The structure of PTSD symptoms: a test of alternative models using confirmatory factor analysis

Br J Clin Psychol. 2007 Sep;46(Pt 3):299-313. doi: 10.1348/014466506X171540.

Abstract

Objectives: This study aimed to examine the structure of self-reported post-traumatic stress disorder (PTSD) symptoms.

Design: Based on previous factor analytic findings and the DSM-IV formulation, six confirmatory factor models were specified and estimated that reflected different symptom clusters.

Methods: The analyses were based on responses from 1116 participants who had suffered whiplash injuries and screened for full or subclinical PTSD using the Harvard Trauma Questionnaire.

Results: A correlated four-factor model with re-experiencing, avoidance, dysphoria and arousal factors fitted the data very well. Correlations with criteria measures showed that these factors were associated with other trauma related variables in a theoretically predictable way and showed evidence of unique predictive utility.

Conclusions: These results concur with previous research findings using different trauma populations but do not reflect the current DSM-IV symptom groupings.

Publication types

  • Evaluation Study

MeSH terms

  • Adult
  • Factor Analysis, Statistical
  • Female
  • Humans
  • Male
  • Models, Psychological*
  • Reproducibility of Results
  • Stress Disorders, Post-Traumatic / psychology*
  • Whiplash Injuries / psychology