An in‐depth look at latent classes of DSM‐5 psychiatric comorbidity among individuals with PTSD: Clinical indicators and treatment utilization
Objective Posttraumatic stress disorder (PTSD) is associated with high comorbidity rates across the full range of psychiatric disorders. However, little is known about how psychiatric comorbidity manifests among people with PTSD, particularly with regard to concurrent diagnoses. Method Latent class...
Gespeichert in:
| Veröffentlicht in: | Journal of clinical psychology 2022-11, Vol.78 (11), p.2214-2244 |
|---|---|
| Hauptverfasser: | , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 2244 |
|---|---|
| container_issue | 11 |
| container_start_page | 2214 |
| container_title | Journal of clinical psychology |
| container_volume | 78 |
| creator | Hawn, Sage E. Hawrilenko, Matthew McDowell, Yoanna Campbell, Sarah Garcia, Natalia M. Simpson, Tracy L. |
| description | Objective
Posttraumatic stress disorder (PTSD) is associated with high comorbidity rates across the full range of psychiatric disorders. However, little is known about how psychiatric comorbidity manifests among people with PTSD, particularly with regard to concurrent diagnoses.
Method
Latent class analysis (LCA) was used to characterize discrete classes of PTSD comorbidity using past year DSM‐5 diagnostic standards among a large nationally representative epidemiologic sample of U.S. adults. Follow‐up analyses compared participant characteristics across latent classes.
Results
The LCA was best characterized by five classes: low comorbidity, distress‐fear, distress‐externalizing, mania‐fear‐externalizing, and mania‐externalizing. Excluding the low comorbidity class, proportions of borderline and schizotypal personality disorder were high across classes.
Conclusion
Participant characteristics across classes of past year PTSD comorbidity are explored through the lens of case conceptualization and treatment planning utility. |
| doi_str_mv | 10.1002/jclp.23429 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_9561047</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2723509194</sourcerecordid><originalsourceid>FETCH-LOGICAL-c4229-f1c2d017744f5a53aa9e6abec3cf84ea0de7b3052c458d108461ca044a9f93973</originalsourceid><addsrcrecordid>eNp9kctuEzEUhi0EoqGw4QkssUFIU3ybeMwCqUopFwVRqWVtnXg8jYNnPLU9rcKqj4B4RJ4Ep6mQYMHKi_87n8_Rj9BzSo4oIez1xvjxiHHB1AM0o0TJSsyleohmJaSVknN2gJ6ktCGECELrx-iA10pyIuUM_TwesBt-3f5o7ZjX2IfwDUPGHrIdMjYeUrIJhw6fnH8uVI3HtDVrBzk6g03oQ1y51uUthj4Ml0XVumvXTuATvnFFeHZxfvIGL7wbnAF_lxvIISYMQ4tztJD73U9Tdt59h-zC8BQ96sq8fXb_HqKvp-8uFh-q5Zf3HxfHy8oIxlTVUcNaQqUUoquh5gDKzmFlDTddIyyQ1soVJzUzom5aShoxpwaIEKA6xcv9h-jt3jtOq962pqwRwesxuh7iVgdw-u9kcGt9Ga61queUiJ3g5b0ghqvJpqx7l4z1HgYbpqSZJFxQ2TS8oC_-QTdhikM5r1CM10RRJQr1ak-ZGFKKtvuzDCV6V7XeVa3vqi4w3cM3ztvtf0j9abE828_8BsFZrvM</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2723509194</pqid></control><display><type>article</type><title>An in‐depth look at latent classes of DSM‐5 psychiatric comorbidity among individuals with PTSD: Clinical indicators and treatment utilization</title><source>EBSCOhost Education Source</source><source>Wiley Online Library All Journals</source><creator>Hawn, Sage E. ; Hawrilenko, Matthew ; McDowell, Yoanna ; Campbell, Sarah ; Garcia, Natalia M. ; Simpson, Tracy L.</creator><creatorcontrib>Hawn, Sage E. ; Hawrilenko, Matthew ; McDowell, Yoanna ; Campbell, Sarah ; Garcia, Natalia M. ; Simpson, Tracy L.</creatorcontrib><description>Objective
Posttraumatic stress disorder (PTSD) is associated with high comorbidity rates across the full range of psychiatric disorders. However, little is known about how psychiatric comorbidity manifests among people with PTSD, particularly with regard to concurrent diagnoses.
Method
Latent class analysis (LCA) was used to characterize discrete classes of PTSD comorbidity using past year DSM‐5 diagnostic standards among a large nationally representative epidemiologic sample of U.S. adults. Follow‐up analyses compared participant characteristics across latent classes.
Results
The LCA was best characterized by five classes: low comorbidity, distress‐fear, distress‐externalizing, mania‐fear‐externalizing, and mania‐externalizing. Excluding the low comorbidity class, proportions of borderline and schizotypal personality disorder were high across classes.
Conclusion
Participant characteristics across classes of past year PTSD comorbidity are explored through the lens of case conceptualization and treatment planning utility.</description><identifier>ISSN: 0021-9762</identifier><identifier>EISSN: 1097-4679</identifier><identifier>DOI: 10.1002/jclp.23429</identifier><identifier>PMID: 35973077</identifier><language>eng</language><publisher>Hoboken: Wiley Periodicals Inc</publisher><subject>class characterization ; Comorbidity ; Latent class analysis ; Post traumatic stress disorder ; PTSD ; treatment utilization</subject><ispartof>Journal of clinical psychology, 2022-11, Vol.78 (11), p.2214-2244</ispartof><rights>2022 Wiley Periodicals LLC.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4229-f1c2d017744f5a53aa9e6abec3cf84ea0de7b3052c458d108461ca044a9f93973</citedby><cites>FETCH-LOGICAL-c4229-f1c2d017744f5a53aa9e6abec3cf84ea0de7b3052c458d108461ca044a9f93973</cites><orcidid>0000-0001-8501-4169</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fjclp.23429$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fjclp.23429$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>230,314,780,784,885,1417,27924,27925,45574,45575</link.rule.ids></links><search><creatorcontrib>Hawn, Sage E.</creatorcontrib><creatorcontrib>Hawrilenko, Matthew</creatorcontrib><creatorcontrib>McDowell, Yoanna</creatorcontrib><creatorcontrib>Campbell, Sarah</creatorcontrib><creatorcontrib>Garcia, Natalia M.</creatorcontrib><creatorcontrib>Simpson, Tracy L.</creatorcontrib><title>An in‐depth look at latent classes of DSM‐5 psychiatric comorbidity among individuals with PTSD: Clinical indicators and treatment utilization</title><title>Journal of clinical psychology</title><description>Objective
Posttraumatic stress disorder (PTSD) is associated with high comorbidity rates across the full range of psychiatric disorders. However, little is known about how psychiatric comorbidity manifests among people with PTSD, particularly with regard to concurrent diagnoses.
Method
Latent class analysis (LCA) was used to characterize discrete classes of PTSD comorbidity using past year DSM‐5 diagnostic standards among a large nationally representative epidemiologic sample of U.S. adults. Follow‐up analyses compared participant characteristics across latent classes.
Results
The LCA was best characterized by five classes: low comorbidity, distress‐fear, distress‐externalizing, mania‐fear‐externalizing, and mania‐externalizing. Excluding the low comorbidity class, proportions of borderline and schizotypal personality disorder were high across classes.
Conclusion
Participant characteristics across classes of past year PTSD comorbidity are explored through the lens of case conceptualization and treatment planning utility.</description><subject>class characterization</subject><subject>Comorbidity</subject><subject>Latent class analysis</subject><subject>Post traumatic stress disorder</subject><subject>PTSD</subject><subject>treatment utilization</subject><issn>0021-9762</issn><issn>1097-4679</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><recordid>eNp9kctuEzEUhi0EoqGw4QkssUFIU3ybeMwCqUopFwVRqWVtnXg8jYNnPLU9rcKqj4B4RJ4Ep6mQYMHKi_87n8_Rj9BzSo4oIez1xvjxiHHB1AM0o0TJSsyleohmJaSVknN2gJ6ktCGECELrx-iA10pyIuUM_TwesBt-3f5o7ZjX2IfwDUPGHrIdMjYeUrIJhw6fnH8uVI3HtDVrBzk6g03oQ1y51uUthj4Ml0XVumvXTuATvnFFeHZxfvIGL7wbnAF_lxvIISYMQ4tztJD73U9Tdt59h-zC8BQ96sq8fXb_HqKvp-8uFh-q5Zf3HxfHy8oIxlTVUcNaQqUUoquh5gDKzmFlDTddIyyQ1soVJzUzom5aShoxpwaIEKA6xcv9h-jt3jtOq962pqwRwesxuh7iVgdw-u9kcGt9Ga61queUiJ3g5b0ghqvJpqx7l4z1HgYbpqSZJFxQ2TS8oC_-QTdhikM5r1CM10RRJQr1ak-ZGFKKtvuzDCV6V7XeVa3vqi4w3cM3ztvtf0j9abE828_8BsFZrvM</recordid><startdate>202211</startdate><enddate>202211</enddate><creator>Hawn, Sage E.</creator><creator>Hawrilenko, Matthew</creator><creator>McDowell, Yoanna</creator><creator>Campbell, Sarah</creator><creator>Garcia, Natalia M.</creator><creator>Simpson, Tracy L.</creator><general>Wiley Periodicals Inc</general><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0001-8501-4169</orcidid></search><sort><creationdate>202211</creationdate><title>An in‐depth look at latent classes of DSM‐5 psychiatric comorbidity among individuals with PTSD: Clinical indicators and treatment utilization</title><author>Hawn, Sage E. ; Hawrilenko, Matthew ; McDowell, Yoanna ; Campbell, Sarah ; Garcia, Natalia M. ; Simpson, Tracy L.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4229-f1c2d017744f5a53aa9e6abec3cf84ea0de7b3052c458d108461ca044a9f93973</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>class characterization</topic><topic>Comorbidity</topic><topic>Latent class analysis</topic><topic>Post traumatic stress disorder</topic><topic>PTSD</topic><topic>treatment utilization</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hawn, Sage E.</creatorcontrib><creatorcontrib>Hawrilenko, Matthew</creatorcontrib><creatorcontrib>McDowell, Yoanna</creatorcontrib><creatorcontrib>Campbell, Sarah</creatorcontrib><creatorcontrib>Garcia, Natalia M.</creatorcontrib><creatorcontrib>Simpson, Tracy L.</creatorcontrib><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Journal of clinical psychology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hawn, Sage E.</au><au>Hawrilenko, Matthew</au><au>McDowell, Yoanna</au><au>Campbell, Sarah</au><au>Garcia, Natalia M.</au><au>Simpson, Tracy L.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>An in‐depth look at latent classes of DSM‐5 psychiatric comorbidity among individuals with PTSD: Clinical indicators and treatment utilization</atitle><jtitle>Journal of clinical psychology</jtitle><date>2022-11</date><risdate>2022</risdate><volume>78</volume><issue>11</issue><spage>2214</spage><epage>2244</epage><pages>2214-2244</pages><issn>0021-9762</issn><eissn>1097-4679</eissn><abstract>Objective
Posttraumatic stress disorder (PTSD) is associated with high comorbidity rates across the full range of psychiatric disorders. However, little is known about how psychiatric comorbidity manifests among people with PTSD, particularly with regard to concurrent diagnoses.
Method
Latent class analysis (LCA) was used to characterize discrete classes of PTSD comorbidity using past year DSM‐5 diagnostic standards among a large nationally representative epidemiologic sample of U.S. adults. Follow‐up analyses compared participant characteristics across latent classes.
Results
The LCA was best characterized by five classes: low comorbidity, distress‐fear, distress‐externalizing, mania‐fear‐externalizing, and mania‐externalizing. Excluding the low comorbidity class, proportions of borderline and schizotypal personality disorder were high across classes.
Conclusion
Participant characteristics across classes of past year PTSD comorbidity are explored through the lens of case conceptualization and treatment planning utility.</abstract><cop>Hoboken</cop><pub>Wiley Periodicals Inc</pub><pmid>35973077</pmid><doi>10.1002/jclp.23429</doi><tpages>31</tpages><orcidid>https://orcid.org/0000-0001-8501-4169</orcidid></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0021-9762 |
| ispartof | Journal of clinical psychology, 2022-11, Vol.78 (11), p.2214-2244 |
| issn | 0021-9762 1097-4679 |
| language | eng |
| recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_9561047 |
| source | EBSCOhost Education Source; Wiley Online Library All Journals |
| subjects | class characterization Comorbidity Latent class analysis Post traumatic stress disorder PTSD treatment utilization |
| title | An in‐depth look at latent classes of DSM‐5 psychiatric comorbidity among individuals with PTSD: Clinical indicators and treatment utilization |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-05T16%3A00%3A43IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_pubme&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=An%20in%E2%80%90depth%20look%20at%20latent%20classes%20of%20DSM%E2%80%905%20psychiatric%20comorbidity%20among%20individuals%20with%20PTSD:%20Clinical%20indicators%20and%20treatment%20utilization&rft.jtitle=Journal%20of%20clinical%20psychology&rft.au=Hawn,%20Sage%20E.&rft.date=2022-11&rft.volume=78&rft.issue=11&rft.spage=2214&rft.epage=2244&rft.pages=2214-2244&rft.issn=0021-9762&rft.eissn=1097-4679&rft_id=info:doi/10.1002/jclp.23429&rft_dat=%3Cproquest_pubme%3E2723509194%3C/proquest_pubme%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2723509194&rft_id=info:pmid/35973077&rfr_iscdi=true |