{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,23]],"date-time":"2026-06-23T09:29:44Z","timestamp":1782206984203,"version":"3.54.5"},"reference-count":50,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2011,8,10]],"date-time":"2011-08-10T00:00:00Z","timestamp":1312934400000},"content-version":"vor","delay-in-days":9,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Journal of Traumatic Stress"],"published-print":{"date-parts":[[2011,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>The present study used factor mixture modeling to explore empirically defined subgroups of psychological trauma victims based on confirmatory factor analysis (CFA) and latent class analysis of posttraumatic stress disorder (PTSD) symptoms. We sampled 310 medical patients with a history of trauma exposure. Confirmatory factor analysis revealed that the 4\u2010factor emotional numbing PTSD model yielded the best model fit. Using latent factor means derived from this model and the 4\u2010factor dysphoria PTSD model (indexing severity on PTSD factors), 3 latent classes of participants were identified using factor mixture modeling. The 3\u2010class model fit the data very well and was validated against external measures of anxiety and rumination.<\/jats:p>","DOI":"10.1002\/jts.20653","type":"journal-article","created":{"date-parts":[[2011,8,10]],"date-time":"2011-08-10T16:47:20Z","timestamp":1312994840000},"page":"435-443","source":"Crossref","is-referenced-by-count":34,"title":["Heterogeneity in clinical presentations of posttraumatic stress disorder among medical patients: Testing factor structure variation using factor mixture modeling"],"prefix":"10.1002","volume":"24","author":[{"given":"Jon D.","family":"Elhai","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"James A.","family":"Naifeh","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Forbes","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kendra C.","family":"Ractliffe","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marijo","family":"Tamburrino","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2011,8,10]]},"reference":[{"key":"e_1_2_5_2_1","volume-title":"Diagnostic and statistical manual of mental disorders","author":"American Psychiatric Association.","year":"1994"},{"key":"e_1_2_5_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10960-004-5795-7"},{"key":"e_1_2_5_4_1","doi-asserted-by":"publisher","DOI":"10.1177\/0013164402062004005"},{"key":"e_1_2_5_5_1","volume-title":"Manual for the Beck Depression Inventory\u2010II","author":"Beck A. T.","year":"1996"},{"key":"e_1_2_5_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/jts.2490080106"},{"key":"e_1_2_5_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1468-2850.2006.00013.x"},{"key":"e_1_2_5_8_1","doi-asserted-by":"publisher","DOI":"10.1002\/9781118619179"},{"key":"e_1_2_5_9_1","doi-asserted-by":"publisher","DOI":"10.1037\/0003-066X.59.1.20"},{"key":"e_1_2_5_10_1","doi-asserted-by":"publisher","DOI":"10.1001\/archpsyc.62.12.1343"},{"key":"e_1_2_5_11_1","doi-asserted-by":"publisher","DOI":"10.1037\/0022-006X.68.5.748"},{"key":"e_1_2_5_12_1","doi-asserted-by":"publisher","DOI":"10.1002\/jclp.20542"},{"key":"e_1_2_5_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.beth.2006.02.006"},{"key":"e_1_2_5_14_1","doi-asserted-by":"publisher","DOI":"10.1037\/a0018601"},{"key":"e_1_2_5_15_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291709005819"},{"key":"e_1_2_5_16_1","doi-asserted-by":"publisher","DOI":"10.4088\/JCP.v69n0411"},{"key":"e_1_2_5_17_1","doi-asserted-by":"publisher","DOI":"10.1037\/1541-1559.2.1.3"},{"key":"e_1_2_5_18_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ps.57.10.1505"},{"key":"e_1_2_5_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cpr.2008.10.002"},{"key":"e_1_2_5_20_1","doi-asserted-by":"publisher","DOI":"10.1037\/1082-989X.9.4.466"},{"key":"e_1_2_5_21_1","doi-asserted-by":"publisher","DOI":"10.1002\/jts.2490060405"},{"key":"e_1_2_5_22_1","doi-asserted-by":"publisher","DOI":"10.1002\/jts.20526"},{"key":"e_1_2_5_23_1","doi-asserted-by":"publisher","DOI":"10.1002\/jts.20073"},{"key":"e_1_2_5_24_1","doi-asserted-by":"publisher","DOI":"10.1023\/A:1024456713321"},{"key":"e_1_2_5_25_1","doi-asserted-by":"publisher","DOI":"10.1080\/10705519909540118"},{"key":"e_1_2_5_26_1","doi-asserted-by":"publisher","DOI":"10.1080\/01621459.1995.10476572"},{"key":"e_1_2_5_27_1","doi-asserted-by":"publisher","DOI":"10.1037\/1040-3590.10.2.90"},{"key":"e_1_2_5_28_1","doi-asserted-by":"publisher","DOI":"10.1093\/biomet\/88.3.767"},{"key":"e_1_2_5_29_1","doi-asserted-by":"publisher","DOI":"10.1037\/1082-989X.10.1.21"},{"key":"e_1_2_5_30_1","doi-asserted-by":"publisher","DOI":"10.1080\/10705510709336735"},{"key":"e_1_2_5_31_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291701004202"},{"key":"e_1_2_5_32_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.beth.2006.04.003"},{"key":"e_1_2_5_33_1","doi-asserted-by":"publisher","DOI":"10.4135\/9781412986311.n19"},{"key":"e_1_2_5_34_1","first-page":"1","volume-title":"Advances in latent variable mixture models","author":"Muth\u00e9n B. O.","year":"2008"},{"key":"e_1_2_5_35_1","volume-title":"Mplus (Version 6)","author":"Muth\u00e9n B. O.","year":"2010"},{"key":"e_1_2_5_36_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.janxdis.2008.01.016"},{"key":"e_1_2_5_37_1","doi-asserted-by":"publisher","DOI":"10.1037\/a0019783"},{"key":"e_1_2_5_38_1","doi-asserted-by":"publisher","DOI":"10.1080\/10705510701575396"},{"key":"e_1_2_5_39_1","doi-asserted-by":"publisher","DOI":"10.1037\/0033-2909.129.1.52"},{"key":"e_1_2_5_40_1","doi-asserted-by":"publisher","DOI":"10.2307\/271063"},{"key":"e_1_2_5_41_1","doi-asserted-by":"publisher","DOI":"10.1037\/0021-843X.111.2.290"},{"key":"e_1_2_5_42_1","doi-asserted-by":"publisher","DOI":"10.1037\/10723-000"},{"key":"e_1_2_5_43_1","doi-asserted-by":"publisher","DOI":"10.1002\/jts.20452"},{"key":"e_1_2_5_44_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.janxdis.2009.07.001"},{"key":"e_1_2_5_45_1","doi-asserted-by":"publisher","DOI":"10.1037\/0021-843X.111.4.637"},{"key":"e_1_2_5_46_1","volume-title":"Manual for the State\u2010Trait Anxiety Inventory (Form Y)","author":"Spielberger C. D.","year":"1983"},{"key":"e_1_2_5_47_1","doi-asserted-by":"publisher","DOI":"10.1176\/ajp.2006.163.7.1187"},{"key":"e_1_2_5_48_1","doi-asserted-by":"publisher","DOI":"10.1146\/annurev.clinpsy.032408.153510"},{"key":"e_1_2_5_49_1","volume-title":"The PTSD checklist: Reliability, validity, & diagnostic utility","author":"Weathers F. W.","year":"1993"},{"key":"e_1_2_5_50_1","doi-asserted-by":"publisher","DOI":"10.1037\/1082-989X.12.1.58"},{"key":"e_1_2_5_51_1","doi-asserted-by":"publisher","DOI":"10.1037\/a0020981"}],"container-title":["Journal of Traumatic Stress"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fjts.20653","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fjts.20653","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/jts.20653","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,11,20]],"date-time":"2023-11-20T12:30:39Z","timestamp":1700483439000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/jts.20653"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2011,8]]},"references-count":50,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2011,8]]}},"alternative-id":["10.1002\/jts.20653"],"URL":"https:\/\/doi.org\/10.1002\/jts.20653","archive":["Portico"],"relation":{},"ISSN":["0894-9867","1573-6598"],"issn-type":[{"value":"0894-9867","type":"print"},{"value":"1573-6598","type":"electronic"}],"subject":[],"published":{"date-parts":[[2011,8]]}}}