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Article

Investigating the latent dimensions of posttraumatic stress disorder and the role of anxiety sensitivity in combat-exposed Filipino soldiers

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Pages 223-236 | Received 13 Mar 2019, Accepted 27 Jan 2020, Published online: 03 Apr 2020

References

  • American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author.
  • Angst, J., Azorin, J. M., Bowden, C. L., Perugi, G., Vieta, E., Gamma, A.; BRIDGE Study Group. (2011). Prevalence and characteristics of undiagnosed bipolar disorders in patients with a major depressive episode: The BRIDGE study. Archives of General Psychiatry, 68(8), 791–799. doi:10.1001/archgenpsychiatry.2011.87
  • Armour, C., Contractor, A., Shea, T., Elhai, J. D., & Pietrzak, R. H. (2016). Factor structure of the PTSD checklist for DSM-5: Relationships among symptom clusters, anger, and impulsivity. The Journal of Nervous and Mental Disease, 204(2), 108–115. doi:10.1097/NMD.0000000000000430
  • Armour, C., Contractor, A. A., Palmieri, P. A., & Elhai, J. D. (2014). Assessing latent level associations between PTSD and dissociative factors: Is depersonalization and derealization related to PTSD factors more so than alternative dissociative factors? Psychological Injury and Law, 7(2), 131–142. doi:10.1007/s12207-014-9196-9
  • Armour, C., Műllerová, J., & Elhai, J. D. (2016). A systematic literature review of PTSD’s latent structure in the diagnostic and statistical manual of mental disorders: DSM-IV to DSM-5. Clinical Psychology Review, 44, 60–74. doi:10.1016/j.cpr.2015.12.003
  • Armour, C., Tsai, J., Durham, T. A., Charak, R., Biehn, T. L., Elhai, J. D., & Pietrzak, R. H. (2015). Dimensional structure of DSM-5 posttraumatic stress symptoms: Support for a hybrid Anhedonia and externalizing behaviors model. Journal of Psychiatric Research, 61, 106–113. doi:10.1016/j.jpsychires.2014.10.012
  • Aroian, L. A. (1947). The probability function of the product of two normally distributed variables. The Annals of Mathematical Statistics, 18(2), 265–271.
  • Asmundson, G. J., & Stapleton, J. A. (2008). Associations between dimensions of anxiety sensitivity and PTSD symptom clusters in active‐duty police officers. Cognitive Behaviour Therapy, 37(2), 66–75. doi:10.1080/16506070801969005
  • Bardeen, J. R., Tull, M. T., Stevens, E. N., & Gratz, K. L. (2015). Further investigation of the association between anxiety sensitivity and posttraumatic stress disorder: Examining the influence of emotional avoidance. Journal of Contextual Behavioral Science, 4(3), 163–169. doi:10.1016/j.jcbs.2015.05.002
  • Barlow, D. H., Allen, L. B., & Choate, M. L. (2016). Toward a unified treatment for emotional disorders–republished article. Behavior Therapy, 47(6), 838–853. doi:10.1016/j.beth.2016.11.005
  • Barsky, A. J., Wyshak, G., & Klerman, G. L. (1990). The somatosensory amplification scale and its relationship to hypochondriasis. Journal of Psychiatric Research, 24(4), 323–334. doi:10.1016/0022-3956(90)90004-A
  • Biehn, T. L., Elhai, J. D., Seligman, L. D., Tamburrino, M., Armour, C., & Forbes, D. (2013). Underlying dimensions of DSM-5 posttraumatic stress disorder and major depressive disorder symptoms. Psychological Injury and Law, 6(4), 290–298. doi:10.1007/s12207-013-9177-4
  • Boasso, A. M., Steenkamp, M. M., Fox, A. B., Nash, W. P., Larson, J. L., & Litz, B. T. (2016). The structure of PTSD in active-duty marines across the deployment cycle. Psychological Trauma: Theory, Research, Practice, and Policy, 8(2), 127–134. doi:10.1037/tra0000109
  • Boffa, J. W., Norr, A. M., Raines, A. M., Albanese, B. J., Short, N. A., & Schmidt, N. B. (2016). Anxiety sensitivity prospectively predicts posttraumatic stress symptoms following a campus shooting. Behavior Therapy, 47(3), 367–376. doi:10.1016/j.beth.2016.02.006
  • Bovin, M. J., Marx, B. P., Weathers, F. W., Gallagher, M. W., Rodriguez, P., Schnurr, P. P., & Keane, T. M. (2016). Psychometric properties of the PTSD checklist for diagnostic and statistical manual of mental disorders–Fifth Edition (PCL-5) in veterans. Psychological Assessment, 28(11), 1379–1391. doi:10.1037/pas0000254
  • Breslau, N., & Kessler, R. C. (2001). The stressor criterion in DSM-IV posttraumatic stress disorder: An empirical investigation. Biological Psychiatry, 50(9), 699–704. doi:10.1016/s0006-3223(01)01167-2
  • Byllesby, B. M., Charak, R., Durham, T. A., Wang, X., & Elhai, J. D. (2016). The underlying role of negative affect in the association between PTSD, major depressive disorder, and generalized anxiety disorder. Journal of Psychopathology and Behavioral Assessment, 38(4), 655–665. doi:10.1007/s10862-016-9555-9
  • Byllesby, B. M., Durham, T. A., Forbes, D., Armour, C., & Elhai, J. D. (2015). An investigation of PTSD’s core dimensions and relations with anxiety and depression. Psychological Trauma: Theory, Research, Practice, and Policy, 8(2), 214–217. doi:10.1037/tra0000081
  • Byllesby, B. M., Elhai, J. D., Tamburrino, M., Fine, T. H., Cohen, G., Sampson, L., … Calabrese, J. R. (2017). General distress is more important than PTSD’s cognition and mood alterations factor in accounting for PTSD and depression’s comorbidity. Journal of Affective Disorders, 211, 118–123. doi:10.1016/j.jad.2017.01.014
  • Carragher, N., Sunderland, M., Batterham, P. J., Calear, A. L., Elhai, J. D., Chapman, C., & Mills, K. (2016). Discriminant validity and gender differences in DSM-5 posttraumatic stress disorder symptoms. Journal of Affective Disorders, 190, 56–67. doi:10.1016/j.jad.2015.09.071
  • Cassiello‐Robbins, C., & Barlow, D. H. (2016). Anger: The unrecognized emotion in emotional disorders. Clinical Psychology: Science and Practice, 23(1), 66–85.
  • Cobb, A. R., Lancaster, C. L., Meyer, E. C., Lee, H. J., & Telch, M. J. (2017). Pre-deployment trait anxiety, anxiety sensitivity and experiential avoidance predict war-zone stress-evoked psychopathology. Journal of Contextual Behavioral Science, 6(3), 276–287. doi:10.1016/j.jcbs.2017.05.002
  • Contractor, A. A., Durham, T. A., Brennan, J. A., Armour, C., Wutrick, H. R., Frueh, B. C., & Elhai, J. D. (2014). DSM-5 PTSD’s symptom dimensions and relations with major depression’s symptom dimensions in a primary care sample. Psychiatry Research, 215(1), 146–153. doi:10.1016/j.psychres.2013.10.015
  • Davies, R. L., Prince, M. A., Bravo, A. J., Kelley, M. L., & Crain, T. L. (2019). Moral injury, substance use, and posttraumatic stress disorder symptoms among military personnel: An examination of trait mindfulness as a moderator. Journal of Traumatic Stress, 32, 414–423. doi:10.1002/jts.22403
  • Del Carlo, A., Benvenuti, M., Fornaro, M., Toni, C., Rizzato, S., Swann, A. C., … Perugi, G. (2012). Different measures of impulsivity in patients with anxiety disorders: A case control study. Psychiatry Research, 197(3), 231–236. doi:10.1016/j.psychres.2011.09.020
  • Elhai, J. D., Biehn, T. L., Armour, C., Klopper, J. J., Frueh, B. C., & Palmieri, P. A. (2011). Evidence for a unique PTSD construct represented by PTSD’s D1–D3 symptoms. Journal of Anxiety Disorders, 25(3), 340–345. doi:10.1016/j.janxdis.2010.10.007
  • Enders, C. K. (2010). Applied missing data analysis. New York, NY: Guilford Press.
  • Feldner, M. T., Lewis, S. F., Leen-Feldner, E. W., Schnurr, P. P., & Zvolensky, M. J. (2006). Anxiety sensitivity as a moderator of the relation between trauma exposure frequency and posttraumatic stress symptomatology. Journal of Cognitive Psychotherapy, 20(2), 201–213. doi:10.1891/jcop.20.2.201
  • Friedman, M. J. (2013). Finalizing PTSD in DSM‐5: Getting here from there and where to go next. Journal of Traumatic Stress, 26(5), 548–556. doi:10.1002/jts.2013.26.issue-5
  • Friedman, M. J., Resick, P. A., Bryant, R. A., & Brewin, C. R. (2011). Considering PTSD for DSM‐5. Depression and Anxiety, 28(9), 750–769. doi:10.1002/da.v28.9
  • Gentes, E. L., Dennis, P. A., Kimbrel, N. A., Rissling, M. B., Beckham, J. C., Workgroup, V. M. A. M., & Calhoun, P. S. (2014). DSM-5 posttraumatic stress disorder: Factor structure and rates of diagnosis. Journal of Psychiatric Research, 59, 60–67. doi:10.1016/j.jpsychires.2014.08.014
  • Gutner, C. A., Galovski, T., Bovin, M. J., & Schnurr, P. P. (2016). Emergence of transdiagnostic treatments for PTSD and posttraumatic distress. Current Psychiatry Reports, 18(10), 95. doi:10.1007/s11920-016-0734-x
  • Hafstad, G. S., Dyb, G., Jensen, T. K., Steinberg, A. M., & Pynoos, R. S. (2014). PTSD prevalence and symptom structure of DSM-5 criteria in adolescents and young adults surviving the 2011 shooting in Norway. Journal of Affective Disorders, 169, 40–46. doi:10.1016/j.jad.2014.06.055
  • Hall, B. J., Yip, P. S., Garabiles, M. R., Lao, C. K., Chan, E. W., & Marx, B. P. (2019). Psychometric validation of the PTSD Checklist-5 among female Filipino migrant workers. European Journal of Psychotraumatology, 10, 1. doi:10.1080/20008198.2019.1571378
  • Harpaz-Rotem, I., Tsai, J., Pietrzak, R. H., & Hoff, R. (2014). The dimensional structure of posttraumatic stress symptomatology in 323,903 US veterans. Journal of Psychiatric Research, 49, 31–36. doi:10.1016/j.jpsychires.2013.10.020
  • Holm, S. (1979). A simple sequentially rejective multiple test procedure. Scandinavian Journal of Statistics, 6(2), 65–70.
  • Hu, L. T., & Bentler, P. M. (1998). Fit indices in covariance structure modeling: Sensitivity to underparameterized model misspecification. Psychological Methods, 3(4), 424–453. doi:10.1037/1082-989X.3.4.424
  • Insel, T. R., & Lieberman, J. A. (2013, May 13). DSM-5 and RDoC: Shared interests. Retrieved from https://www.nimh.nih.gov/archive/news/2013/dsm-5-and-rdoc-shared-interests.shtml
  • International Crisis Group (ICG). (2018). Crisis watch December 2018. Retrieved from https://reliefweb.int/report/world/crisiswatch-december-2018.
  • Jakupcak, M., Osborne, T., Michael, S., Cook, J., Albrizio, P., & McFall, M. (2006). Anxiety sensitivity and depression: Mechanisms for understanding somatic complaints in veterans with posttraumatic stress disorder. Journal of Traumatic Stress, 19(4), 471–479. doi:10.1002/jts.20145
  • Kass, R. E., & Raftery, A. E. (1995). Bayes factors. Journal of the American Statistical Association, 90(430), 773–795. doi:10.1080/01621459.1995.10476572
  • Kato, T. A., Hashimoto, R., Hayakawa, K., Kubo, H., Watabe, M., Teo, A. R., & Kanba, S. (2016). Multidimensional anatomy of ‘modern type depression’ in Japan: A proposal for a different diagnostic approach to depression beyond the DSM‐5. Psychiatry and Clinical Neurosciences, 70(1), 7–23. doi:10.1111/pcn.12360
  • King, D. W., Leskin, G. A., King, L. A., & Weathers, F. W. (1998). Confirmatory factor analysis of the clinician-administered PTSD Scale: Evidence for the dimensionality of posttraumatic stress disorder. Psychological Assessment, 10(2), 90. doi:10.1037/1040-3590.10.2.90
  • Koukopoulos, A., Sani, G., & Ghaemi, S. N. (2013). Mixed features of depression: Why DSM-5 is wrong (and so was DSM-IV). The British Journal of Psychiatry, 203(1), 3–5. doi:10.1192/bjp.bp.112.124404
  • Lang, A. J., Kennedy, C. M., & Stein, M. B. (2002). Anxiety sensitivity and PTSD among female victims of intimate partner violence. Depression and Anxiety, 16(2), 77–83. doi:10.1002/(ISSN)1520-6394
  • Lang, A. J., Schnurr, P. P., Jain, S., Raman, R., Walser, R., Bolton, E., … Benedek, D. (2012). Evaluating transdiagnostic treatment for distress and impairment in veterans: A multi-site randomized controlled trial of Acceptance and Commitment Therapy. Contemporary Clinical Trials, 33(1), 116–123. doi:10.1016/j.cct.2011.08.007
  • Larner, B., & Blow, A. (2011). A model of meaning-making coping and growth in combat veterans. Review of General Psychology, 15(3), 187–197. doi:10.1037/a0024810
  • Liu, L., Cohen, S., Schulz, M. S., & Waldinger, R. J. (2011). Sources of somatization: Exploring the roles of insecurity in relationships and styles of anger experience and expression. Social Science & Medicine, 73(9), 1436–1443. doi:10.1016/j.socscimed.2011.07.034
  • Liu, P., Wang, L., Cao, C., Wang, R., Zhang, J., Zhang, B., … Elhai, J. D. (2014). The underlying dimensions of DSM-5 posttraumatic stress disorder symptoms in an epidemiological sample of Chinese earthquake survivors. Journal of Anxiety Disorders, 28(4), 345–351. doi:10.1016/j.janxdis.2014.03.008
  • Marshall, G. N., Miles, J. N., & Steward, S. H. (2010). Anxiety sensitivity and PTSD symptom severity are reciprocally related: Evidence from a longitudinal study of physical trauma survivors. Journal of Abnormal Psychology, 119, 143–150. doi:10.1037/a0018009
  • McHugh, R. K., Gratz, K. L., & Tull, M. T. (2017). The role of anxiety sensitivity in reactivity to trauma cues in treatment-seeking adults with substance use disorders. Comprehensive Psychiatry, 78, 107–114. doi:10.1016/j.comppsych.2017.07.011
  • Mendoza, N. B., Mordeno, I. G., Latkin, C. A., & Hall, B. J. (2017). Evidence of the paradoxical effect of social network support: A study among Filipino domestic workers in China. Psychiatry Research, 255, 263–271. doi:10.1016/j.psychres.2017.05.037
  • Miller, M. W., Wolf, E. J., Kilpatrick, D., Resnick, H., Marx, B. P., Holowka, D. W., … Friedman, M. J. (2013). The prevalence and latent structure of proposed DSM-5 posttraumatic stress disorder symptoms in US national and veteran samples. Psychological Trauma: Theory, Research, Practice, and Policy, 5(6), 501–512. doi:10.1037/a0029730
  • Miotto, P., Pollini, B., Restaneo, A., Favaretto, G., & Preti, A. (2008). Aggressiveness, anger, and hostility in eating disorders. Comprehensive Psychiatry, 49(4), 364–373. doi:10.1016/j.comppsych.2008.01.004
  • Mordeno, I. G. (2012). An examination of PTSD factor structure in Filipino trauma survivors: A comparison of ten models across three regional groups. Philippine Journal of Psychology, 45(2), 173–205.
  • Mordeno, I. G., Carpio, J. G. E., Mendoza, N. B., & Hall, B. J. (2018). The latent structure of major depressive symptoms and its relationship with somatic disorder symptoms among Filipino female domestic workers in China. Psychiatry Research, 270, 587–594. doi:10.1016/j.psychres.2018.10.029
  • Mordeno, I. G., Carpio, J. G. E., Nalipay, M. J. N., & Saavedra, R. L. J. (2016). PTSD’s underlying dimensions in Typhoon Haiyan survivors: Assessing DSM-5 symptomatology-based PTSD models and their relation to posttraumatic cognition. Psychiatric Quarterly, 88(1), 9–23. doi:10.1007/s11126-016-9429-z
  • Mordeno, I. G., & Hall, B. J. (2017). DSM-5-based latent PTSD models: Assessing structural relations with GAD in Filipino post-relocatees. Psychiatry Research, 258, 1–8. doi:10.1016/j.psychres.2017.09.057
  • Mordeno, I. G., Nalipay, M. J. N., Sy, D. J. S., & Luzano, J. G. C. (2016). PTSD factor structure and relationship with self-construal among internally displaced persons. Journal of Anxiety Disorders, 44, 102–110. doi:10.1016/j.janxdis.2016.10.013
  • Mordeno, I. G., Nalipay, M. J. N., Untalan, J. H. C., & Decatoria, J. B. (2014). Examining posttraumatic stress disorder’s latent structure between treatment-seeking and non-treatment-seeking Filipinos. Asian Journal of Psychiatry, 11, 28–34. doi:10.1016/j.ajp.2014.05.003
  • Muthén, L. K., & Muthén, B. O. (2013). Mplus 7.11. Los Angeles, CA: Muthén & Muthén.
  • Nalipay, M. J. N., & Mordeno, I. G. (2016). Emotional intensity of trauma memory as moderator of the relationship between posttraumatic cognitions and PTSD symptoms. Journal of Pacific Rim Psychology, 10(7). doi:10.1017/prp.2016.4
  • Naragon-Gainey, K. (2010). Meta-analysis of the relations of anxiety sensitivity to the depressive and anxiety disorders. Psychological Bulletin, 136(1), 128–150. doi:10.1037/a0018055
  • Norton, P. J., & Paulus, D. J. (2017). Transdiagnostic models of anxiety disorder: Theoretical and empirical underpinnings. Clinical Psychology Review, 56, 122–137. doi:10.1016/j.cpr.2017.03.004
  • Olatunji, B. O., & Fan, Q. (2015). Anxiety sensitivity and post-traumatic stress reactions: Evidence for intrusions and physiological arousal as mediating and moderating mechanisms. Journal of Anxiety Disorders, 34, 76–85. doi:10.1016/j.janxdis.2015.06.002
  • Olatunji, B. O., Fan, Q., & Wolitzky-Taylor, K. (2018). Anxiety sensitivity and post-traumatic stress reactions: Effects of time-varying intrusive thoughts and associated distress. Journal of Behavior Therapy and Experimental Psychiatry, 61, 113–120. doi:10.1016/j.jbtep.2018.07.001
  • Olatunji, B. O., & Wolitzky-Taylor, K. B. (2009). Anxiety sensitivity and the anxiety disorders: A meta-analytic review and synthesis. Psychological Bulletin, 135(6), 974–999. doi:10.1037/a0017428
  • Orr, S. P., McNally, R. J., Rosen, G. M., & Shalev, A. Y. (2004). Psychophysiologic reactivity: Implications for conceptualizing PTSD. In G. M. Rosen (Ed.), Posttraumatic stress disorder: Issues and controversies (pp. 101–126). Chichester, UK: John Wiley & Sons.
  • Park, S. C., & Kim, Y. K. (2018). Depression in DSM-5: Changes, controversies, and future directions. In Y. K. Kim (Ed.), Understanding depression: Clinical manifestations, diagnosis and treatment (Vol. 2, pp. 3–14). Singapore: Springer. doi:10.1007/978-981-10-6577-4_1
  • Paulus, D. J., Gallagher, M. W., Bartlett, B. A., Tran, J., & Vujanovic, A. A. (2018). The unique and interactive effects of anxiety sensitivity and emotion dysregulation in relation to posttraumatic stress, depressive, and anxiety symptoms among trauma-exposed firefighters. Comprehensive Psychiatry, 84, 54–61. doi:10.1016/j.comppsych.2018.03.012
  • Pawluk, E. J., & Koerner, N. (2013). A preliminary investigation of impulsivity in generalized anxiety disorder. Personality and Individual Differences, 54(6), 732–737. doi:10.1016/j.paid.2012.11.027
  • Philippine Army. (2018). Philippine army. Retrieved from http://www.army.mil.ph
  • Pietrzak, R. H., Tsai, J., Armour, C., Mota, N., Harpaz-Rotem, I., & Southwick, S. M. (2015). Functional significance of a novel 7-factor model of DSM-5 PTSD symptoms: Results from the national health and resilience in veterans study. Journal of Affective Disorders, 174, 522–526. doi:10.1016/j.jad.2014.12.007
  • Raines, A. M., Walton, J. L., McManus, E. S., Cuccurullo, L. A. J., Chambliss, J., Uddo, M., & Franklin, C. L. (2016). Associations between lower order anxiety sensitivity dimensions and DSM-5 posttraumatic stress disorder symptoms. Cognitive Behaviour Therapy, 46(2), 162–173. doi:10.1080/16506073.2016.1244559
  • Reiss, S. (1991). Expectancy model of fear, anxiety, and panic. Clinical Psychology Review, 11(2), 141–153. doi:10.1016/0272-7358(91)90092-9
  • Reiss, S., Peterson, R. A., Gursky, D. M., & McNally, R. J. (1986). Anxiety sensitivity, anxiety frequency and the prediction of fearfulness. Behaviour Research and Therapy, 24(1), 1–8. doi:10.1016/0005-7967(86)90143-9
  • Satorra, A., & Bentler, P. M. (2001). A scaled difference chi-square test statistic for moment structure analysis. Psychometrika, 66(4), 507–514. doi:10.1007/BF02296192
  • Schiavo-Campo, S., & Judd, M. P. (2005). The Mindanao conflict in the Philippines: Roots, costs, and potential peace dividend (Vol. 24). Conflict Prevention & Reconstruction, Environmentally and Socially Sustainable Development Network. Washington, DC: World Bank. Retrieved from http://documents.worldbank.org/curated/en/701961468776746799/pdf/31822.pdf
  • Schmidt, N. B., Eggleston, A. M., Woolaway-Bickel, K., Fitzpatrick, K. K., Vasey, M. W., & Richey, J. A. (2007). Anxiety Sensitivity Amelioration Training (ASAT): A longitudinal primary prevention program targeting cognitive vulnerability. Journal of Anxiety Disorders, 21(3), 302–319. doi:10.1016/j.janxdis.2006.06.002
  • Schmidt, N. B., & Joiner, T. E. (2002). Structure of the Anxiety sensitivity index psychometrics and factor structure in a community sample. Journal of Anxiety Disorders, 16(1), 33–49. doi:10.1016/S0887-6185(01)00087-1
  • Simms, L. J., Watson, D., & Doebbelling, B. N. (2002). Confirmatory factor analyses of posttraumatic stress symptoms in deployed and nondeployed veterans of the Gulf War. Journal of Abnormal Psychology, 111(4), 637–647. doi:10.1037/0021-843X.111.4.637
  • Soberón, C., Crespo, M., Gómez-Gutiérrez, M. D. M., Fernández-Lansac, V., & Armour, C. (2016). Dimensional structure of DSM-5 posttraumatic stress symptoms in Spanish trauma victims. European Journal of Psychotraumatology, 7(1), 32078. doi:10.3402/ejpt.v7.32078
  • Sylwanowicz, L., Schreiber, M., Anderson, C., Gundran, C. P. D., Santamaria, E., & Lopez, J. C. F. (2017). Rapid triage of mental health risk in emergency medical workers: Findings from Typhoon Haiyan. Disaster Medicine and Public Health Preparedness, 12(1), 19–22. doi:10.1017/dmp.2017.37
  • Taylor, S. (2003). Anxiety sensitivity and its implications for understanding and treating PTSD. Journal of Cognitive Psychotherapy, 17(2), 179–186. doi:10.1891/jcop.17.2.179.57431
  • Taylor, S., Koch, W. J., & McNally, R. J. (1992). How does anxiety sensitivity vary across the anxiety disorders? Journal of Anxiety Disorders, 6, 249–259. doi:10.1016/0887-6185(92)90037-8
  • Tiamiyu, M. F., Gan, Y., Kwiatkowski, D., Foreman, K. C., Dietrich, A., Elliott, K., & Elhai, J. D. (2016). Relationships between latent factors of posttraumatic stress disorder and posttraumatic growth. The Journal of Nervous and Mental Disease, 204(5), 344–348. doi:10.1097/NMD.0000000000000490
  • Tsai, J., Harpaz-Rotem, I., Armour, C., Southwick, S. M., Krystal, J. H., & Pietrzak, R. H. (2015). Dimensional structure of DSM-5 posttraumatic stress disorder symptoms: Results from the national health and resilience in veterans study. The Journal of Clinical Psychiatry, 76(5), 546–553. doi:10.4088/JCP.14m09091
  • Tuliao, A. P. (2014). Mental health help seeking among Filipinos: A review of the literature. Asia Pacific Journal of Counselling and Psychotherapy, 5(2), 124–136. doi:10.1080/21507686.2014.913641
  • United Nations Organization for the Coordination of Humanitarian Affairs (OCHA) (2017). Humanitarian bulletin Philippines. Retrieved from reliefweb.int/sites/reliefweb.int/files/resources/OCHAPhilippines_Humanitarian_Bulletin_No6_July_2017_FINAL.pdf
  • Viana, A. G., Hanna, A. E., Woodward, E. C., Raines, E. M., Paulus, D. J., Berenz, E. C., & Zvolensky, M. J. (2017). Emotional clarity, anxiety sensitivity, and PTSD symptoms among trauma-exposed inpatient adolescents. Child Psychiatry & Human Development, 49(1), 146–154. doi:10.1007/s10578-017-0736-x
  • Vieweg, W. V. R., Julius, D. A., Fernandez, A., Beatty-Brooks, M., Hettema, J. M., & Pandurangi, A. K. (2006). Posttraumatic stress disorder: Clinical features, pathophysiology, and treatment. The American Journal of Medicine, 119(5), 383–390. doi:10.1016/j.amjmed.2005.09.027
  • Vujanovic, A. A., Zvolensky, M. J., & Bernstein, A. (2008). Incremental associations between facets of anxiety sensitivity and posttraumatic stress and panic symptoms among trauma-exposed adults. Cognitive Behavior Therapy, 37, 76–89. doi:10.1080/16506070801969039
  • Wang, L., Li, Z., Shi, Z., Zhang, J., Zhang, K., Liu, Z., & Elhai, J. D. (2011). Testing the dimensionality of posttraumatic stress responses in young Chinese adult earthquake survivors: Further evidence for “dysphoric arousal” as a unique PTSD construct. Depression and Anxiety, 28(12), 1097–1104. doi:10.1002/da.20823
  • Wang, L., Zhang, L., Armour, C., Cao, C., Qing, Y., Zhang, J., … Fan, G. (2015). Assessing the underlying dimensionality of DSM-5 PTSD symptoms in Chinese adolescents surviving the 2008 Wenchuan earthquake. Journal of Anxiety Disorders, 31, 90–97. doi:10.1016/j.janxdis.2015.02.006
  • Watson, D. (2005). Rethinking the mood and anxiety disorders: A quantitative hierarchical model for DSM-V. Journal of Abnormal Psychology, 114, 522–536. doi:10.1037/0021-843X.114.4.522
  • Watson, D., Clark, L. A., & Stasik, S. M. (2011). Emotions and the emotional disorders: A quantitative hierarchical perspective. International Journal of Clinical and Health Psychology, 11, 429–442.
  • Weathers, F. W., Litz, B. T., Keane, T. M., Palmieri, P. A., Marx, B. P., & Schnurr, P. P. (2013). The PTSD Checklist for DSM-5 (PCL-5). Scale available from the National Center for PTSD at www.ptsd.va.gov
  • Whealin, J. M., Ruzek, J. I., & Southwick, S. (2008). Cognitive–behavioral theory and preparation for professionals at risk for trauma exposure. Trauma, Violence, & Abuse, 9(2), 100–113. doi:10.1177/1524838008315869
  • Wortmann, J. H., Jordan, A. H., Weathers, F. W., Resick, P. A., Dondanville, K. A., Hall-Clark, B., … Mintz, J. (2016). Psychometric analysis of the PTSD Checklist-5 (PCL-5) among treatment-seeking military service members. Psychological Assessment, 28(11), 1392. doi:10.1037/pas0000260
  • Yang, H., Wang, L., Cao, C., Cao, X., Fang, R., Zhang, J., & Elhai, J. D. (2017). The underlying dimensions of DSM-5 PTSD symptoms and their relations with anxiety and depression in a sample of adolescents exposed to an explosion accident. European Journal of Psychotraumatology, 8(1), 1–7. doi:10.1080/20008198.206.1272789
  • Young, G. (2014). PTSD, Endophenotypes, the RDoC, and the DSM-5. Psychological Injury and Law, 7(1), 75–91. doi:10.1007/s12207-014-9187-x
  • Yufik, T., & Simms, L. J. (2010). A meta-analytic investigation of the structure of posttraumatic stress disorder symptoms. Journal of Abnormal Psychology, 119(4), 764–776. doi:10.1037/a0020981
  • Zawadzki, B., Popiel, A., Foa, E. B., Jakubowska, B., Cyniak-Cieciura, M., & Pragłowska, E. (2015). The structure of symptoms of posttraumatic stress disorder according to DSM-5 and assessed by PDS-5–preliminary results. Current Issues in Personality Psychology, 3(1), 1–11. doi:10.5114/cipp.2015.49662
  • Zelazny, K., & Simms, L. J. (2015). Confirmatory factor analyses of DSM-5 posttraumatic stress disorder symptoms in psychiatric samples differing in Criterion A status. Journal of Anxiety Disorders, 34, 15–23. doi:10.1016/j.janxdis.2015.05.009

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