PTSD symptom severity and psychiatric comorbidity in recent motor vehicle accident victims: A latent class analysis

• DOI: 10.1016/j.janxdis.2014.06.009
• Publication Date: 2014-07-11T16:31:03Z
• Authors: Bryce Hruska; Leah A. Irish; Maria L. Pacella; Eve M. Sledjeski; Douglas L. Delahanty
• Keywords: Adult; Aged, 80 and over; Male; Depressive Disorder, Major; Adolescent; Substance-Related Disorders; 05 social sciences; Accidents, Traffic; Middle Aged; 3. Good health; Stress Disorders, Post-Traumatic; Motor Vehicles; Young Adult; Humans; Female; 0501 psychology and cognitive sciences; Aged

We conducted a latent class analysis (LCA) on 249 recent motor vehicle accident (MVA) victims to examine subgroups that differed in posttraumatic stress disorder (PTSD) symptom severity, current major depressive disorder and alcohol/other drug use disorders (MDD/AoDs), gender, and interpersonal trauma history 6-weeks post-MVA. A 4-class model best fit the data with a resilient class displaying asymptomatic PTSD symptom levels/low levels of comorbid disorders; a mild psychopathology class displaying mild PTSD symptom severity and current MDD; a moderate psychopathology class displaying severe PTSD symptom severity and current MDD/AoDs; and a severe psychopathology class displaying extreme PTSD symptom severity and current MDD. Classes also differed with respect to gender composition and history of interpersonal trauma experience. These findings may aid in the development of targeted interventions for recent MVA victims through the identification of subgroups distinguished by different patterns of psychiatric problems experienced 6-weeks post-MVA.