMATOLOGY, 2021, 12 (01)
  • [22] The mediating impact of PTSD symptoms on cortisol awakening response in the context of intimate partner violence
    Garcia, Monica A.
    Junglen, Angela
    Ceroni, Taylor
    Johnson, Dawn
    Ciesla, Jeffrey
    Delahanty, Douglas L.
    BIOLOGICAL PSYCHOLOGY, 2020, 152
  • [23] Personality Profiles of Intimate Partner Violence Offenders With and Without PTSD
    Hoyt, Tim
    Wray, Alisha
    Wiggins, Kathryn
    Gerstle, Melissa
    MacLean, Peggy
    JOURNAL OF OFFENDER REHABILITATION, 2012, 51 (04) : 239 - 256
  • [24] The neural correlates of intimate partner violence in women
    Flegar, S. J.
    Fouche, J. P.
    Jordaan, E.
    Marais, S.
    Spottiswoode, B.
    Stein, D. J.
    Vythilingum, B.
    AFRICAN JOURNAL OF PSYCHIATRY, 2011, 14 (04) : 310 - 314
  • [25] Examining Associations Between Strangulation and Depressive Symptoms in Women With Intimate Partner Violence Histories
    Mittal, Mona
    Resch, Kathryn
    Nichols-Hadeed, Corey
    Stone, Jennifer Thompson
    Thevenet-Morrison, Kelly
    Faurot, Catherine
    Cerulli, Catherine
    VIOLENCE AND VICTIMS, 2018, 33 (06) : 1072 - 1087
  • [26] Protective Factors Associated With Fewer Generalized Anxiety Disorder Symptoms Among Women Exposed to Intimate Partner Violence
    Schaefer, Lauren M.
    Howell, Kathryn H.
    Thurston, Idia B.
    Kaufman, Caroline C.
    Hasselle, Amanda J.
    JOURNAL OF INTERPERSONAL VIOLENCE, 2021, 36 (13-14) : 5923 - 5947
  • [27] Predictors of Depression Symptoms Among Low-Income Women Exposed to Perinatal Intimate Partner Violence (IPV)
    Kastello, Jennifer C.
    Jacobsen, Kathryn H.
    Gaffney, Kathleen F.
    Kodadek, Marie P.
    Sharps, Phyllis W.
    Bullock, Linda C.
    COMMUNITY MENTAL HEALTH JOURNAL, 2016, 52 (06) : 683 - 690
  • [28] Childhood Maltreatment and PTSD: Spiritual Well-Being and Intimate Partner Violence as Mediators
    Zhang, Huaiyu
    Pittman, Delishia M.
    Lamis, Dorian A.
    Fischer, Nicole L.
    Schwenke, Tomina J.
    Carr, Erika R.
    Shah, Sanjay
    Kaslow, Nadine J.
    JOURNAL OF AGGRESSION MALTREATMENT & TRAUMA, 2015, 24 (05) : 501 - 519
  • [29] Intimate partner violence in Nepal: Latent patterns and association with depressive symptoms
    Clark, Cari Jo
    Cheong, Yuk Fai
    Gupta, Jhumka
    Ferguson, Gemma
    Shrestha, Binita
    Shrestha, Prabin Nanicha
    Yount, Kathryn M.
    SSM-POPULATION HEALTH, 2019, 9
  • [30] Cognitive Processing Therapy for the Treatment of PTSD, Depression, Anxiety Symptoms and Difficulties in Emotion Regulation in Syrian Refugee Women Exposed to Intimate Partner Violence
    ElBarazi, Amani
    INTERVENTION-INTERNATIONAL JOURNAL OF MENTAL HEALTH PSYCHOSOCIAL WORK AND COUNSELLING IN AREAS OF ARMED CONFLICT, 2023, 21 (02): : 96 - 106