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Dimensional structure and correlates of posttraumatic stress symptoms following suspected acute coronary syndrome

Posttraumatic stress disorder (PTSD) is a heterogeneous construct, and some have suggested that PTSD triggered by acute coronary syndrome (ACS) may differ from PTSD due to prototypical traumas. We conducted the first examination of the latent structure of PTSD symptoms after suspected ACS in 399 adu... Full description

Journal Title: Journal of Affective Disorders 01 November 2015, Vol.186, pp.178-185
Main Author: Sumner, Jennifer A
Other Authors: Kronish, Ian M , Pietrzak, Robert H , Shimbo, Daichi , Shaffer, Jonathan A , Parsons, Faith E , Edmondson, Donald
Format: Electronic Article Electronic Article
Language: English
Subjects:
ID: ISSN: 0165-0327 ; E-ISSN: 1573-2517 ; DOI: 10.1016/j.jad.2015.06.013
Link: https://www.sciencedirect.com/science/article/pii/S0165032715300768
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recordid: elsevier_sdoi_10_1016_j_jad_2015_06_013
title: Dimensional structure and correlates of posttraumatic stress symptoms following suspected acute coronary syndrome
format: Article
creator:
  • Sumner, Jennifer A
  • Kronish, Ian M
  • Pietrzak, Robert H
  • Shimbo, Daichi
  • Shaffer, Jonathan A
  • Parsons, Faith E
  • Edmondson, Donald
subjects:
  • Posttraumatic Stress Disorder
  • Acute Coronary Syndrome
  • Latent Structure
  • Confirmatory Factor Analysis
ispartof: Journal of Affective Disorders, 01 November 2015, Vol.186, pp.178-185
description: Posttraumatic stress disorder (PTSD) is a heterogeneous construct, and some have suggested that PTSD triggered by acute coronary syndrome (ACS) may differ from PTSD due to prototypical traumas. We conducted the first examination of the latent structure of PTSD symptoms after suspected ACS in 399 adults in the REactions to Acute Care and Hospitalization (REACH) study, an observational cohort study of patients recruited from the emergency department during evaluation for ACS. Using confirmatory factor analysis, we compared the 4-factor dysphoria, 4-factor numbing, and 5-factor dysphoric arousal models of PTSD. Although all models fit well, the dysphoria model was selected as the best-fitting model. Further, there was measurement invariance of the dysphoria model by sex. PTSD dimensions evidenced differential associations with indicators of threat perception during ACS evaluation and adherence to cardioprotective medication. One...
language: eng
source:
identifier: ISSN: 0165-0327 ; E-ISSN: 1573-2517 ; DOI: 10.1016/j.jad.2015.06.013
fulltext: fulltext
issn:
  • 0165-0327
  • 01650327
  • 1573-2517
  • 15732517
url: Link


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titleDimensional structure and correlates of posttraumatic stress symptoms following suspected acute coronary syndrome
creatorSumner, Jennifer A ; Kronish, Ian M ; Pietrzak, Robert H ; Shimbo, Daichi ; Shaffer, Jonathan A ; Parsons, Faith E ; Edmondson, Donald
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subjectPosttraumatic Stress Disorder ; Acute Coronary Syndrome ; Latent Structure ; Confirmatory Factor Analysis
descriptionPosttraumatic stress disorder (PTSD) is a heterogeneous construct, and some have suggested that PTSD triggered by acute coronary syndrome (ACS) may differ from PTSD due to prototypical traumas. We conducted the first examination of the latent structure of PTSD symptoms after suspected ACS in 399 adults in the REactions to Acute Care and Hospitalization (REACH) study, an observational cohort study of patients recruited from the emergency department during evaluation for ACS. Using confirmatory factor analysis, we compared the 4-factor dysphoria, 4-factor numbing, and 5-factor dysphoric arousal models of PTSD. Although all models fit well, the dysphoria model was selected as the best-fitting model. Further, there was measurement invariance of the dysphoria model by sex. PTSD dimensions evidenced differential associations with indicators of threat perception during ACS evaluation and adherence to cardioprotective medication. One...
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