Evidence map›Paper›PMID 36881210›Full record

ArticleResearch on child and adolescent psychopathology2023

A Distinction Without a Difference? A Multi-Method Approach to Understanding PTSD and Depression Symptom Overlap Among Disaster-Exposed Adolescents.

James Kyle Haws, Lauren M Laifer, Laura M Acosta, Allura L Ralston, Kenneth J Ruggiero, Tatiana M Davidson, Arthur R Andrews

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Article in Research on child and adolescent psychopathology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

James Kyle HawsDepartment of Family Medicine, and the Adult and Child Adult & Child Center for Outcomes Research & Delivery Science, University of Colorado School of Medicine, 13199 E. Montview Blvd, Suite 300, Aurora, CO, 80045, USA. james.haws@cuanschutz.edu.ORCID 0000-0003-2641-8440
Lauren M LaiferDepartment of Psychology, University of Nebraska-Lincoln, Lincoln, NE, USA.
Laura M AcostaDepartment of Psychology, University of Nebraska-Lincoln, Lincoln, NE, USA.
Allura L RalstonDepartment of Psychology, University of Nebraska-Lincoln, Lincoln, NE, USA.
Kenneth J RuggieroCollege of Nursing, Medical University of South Carolina, Charleston, SC, USA.
Tatiana M DavidsonCollege of Nursing, Medical University of South Carolina, Charleston, SC, USA.
Arthur R AndrewsDepartment of Psychology, University of Nebraska-Lincoln, Lincoln, NE, USA.

Funding

Web-Based Intervention for Disaster-Affected Adolescents and FamiliesR01MH081056 · NIMH · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI RUGGIERO, KENNETH J · 2008 to 2012
$2.5M
Foundation for the National Institutes of Health MH107641Foundation for the National Institutes of Health R01-MH081056NIMH NIH HHS R01 MH081056
6 · The paper itself

Abstract

Among adolescents exposed to trauma, posttraumatic stress disorder (PTSD) and major depressive disorder (MDD) commonly co-occur. Despite the prevalence of comorbidity, the question of how PTSD and MDD are related and appropriate conceptual models for understanding their linkage in adolescence remains unclear. This study applies a multi-methodological approach to advance conceptual and theoretical understanding of the overlap between PTSD and MDD diagnoses/symptoms. We tested three methodological approaches with three distinct theoretical underpinnings on the structure of each disorder proposed in the literature: confirmatory factor analysis (CFA) with dimensional constructs, latent class analysis (LCA) with person-based categorical constructs, and network analysis with symptom-to-symptom associations. Across the three different analytical approaches, there was a significant overlap between PTSD and MDD. Overall, there was no compelling evidence for distinct boundaries between disorders among trauma-exposed adolescents. Instead, we found considerable evidence that the typical latent-construct-based conceptualizations, whether categorical or dimensional, may need revision.

Indexed as

DisastersMajor Depressive DisorderStress Disorders, Post-TraumaticAdolescentComorbidityDepressionHumansAdolescentsComorbidityMajor depressive disorderNatural disastersPosttraumatic stress disorder

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.