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Comparison of latent typologies of posttraumatic stress disorder and depression symptoms across military personnel from India and the US

机译:从印度和美国跨越军事人员抑郁症抑郁症状潜伏型的比较

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摘要

Research has identified heterogeneous subgroups of individuals based on posttraumatic stress disorder (PTSD) and depression symptoms. Using data collected from military personnel in India (N = 146) and U.S. (N = 194), we examined (1) the best-fitting latent class solution; (2) multi-group invariance of the class solution; and (3) construct validity of optimal class solution. Results indicated that the optimal 4-class solution differed in severity and severity/type in the India and U.S. samples respectively. With similarity in the optimal number of classes across cultural samples, the meaning/nature of classes differed. In the India sample, anxiety severity predicted the Low Severity Class vs. all other classes, and the Moderately High Severity/High Severity Classes vs. the Moderately Low Severity Class; number of traumas predicted the High Severity Class vs. other classes; and resilience predicted the Moderately Low Severity Class vs. the Moderately High Severity Class. In the U.S. sample, alcohol use predicted the High Severity Class vs. all other classes, and the High Depression-Low PTSD Class vs. the Low Severity Class; rumination significantly predicted the High Severity and High Depression-Low PTSD Classes vs. each of the High PTSD-Low Depression and Low Severity Classes. Thus, meaning and nature of PTSD-depression subgroups may vary culturally; hence, culturally-sensitive interventions need to account for this heterogeneity.
机译:研究已经鉴定了基于错误胁迫障碍(PTSD)和抑郁症状的个体的异质亚组。使用印度军事人员收集的数据(n = 146)和美国(n = 194),我们检查了(1)最适合的潜在课程解决方案; (2)类解决方案的多组不变性; (3)构建最佳类解决方案的有效性。结果表明,最佳的4级解决方案分别在印度和美国样本中的严重程度和严重程度/类型不同。在文化样本的最佳类别中具有相似性,类的含义/性质不同。在印度样本中,焦虑严重程度预测了低严重程度与所有其他类别,以及中等高度严重性/高严重性等级与中等程度低的严重性等级;创伤的数量预测高度严重程度与其他类;和恢复力预测了中等低严重程度与中等高度严重性的类。在美国样本中,醇使用预测了高度严重等级与所有其他类别,以及低抑郁低的PTSD类与低严重性等级;谣言显着预测了高严重程度和高凹陷低的PTSD课程与每个高级抑郁症和低严重程度等级。因此,PTSD抑郁症亚群的含义和性质可能在文化上变化;因此,文化敏感的干预措施需要考虑这种异质性。

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