@article{ref1,
title="The internalizing and externalizing structure of psychiatric comorbidity in combat veterans",
journal="Journal of Traumatic Stress",
year="2008",
author="Miller, Michael W. and Fogler, Jason M. and Wolf, Erika J. and Kaloupek, Danny G. and Keane, Terence M.",
volume="21",
number="1",
pages="58-65",
abstract="This study examined the latent structure of psychiatric disorders in a sample with a high prevalence of PTSD. A series of confirmatory factor analyses tested competing models for the covariation between Structured Clinical Interview for DSM-III-R diagnoses among 1,325 Vietnam veterans. The best-fitting solution was a 3-factor model that included two correlated internalizing factors: anxious-misery, defined by PTSD and major depression, and fear, defined by panic disorder/agoraphobia and obsessive-compulsive disorder. The third factor, externalizing, was defined by antisocial personality disorder, alcohol abuse/dependence, and drug abuse/dependence. Both substance-related disorders also showed significant, albeit smaller, cross-loadings on the anxious-misery factor. These findings shed new light on the structure of psychiatric comorbidity in a treatment-seeking sample characterized by high rates of PTSD.<p /> <p>Language: en</p>",
language="en",
issn="0894-9867",
doi="10.1002/jts.20303",
url="http://dx.doi.org/10.1002/jts.20303"
}