Relations between the underlying dimensions of PTSD and major depression using an epidemiological survey of deployed Ohio National Guard soldiers

J Affect Disord. 2013 Jan 10;144(1-2):106-11. doi: 10.1016/j.jad.2012.06.013. Epub 2012 Sep 10.

Abstract

Background: In the present study, the authors investigated the relationship between the underlying symptom dimensions of posttraumatic stress disorder (PTSD) and dimensions of major depressive disorder (MDD).

Method: A sample of 1266 Ohio National Guard soldiers with a history of overseas deployment participated and were administered the PTSD Checklist (assessing PTSD) and Patient Health Questionnaire-9 (assessing depression).

Results: Using confirmatory factor analysis, results demonstrated that both PTSD's dysphoria and hyperarousal factors were more related to depression's somatic than non-somatic factor. Furthermore, depression's somatic factor was more related to PTSD's dysphoria than hyperarousal factor.

Limitations: Limitations of this study include the use of self-report measures and a predominately male military sample.

Conclusions: Results indicate that PTSD's dysphoria factor is related to depression specifically by way of depression's somatic construct. Given PTSD's substantial dysphoria/distress component, these results have implications for understanding the nature of PTSD's high comorbidity with depression.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Comorbidity
  • Depressive Disorder, Major / epidemiology*
  • Factor Analysis, Statistical
  • Female
  • Humans
  • Male
  • Middle Aged
  • Military Personnel / psychology*
  • Military Personnel / statistics & numerical data
  • Ohio / epidemiology
  • Prospective Studies
  • Stress Disorders, Post-Traumatic / epidemiology*
  • Surveys and Questionnaires
  • Young Adult