The factor structures and correlates of PTSD in post-conflict Timor-Leste: an analysis of the Harvard Trauma Questionnaire

BMC Psychiatry
Alvin Kuowei TayDerrick Silove

Abstract

Post-traumatic stress disorder (PTSD) is the most widely assessed form of mental distress in cross-cultural studies conducted amongst populations exposed to mass conflict and displacement. Nevertheless, there have been longstanding concerns about the universality of PTSD as a diagnostic category when applied across cultures. One approach to examining this question is to assess whether the same factor structure can be identified in culturally diverse populations as has been described in populations of western societies. We examine this issue based on an analysis of the Harvard Trauma Questionnaire (HTQ) completed by a large community sample in conflict-affected Timor-Leste. Culturally adapted measures were applied to assess exposure to conflict-related traumatic events (TEs), ongoing adversities, symptoms of PTSD and psychological distress, and functional impairment amongst a large population sample (n = 2964, response rate: 82.4%) in post-conflict Timor-Leste. Confirmatory factor analyses of the ICD-10, ICD-11, DSM-IV, four-factor Emotional Numbing and five-factor Dysphoric-Arousal PTSD structures, found considerable support for all these models. Based on these classifications, concurrent validity was indicated by logistic regr...Continue Reading

References

Aug 12, 1999·JAMA : the Journal of the American Medical Association·R F MollicaM P Massagli
Nov 30, 2000·Lancet·J ModvigC I Panelo
Aug 14, 2001·JAMA : the Journal of the American Medical Association·R F MollicaM P Massagli
Aug 2, 2002·JAMA : the Journal of the American Medical Association·Michael HollifieldJoseph Westermeyer
Oct 24, 2002·Social Psychiatry and Psychiatric Epidemiology·Paul Bolton, Alice M Tang
Apr 13, 2007·Journal of Traumatic Stress·Patrick A PalmieriTerry L Schell
Jun 29, 2007·Journal of Traumatic Stress·Andrew RasmussenAllen S Keller
Dec 19, 2008·Transcultural Psychiatry·Kenneth E MillerHaqmal Daudzai
Dec 9, 2009·Psychological Methods·Jamie DeCosterMarcello Gallucci
Jun 13, 2012·Journal of Abnormal Psychology·Mark Shevlin, Ask Elklit
Mar 8, 2016·Psychological Trauma : Theory, Research, Practice and Policy·Philip HylandMarylène Cloitre

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Citations

May 15, 2018·Psychological Medicine·Anna C BarbanoArieh Y Shalev
Jan 27, 2019·Depression and Anxiety·Anna C BarbanoUNKNOWN International Consortium to Prevent PTSD
Aug 6, 2021·Archives of Women's Mental Health·Rebecca BlackmoreMelanie Gibson-Helm

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