1 Department of Psychology, Det Sundhedsvidenskabelige Fakultet, SDU2 National Center of Psychotraumatology, Department of Psychology, Det Sundhedsvidenskabelige Fakultet, SDU3 Ch:LD, Department of Psychology, Det Sundhedsvidenskabelige Fakultet, SDU4 Department of Psychology, Det Sundhedsvidenskabelige Fakultet, SDU5 National Center of Psychotraumatology, Department of Psychology, Det Sundhedsvidenskabelige Fakultet, SDU
Testing Alternative Models in light of the pending DSM-5en undersøgelse af alternative modeller i lyset af den kommende DSM-5
OBJECTIVE: Acute stress disorder (ASD) was introduced into the fourth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV; American Psychiatric Association, 1994) to identify posttraumatic stress reactions occurring within the first month after a trauma and thus help to identify victims at risk of developing posttraumatic stress disorder (PTSD). Since its introduction, research into ASD has focused on the prediction of PTSD, whereas only a few studies have investigated the latent structure of ASD. Results of the latter have been mixed. In light of the current proposal for the ASD diagnosis in the pending DSM-5, there is a profound need for empirical studies that investigate the latent structure of ASD prior to the DSM-5 being finalized. DESIGN: Based on previous factor analytic research, the DSM-IV, and the proposed DSM-5 formulation of ASD, four different models of the latent structure of ASD were specified and estimated. METHOD: The analyses were based on a national study of bank robbery victims (N = 450) using the acute stress disorder scale. RESULTS: The results of the confirmatory factor analyses showed that the DSM-IV model provided the best fit to the data. Thus, the present study suggests that the latent structure of ASD may best be characterized according to the four-factor DSM-IV model of ASD (i.e., dissociation, re-experiencing, avoidance, and arousal) following exposure to bank robbery. CONCLUSIONS: The results are pertinent in light of the pending DSM-5 and add to the debate about the conceptualization of ASD. .
British Journal of Clinical Psychology, 2013, Vol 52, Issue 1, p. 82-91
Adult Aged Crime Victims/*psychology Denmark *Diagnostic and Statistical Manual of Mental Disorders Factor Analysis, Statistical Female Humans Male Middle Aged Psychiatric Status Rating Scales/statistics & numerical data Severity of Illness Index Stress Disorders, Traumatic, Acute/*diagnosis/*psychology Theft/*psychology Young Adult