Examining the Discriminant Validity of Complex Posttraumatic Stress Disorder and Borderline Personality Disorder Symptoms: Results From a United Kingdom Population Sample.
Journal
Journal of traumatic stress
ISSN: 1573-6598
Titre abrégé: J Trauma Stress
Pays: United States
ID NLM: 8809259
Informations de publication
Date de publication:
Dec 2019
Dec 2019
Historique:
received:
02
08
2018
revised:
22
05
2019
accepted:
23
05
2019
pubmed:
22
11
2019
medline:
22
7
2020
entrez:
22
11
2019
Statut:
ppublish
Résumé
Complex posttraumatic stress disorder (CPTSD) was added to the diagnostic nomenclature in the 11th revision of the International Classification of Diseases (ICD-11). Although considerable evidence exists supporting the construct validity of CPTSD, the distinguishability of CPTSD symptoms from those of borderline personality disorder (BPD) has been questioned. The present study examined the discriminant validity of CPTSD and BPD symptoms among a trauma-exposed population sample from the United Kingdom (N = 546). Participants completed self-report measures of CPTSD and BPD symptoms, and their latent structure was assessed using exploratory structural equation modeling (ESEM). A three-factor model with latent variables reflecting PTSD, disturbances in self-organization (DSO), and BPD symptoms provided the best fit of the data, χ Spanish Abstracts by Asociación Chilena de Estrés Traumático (ACET) Examinando la Validez Discriminante del Trastorno de Estrés Postraumático Complejo y de los Síntomas del Trastorno Límite de la Personalidad: Resultados de una Muestra Poblacional del Reino Unido TEPT CIE-11, TEPT COMPLEJO Y PERSONALIDAD LÍMITE El Trastorno de Estrés Postraumático Complejo (TEPT-C) se agregó a la nomenclatura diagnóstica en la 11ª revisión de la Clasificación Internacional de Enfermedades (CIE-11). Aunque existen considerables evidencias que respaldan la validez de constructo del TEPT-C, se ha cuestionado la posibilidad de distinguir los síntomas del TEPT-C de aquellos propios del trastorno límite de la personalidad (TPL). El presente estudio examinó la validez discriminante de los síntomas del TEPT-C y TPL en una muestra poblacional expuesta a trauma del Reino Unido (N = 546). Los participantes completaron medidas de auto-reporte de síntomas de TEPT-C y TPL, y su estructura latente se evaluó utilizando un modelo exploratorio de ecuaciones estructurales (ESEM). Un modelo de tres factores con variables latentes que reflejan TEPT, alteraciones en la auto-organización (DSO en su sigla inglés) y síntomas de TLP proporcionaron el mejor ajuste de los datos, χ2 (399, N = 546) = 1,650, p <.001; CFI = .944; TLI = .930; RMSEA = .077, 90% CI [.073, .081]. Identificamos múltiples síntomas distintivos de constructos individuales (por ejemplo, relaciones perturbadas y tendencias suicidas), así como síntomas compartidos entre los constructos (por ejemplo, desregulación afectiva). El TEPT, β = .24; DSO, β = .23; y TPL, β = .27, las variables latentes se asociaron positiva y significativamente con el trauma interpersonal infantil. Los hallazgos actuales apoyan la validez discriminante de los síntomas de TEPT-C y TLP y destacan varios indicios fenomenológicos de cada constructo, así como demuestran cómo estos constructos comparten similitudes importantes en la composición de síntomas y correlatos exógenos. Traditional and Simplified Chinese Abstracts by the Asian Society for Traumatic Stress Studies (AsianSTSS) 簡體及繁體中文撮要由亞洲創傷心理研究學會翻譯 Examining the discriminant validity of Complex PTSD and Borderline Personality Disorder symptoms: Results from a UK population sample Traditional Chinese 標題: 檢視複雜型PTSD與邊緣人格障礙症狀的辨別效度:英國人口研究結果 撮要: 複雜型創傷後壓力症(CPTSD)的命名法獲加進<國際疾病與相關健康問題統計分類第十一版>(ICD-11)。雖然目前已有相當數量的證據支持CPTSD的建構效度, 但CPTSD症狀在邊緣人格障礙(BPD)患者的區別性仍受質疑。本研究透過英國的受創人口樣本(N = 546), 檢視CPTSD及BPD症狀的辨別效度。樣本完成CPTSD及BPD症狀的自評測量。我們採用探索性結構方程模型(ESEM)來評估樣本的潛在結構。一個有潛在變量的三因素模型與數據最為吻合:PTSD、自我組織層面的困擾(DSO)、BPD症狀(χ
Autres résumés
Type: Publisher
(spa)
Spanish Abstracts by Asociación Chilena de Estrés Traumático (ACET) Examinando la Validez Discriminante del Trastorno de Estrés Postraumático Complejo y de los Síntomas del Trastorno Límite de la Personalidad: Resultados de una Muestra Poblacional del Reino Unido TEPT CIE-11, TEPT COMPLEJO Y PERSONALIDAD LÍMITE El Trastorno de Estrés Postraumático Complejo (TEPT-C) se agregó a la nomenclatura diagnóstica en la 11ª revisión de la Clasificación Internacional de Enfermedades (CIE-11). Aunque existen considerables evidencias que respaldan la validez de constructo del TEPT-C, se ha cuestionado la posibilidad de distinguir los síntomas del TEPT-C de aquellos propios del trastorno límite de la personalidad (TPL). El presente estudio examinó la validez discriminante de los síntomas del TEPT-C y TPL en una muestra poblacional expuesta a trauma del Reino Unido (N = 546). Los participantes completaron medidas de auto-reporte de síntomas de TEPT-C y TPL, y su estructura latente se evaluó utilizando un modelo exploratorio de ecuaciones estructurales (ESEM). Un modelo de tres factores con variables latentes que reflejan TEPT, alteraciones en la auto-organización (DSO en su sigla inglés) y síntomas de TLP proporcionaron el mejor ajuste de los datos, χ2 (399, N = 546) = 1,650, p <.001; CFI = .944; TLI = .930; RMSEA = .077, 90% CI [.073, .081]. Identificamos múltiples síntomas distintivos de constructos individuales (por ejemplo, relaciones perturbadas y tendencias suicidas), así como síntomas compartidos entre los constructos (por ejemplo, desregulación afectiva). El TEPT, β = .24; DSO, β = .23; y TPL, β = .27, las variables latentes se asociaron positiva y significativamente con el trauma interpersonal infantil. Los hallazgos actuales apoyan la validez discriminante de los síntomas de TEPT-C y TLP y destacan varios indicios fenomenológicos de cada constructo, así como demuestran cómo estos constructos comparten similitudes importantes en la composición de síntomas y correlatos exógenos.
Type: Publisher
(chi)
Traditional and Simplified Chinese Abstracts by the Asian Society for Traumatic Stress Studies (AsianSTSS) 簡體及繁體中文撮要由亞洲創傷心理研究學會翻譯 Examining the discriminant validity of Complex PTSD and Borderline Personality Disorder symptoms: Results from a UK population sample Traditional Chinese 標題: 檢視複雜型PTSD與邊緣人格障礙症狀的辨別效度:英國人口研究結果 撮要: 複雜型創傷後壓力症(CPTSD)的命名法獲加進<國際疾病與相關健康問題統計分類第十一版>(ICD-11)。雖然目前已有相當數量的證據支持CPTSD的建構效度, 但CPTSD症狀在邊緣人格障礙(BPD)患者的區別性仍受質疑。本研究透過英國的受創人口樣本(N = 546), 檢視CPTSD及BPD症狀的辨別效度。樣本完成CPTSD及BPD症狀的自評測量。我們採用探索性結構方程模型(ESEM)來評估樣本的潛在結構。一個有潛在變量的三因素模型與數據最為吻合:PTSD、自我組織層面的困擾(DSO)、BPD症狀(χ
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
855-863Informations de copyright
© 2019 International Society for Traumatic Stress Studies.
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