RT Journal Article T1 Dimensional structure of DSM-5 posttraumatic stress symptoms in Spanish trauma victims T2 Estructura dimensional de los síntomas del DSM-5 para el trastorno de estrés postraumático en una muestra española de víctimas de trauma A1 Soberón Casado, Carmen A1 Crespo López, María A1 Gómez Gutiérrez, María Del Mar A1 Fernández-Lansac, Violeta A1 Armour, Cherie AB Background: Confirmatory factor analytic studies have shown that posttraumatic stress disorder (PTSD) symptoms included in the fifth edition of the Diagnostic and Statistical Manual Disorders (DSM-5) may be better explained by two 6-factor models (the Externalizing Behaviours model and the Anhedonia model) and a 7-factor Hybrid model. The latter model comprises the symptom clusters of intrusion, avoidance, negative affect, anhedonia, externalizing behaviours, and anxious and dysphoric arousal. This model has received empirical support mainly in American samples. Of note, there have been a limited number of studies conducted on samples from other countries.Objective: This study aimed to examine the underlying dimensionality of DSM-5 PTSD symptoms in a Spanish clinical sample exposed to a range of traumatic events.Method: Participants included 165 adults (78.8% females) seeking treatment in trauma services in the Madrid area (Spain). PTSD was assessed using the Global Assessment of Posttraumatic Stress Scale 5, a Spanish selfreportinstrument assessing posttraumatic symptoms according to the DSM-5 criteria. Confirmatory factor analyses were conducted in Mplus.Results: Both the 7-factor Hybrid model and the 6-factor Anhedonia model demonstrated good and equivalent fit to the data.Conclusions: The findings of this study replicate and extend previous research by providing support for both the 7-factor Hybrid model and the 6-factor Anhedonia model in a clinical sample of Spanish trauma survivors. Given equivalent fit for these two models and the fewer number of latent factors in the Anhedonia model, it was selected as optimal in a traumatized Spanish sample. Implications and future research directions are discussed. PB Taylor & Francis SN 2000-8066 YR 2016 FD 2016-12-13 LK https://hdl.handle.net/20.500.14352/92057 UL https://hdl.handle.net/20.500.14352/92057 LA eng NO Soberón C, Crespo M, Del Mar Gómez-Gutiérrez M, Fernández-Lansac V, Armour C. Dimensional structure of DSM-5 posttraumatic stress symptoms in Spanish trauma victims. Eur J Psychotraumatol. 2016 Dec 13;7:32078. NO Ministerio de Economía y Competitividad NO Universidad Complutense de Madrid DS Docta Complutense RD 9 abr 2025