@article{ref1,
title="A distinction without a difference? A multi-method approach to understanding PTSD and depression symptom overlap among disaster-exposed adolescents",
journal="Research on child and adolescent psychopathology",
year="2023",
author="Haws, James Kyle and Laifer, Lauren M. and Acosta, Laura M. and Ralston, Allura L. and Ruggiero, Kenneth J. and Davidson, Tatiana M. and Andrews, Arthur R. 3rd",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="Among adolescents exposed to trauma, posttraumatic stress disorder (PTSD) and major depressive disorder (MDD) commonly co-occur. Despite the prevalence of comorbidity, the question of how PTSD and MDD are related and appropriate conceptual models for understanding their linkage in adolescence remains unclear. This study applies a multi-methodological approach to advance conceptual and theoretical understanding of the overlap between PTSD and MDD diagnoses/symptoms. We tested three methodological approaches with three distinct theoretical underpinnings on the structure of each disorder proposed in the literature: confirmatory factor analysis (CFA) with dimensional constructs, latent class analysis (LCA) with person-based categorical constructs, and network analysis with symptom-to-symptom associations. Across the three different analytical approaches, there was a significant overlap between PTSD and MDD. Overall, there was no compelling evidence for distinct boundaries between disorders among trauma-exposed adolescents. Instead, we found considerable evidence that the typical latent-construct-based conceptualizations, whether categorical or dimensional, may need revision.<p /> <p>Language: en</p>",
language="en",
issn="2730-7166",
doi="10.1007/s10802-023-01042-3",
url="http://dx.doi.org/10.1007/s10802-023-01042-3"
}