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https://www.readbyqxmd.com/read/28945995/abnormal-emotional-processing-in-maltreated-children-diagnosed-of-complex-posttraumatic-stress-disorder
#1
Clara Bertó, Maite Ferrin, María Barberá, Lorenzo Livianos, Luis Rojo, Ana García-Blanco
Maltreated children usually show a specific pattern of emotional and behavioral symptoms that exceed those relating to posttraumatic stress disorder (PTSD). These symptoms have been defined as Complex PTSD (CPTSD). The underlying attentional mechanisms of abnormal emotional processing and their relation to the clinical presentation of CPTSD are not well understood. A visual dot-probe paradigm involving pre-attentive (i.e., 500ms) and attentive (i.e., 1500ms) presentation rates of neutral versus emotional (i...
September 22, 2017: Child Abuse & Neglect
https://www.readbyqxmd.com/read/28712089/increased-recruitment-of-cognitive-control-in-the-presence-of-traumatic-stimuli-in-complex-ptsd
#2
Julia I Herzog, Inga Niedtfeld, Sophie Rausch, Janine Thome, Meike Mueller-Engelmann, Regina Steil, Kathlen Priebe, Martin Bohus, Christian Schmahl
A neurocircuitry model of post-traumatic stress disorder (PTSD) suggests increased amygdala responses to emotional stimuli, coupled with hypoactivation of prefrontal regions associated with cognitive control. However, results are heterogenous across different subsamples of PTSD as well as different paradigms. We investigated cognitive control in a classic and emotional Stroop task in 28 female patients with complex PTSD (cPTSD), 28 female trauma-exposed healthy controls (TCs) and 28 female non-trauma-exposed healthy controls (HCs) using functional neuroimaging...
July 15, 2017: European Archives of Psychiatry and Clinical Neuroscience
https://www.readbyqxmd.com/read/28696531/validation-of-post-traumatic-stress-disorder-ptsd-and-complex-ptsd-using-the-international-trauma-questionnaire
#3
P Hyland, M Shevlin, C R Brewin, M Cloitre, A J Downes, S Jumbe, T Karatzias, J I Bisson, N P Roberts
OBJECTIVE: The 11th version of the International Classification of Diseases (ICD-11) has proposed two related trauma diagnoses: Post-traumatic stress disorder (PTSD) and Complex PTSD (CPTSD). Using a newly developed, disorder-specific measure of PTSD and CPTSD called the International Trauma Questionnaire (ITQ) the current study will (i) assess the factorial validity of ICD-11 PTSD and CPTSD; (ii) provide the first test of the discriminant validity of these constructs; and (iii) provide the first comparison of ICD-11, and Diagnostic and Statistical Manual, Fifth Edition (DSM-5), PTSD diagnostic rates using disorder-specific measures...
September 2017: Acta Psychiatrica Scandinavica
https://www.readbyqxmd.com/read/28649302/differential-predictors-of-dsm-5-ptsd-and-icd-11-complex-ptsd-among-african-american-women
#4
Abigail Powers, Negar Fani, Sierra Carter, Dorthie Cross, Marylene Cloitre, Bekh Bradley
Background: Complex posttraumatic stress disorder (CPTSD) is proposed for inclusion in the ICD-11 as a diagnosis distinct from posttraumatic stress disorder (PTSD), reflecting deficits in affective, self-concept, and relational domains. There remains significant controversy over whether CPTSD provides useful diagnostic information beyond PTSD and other comorbid conditions, such as depression or substance use disorders. Objective: The present study examined differences in psychiatric presentation for three groups: traumatized controls, DSM-5 PTSD subjects, and ICD-11 CPTSD subjects...
2017: European Journal of Psychotraumatology
https://www.readbyqxmd.com/read/28194504/variation-in-post-traumatic-response-the-role-of-trauma-type-in-predicting-icd-11-ptsd-and-cptsd-symptoms
#5
Philip Hyland, Jamie Murphy, Mark Shevlin, Frédérique Vallières, Eoin McElroy, Ask Elklit, Mogens Christoffersen, Marylène Cloitre
PURPOSE: The World Health Organization's 11th revision to the International Classification of Diseases manual (ICD-11) will differentiate between two stress-related disorders: PTSD and Complex PTSD (CPTSD). ICD-11 proposals suggest that trauma exposure which is prolonged and/or repeated, or consists of multiple forms, that also occurs under circumstances where escape from the trauma is difficult or impossible (e.g., childhood abuse) will confer greater risk for CPTSD as compared to PTSD...
June 2017: Social Psychiatry and Psychiatric Epidemiology
https://www.readbyqxmd.com/read/28134442/alternative-models-of-disorders-of-traumatic-stress-based-on-the-new-icd-11-proposals
#6
M Shevlin, P Hyland, T Karatzias, C Fyvie, N Roberts, J I Bisson, C R Brewin, M Cloitre
OBJECTIVE: Although there is emerging evidence for the factorial validity of the distinction between post-traumatic stress disorder (PTSD) and complex PTSD (CPTSD) proposed in ICD-11, such evidence has been predominantly based on using selected items from individual scales that describe these factors. We have attempted to address this gap in the literature by testing a range of alternative models of disorders of traumatic stress using a broader range of symptoms and standardized measures...
May 2017: Acta Psychiatrica Scandinavica
https://www.readbyqxmd.com/read/27989268/the-factor-structure-of-complex-posttraumatic-stress-disorder-in-traumatized-refugees
#7
Angela Nickerson, Marylene Cloitre, Richard A Bryant, Ulrich Schnyder, Naser Morina, Matthis Schick
BACKGROUND: The construct of complex posttraumatic stress disorder (CPTSD) has attracted much research attention in previous years, however it has not been systematically evaluated in individuals exposed to persecution and displacement. Given that CPTSD has been proposed as a diagnostic category in the ICD-11, it is important that it be examined in refugee groups. OBJECTIVE: In the current study, we proposed to test, for the first time, the factor structure of CPTSD proposed for the ICD-11 in a sample of resettled treatment-seeking refugees...
2016: European Journal of Psychotraumatology
https://www.readbyqxmd.com/read/27776256/an-initial-psychometric-assessment-of-an-icd-11-based-measure-of-ptsd-and-complex-ptsd-icd-tq-evidence-of-construct-validity
#8
Thanos Karatzias, Mark Shevlin, Claire Fyvie, Philip Hyland, Erifili Efthymiadou, Danielle Wilson, Neil Roberts, Jonathan I Bisson, Chris R Brewin, Marylene Cloitre
Among the conditions following exposure to traumatic life events proposed by ICD-11 are Posttraumatic Stress Disorder (PTSD) and Complex PTSD (CPTSD). The primary aim of this study was to provide an assessment of the reliability and validity of a newly developed self-report measure of ICD-11 PTSD and CPTSD: the ICD-11 Trauma Questionnaire (ICD-TQ). Participants in this study were a sample of individuals who were referred for psychological therapy to a National Health Service (NHS) trauma centre in Scotland (N=193)...
December 2016: Journal of Anxiety Disorders
https://www.readbyqxmd.com/read/27732452/the-symptoms-of-trauma-scale-sots-psychometric-evaluation-and-gender-differences-with-adults-diagnosed-with-serious-mental-illness
#9
Julian D Ford, Andres R Schneeberger, Irina Komarovskaya, Kristina Muenzenmaier, Dorothy Castille, Lewis A Opler, Bruce Link
A new clinician rating measure, the Symptoms of Trauma Scale (SOTS), was administered to adult psychiatric outpatients (46 men, 47 women) with severe mental illness who reported a history of trauma exposure and had recently been discharged from inpatient psychiatric treatment. SOTS composite severity scores for Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, and Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, posttraumatic stress disorder (PTSD), complex PTSD (cPTSD), and total PTSD/cPTSD severity had acceptable internal consistency reliability...
July 2017: Journal of Trauma & Dissociation
https://www.readbyqxmd.com/read/27723542/evidence-of-distinct-profiles-of-posttraumatic-stress-disorder-ptsd-and-complex-posttraumatic-stress-disorder-cptsd-based-on-the-new-icd-11-trauma-questionnaire-icd-tq
#10
Thanos Karatzias, Mark Shevlin, Claire Fyvie, Philip Hyland, Erifili Efthymiadou, Danielle Wilson, Neil Roberts, Jonathan I Bisson, Chris R Brewin, Marylene Cloitre
BACKGROUND: The WHO International Classification of Diseases, 11th version (ICD-11), has proposed two related diagnoses following exposure to traumatic events; Posttraumatic Stress Disorder (PTSD) and Complex PTSD (CPTSD). We set out to explore whether the newly developed ICD-11 Trauma Questionnaire (ICD-TQ) can distinguish between classes of individuals according to the PTSD and CPTSD symptom profiles as per ICD-11 proposals based on latent class analysis. We also hypothesized that the CPTSD class would report more frequent and a greater number of different types of childhood trauma as well as higher levels of functional impairment...
January 1, 2017: Journal of Affective Disorders
https://www.readbyqxmd.com/read/27685255/-development-and-validation-of-a-screening-instrument-for-complex-ptsd
#11
Florence Dorr, Christian Firus, Rolf Kramer, Jürgen Bengel
Chronic interpersonal traumata systematically result in psychological impairments referred to as complex post-traumatic stress disorder (cPTSD or DESNOS). This diagnosis will be newly established in the ICD-11 system. However, there is need for diagnostic instruments to assess cPTSD. The aim was to develop a screening form to identify patients at risk for cPTSD. The Screening for complex PTSD (SkPTBS) tests a) experience of potential traumatic events, b) related influential features and risk factors, and c) symptoms of cPTSD...
November 2016: Psychotherapie, Psychosomatik, Medizinische Psychologie
https://www.readbyqxmd.com/read/27677771/complex-ptsd-as-proposed-for-icd-11-validation-of-a-new-disorder-in-children-and-adolescents-and-their-response-to-trauma-focused-cognitive-behavioral-therapy
#12
RANDOMIZED CONTROLLED TRIAL
Cedric Sachser, Ferdinand Keller, Lutz Goldbeck
BACKGROUND: To evaluate whether the symptoms of children and adolescents with clinically significant posttraumatic stress symptoms (PTSS) form classes consistent with the diagnostic criteria of complex PTSD (CPTSD) as proposed for the ICD-11, and to relate the emerging classes with treatment outcome of Trauma-Focused Cognitive Behavioral Therapy (TF-CBT). METHODS: Latent classes analysis (LCA) was used to explore the symptom profiles of the clinical baseline assessment of N = 155 children and adolescents participating in a randomized controlled trial of TF-CBT...
February 2017: Journal of Child Psychology and Psychiatry, and Allied Disciplines
https://www.readbyqxmd.com/read/27613369/testing-the-validity-of-the-proposed-icd-11-ptsd-and-complex-ptsd-criteria-using-a-sample-from-northern-uganda
#13
Siobhan Murphy, Ask Elklit, Sarah Dokkedahl, Mark Shevlin
BACKGROUND: The International Classification of Diseases (ICD-11) is currently under development with proposed changes recommended for the posttraumatic stress disorder (PTSD) diagnosis and the inclusion of a separate complex PTSD (CPTSD) disorder. Empirical studies support the distinction between PTSD and CPTSD; however, less research has focused on non-western populations. OBJECTIVE: The aim of this study was to investigate whether distinct PTSD and CPTSD symptom classes emerged and to identify potential risk factors and the severity of impairment associated with resultant classes...
2016: European Journal of Psychotraumatology
https://www.readbyqxmd.com/read/27449856/does-one-size-fit-all-nosological-clinical-and-scientific-implications-of-variations-in-ptsd-criterion-a
#14
REVIEW
Jacob Y Stein, Dayna V Wilmot, Zahava Solomon
Posttraumatic stress disorder (PTSD) is a psychiatric pathology wherein the precipitating traumatic event is essential for diagnostic eligibility (Criterion A). This link is substantiated throughout PTSD's development as a diagnosis. However, while traumatic events may vary considerably, this variation currently bears nearly no implications for psychiatric nosology. Consequently, PTSD remains a semi-unified diagnostic construct, consisting of no Criterion-A-determined subtypes of adult PTSD. The question addressed by the current paper is then does one size truly fit all? Making an argument for the negative, the paper briefly reviews complex PTSD (CPTSD), ongoing traumatic stress response (OTSR), and cumulative traumas, all of which are exemplars wherein Criterion A specification is crucial for understanding the emerging symptomatology and for devising appropriate interventions...
October 2016: Journal of Anxiety Disorders
https://www.readbyqxmd.com/read/27447922/effect-of-eye-trauma-on-mental-health-and-quality-of-life-in-children-and-adolescents
#15
Suleyman Karaman, Berna Ozkan, Mustafa Gok, Isık Karakaya, Ozgur Kara, Ozgul Altintas, Levent Altintas
The purpose of this study is to evaluate the effects of eye traumas on mental health and quality of life of children, adolescents, and their parents. Medical records of 20 children and adolescents presented with blunt and open eye injuries between June 2009 and May 2014 were reviewed. Demographics of patients, timing and type of trauma, findings of initial examination, and medical and surgical interventions applied were recorded. To detect mental health, "Affect disorders and schizophrenia interview chart for school children, now and lifelong" (AFSIC-NL) and "Child Post-Traumatic Stress Reaction Index (CPTSD-RI)" were used...
June 2017: International Ophthalmology
https://www.readbyqxmd.com/read/26950013/an-assessment-of-the-construct-validity-of-the-icd-11-proposal-for-complex-posttraumatic-stress-disorder
#16
Philip Hyland, Mark Shevlin, Ask Elklit, Jamie Murphy, Frédérique Vallières, Donn W Garvert, Marylène Cloitre
BACKGROUND: A new diagnosis, complex posttraumatic stress disorder (CPTSD), is set to be introduced in the 11th revision to the International Classification of Diseases (ICD-11). Studies have supported a unique group of trauma-exposed individuals who exhibit symptoms consistent with CPTSD proposals. No studies have yet tested the proposed latent symptom structure of CPTSD proposed for ICD-11. This study tests the factorial validity of CPTSD and assesses the role of a range of risk factors to predict CPTSD...
January 2017: Psychological Trauma: Theory, Research, Practice and Policy
https://www.readbyqxmd.com/read/26949991/living-with-the-unknown-posttraumatic-stress-disorder-in-pediatric-bone-marrow-transplantation-survivors-and-their-mothers
#17
Gülseren Taskıran, Aslı Sürer Adanır, Esin Özatalay
Bone marrow transplantation (BMT) is used to treat children with various hematologic, oncologic, and metabolic diseases. Although the treatment can be lifesaving, it is also physically and psychologically demanding for both the child and caregivers. In previous studies, BMT is found to be related with anxiety, posttraumatic stress disorder (PTSD), depression, and psychosocial problems both in children and parents. The aim of this study was to investigate PTSD in pediatric BMT survivors and their mothers compared with the healthy controls...
April 2016: Pediatric Hematology and Oncology
https://www.readbyqxmd.com/read/26840244/critical-analysis-of-the-current-treatment-guidelines-for-complex-ptsd-in-adults
#18
REVIEW
Ad De Jongh, Patricia A Resick, Lori A Zoellner, Agnes van Minnen, Christopher W Lee, Candice M Monson, Edna B Foa, Kathleen Wheeler, Erik Ten Broeke, Norah Feeny, Sheila A M Rauch, Kathleen M Chard, Kim T Mueser, Denise M Sloan, Mark van der Gaag, Barbara Olasov Rothbaum, Frank Neuner, Carlijn de Roos, Lieve M J Hehenkamp, Rita Rosner, Iva A E Bicanic
According to current treatment guidelines for Complex PTSD (cPTSD), psychotherapy for adults with cPTSD should start with a "stabilization phase." This phase, focusing on teaching self-regulation strategies, was designed to ensure that an individual would be better able to tolerate trauma-focused treatment. The purpose of this paper is to critically evaluate the research underlying these treatment guidelines for cPTSD, and to specifically address the question as to whether a phase-based approach is needed. As reviewed in this paper, the research supporting the need for phase-based treatment for individuals with cPTSD is methodologically limited...
May 2016: Depression and Anxiety
https://www.readbyqxmd.com/read/26554331/the-symptoms-of-trauma-scale-sots-an-initial-psychometric-study
#19
Julian D Ford, Michaela Mendelsohn, Lewis A Opler, Mark G A Opler, Diya Kallivayalil, Jocelyn Levitan, Michael Pratts, Kristina Muenzenmaier, Anne-Marie Shelley, Michelle S Grennan, Judith Lewis Herman
The Symptoms of Trauma Scale (SOTS) is a 12-item, interview-based, clinician-rated measure that assesses the severity of a range of trauma-related symptoms. This pilot study evaluated its use and psychometric properties in an outpatient setting that provides treatment to survivors of chronic interpersonal trauma. Thirty participants completed self-report measures of posttraumatic stress symptoms, depression, dissociation, self-esteem, and affect dysregulation; the participants also participated separately in a semistructured interview based on the SOTS conducted by 2 trained interviewers...
November 2015: Journal of Psychiatric Practice
https://www.readbyqxmd.com/read/26320578/evidence-for-two-different-icd-11-posttraumatic-stress-disorders-in-a-community-sample-of-adolescents-and-young-adults
#20
Axel Perkonigg, Michael Höfler, Marylène Cloitre, Hans-Ulrich Wittchen, Sebastian Trautmann, Andreas Maercker
For the 11th revision of the International classification of diseases, a general category of posttraumatic stress disorders has been proposed with two distinct sibling disorders: posttraumatic stress disorder (PTSD) and complex PTSD (CPTSD). General population data are examined on evidence for these two disorders. Data were drawn from a 10-year prospective longitudinal, epidemiological study with a representative community sample (N = 3021, 14-24 years at baseline) in Germany. Mixture modelling on latent classes was conducted in a subset of all reported episodes with exposure to interpersonal traumas...
June 2016: European Archives of Psychiatry and Clinical Neuroscience
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