Structural relations between DSM-5 PTSD and major depression symptoms in military soldiers

Jon D. Elhai; Ateka A. Contractor; Marijo Tamburrino; Thomas H. Fine; Gregory Cohen; Edwin Shirley; Philip K. Chan; Israel Liberzon; Joseph R. Calabrese; Sandro Galea

doi:10.1016/j.jad.2015.01.034

Structural relations between DSM-5 PTSD and major depression symptoms in military soldiers

Jon D. Elhai, Ateka A. Contractor, Marijo Tamburrino, Thomas H. Fine, Gregory Cohen, Edwin Shirley, Philip K. Chan, Israel Liberzon, Joseph R. Calabrese, Sandro Galea

Research output: Contribution to journal › Article › peer-review

49 Scopus citations

Abstract

Background Posttraumatic stress disorder (PTSD) and major depressive disorder (MDD) are frequently comorbid. One explanation for this comorbidity is that PTSD has a constellation of "dysphoria" symptoms resembling depression. Method Using confirmatory factor analysis we tested the role of DSM-5 PTSD's dysphoria factor in relation to MDD symptom dimensions of somatic and non-somatic psychopathology. 672 Ohio National Guard soldiers completed DSM-5 measures of PTSD and MDD symptoms in an epidemiological study. Results Results indicated that in contrast to other PTSD factors, PTSD's dysphoria factor was more related to MDD's somatic and non-somatic factors. Limitations Limitations include generalizability to the epidemiological population of trauma-exposed military veterans rather than civilians, and reliance on self-report measures. Conclusions Implications concerning clinical psychopathology and comorbidity of PTSD are discussed, including whether PTSD should be refined by removing its non-specific symptoms.

Original language	English (US)
Pages (from-to)	373-378
Number of pages	6
Journal	Journal of Affective Disorders
Volume	175
DOIs	https://doi.org/10.1016/j.jad.2015.01.034
State	Published - Apr 1 2015

Keywords

Comorbidity
DSM-5
Factor analysis
Major depressive disorder
Military veterans
Posttraumatic stress disorder

ASJC Scopus subject areas

Clinical Psychology
Psychiatry and Mental health

Access to Document

10.1016/j.jad.2015.01.034

Cite this

Structural relations between DSM-5 PTSD and major depression symptoms in military soldiers. / Elhai, Jon D.; Contractor, Ateka A.; Tamburrino, Marijo; Fine, Thomas H.; Cohen, Gregory; Shirley, Edwin; Chan, Philip K.; Liberzon, Israel; Calabrese, Joseph R.; Galea, Sandro.

In: Journal of Affective Disorders, Vol. 175, 01.04.2015, p. 373-378.

Research output: Contribution to journal › Article › peer-review

@article{34a4c2a4c6704b7caa4ca7705c6e5590,

title = "Structural relations between DSM-5 PTSD and major depression symptoms in military soldiers",

abstract = "Background Posttraumatic stress disorder (PTSD) and major depressive disorder (MDD) are frequently comorbid. One explanation for this comorbidity is that PTSD has a constellation of {"}dysphoria{"} symptoms resembling depression. Method Using confirmatory factor analysis we tested the role of DSM-5 PTSD's dysphoria factor in relation to MDD symptom dimensions of somatic and non-somatic psychopathology. 672 Ohio National Guard soldiers completed DSM-5 measures of PTSD and MDD symptoms in an epidemiological study. Results Results indicated that in contrast to other PTSD factors, PTSD's dysphoria factor was more related to MDD's somatic and non-somatic factors. Limitations Limitations include generalizability to the epidemiological population of trauma-exposed military veterans rather than civilians, and reliance on self-report measures. Conclusions Implications concerning clinical psychopathology and comorbidity of PTSD are discussed, including whether PTSD should be refined by removing its non-specific symptoms.",

keywords = "Comorbidity, DSM-5, Factor analysis, Major depressive disorder, Military veterans, Posttraumatic stress disorder",

author = "Elhai, {Jon D.} and Contractor, {Ateka A.} and Marijo Tamburrino and Fine, {Thomas H.} and Gregory Cohen and Edwin Shirley and Chan, {Philip K.} and Israel Liberzon and Calabrese, {Joseph R.} and Sandro Galea",

year = "2015",

month = apr,

day = "1",

doi = "10.1016/j.jad.2015.01.034",

language = "English (US)",

volume = "175",

pages = "373--378",

journal = "J Affect Disord",

issn = "0165-0327",

publisher = "Elsevier",

}

TY - JOUR

T1 - Structural relations between DSM-5 PTSD and major depression symptoms in military soldiers

AU - Elhai, Jon D.

AU - Contractor, Ateka A.

AU - Tamburrino, Marijo

AU - Fine, Thomas H.

AU - Cohen, Gregory

AU - Shirley, Edwin

AU - Chan, Philip K.

AU - Liberzon, Israel

AU - Calabrese, Joseph R.

AU - Galea, Sandro

PY - 2015/4/1

Y1 - 2015/4/1

N2 - Background Posttraumatic stress disorder (PTSD) and major depressive disorder (MDD) are frequently comorbid. One explanation for this comorbidity is that PTSD has a constellation of "dysphoria" symptoms resembling depression. Method Using confirmatory factor analysis we tested the role of DSM-5 PTSD's dysphoria factor in relation to MDD symptom dimensions of somatic and non-somatic psychopathology. 672 Ohio National Guard soldiers completed DSM-5 measures of PTSD and MDD symptoms in an epidemiological study. Results Results indicated that in contrast to other PTSD factors, PTSD's dysphoria factor was more related to MDD's somatic and non-somatic factors. Limitations Limitations include generalizability to the epidemiological population of trauma-exposed military veterans rather than civilians, and reliance on self-report measures. Conclusions Implications concerning clinical psychopathology and comorbidity of PTSD are discussed, including whether PTSD should be refined by removing its non-specific symptoms.

AB - Background Posttraumatic stress disorder (PTSD) and major depressive disorder (MDD) are frequently comorbid. One explanation for this comorbidity is that PTSD has a constellation of "dysphoria" symptoms resembling depression. Method Using confirmatory factor analysis we tested the role of DSM-5 PTSD's dysphoria factor in relation to MDD symptom dimensions of somatic and non-somatic psychopathology. 672 Ohio National Guard soldiers completed DSM-5 measures of PTSD and MDD symptoms in an epidemiological study. Results Results indicated that in contrast to other PTSD factors, PTSD's dysphoria factor was more related to MDD's somatic and non-somatic factors. Limitations Limitations include generalizability to the epidemiological population of trauma-exposed military veterans rather than civilians, and reliance on self-report measures. Conclusions Implications concerning clinical psychopathology and comorbidity of PTSD are discussed, including whether PTSD should be refined by removing its non-specific symptoms.

KW - Comorbidity

KW - DSM-5

KW - Factor analysis

KW - Major depressive disorder

KW - Military veterans

KW - Posttraumatic stress disorder

UR - http://www.scopus.com/inward/record.url?scp=84922458016&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84922458016&partnerID=8YFLogxK

U2 - 10.1016/j.jad.2015.01.034

DO - 10.1016/j.jad.2015.01.034

M3 - Article

C2 - 25665497

AN - SCOPUS:84922458016

VL - 175

SP - 373

EP - 378

JO - J Affect Disord

JF - J Affect Disord

SN - 0165-0327

ER -

Structural relations between DSM-5 PTSD and major depression symptoms in military soldiers

Abstract

Keywords

ASJC Scopus subject areas

Access to Document

Other files and links

Fingerprint

Cite this