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      Validation of the Davidson Trauma Scale in its original and a new shorter version in people exposed to the F-27 earthquake in Chile

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          Abstract

          Background

          On February 27, 2010 (F-27), an earthquake and tsunami occurred having a significant impact on the mental health of the Chilean population, leading to an increase in cases of post-traumatic stress disorder (PTSD).

          Objectives

          Within this context, validated for the first time in Chile was the Davidson Trauma Scale (DTS) using three samples (each one consisting of 200 participants), two of them random from the Chilean population.

          Results

          Reliability analyses (i.e., α=0.933), concurrent validity (63% of the items are significantly correlated with the criteria variable “degree of damage to home”) and construct validity (i.e., CMIN = 3.754, RMSEA = 0.118, NFI = 0.808, CFI = 0.850 and PNFI = 0.689) indicate validity between regular and good for DTS. However, a new short version of the scale (DTS-SF) created using the items with heavier factor weights, presented better fits (CMIN = 2.170, RMSEA = 0.077, NFI = 0.935, CFI = 0.963, PNFI = 0.697).

          Discussion

          Finally, the usefulness of DTS and DTS-SF is discussed, the latter being briefer, valid and having better psychometric characteristics.

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          Most cited references52

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          Diagnostic and statistical manual of mental disorders.

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            Considering PTSD for DSM-5.

            This is a review of the relevant empirical literature concerning the DSM-IV-TR diagnostic criteria for PTSD. Most of this work has focused on Criteria A1 and A2, the two components of the A (Stressor) Criterion. With regard to A1, the review considers: (a) whether A1 is etiologically or temporally related to the PTSD symptoms; (b) whether it is possible to distinguish "traumatic" from "non-traumatic" stressors; and (c) whether A1 should be eliminated from DSM-5. Empirical literature regarding the utility of the A2 criterion indicates that there is little support for keeping the A2 criterion in DSM-5. The B (reexperiencing), C (avoidance/numbing) and D (hyperarousal) criteria are also reviewed. Confirmatory factor analyses suggest that the latent structure of PTSD appears to consist of four distinct symptom clusters rather than the three-cluster structure found in DSM-IV. It has also been shown that in addition to the fear-based symptoms emphasized in DSM-IV, traumatic exposure is also followed by dysphoric, anhedonic symptoms, aggressive/externalizing symptoms, guilt/shame symptoms, dissociative symptoms, and negative appraisals about oneself and the world. A new set of diagnostic criteria is proposed for DSM-5 that: (a) attempts to sharpen the A1 criterion; (b) eliminates the A2 criterion; (c) proposes four rather than three symptom clusters; and (d) expands the scope of the B-E criteria beyond a fear-based context. The final sections of this review consider: (a) partial/subsyndromal PTSD; (b) disorders of extreme stress not otherwise specified (DESNOS)/complex PTSD; (c) cross- cultural factors; (d) developmental factors; and (e) subtypes of PTSD. © 2010 Wiley-Liss, Inc.
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              Confirmary Factor Analysis for Applied Research

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                Author and article information

                Journal
                Eur J Psychotraumatol
                Eur J Psychotraumatol
                EJPT
                European Journal of Psychotraumatology
                Co-Action Publishing
                2000-8198
                2000-8066
                22 August 2013
                2013
                : 4
                : 10.3402/ejpt.v4i0.21239
                Affiliations
                Faculty of Psychology, University of Talca, Talca, Chile
                Author notes
                [* ]Correspondence to: Marcelo C. Leiva-Bianchi, Facultad de Psicología, Universidad de Talca, Lircay s/n, Talca, Región del Maule, Talca, Chile, Email: marcleiva@ 123456utalca.cl
                Article
                21239
                10.3402/ejpt.v4i0.21239
                3752042
                23983920
                634835a3-57b3-4bff-a745-65d953ec40b3
                © 2013 Marcelo C. Leiva-Bianchi and Andrea C. Araneda

                This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                : 25 April 2013
                : 15 May 2013
                : 21 July 2013
                Categories
                Basic Research Article

                Clinical Psychology & Psychiatry
                post-traumatic stress disorder,screening scale,exploratory factor analysis,confirmatory factor analysis,earthquake,tsunami,psychosocial impact

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