Associations Between PTSD Symptom Custers and Longitudinal Changes in Suicidal Ideation: Comparison Between 4-Factor and 7-Factor Models of DSM-5 PTSD Symptoms

Objective: The association between posttraumatic stress disorder (PTSD) and suicidal ideation (SI) is well-known. However, a few studies have investigated the associations between PTSD symptom clusters based on the fifth edition of the Diagnostic and Statistical Manual for Mental Disorders (DSM-5) a...

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Autores principales:	Che-Sheng Chu, Po-Han Chou, Shao-Cheng Wang, Masaru Horikoshi, Masaya Ito
Formato:	article
Lenguaje:	EN
Publicado:	Frontiers Media S.A. 2021
Materias:	posttraumatic stress disorder suicide ideation DSM symptomatology anhedonia externalizing behavior Psychiatry RC435-571
Acceso en línea:	https://doaj.org/article/2e2e92de2ba74037be3808e36929309a
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spelling	oai:doaj.org-article:2e2e92de2ba74037be3808e36929309a2021-11-16T05:38:37ZAssociations Between PTSD Symptom Custers and Longitudinal Changes in Suicidal Ideation: Comparison Between 4-Factor and 7-Factor Models of DSM-5 PTSD Symptoms1664-064010.3389/fpsyt.2021.680434https://doaj.org/article/2e2e92de2ba74037be3808e36929309a2021-11-01T00:00:00Zhttps://www.frontiersin.org/articles/10.3389/fpsyt.2021.680434/fullhttps://doaj.org/toc/1664-0640Objective: The association between posttraumatic stress disorder (PTSD) and suicidal ideation (SI) is well-known. However, a few studies have investigated the associations between PTSD symptom clusters based on the fifth edition of the Diagnostic and Statistical Manual for Mental Disorders (DSM-5) and changes in suicide risk longitudinally.Methods: We adopted a longitudinal study design using data from the National Survey for Stress and Health of 3,090 of the Japanese population. The first and second surveys were conducted on November 2016 and March 2017, respectively. The suicidal ideation attributes scale was applied to assess the severity of suicidal ideation at baseline and the follow-up period. A multivariate linear regression model was conducted to examine the associations between the 4- or 7-factor model of PTSD symptom clusters at baseline and longitudinal changes in SI.Results: Overall, 3,090 subjects were analyzed (mean age, 44.9 ± 10.9 years; 48.8% female) at Baseline, and 2,163 completed the second survey. In the 4-factor model, we found that the severity of negative alternations in cognition and mood were significantly associated with increased SI after 4 months. In the 7-factor model, we found that the severity of anhedonia and externalizing behavior at baseline was significantly associated with increased SI during the follow-up period.Conclusions: We found that the seven-factor model of DSM-5 PTSD symptoms may provide greater specificity in predicting longitudinal SI change in the general population. Closely monitoring specific PTSD core symptoms may be more effective in mitigating key clinical and functional outcomes.Che-Sheng ChuChe-Sheng ChuChe-Sheng ChuPo-Han ChouPo-Han ChouPo-Han ChouPo-Han ChouShao-Cheng WangShao-Cheng WangShao-Cheng WangMasaru HorikoshiMasaya ItoFrontiers Media S.A.articleposttraumatic stress disordersuicide ideationDSMsymptomatologyanhedoniaexternalizing behaviorPsychiatryRC435-571ENFrontiers in Psychiatry, Vol 12 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	posttraumatic stress disorder suicide ideation DSM symptomatology anhedonia externalizing behavior Psychiatry RC435-571
spellingShingle	posttraumatic stress disorder suicide ideation DSM symptomatology anhedonia externalizing behavior Psychiatry RC435-571 Che-Sheng Chu Che-Sheng Chu Che-Sheng Chu Po-Han Chou Po-Han Chou Po-Han Chou Po-Han Chou Shao-Cheng Wang Shao-Cheng Wang Shao-Cheng Wang Masaru Horikoshi Masaya Ito Associations Between PTSD Symptom Custers and Longitudinal Changes in Suicidal Ideation: Comparison Between 4-Factor and 7-Factor Models of DSM-5 PTSD Symptoms
description	Objective: The association between posttraumatic stress disorder (PTSD) and suicidal ideation (SI) is well-known. However, a few studies have investigated the associations between PTSD symptom clusters based on the fifth edition of the Diagnostic and Statistical Manual for Mental Disorders (DSM-5) and changes in suicide risk longitudinally.Methods: We adopted a longitudinal study design using data from the National Survey for Stress and Health of 3,090 of the Japanese population. The first and second surveys were conducted on November 2016 and March 2017, respectively. The suicidal ideation attributes scale was applied to assess the severity of suicidal ideation at baseline and the follow-up period. A multivariate linear regression model was conducted to examine the associations between the 4- or 7-factor model of PTSD symptom clusters at baseline and longitudinal changes in SI.Results: Overall, 3,090 subjects were analyzed (mean age, 44.9 ± 10.9 years; 48.8% female) at Baseline, and 2,163 completed the second survey. In the 4-factor model, we found that the severity of negative alternations in cognition and mood were significantly associated with increased SI after 4 months. In the 7-factor model, we found that the severity of anhedonia and externalizing behavior at baseline was significantly associated with increased SI during the follow-up period.Conclusions: We found that the seven-factor model of DSM-5 PTSD symptoms may provide greater specificity in predicting longitudinal SI change in the general population. Closely monitoring specific PTSD core symptoms may be more effective in mitigating key clinical and functional outcomes.
format	article
author	Che-Sheng Chu Che-Sheng Chu Che-Sheng Chu Po-Han Chou Po-Han Chou Po-Han Chou Po-Han Chou Shao-Cheng Wang Shao-Cheng Wang Shao-Cheng Wang Masaru Horikoshi Masaya Ito
author_facet	Che-Sheng Chu Che-Sheng Chu Che-Sheng Chu Po-Han Chou Po-Han Chou Po-Han Chou Po-Han Chou Shao-Cheng Wang Shao-Cheng Wang Shao-Cheng Wang Masaru Horikoshi Masaya Ito
author_sort	Che-Sheng Chu
title	Associations Between PTSD Symptom Custers and Longitudinal Changes in Suicidal Ideation: Comparison Between 4-Factor and 7-Factor Models of DSM-5 PTSD Symptoms
title_short	Associations Between PTSD Symptom Custers and Longitudinal Changes in Suicidal Ideation: Comparison Between 4-Factor and 7-Factor Models of DSM-5 PTSD Symptoms
title_full	Associations Between PTSD Symptom Custers and Longitudinal Changes in Suicidal Ideation: Comparison Between 4-Factor and 7-Factor Models of DSM-5 PTSD Symptoms
title_fullStr	Associations Between PTSD Symptom Custers and Longitudinal Changes in Suicidal Ideation: Comparison Between 4-Factor and 7-Factor Models of DSM-5 PTSD Symptoms
title_full_unstemmed	Associations Between PTSD Symptom Custers and Longitudinal Changes in Suicidal Ideation: Comparison Between 4-Factor and 7-Factor Models of DSM-5 PTSD Symptoms
title_sort	associations between ptsd symptom custers and longitudinal changes in suicidal ideation: comparison between 4-factor and 7-factor models of dsm-5 ptsd symptoms
publisher	Frontiers Media S.A.
publishDate	2021
url	https://doaj.org/article/2e2e92de2ba74037be3808e36929309a
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Associations Between PTSD Symptom Custers and Longitudinal Changes in Suicidal Ideation: Comparison Between 4-Factor and 7-Factor Models of DSM-5 PTSD Symptoms

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