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J Trauma Stress. 2014 Aug;27(4):388-96. doi: 10.1002/jts.21933. Epub 2014 Jul 28.

Dissociation and posttraumatic stress disorder: a latent profile analysis.

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  • 1Department of Psychology, Auburn University, Auburn, Alabama, USA.


The fifth edition of Diagnostic and Statistical Manual of Mental Disorders (DSM-5; American Psychiatric Association, ) contains a dissociative subtype for posttraumatic stress disorder (PTSD) characterized by significant depersonalization and derealization. In this study the PTSD dissociative subtype was examined using latent profile analysis in a sample of 541 trauma-exposed college students. Items from the PTSD Checklist and Multiscale Dissociation Inventory were used as latent class indicators. Results supported a 3-class solution including a well-adjusted class, a PTSD class, and a PTSD/dissociative class characterized by elevated symptoms of PTSD, depersonalization, and derealization. Significant class differences were found on a number of measures of related psychopathology with Cohen's d effect size estimates ranging from 0.04 to 1.86. Diagnostic and treatment implications regarding the dissociative subtype are discussed.

Copyright © 2014 International Society for Traumatic Stress Studies.

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