Assessing DSM-5 latent subtypes of acute stress disorder dissociative or intrusive?

Abstract:

: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.

journal_name

Psychiatry Res

journal_title

Psychiatry research

authors

Armour C,Hansen M

doi

10.1016/j.psychres.2014.11.063

subject

Has Abstract

pub_date

2015-02-28 00:00:00

pages

476-83

issue

3

eissn

0165-1781

issn

1872-7123

pii

S0165-1781(14)00956-1

journal_volume

225

pub_type

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