Internalizing and externalizing subtypes in female sexual assault survivors: implications for the understanding of complex PTSD.

Journal Article

This study replicated and extended findings of internalizing and externalizing subtypes of posttraumatic psychopathology (Miller, M. W., Greif, J. L., & Smith, A. A. (2003). Multidimensional Personality Questionnaire profiles of veterans with traumatic combat exposure: Internalizing and externalizing subtypes. Psychological Assessment, 15, 205-215; Miller, M. W., Kaloupek, D. G., Dillon, A. L., & Keane, T.M. (2004). Externalizing and internalizing subtypes of combat-related PTSD: A replication and extension using the PSY-5 Scales. Journal of Abnormal Psychology, 113, 636-645) to a female sample of rape survivors with chronic PTSD. Cluster analyses of Schedule for Nonadaptive and Adaptive Personality (Clark, L. A. (1996). SNAP-Schedule for Nonadaptive and Adaptive Personality: Manual for administration, scoring, and interpretation. Minneapolis: University of Minnesota Press.) temperament scale profiles from 143 women with PTSD partitioned the sample into a simple PTSD cluster, defined by normal range personality scores and moderate symptomatology, and 2 more "complex" clusters distinguished by more severe tendencies towards externalizing or internalizing psychopathology. Externalizers were characterized by disinhibition, substance dependence, and Cluster B personality disorder features; internalizers by low positive temperament, high rates of major depressive disorder, and elevations on measures of schizoid and avoidant personality disorder.

Full Text

Duke Authors

Cited Authors

  • Miller, MW; Resick, PA

Published Date

  • March 2007

Published In

Volume / Issue

  • 38 / 1

Start / End Page

  • 58 - 71

PubMed ID

  • 17292695

Pubmed Central ID

  • 17292695

International Standard Serial Number (ISSN)

  • 0005-7894

Digital Object Identifier (DOI)

  • 10.1016/j.beth.2006.04.003


  • eng

Conference Location

  • England