Longitudinal transitions in patterns of post-traumatic stress disorder symptoms and psychological distress among South Korean adults with traumatic experiences

Stress Health. 2021 Dec;37(5):871-886. doi: 10.1002/smi.3046. Epub 2021 Mar 30.

Abstract

This study aimed to investigate transitions in patterns of post-traumatic stress disorder (PTSD) symptoms and psychological distress among South Koreans with traumatic experiences. This study consists of two parts: In Part 1 the time since trauma ranged between 0 and 41 years, while in Part 2 participants experienced at least one traumatic event within the previous three years. We identified subgroups and transitions between classes over a one-year period using latent profile analysis and latent transition analysis. First, in Part 1, four classes were identified at T1 and T2. Second, we explored whether age, sex, time since trauma, and time perspective (TP) predicted class membership at T1. Age, past-negative (PN), present-fatalistic, and future TPs were significant predictors of class membership at T1. Finally, sex, PN, and future TPs were identified as significant predictors of class transition over time. The same analysis was conducted in Part 2 with individuals chosen from the Part 1 participants. Differential effects of TP on class membership and transitions in PTSD symptoms and psychological distress indicated the need for intervention programs that consider the TP profiles of individuals with traumatic experiences.

Keywords: PTSD symptoms; South Korea; latent profile analysis; latent transition analysis; longitudinal analysis; psychological distress; time perspective; traumatic experiences.

MeSH terms

  • Adult
  • Humans
  • Psychological Distress*
  • Republic of Korea / epidemiology
  • Stress Disorders, Post-Traumatic* / epidemiology