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https://www.readbyqxmd.com/read/29160557/the-complex-trauma-inventory-a-self-report-measure-of-posttraumatic-stress-disorder-and-complex-posttraumatic-stress-disorder
#1
Justin M Litvin, Patricia L Kaminski, Shelley A Riggs
The work group revising the criteria for trauma-related disorders in the International Classification of Diseases (ICD-11) made several changes. Specifically, they simplified the criteria for posttraumatic stress disorder (PTSD) and added a new trauma disorder called complex PTSD (CPTSD). These proposed changes to taxonomy require new instruments to assess these novel constructs. We developed a measure of PTSD and CPTSD (the Complex Trauma Inventory; CTI) according to the proposed domains, creating several items to assess each domain...
November 21, 2017: Journal of Traumatic Stress
https://www.readbyqxmd.com/read/29143951/-matched-care-for-complex-ptsd-what-works-for-whom
#2
E Dorrepaal, K Thomaes, D J Veltman, A J L M van Balkom, N Draijer
No abstract text is available yet for this article.
2017: Tijdschrift Voor Psychiatrie
https://www.readbyqxmd.com/read/29143950/-the-effect-of-a-short-term-group-stabilisation-training-in-patients-with-complex-posttraumatic-stress-disorder
#3
G Beldman, H H L M Kessels, I W de Groot
The international guideline for complex posttraumatic stress disorder (ptsd) from the International Society for Traumatic Stress Studies (istss) recommends treatment in phases, starting with stabilisation treatment. Different forms of stabilisation training have been developed the past few years, one being short-term group stabilisation training.<br/> AIM: To map out the effects of the short-term group training.<br/> METHOD: The research implemented a pre-post design. The training consisted of five group sessions...
2017: Tijdschrift Voor Psychiatrie
https://www.readbyqxmd.com/read/29057522/intensive-prolonged-exposure-treatment-for-adolescent-complex-posttraumatic-stress-disorder-a-single-trial-design
#4
Lotte Hendriks, Rianne A de Kleine, Mieke Heyvaert, Eni S Becker, Gert-Jan Hendriks, Agnes van Minnen
BACKGROUND: The current study evaluated the effectiveness and safety of intensive prolonged exposure (PE) targeting adolescent patients with complex posttraumatic stress disorder (PTSD) and comorbid disorders following multiple interpersonal trauma. METHODS: Ten adolescents meeting full diagnostic criteria for PTSD were recruited from a specialized outpatient mental health clinic and offered a standardized intensive PE. The intensive PE consisted of three daily 90-min exposure sessions delivered on five consecutive weekdays, followed by 3 weekly 90-min booster sessions...
November 2017: Journal of Child Psychology and Psychiatry, and Allied Disciplines
https://www.readbyqxmd.com/read/29029837/a-review-of-current-evidence-regarding-the-icd-11-proposals-for-diagnosing-ptsd-and-complex-ptsd
#5
REVIEW
Chris R Brewin, Marylène Cloitre, Philip Hyland, Mark Shevlin, Andreas Maercker, Richard A Bryant, Asma Humayun, Lynne M Jones, Ashraf Kagee, Cécile Rousseau, Daya Somasundaram, Yuriko Suzuki, Simon Wessely, Mark van Ommeren, Geoffrey M Reed
The World Health Organization's proposals for posttraumatic stress disorder (PTSD) in the 11th edition of the International Classification of Diseases, scheduled for release in 2018, involve a very brief set of symptoms and a distinction between two sibling disorders, PTSD and Complex PTSD. This review of studies conducted to test the validity and implications of the diagnostic proposals generally supports the proposed 3-factor structure of PTSD symptoms, the 6-factor structure of Complex PTSD symptoms, and the distinction between PTSD and Complex PTSD...
December 2017: Clinical Psychology Review
https://www.readbyqxmd.com/read/28945995/abnormal-emotional-processing-in-maltreated-children-diagnosed-of-complex-posttraumatic-stress-disorder
#6
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...
November 2017: Child Abuse & Neglect
https://www.readbyqxmd.com/read/28712089/increased-recruitment-of-cognitive-control-in-the-presence-of-traumatic-stimuli-in-complex-ptsd
#7
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
#8
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/28678690/emotional-freedom-techniques-to-treat-posttraumatic-stress-disorder-in-veterans-review-of-the-evidence-survey-of-practitioners-and-proposed-clinical-guidelines
#9
Dawson Church, Sheri Stern, Elizabeth Boath, Antony Stewart, David Feinstein, Morgan Clond
BACKGROUND: High prevalence rates of posttraumatic stress disorder (PTSD) in active military and veterans present a treatment challenge. Many PTSD studies have demonstrated the efficacy and safety of Emotional Freedom Techniques (EFT). OBJECTIVES: To develop clinical best practice guidelines for the use of EFT to treat PTSD, on the basis of the published literature, practitioner experience, and typical case histories. METHODS: We surveyed 448 EFT practitioners to gather information on their experiences with PTSD treatment...
2017: Permanente Journal
https://www.readbyqxmd.com/read/28649302/differential-predictors-of-dsm-5-ptsd-and-icd-11-complex-ptsd-among-african-american-women
#10
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/28646729/the-structure-of-ptsd-symptoms-according-to-dsm-5-and-idc-11-proposal-a-multi-sample-analysis
#11
M Cyniak-Cieciura, K Staniaszek, A Popiel, E Pragłowska, B Zawadzki
Posttraumatic stress disorder (PTSD) symptoms structure is a subject of ongoing debate since its inclusion in DSM-III classification in 1980. Different research on PTSD symptoms structure proved the better fit of four-factor and five-factor models comparing to the one proposed by DSM-IV. With the publication of DSM-5 classification, which introduced significant changes to PTSD diagnosis, the question arises about the adequacy of the proposed criteria to the real structure of disorder symptoms. Recent analyses suggest that seven-factor hybrid model is the best reflection of symptoms structure proposed to date...
May 4, 2017: European Psychiatry: the Journal of the Association of European Psychiatrists
https://www.readbyqxmd.com/read/28638959/-psychotraumatology-differentiation-extension-and-public-discourse
#12
REVIEW
A Maercker, M Augsburger
The first description of posttraumatic stress disorder (PTSD) in the 1980s marked the origin of psychotraumatology. Based on the variety of developments in the meantime and being relevant for basic research and clinical application, a differentiation of diagnoses according to the new International Classification of Diseases (ICD-11) are presented including PTSD, complex PTSD, prolonged grief disorder and adjustment disorder. In addition, extension towards traumatic and adverse childhood experiences and their significance for lifetime mental and somatic morbidity are described...
June 21, 2017: Der Nervenarzt
https://www.readbyqxmd.com/read/28347146/complex-ptsd-a-better-description-for-borderline-personality-disorder
#13
Jayashri Kulkarni
OBJECTIVE: To consider the use of the diagnostic category 'complex posttraumatic stress disorder' (c-PTSD) as detailed in the forthcoming ICD-11 classification system as a less stigmatising, more clinically useful term, instead of the current DSM-5 defined condition of 'borderline personality disorder' (BPD). CONCLUSIONS: Trauma, in its broadest definition, plays a key role in the development of both c-PTSD and BPD. Given this current lack of differentiation between these conditions, and the high stigma faced by people with BPD, it seems reasonable to consider using the diagnostic term 'complex posttraumatic stress disorder' to decrease stigma and provide a trauma-informed approach for BPD patients...
August 2017: Australasian Psychiatry: Bulletin of Royal Australian and New Zealand College of Psychiatrists
https://www.readbyqxmd.com/read/28321873/disintegration-of-the-self-and-the-regeneration-of-psychic-skin-in-the-treatment-of-traumatized-refugees
#14
Monica Luci
This paper presents a tentative understanding of the characteristics of the extreme traumas, elsewhere called 'complex PTSD', that some refugees and asylum-seekers bring into therapy. It suggests that these kinds of traumas suffered during adulthood may involve a disintegration of the self and a loss of 'psychic skin'. This conceptualization is derived from the treatment of a refugee who survived multiple extreme traumas and with whom efforts were made in therapy to identify a complex methodology making use of supplementary therapeutic tools in addition to individual psychotherapy...
April 2017: Journal of Analytical Psychology
https://www.readbyqxmd.com/read/28301038/shame-dissociation-and-complex-ptsd-symptoms-in-traumatized-psychiatric-and-control-groups-direct-and-indirect-associations-with-relationship-distress
#15
Martin J Dorahy, Mary Corry, Rebecca Black, Laura Matheson, Holly Coles, David Curran, Lenaire Seager, Warwick Middleton, Kevin F W Dyer
OBJECTIVES: Elevated shame and dissociation are common in dissociative identity disorder (DID) and chronic posttraumatic stress disorder (PTSD) and are part of the constellation of symptoms defined as complex PTSD. Previous work examined the relationship between shame, dissociation, and complex PTSD and whether they are associated with intimate relationship anxiety, relationship depression, and fear of relationships. This study investigated these variables in traumatized clinical samples and a nonclinical community group...
April 2017: Journal of Clinical Psychology
https://www.readbyqxmd.com/read/28261144/parallel-distinct-structures-of-internal-world-and-external-reality-disavowing-and-re-claiming-the-self-identity-in-the-aftermath-of-trauma-generated-dissociation
#16
Vedat Şar
The nature of consciousness and the autonomy of the individual's mind have been a focus of interest throughout the past century and inspired many theories and models. Revival of studies on psychological trauma and dissociation, which remained outside mainstream psychiatry, psychology, and psychoanalysis for the most part of the past century, has provided a new opportunity to revisit this intellectual and scientific endeavor. This paper attempts to integrate a series of empirical and theoretical studies on psychological consequences of developmental traumatization, which may yield further insight into factors which threaten the integrity of human consciousness...
2017: Frontiers in Psychology
https://www.readbyqxmd.com/read/28215878/neuroactive-steroids-and-ptsd-treatment
#17
REVIEW
Ann M Rasmusson, Christine E Marx, Suzanne L Pineles, Andrea Locci, Erica R Scioli-Salter, Yael I Nillni, Jennifer J Liang, Graziano Pinna
This review highlights early efforts to translate pre-clinical and clinical findings regarding the role of neuroactive steroids in stress adaptation and PTSD into new therapeutics for PTSD. Numerous studies have demonstrated PTSD-related alterations in resting levels or the reactivity of neuroactive steroids and their targets. These studies also have demonstrated substantial variability in the dysfunction of specific neuroactive steroid systems among PTSD subpopulations. These variabilities have been related to the developmental timing of trauma, severity and type of trauma, genetic background, sex, reproductive state, lifestyle influences such as substance use and exercise, and the presence of comorbid conditions such as depression and chronic pain...
May 10, 2017: Neuroscience Letters
https://www.readbyqxmd.com/read/28194504/variation-in-post-traumatic-response-the-role-of-trauma-type-in-predicting-icd-11-ptsd-and-cptsd-symptoms
#18
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/28145816/a-naturalistic-study-of-a-brief-treatment-program-for-survivors-of-complex-trauma
#19
Catherine C Classen, Robert T Muller, Nigel P Field, Carrie S Clark, Eva-Marie Stern
The impact of chronic trauma can be longstanding, affecting survivor affect regulation, consciousness, interpersonal functioning, perceptions of self and others, self-regulation, and somatic experience. There is a growing consensus that multimodal and staged approaches to treatment are necessary to promote healing. However, empirical investigations of such treatments are still needed. The current study used a naturalistic design to examine the impact of a brief, yet intensive, outpatient program on complex PTSD symptoms and attachment classification among women with histories of chronic trauma...
February 1, 2017: Journal of Trauma & Dissociation
https://www.readbyqxmd.com/read/28134442/alternative-models-of-disorders-of-traumatic-stress-based-on-the-new-icd-11-proposals
#20
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
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