Hyland, Philip, Karatzias, Thanos, Shevlin, Mark and Cloitre, Marylene (2019) Examining the Discriminant Validity of Complex Posttraumatic Stress Disorder and Borderline Personality Disorder Symptoms: Results From a United Kingdom Population Sample. Journal of Traumatic Stress, 32 (6). pp. 855-863. ISSN 0894-9867
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Abstract
Complex posttraumatic stress disorder (CPTSD) was added to the diagnostic nomenclature in the 11th revision of the International Classification
of Diseases (ICD-11). Although considerable evidence exists supporting the construct validity of CPTSD, the distinguishability of
CPTSD symptoms from those of borderline personality disorder (BPD) has been questioned. The present study examined the discriminant
validity of CPTSD and BPD symptoms among a trauma-exposed population sample from the United Kingdom (N = 546). Participants
completed self-report measures of CPTSD and BPD symptoms, and their latent structure was assessed using exploratory structural equation
modeling (ESEM). A three-factor model with latent variables reflecting PTSD, disturbances in self-organization (DSO), and BPD
symptoms provided the best fit of the data, χ2(399, N = 546) = 1,650, p < .001; CFI = .944; TLI = .930; RMSEA = .077, 90% CI
[.073, .081]. We identified multiple symptoms distinctive to individual constructs (e.g., disturbed relationships and suicidality) as well
as symptoms shared across the constructs (e.g., affective dysregulation). The PTSD, β = .24; DSO, β = .23; and BPD, β = .27, latent
variables were positively and significantly associated with childhood interpersonal trauma. The current findings support the discriminant
validity of CPTSD and BPD symptoms and highlight various phenomenological signatures of each construct as well as demonstrate how
these constructs share important similarities in symptom composition and exogenous correlates.
Item Type: | Article |
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Additional Information: | This is the postprint version of the published article, which is available at Hyland, P., Karatzias, T., Shevlin, M. and Cloitre, M. (2019), Examining the Discriminant Validity of Complex Posttraumatic Stress Disorder and Borderline Personality Disorder Symptoms: Results From a United Kingdom Population Sample. JOURNAL OF TRAUMATIC STRESS, 32: 855-863. https://doi.org/10.1002/jts.22444 |
Keywords: | Examining; Discriminant; Validity; Complex Posttraumatic Stress Disorder; Borderline Personality Disorder; Symptoms; Results; United Kingdom Population Sample; |
Academic Unit: | Faculty of Science and Engineering > Psychology |
Item ID: | 14106 |
Identification Number: | 10.1002/jts.22444 |
Depositing User: | Philip Hyland |
Date Deposited: | 02 Mar 2021 15:04 |
Journal or Publication Title: | Journal of Traumatic Stress |
Publisher: | Wiley |
Refereed: | Yes |
Related URLs: | |
URI: | https://mural.maynoothuniversity.ie/id/eprint/14106 |
Use Licence: | This item is available under a Creative Commons Attribution Non Commercial Share Alike Licence (CC BY-NC-SA). Details of this licence are available here |
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