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
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