{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,9,7]],"date-time":"2023-09-07T20:33:29Z","timestamp":1694118809672},"reference-count":48,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2019,12,9]],"date-time":"2019-12-09T00:00:00Z","timestamp":1575849600000},"content-version":"vor","delay-in-days":8,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Traumatic Stress"],"published-print":{"date-parts":[[2019,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>The factor structure of <jats:italic>DSM\u20105<\/jats:italic> posttraumatic stress disorder (PTSD) has been extensively debated, with evidence supporting the recently proposed seven\u2010factor hybrid model. However, few studies examining PTSD symptom structure have assessed the implications of these proposed models on diagnostic criteria and PTSD prevalence. In the present study, we examined seven alternative <jats:italic>DSM\u20105<\/jats:italic> PTSD models within a confirmatory factor analysis (CFA), using the Child PTSD Symptom Scale\u2013Self\u2010Report for <jats:italic>DSM\u20105<\/jats:italic> (CPSS\u20105). Additionally, we generated prevalence rates for each of the seven models by using a symptom\u2010based diagnostic algorithm and assessed whether substance abuse, depression, anxiety symptoms, and daily functioning were differentially associated with PTSD depending on the model used to derive the diagnosis. Participants were 317 adolescents aged 13\u201317 years (<jats:italic>M<\/jats:italic> = 15.93, <jats:italic>SD<\/jats:italic> = 1.23) who had experienced a <jats:italic>DSM\u20105<\/jats:italic> Criterion A trauma and\/or childhood adversity. The CFA results showed good fit indices for all models, with the seven\u2010factor hybrid model presenting the best fit. The rates of PTSD diagnosis varied according to each model. The four\u2010factor <jats:italic>DSM\u20105<\/jats:italic> model presented the highest rate (30.6%), and the seven\u2010factor hybrid model presented the lowest rate (17.4%). Similar to the CFA analysis, the inclusion criteria for the diagnosis based on the hybrid model also presented the strongest associations with daily functional impairment, odds ratio (<jats:italic>OR<\/jats:italic>) = 1.48, 95% CI [1.25, 1.75]; and adverse childhood experiences, <jats:italic>OR<\/jats:italic> = 1.46, 95% CI [1.16, 1.82]. Research and clinical implications of these results are discussed, and suggestions for future investigation are presented.<\/jats:p>","DOI":"10.1002\/jts.22469","type":"journal-article","created":{"date-parts":[[2019,12,9]],"date-time":"2019-12-09T09:00:15Z","timestamp":1575882015000},"page":"908-917","update-policy":"http:\/\/dx.doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Alternative Models of <i>DSM\u20105<\/i> Posttraumatic Stress Disorder in Portuguese Adolescents Exposed to Trauma and Childhood Adversity"],"prefix":"10.1002","volume":"32","author":[{"given":"Patr\u00edcia","family":"Correia\u2010Santos","sequence":"first","affiliation":[{"name":"School of Psychology University of Minho  Braga Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Diogo","family":"Morgado","sequence":"additional","affiliation":[{"name":"School of Psychology University of Minho  Braga Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"\u00c2ngela C.","family":"Maia","sequence":"additional","affiliation":[{"name":"School of Psychology University of Minho  Braga Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alytia","family":"Levendosky","sequence":"additional","affiliation":[{"name":"Department of Psychology Michigan State University  East Lansing Michigan USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"In\u00eas","family":"Jongenelen","sequence":"additional","affiliation":[{"name":"Faculty of Psychology, HEI\u2010Lab University Lus\u00f3fona of Porto  Porto Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ricardo J.","family":"Pinto","sequence":"additional","affiliation":[{"name":"Faculty of Psychology, HEI\u2010Lab University Lus\u00f3fona of Porto  Porto Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2019,12,9]]},"reference":[{"key":"e_1_2_5_2_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.books.9780890425596"},{"key":"e_1_2_5_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/NMD.0000000000000430"},{"key":"e_1_2_5_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpsychires.2014.10.012"},{"key":"e_1_2_5_5_1","doi-asserted-by":"publisher","DOI":"10.1037\/0033-2909.107.2.238"},{"key":"e_1_2_5_6_1","doi-asserted-by":"publisher","DOI":"10.1037\/pas0000254"},{"key":"e_1_2_5_7_1","doi-asserted-by":"publisher","DOI":"10.1023\/A:1024529321194"},{"key":"e_1_2_5_8_1","doi-asserted-by":"publisher","DOI":"10.1177\/0049124104268644"},{"key":"e_1_2_5_9_1","first-page":"87","volume-title":"Testes e provas psicol\u00f3gicas em Portugal","author":"Canavarro M. 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