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Typologies of PTSD clusters and reckless/self-destructive behaviors: A latent profile analysis

机译：PTSD集群和鲁莽/自我破坏性行为的类型：潜在的简介分析

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Posttraumatic stress disorder (PTSD) is comorbid with diverse reckless and self-destructive behaviors (RSDBs). We examined the nature and construct validity (covariates of age, gender, depression severity, number of trauma types, functional impairment) of the optimal class solution categorizing participants based on PTSD symptom and RSDB endorsement. The sample included 417 trauma-exposed individuals recruited through Amazon's MTurk platform who completed the Life Events Checklist for DSM-5, PTSD Checklist for DSM-5, the Posttrauma Risky Behaviors Questionnaire, and Patient Health Questionnaire-9. Latent profile analyses indicated an optimal three-class solution: the Low PTSD-RSDBs, High PTSD-Low RSDBs, and High PTSD-RSDBs classes. Multinomial logistic regression indicated that impairment and depression predicted the High PTSD-Low RSDBs vs. the Low PTSD-RSDBs classes. Impairment, age, being female, and depression predicted the High vs. Low PTSD-RSDBs classes. Number of trauma types, age, being female, and depression predicted the High PTSD-RSDBs vs. High PTSD-Low RSDBs classes. Results support the presence of a reckless behaviors subtype of PTSD (characterized by greater depression, greater impariment, greater number of trauma types, being male, and being younger), conducting comprehensive assessments of RSDBs for individuals reporting PTSD symptoms and of PTSD symptoms for individuals reporting RSDBs, and the need to tailor interventions to treat PTSD and RSDBs concurrently.
机译：后功能胁迫障碍（PTSD）是具有多样化鲁莽和自我破坏性行为（RSDBS）的合并性。我们研究了最佳类解决方案的性质和建造有效性（年龄，性别，抑郁症严重程度，创伤类型，功能性损害数量），其基于PTSD症状和RSDB认可对参与者进行分类。该样本包括通过亚马逊的MTURK平台招募417个曝光的个体，他们完成了DSM-5的DSM-5，PTSD核对表的生活事件清单，PORTTRAUMA危险行为调查表和患者健康问卷-9。潜在的配置文件分析表明了最佳三类解决方案：低PTSD-RSDB，高级PTSD-LOW rsdbs和高级PTSD-RSDBS类。多项式逻辑回归表明，损伤和抑郁预测了高级PTSD-Low RSDBS与低的PTSD-RSDBS类。损伤，年龄，女性，抑郁症预测了高与低第可击款 - RSDBS课程。创伤类型，年龄，雌性和抑郁症预测高级PTSD-RSDBS与高级投灾低RSDBS类。结果支持PTSD的鲁莽行为的存在（以更高的抑郁症，更高的纯度，较多的创伤类型，是男性，更年轻），对个人报告可应诊症症状和个人症状的个人症状进行综合评估报告RSDB，以及根据兼并定制干预以同时治疗PTSD和RSDB。

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