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Journal Article

Citation

Contractor AA, Weiss NH, Natesan P, Elhai JD. Int. J. Stress Manag. 2020; 27(4): 380-393.

Copyright

(Copyright © 2020, American Psychological Association)

DOI

10.1037/str0000179

PMID

35311212

PMCID

PMC8932936

Abstract

Experiences of potentially traumatic events (PTE), commonly assessed with the Life Events Checklist for DSM-5 (LEC-5), can be both varied in pattern and type. An understanding of LEC-assessed PTE type clusters and their relation to psychopathology can enhance research feasibility (e.g., address low base rates for certain PTE types), research communication/comparisons via the use of common terminology, and nuanced trauma assessments/treatments. To this point, the current study examined (1) clusters of PTE types assessed by the LEC-5; and (2) differential relations of these PTE type clusters to mental health correlates (i.e., posttraumatic stress disorder [PTSD] severity, depression severity, emotion dysregulation, reckless and self-destructive behaviors [RSDBs]). A trauma-exposed community sample of 408 participants was recruited via Amazon's Mechanical Turk (M (age) = 35.90 years; 56.50% female). Network analyses indicated three PTE type clusters: Accidental/Injury Traumas (LEC-5 items 1, 2, 3, 4, 12), Victimization Traumas (LEC-5 items 6, 8, 9), and Predominant Death Threat Traumas (LEC-5 items 5, 7, 10, 11, 13-16). Multiple regression analyses indicated that the Victimization Trauma Cluster significantly predicted PTSD severity (β =.23, p <.001), depression severity (β =.20, p =.001), and negative emotion dysregulation (β =.22, p <.001); and the Predominant Death Threat Trauma Cluster significantly predicted engagement in RSDBs (β = 31, p <.001) and positive emotion dysregulation (β =.26, p <.001), accounting for the influence of other PTE Clusters.

RESULTS support three PTE type classifications assessed by the LEC-5, with important clinical and research implications.


Language: en

Keywords

Life Events Checklist for DSM-5; network analyses; psychopathology correlates; trauma type classification

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