title: Assessing possible DSM-5 ASD subtypes in a sample of victims meeting caseness for DSM-5 ASD based on self-report following multiple forms of traumatic exposure.
abstract: Acute stress disorder (ASD) was introduced into the DSM-IV to recognize early traumatic responses and as a precursor of PTSD. Although the diagnostic criteria for ASD were altered and structured more similarly to the PTSD definition in DSM-5, only the PTSD diagnosis includes a dissociative subtype. Emerging research has indicated that there also appears to be a highly symptomatic subtype for ASD. However, the specific nature of the subtype is currently unclear. The present study investigates the possible presence of ASD subtypes in a mixed sample of victims meeting caseness for DSM-5 ASD based on self-report following four different types of traumatic exposure (N=472). The results of latent profile analysis revealed a 5-class solution. The highly symptomatic class was marked by high endorsement on avoidance and dissociation compared to the other classes. Findings are discussed in regard to its clinical implications including the implications for the pending the ICD-11 and the recently released DSM-5.
authors.affiliation: National Centre for Psychotraumatology, Institute for Psychology, University of Southern Denmark, Odense, Denmark. Electronic address: mhansen@health.sdu.dk.
authors.forename: Maj
authors.initials: M
authors.lastname: Hansen
authors.affiliation: School of Psychology and Psychology Research Institute, University of Ulster, Coleraine, Northern Ireland, UK.
authors.forename: Cherie
authors.initials: C
authors.lastname: Armour
authors.affiliation: Key Laboratory of Mental Health, Institute of Psychology, Chinese Academy of Sciences, Beijing, China.
authors.forename: Li
authors.initials: L
authors.lastname: Wang
authors.affiliation: National Centre for Psychotraumatology, Institute for Psychology, University of Southern Denmark, Odense, Denmark.
authors.forename: Ask
authors.initials: A
authors.lastname: Elklit
authors.affiliation: School of Psychology, University of New South Wales, NSW, Australia.
authors.forename: Richard A
authors.initials: RA
authors.lastname: Bryant
mesh_terms: D019548:Crime Victims / Q000523:psychology*; D039721:Diagnostic and Statistical Manual of Mental Disorders; D064891:Disaster Victims / Q000523:psychology*; D004213:Dissociative Disorders / Q000175:diagnosis; D005260:Female; D006801:Humans; D008297:Male; D011902:Rape / Q000523:psychology; D057566:Self Report; D040701:Stress Disorders, Traumatic, Acute / Q000175:diagnosis* / Q000523:psychology; D014754:Violence / Q000523:psychology
keywords: ASD subtypes; Acute stress disorder; DSM-5; ICD-11; Latent profile analysis