Article2009

Sequential Temporal Dependencies in Associations Between Symptoms of Depression and Posttraumatic Stress Disorder: An Application of Bivariate Latent Difference Score Structural Equation Modeling

Daniel W. King · Lynda A. King · John J. McArdle · Arieh Y. Shalev · Susan Doron‐LaMarca

53 citations0/0 files storedMultivariate Behavioral Research

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Posttraumatic Stress Disorder Research Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes Migration, Health and Trauma

Abstract

Depression and posttraumatic stress disorder (PTSD) are highly comorbid conditions that may arise following exposure to psychological trauma. This study examined their temporal sequencing and mutual influence using bivariate latent difference score structural equation modeling. Longitudinal data from 182 emergency room patients revealed level of depression symptom severity to be positively associated with changes in PTSD intrusion, avoidance, and hyperarousal over 3 time intervals, beginning shortly after the traumatic event. Higher scores on depression anticipated increases (or worsening) in PTSD symptom severity. The pattern of influence from PTSD symptom severity to change in depression symptom severity simply followed the general trend toward health and well-being. Results are discussed in terms of the dynamic interplay and associated mechanisms of posttrauma depression and PTSD symptom severity.

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References

2013Diagnostic and Statistical Manual of Mental Disorders 1961An Inventory for Measuring Depression 1988Psychometric properties of the Beck Depression Inventory: Twenty-five years of evaluation 1995Posttraumatic Stress Disorder in the National Comorbidity Survey 1979Impact of Event Scale: A Measure of Subjective Stress 1995The development of a Clinician-Administered PTSD Scale 2007The Impact of Event Scale: Revised 1991Traumatic Events and Posttraumatic Stress Disorder in an Urban Population of Young Adults

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