TY  - JOUR
PY  - 2008//
TI  - The internalizing and externalizing structure of psychiatric comorbidity in combat veterans
JO  - Journal of Traumatic Stress
A1  - Miller, Michael W.
A1  - Fogler, Jason M.
A1  - Wolf, Erika J.
A1  - Kaloupek, Danny G.
A1  - Keane, Terence M.
SP  - 58
EP  - 65
VL  - 21
IS  - 1
N2  - 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>
LA  - en
SN  - 0894-9867
UR  - http://dx.doi.org/10.1002/jts.20303
ID  - ref1
ER  -