Estructura Factorial de la Escala de Trastorno por Estrés Agudo en población mexicana.

Raúl Durón Figueroa, Georgina Cárdenas López, Anabel De la Rosa Gómez

Resumen


El trastorno por estrés agudo se caracteriza por sintomatología asociada al trastorno por estrés postraumático durante las primeras
cuatro semanas posteriores al trauma. Existen distintas limitaciones en la definición del constructo y su evaluación. El propósito
del estudio fue validar la Escala de Trastorno por Estrés Agudo en población mexicana mediante análisis factoriales. Se contó con
204 participantes de entre 18 y 59 años de edad. El análisis factorial exploratorio arrojó tres factores donde se agrupan: síntomas de
reexperimentación y activación, síntomas de evitación y síntomas disociativos, con una varianza explicada acumulada de 67.90%,
así como un Alpha de Cronbach .96 para la escala global, y .94, .91 y .89 para cada factor; por último, el análisis factorial confirmatorio
muestra un ajuste adecuado del modelo. Se concluye que la escala es válida y confiable en población mexicana, donde se
sugiere realizar análisis factoriales en distintas poblaciones para una mayor definición. © 2017 Universidad Nacional Autónoma de
México, Asociación Mexicana de Comportamiento y Salud. Este es un artículo Open Access bajo la licencia CC BY-NC-ND (http://
creativecommons.org/licenses/by-nc-nd/4.0/).

Palabras clave


Trastorno por Estrés Agudo, evaluación, análisis de factores, población mexicana.

Texto completo:

PDF

Citas


American Psychiatric Association. (2000). Diagnostic

and statistical manual of mental disorders, (4th

ed.). Washington, DC: American Psychiatric Association.

American Psychiatric Association. (2013). Diagnostic

and statistical manual of mental disorders, (5th

ed.). Washington, DC: American Psychiatric Association.

Bagozzi, R. P., & Yi, Y. (2011). Specification, evaluation,

and interpretation of structural equation models.

Journal of the Academy of Marketing Science,

(1), 8-34. http://doi.org/10.1007/s11747-011-

-x

R. Durón Figueroa, et al. / Journal of Behavior, Health & Social ISSUES 9 (2017) pp. 7-16

Bentler, P. M. (2006). EQS structural equations program

manual. Encino, CA: Multivariate Software.

Bernstein, E. & Putnam, F. (1986). Development, reliability,

and validity of a dissociation scale. Journal

of Nervous and Mental Disease, 174, 727-735. doi:

1097/00005053-198612000-00004

Blake, D., Weathers, F., Nagy, L., Kaloupek, D., Gasman,

F., Charney, D. & Keane, T. (1995). The development

of a clinician administered PTSD scale.

Journal of Traumatic Stress, 8, 75-90. doi: 10.1007/

bf02105408

Blevins, C., Weathers, F., Davis, M., Witte, T. & Domino,

J. (2015). The Posttraumatic Stress Disorder

Checklist for DSM-5 (PCL-5): Development and Initial

Psychometric Evaluation. Journal of Traumatic

Stress, 28, 489-498. doi: 10.1002/jts.22059

Brooks R, Silove D, Bryant R, O'Donnell M, Creamer M,

McFarlane, A. (2008). A confirmatory factor analysis

of the acute stress disorder interview. Journal

of Traumatic Stress, 21, 352-355. doi: 10.1002/

jts.20333

Bryant, R. (2007). Acute stress disorder treatment guidelines.

Deerfield, IL: International Society Trauma

Stress Studies.

Bryant, R. Creamer, M., O'Donnell, M., Silove, D.,

McFarlane, A. & Forbes, D. (2015). A Comparison

of the Capacity of DSM-IV and DSM-V Acute

Stress Disorder definitions to Predict Posttraumatic

Stress Disorder and Related Disorders. Journal of

Clinical Psychiatry, 76(4), 391-397. doi: 10.4088/

jcp.13m08731

Bryant, R., Friedman, M., Spiegel, D., Ursano, R. &

Strain, J. (2010). A review of Acute Stress Disorder

in DSM-5. Depression and Anxiety, 1 - 16. doi:

1176/foc.9.3.foc335

Bryant, R. A, Harvey, A. G., Dang, S., & Sackville,

T. (1998). Assessing acute stress disorder: Psychometric

properties of a structured clinical interview.

Psychological Assessment, 10, 215-220. doi:

1037//1040-3590.10.3.215

Bryant, R., Moulds, M. & Guthrie, R. (2000). Acute

Stress Disorder Scale: A self-report measure of acute

stress disorder. Psychological Assessment, Vol.

, No. 1, 61-68. doi: 10.1037//1040-3590.12.1.61

Bryant, R. (2013). An Update of Acute Stress Disorder.

PTSD Research Quarterly, Vol. 24, No. 1.

Cárdenas, G., De la Rosa, A., Durón, R. & Durán, X.

(2015). VR exposure for trauma and stress-related

disorders for city violence crime victims. En Pareto,

L., Sharkey, P. & Merrick, J. (Eds.). Technology, Rehabilitation

and Empowerment of People with Special

Needs (pp. 61-72). New York: Nova Science.

Cardeña, E. & Carlson, E. (2011). Acute Stress

Disorder Revisited. Annual Review of Clinical

Psychology, 7, 245-67. doi: 10.1146/annurev-

clinpsy-032210-104502

Cardeña, E., Classen, C., & Spiegel, D. (1991). Stanford

acute stress reaction questionnaire. Stanford,

CA: Stanford University Medical School.

Cardeña, E. & Spiegel, D. (1993). Dissociative reactions

to the San Francisco Bay Area earthquake of

American Journal of Psychiatry, 150, 474-

doi: 10.1176/ajp.150.3.474

Cardeña, E., Koopman, C., Classen, C., Waelde, L.

& Spiegel, D. (2000). Psychometric Properties of

the Stanford Acute Stress Reaction Questionnaire

(SASRQ): A Valid and Reliable Measure of Acute

Stress. Journal of Traumatic Stress, Vol. 13, No. 4,

-734. doi: 10.1023/a:1007822603186

Edmonson, D., Mills, M. y Parks, C. (2010). Factor

structure of the Acute Stress Disorder Scale in a

Sample of Hurricane Katrina evacuees. Psychological

Assessment, 22(2), 269-278. doi:10.1037/

a0018506.

Ehlers, A. & Steil, R. (1995). Maintenance of intrusive

memories in posttraumatic stress disorder:

A cognitive approach. Behavioural and Cognitive

Psychotherapy, 23, 217-249. doi: 10.1017/

s135246580001585x

Foa, E. & Hearst-Ikeda, D. (1996). Emotional dissociation

in response to trauma: An information-processing

approach. In Michelson, L. & Ray, W. (Eds.),

Handbook of dissociation: Theoretical and Clinical

perspectives (pp. 207-222). New York: Plenum.

Foa, E. & Kozak, M. (1986). Emotional processing of

fear: Exposure to corrective information. Psychological

Bulletin, 99, 20-35. doi: 10.1037//0033-

99.1.20

Foa, E., Riggs, D., Dancu, C. & Rothbaum, B. (1993).

Reliability and validity of a brief instrument for

assessing post-traumatic stress disorder. Journal

of Traumatic Stress, 6, 459-473. doi: 10.1007/

bf00974317

Foa, E., Steketee, G. & Rothbaum, B. (1989). Behavioral/

cognitive conceptualizations of post-traumatic

stress disorder. Behavior Therapy, 20, 155-176.

doi: 10.1016/s0005-7894(89)80067-x

Hair, J. F., Black, W. C., & Babin, B. J. (2010). Multivariate

Data Analysis: A Global Perspective. Boston:

Pearson.

Harvey, G. & Bryant, R. (2002) Acute stress disorder:

a synthesis and critique. Psychol Bull 2002, 128:

-902. doi: 10.1037//0033-2909.128.6.886

Hooper, D., Coughlan, J., & Mullen, M. R. (2008).

Structural Equation Modeling: Guidelines for Determining

Model Fit. Electronic Journal on Business

Research Methods, 6(1), 53-60.

Horowitz, M., Wilner, N., & Alvarez, W. (1979). The

Impact of Event Scale: A measure of subjective

stress. Psychosomatic Medicine, 41, 209-218. doi:

1097/00006842-197905000-00004

Jöreskog, K., & Sörbom, D. (1993). LISREL 8: Structural

Equation Modeling with the SIMPLIS Command

Language. Chicago, IL: Scientific Software Interna-

R. Durón Figueroa, et al. / Journal of Behavior, Health & Social ISSUES 9 (2017) pp. 7-16

tional Inc.

Lang, P. (1977). Imagery in therapy: An information

processing analysis of fear. Behavior Therapy, 8,

-886. doi: 10.1016/s0005-7894(77)80157-3

Lloret, S., Ferreres, A., Hernández, A. & Tomás, I.

(2017). El análisis factorial exploratorio de los ítems:

análisis guiado según los datos empíricos y el software.

Anales de Psicología, 33, 2, 417-432. doi:

http://dx.doi.org/10.6018/analesps.33.2.270211

Markland, D. (2007). The golden rule is that there are

no golden rules: A commentary on Paul Barrett's

recommendations for reporting model fit in structural

equation modelling. Personality and Individual

Differences, 42(5), 851-858. doi: http://doi.

org/10.1016/j.paid.2006.09.023

Marmar, C., Weiss, D., Schlenger, W., Fairbank, J.,

Jordan, K., Kulka, R. & Hough, R. (1994). Peritraumatic

dissociation and posttraumatic stress in male

Vietnam theater veterans. American Journal of Psychiatry,

, 902-907. doi: 10.1 176/ajp.151.6.902

Mordeno, I. & Cue, M. (2015). Examining the Latent

Structure of Acute Stress Disorder Symptoms in Filipino-

Victims of a Flashflood Disaster. Community

Mental Health Journal, 51:613-620. doi: 10.1007/

s10597-015-9826-z

Spiegel, D. Koopman, C. Classen, C. (1994). Acute

stress disorder and dissociation. Australian Journal

of Clinical and Experimental Hypnosis, 22, 1 1-23.

Van der Kolk, B. (1996). The psychobiology of PTSD.

En Van der Kolk, B., McFarlane, A. & Weisaeth, L.

(Eds.), Traumatic stress: The effects of overwhelming

experience on mind, body, and society (pp.

-241). New York: Guilford Press.

Weathers, F. W. (2008). Posttraumatic Stress Disorder

Checklist. In G. Reyes,

J. D. Elhai, & J. D. Ford (Eds.), Encyclopedia of psychological

trauma (pp. 491-494). Hoboken, NJ: Wiley




DOI: http://dx.doi.org/10.22201/fesi.20070780.2017.9.2.68381