Assessing the Factor Structure of Acute Stress Disorder Symptoms Among Filipino Adolescent Survivors of a Deadly Flash Flood Disaster

Abstract

Acute Stress Disorder (ASD) was introduced in the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) to account for stress symptoms appearing within the first month after a trauma exposure. However, there is scant literature assessing the validity of models pertaining to ASD, particularly among Asian adolescent samples. This study aims to address this gap by examining the latent structure of five proposed models of ASD among adolescent survivors of a deadly flash flood. Two hundred twenty-five (225) respondents were assessed using the Acute Stress Disorder Interview within a month after a flash flood disaster. Series of confirmatory factor analyses indicated that a five-factor inter-correlated model (dissociation, intrusion, avoidance, dysphoric arousal and anxious arousal) yielded a more nuanced structure that portrays the subtleties in the data that are glossed over and missed by one-factor DSM-5 and even other multifactor models.

Centrality of Event and Mental Health Outcomes in Child and Adolescent Natural Disaster Survivors

“…Each symptom is rated on a dichotomous scale of 0 ( symptom absent ) or 1 ( symptom present ). The instrument has demonstrated evidence of reliability and construct validity (Bryant et al, 1998; Mordeno, Cue, & Nalipay, 2016). It has an internal consistency of Cronbach’s alpha = .85, based on the data from the present study.…”