[article] 
inJournal of Child Psychology and Psychiatry > 57-11 (November 2016) . - p.1308-1316

Titre :	The latent structure of Acute Stress Disorder symptoms in trauma-exposed children and adolescents
Type de document :	Texte imprimé et/ou numérique
Auteurs :	Anna MCKINNON, Auteur ; Richard MEISER-STEDMAN, Auteur ; Peter WATSON, Auteur ; Clare DIXON, Auteur ; Nancy KASSAM-ADAMS, Auteur ; Anke EHLERS, Auteur ; Flaura WINSTON, Auteur ; Patrick SMITH, Auteur ; William YULE, Auteur ; Tim DALGLEISH, Auteur
Article en page(s) :	p.1308-1316
Langues :	Anglais (eng)
Mots-clés :	Acute Stress Disorder  DSM-5  factor analysis  children  post-traumatic stress disorder
Index. décimale :	PER Périodiques
Résumé :	Background The revision of Acute Stress Disorder (ASD) in the DSM-5 (DSM-5, 2013) proposes a cluster-free model of ASD symptoms in both adults and youth. Published evaluations of competing models of ASD clustering in youth have rarely been examined. Methods We used Confirmatory Factor Analysis (combined with multigroup invariance tests) to explore the latent structure of ASD symptoms in a trauma-exposed sample of children and young people (N = 594). The DSM-5 structure was compared with the previous DSM-IV conceptualization (4-factor), and two alternative models proposed in the literature (3-factor; 5-factor). Model fit was examined using goodness-of-fit indices. We also established DSM-5 ASD prevalence rates relative to DSM-IV ASD, and the ability of these models to classify children impaired by their symptoms. Results Based on both the Bayesian Information Criterion, the interfactor correlations and invariance testing, the 3-factor model best accounted for the profile of ASD symptoms. DSM-5 ASD led to slightly higher prevalence rates than DSM-IV ASD and performed similarly to DSM-IV with respect to categorising children impaired by their symptoms. Modifying the DSM-5 ASD algorithm to a 3+ or 4+ symptom requirement was the strongest predictor of impairment. Conclusions These findings suggest that a uni-factorial general-distress model is not the optimal model of capturing the latent structure of ASD symptom profiles in youth and that modifying the current DSM-5 9+ symptom algorithm could potentially lead to a more developmentally sensitive conceptualization.
En ligne :	http://dx.doi.org/10.1111/jcpp.12597
Permalink :	https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=295

[article] The latent structure of Acute Stress Disorder symptoms in trauma-exposed children and adolescents [Texte imprimé et/ou numérique] / Anna MCKINNON, Auteur ; Richard MEISER-STEDMAN, Auteur ; Peter WATSON, Auteur ; Clare DIXON, Auteur ; Nancy KASSAM-ADAMS, Auteur ; Anke EHLERS, Auteur ; Flaura WINSTON, Auteur ; Patrick SMITH, Auteur ; William YULE, Auteur ; Tim DALGLEISH, Auteur . - p.1308-1316.
Langues : Anglais (eng)
in Journal of Child Psychology and Psychiatry > 57-11 (November 2016) . - p.1308-1316

Mots-clés :	Acute Stress Disorder  DSM-5  factor analysis  children  post-traumatic stress disorder
Index. décimale :	PER Périodiques
Résumé :	Background The revision of Acute Stress Disorder (ASD) in the DSM-5 (DSM-5, 2013) proposes a cluster-free model of ASD symptoms in both adults and youth. Published evaluations of competing models of ASD clustering in youth have rarely been examined. Methods We used Confirmatory Factor Analysis (combined with multigroup invariance tests) to explore the latent structure of ASD symptoms in a trauma-exposed sample of children and young people (N = 594). The DSM-5 structure was compared with the previous DSM-IV conceptualization (4-factor), and two alternative models proposed in the literature (3-factor; 5-factor). Model fit was examined using goodness-of-fit indices. We also established DSM-5 ASD prevalence rates relative to DSM-IV ASD, and the ability of these models to classify children impaired by their symptoms. Results Based on both the Bayesian Information Criterion, the interfactor correlations and invariance testing, the 3-factor model best accounted for the profile of ASD symptoms. DSM-5 ASD led to slightly higher prevalence rates than DSM-IV ASD and performed similarly to DSM-IV with respect to categorising children impaired by their symptoms. Modifying the DSM-5 ASD algorithm to a 3+ or 4+ symptom requirement was the strongest predictor of impairment. Conclusions These findings suggest that a uni-factorial general-distress model is not the optimal model of capturing the latent structure of ASD symptom profiles in youth and that modifying the current DSM-5 9+ symptom algorithm could potentially lead to a more developmentally sensitive conceptualization.
En ligne :	http://dx.doi.org/10.1111/jcpp.12597
Permalink :	https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=295