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Relations between PTSD and Distress Dimensions in an Indian Child/Adolescent Sample following the 2008 Mumbai Terrorist Attacks

Contractor, Ateka A

Abstract Details

2015, Doctor of Philosophy, University of Toledo, College of Languages, Literature, and Social Sciences.
Posttraumatic stress disorder’s (PTSD) four-factor dysphoria model (Simms, 2010) has substantial empirical support (reviewed in Elhai & Palmieri, 2011; Yufik & Simms, 2010). However, debatable is whether the model’s dysphoria factor adequately captures all of PTSD’s general emotional distress (e.g., G. N. Marshall, Schell, & Miles, 2010; Miller et al., 2010). Thus, the present study assessed the factor-level relationship between PTSD and general emotional distress to answer two research questions: 1) Relative to other PTSD factors, does the dysphoria factor better account for variance in external measures of emotional distress?, and 2) which emotional distress dimension is most related to PTSD’s dysphoria factor (related to PTSD’s placement in the quadripartite model)? The relevance of the current study is further enhanced by virtue of using a young Eastern cultural sample (i.e., India) with exposure to terrorist attacks. Data analyses was conducted on an archival dataset collected by Mithibai College at Mumbai, comprising of children and adolescents attending school during and in the vicinity of the 2008 Mumbai terrorist attacks. PTSD and emotional distress were measured by the UCLA PTSD Reaction Index (PTSD-RI; Steinberg, Brymer, Decker, & Pynoos, 2004) and the Brief Symptom Inventory-18 (BSI-18; Derogatis, 2001) respectively. Primary analyses entailed confirmatory factor analyses (CFA) to assess the hypothesized PTSD and BSI-18 model fit, followed by Wald tests of parameter constraints to assess hypothesized relations between PTSD’s and BSI-18’s latent factors. Specifically, I assessed if BSI-18’s somatization (Hypothesis 1), anxiety (Hypothesis 2), and depression factors (Hypothesis 3) related more to PTSD’s dysphoria than other PTSD factors. Further, I assessed if PTSD’s dysphoria related more to BSI-18’s somatization than BSI-18’s depression (Hypothesis 4) and anxiety factors (Hypothesis 6), and more to BSI-18’s depression than to its anxiety factor (Hypothesis 5). Significant results indicated that BSI-18’s depression and somatization factors related more to PTSD’s dysphoria factor than PTSD’s avoidance factor. Additionally, PTSD’s dysphoria factor related more to BSI-18’s depression than BSI-18’s anxiety and somatization factors. Consequent implications are discussed in detail.
Jon Elhai (Committee Chair)
Andrew Geers (Committee Member)
Joseph Hovey (Committee Member)
Marijo Tamburrino (Committee Member)
Mojisola Tiamiyu (Committee Member)

Recommended Citations

Citations

  • Contractor, A. A. (2015). Relations between PTSD and Distress Dimensions in an Indian Child/Adolescent Sample following the 2008 Mumbai Terrorist Attacks [Doctoral dissertation, University of Toledo]. OhioLINK Electronic Theses and Dissertations Center. http://rave.ohiolink.edu/etdc/view?acc_num=toledo1421775791

    APA Style (7th edition)

  • Contractor, Ateka. Relations between PTSD and Distress Dimensions in an Indian Child/Adolescent Sample following the 2008 Mumbai Terrorist Attacks. 2015. University of Toledo, Doctoral dissertation. OhioLINK Electronic Theses and Dissertations Center, http://rave.ohiolink.edu/etdc/view?acc_num=toledo1421775791.

    MLA Style (8th edition)

  • Contractor, Ateka. "Relations between PTSD and Distress Dimensions in an Indian Child/Adolescent Sample following the 2008 Mumbai Terrorist Attacks." Doctoral dissertation, University of Toledo, 2015. http://rave.ohiolink.edu/etdc/view?acc_num=toledo1421775791

    Chicago Manual of Style (17th edition)