The underlying dimensions of DSM-5 post-traumatic stress disorder (PTSD) and their relationships with mental and somatoform dissociation, depression and anxiety among jail inmates

ÖĞÜLMÜŞ S., Boysan M., Fidan-Acar O., Koca H.

BRITISH JOURNAL OF GUIDANCE & COUNSELLING, vol.48, no.3, pp.374-393, 2020 (SSCI) identifier identifier

  • Publication Type: Article / Article
  • Volume: 48 Issue: 3
  • Publication Date: 2020
  • Doi Number: 10.1080/03069885.2020.1738338
  • Journal Name: BRITISH JOURNAL OF GUIDANCE & COUNSELLING
  • Journal Indexes: Social Sciences Citation Index (SSCI), Scopus, Academic Search Premier, ASSIA, IBZ Online, CINAHL, EBSCO Education Source, Educational research abstracts (ERA), ERIC (Education Resources Information Center), Psycinfo, Sociological abstracts, DIALNET
  • Page Numbers: pp.374-393
  • Keywords: Prisoners, somatoform dissociation, dissociative symptoms, depression, anxiety, CONFIRMATORY FACTOR-ANALYSES, INCARCERATED WOMEN, GENDER-DIFFERENCES, SYMPTOM STRUCTURE, TRAUMA EXPOSURE, SUBSTANCE USE, PSYCHIATRIC-DISORDERS, PERSONALITY-DISORDER, SEXUAL VICTIMIZATION, NONCLINICAL SAMPLE
  • Ankara University Affiliated: Yes

Abstract

This study examined the DSM-5 factor structure of scores on the Turkish version of the posttraumatic stress disorder (PTSD) Checklist for DSM-5 (PCL-5) and predictors of PTSD caseness in a sample of male prisoners. The 7-factor hybrid model was the optimal model relative to the alternatives. Consistent with the PTSD literature in prisoners, the majority of respondents had past traumatic experiences (96.7%), a probable PTSD diagnosis (68.4%), pathological dissociation (46.8%) and somatoform dissociation (52.3%). Probable PTSD caseness was significantly associated with dissociation and depression, as well as higher levels of education and being married. Re-experiencing was strongly associated with mental and somatic dissociation; whereas dysphoric arousal was related to depression and anxiety.