TY - JOUR
T1 - Psychiatric reactions to continuous traumatic stress
T2 - A Latent Profile Analysis of two Israeli samples
AU - Itzhaky, Liat
AU - Gelkopf, Mark
AU - Levin, Yafit
AU - Stein, Jacob Y.
AU - Solomon, Zahava
N1 - Publisher Copyright: © 2017 Elsevier Ltd
PY - 2017/10
Y1 - 2017/10
N2 - Many individuals worldwide are exposed to continuous traumatic stress (CTS). However, the psychiatric sequela of CTS and the relevance of posttraumatic stress disorder (PTSD) diagnostic criteria in this situation have yet to be determined. Filling this gap, the present study assessed psychiatric reactions to CTS and the relationship between such reactions and functional impairment among two representative samples of adults exposed to ongoing shelling over 6 (n = 387) and 9 years (n = 468). Assessment included PTSD symptomatology (i.e., intrusion, avoidance, hyperarousal), anxiety, somatization, and depression. Profile categorization aimed to underscore variations in symptom clustering and severity, and determine whether or not a profile is dominated by PTSD symptoms. Latent Profile analyses (LPA) of sample I revealed four distinct symptoms profiles: (1) ‘symptomatically resilient’; (2) ‘symptomatically low-moderate’; (3) ‘symptomatically moderate-high’; and (4) ‘symptomatically overall high’. LPA of sample II revealed three distinct symptoms profiles: (1) ‘symptomatically resilient’; (2) ‘symptomatically low-moderate’; (3) “symptomatically moderate-high”. Moreover, profile variation was implicated in dysfunction. Consistent with studies focusing on single trauma exposure, the findings revealed that the most prevalent profile was the symptomatically resilient, indicating that most people exposed to CTS seem to evince a scarce number of psychiatric symptoms. Moreover, reactions to CTS proved broader than the existing PTSD symptomatology. Examining symptom dominance and severity in relation to impairment and dysfunction, and clinical considerations are discussed.
AB - Many individuals worldwide are exposed to continuous traumatic stress (CTS). However, the psychiatric sequela of CTS and the relevance of posttraumatic stress disorder (PTSD) diagnostic criteria in this situation have yet to be determined. Filling this gap, the present study assessed psychiatric reactions to CTS and the relationship between such reactions and functional impairment among two representative samples of adults exposed to ongoing shelling over 6 (n = 387) and 9 years (n = 468). Assessment included PTSD symptomatology (i.e., intrusion, avoidance, hyperarousal), anxiety, somatization, and depression. Profile categorization aimed to underscore variations in symptom clustering and severity, and determine whether or not a profile is dominated by PTSD symptoms. Latent Profile analyses (LPA) of sample I revealed four distinct symptoms profiles: (1) ‘symptomatically resilient’; (2) ‘symptomatically low-moderate’; (3) ‘symptomatically moderate-high’; and (4) ‘symptomatically overall high’. LPA of sample II revealed three distinct symptoms profiles: (1) ‘symptomatically resilient’; (2) ‘symptomatically low-moderate’; (3) “symptomatically moderate-high”. Moreover, profile variation was implicated in dysfunction. Consistent with studies focusing on single trauma exposure, the findings revealed that the most prevalent profile was the symptomatically resilient, indicating that most people exposed to CTS seem to evince a scarce number of psychiatric symptoms. Moreover, reactions to CTS proved broader than the existing PTSD symptomatology. Examining symptom dominance and severity in relation to impairment and dysfunction, and clinical considerations are discussed.
KW - Continuous traumatic stress
KW - Ongoing exposure
KW - PTSD
KW - War
UR - http://www.scopus.com/inward/record.url?scp=85021986301&partnerID=8YFLogxK
U2 - https://doi.org/10.1016/j.janxdis.2017.06.006
DO - https://doi.org/10.1016/j.janxdis.2017.06.006
M3 - مقالة
C2 - 28709689
SN - 0887-6185
VL - 51
SP - 94
EP - 100
JO - Journal of Anxiety Disorders
JF - Journal of Anxiety Disorders
ER -