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

Journal Article (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

  • PMC2977529

International Standard Serial Number (ISSN)

  • 0005-7894

Digital Object Identifier (DOI)

  • 10.1016/j.beth.2006.04.003


  • eng

Conference Location

  • England