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"Complex PTSD"

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)...
October 17, 2016: Journal of Anxiety Disorders
Carol A Keane, Christopher A Magee, Peter J Kelly
Traumatic childhood experiences predict many adverse outcomes in adulthood including Complex-PTSD. Understanding complex trauma within socially disadvantaged populations has important implications for policy development and intervention implementation. This paper examined the nature of complex trauma experienced by disadvantaged individuals using a latent class analysis (LCA) approach. Data were collected through the large-scale Journeys Home Study (N=1682), utilising a representative sample of individuals experiencing low housing stability...
October 13, 2016: Child Abuse & Neglect
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 (SMI) who reported a history of trauma exposure and were recently discharged from inpatient psychiatric treatment. SOTS composite severity scores for DSM-IV and DSM-5 posttraumatic stress disorder (PTSD), complex PTSD (cPTSD), and total PTSD/cPTSD severity had acceptable internal consistency reliability. SOTS scores' construct and convergent validity was supported by correlations with self-report measures of childhood and adult trauma history, and PTSD, dissociation, and anger symptoms...
October 12, 2016: Journal of Trauma & Dissociation
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...
September 28, 2016: Journal of Affective Disorders
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...
September 29, 2016: Psychotherapie, Psychosomatik, Medizinische Psychologie
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...
September 28, 2016: Journal of Child Psychology and Psychiatry, and Allied Disciplines
Matthias Knefel, Ulrich S Tran, Brigitte Lueger-Schuster
BACKGROUND: Posttraumatic Stress Disorder (PTSD), Complex PTSD, and Borderline Personality Disorder (BPD) share etiological risk factors and an overlapping set of associated symptoms. Since the ICD-11 proposal for trauma-related disorders, the relationship of these disorders has to be clarified. A novel approach to psychopathology, network analysis, allows for a detailed analysis of comorbidity on symptom level. METHODS: Symptoms were assessed in adult survivors of childhood abuse (N=219) using the newly developed ICD-11 Trauma-Questionnaire and the SCID-II...
October 2016: Journal of Anxiety Disorders
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
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
Einat Peles, Zivya Seligman, Miki Bloch, David Potik, Anat Sason, Shaul Schreiber, Miriam Adelson
To determine the effect of sexual abuse history on chronic pain and its relation to opioid addiction and methadone maintenance treatment (MMT), we studied current women MMT patients, and women patients from a sexual abuse treatment center with no history of opioid addiction. Questionnaires included Chronic Pain, Chronic Severe Pain, the Yale-Brown Obsessive Compulsive Scale, the Dissociative Experiences Scale (DES), and the Structured Interview for Disorders of Extreme Stress (complex-PTSD). Chronic severe pain was most prevalent among sexually abused women with no history of opioid addiction (64% of 25), followed by sexually abused MMT women (30...
September 2016: Journal of Psychoactive Drugs
Marylene Cloitre
No abstract text is available yet for this article.
May 2016: Depression and Anxiety
F Jackie June Ter Heide, Trudy M Mooren, Rolf J Kleber
BACKGROUND: Asylum seekers and refugees have been claimed to be at increased risk of developing complex posttraumatic stress disorder (complex PTSD). Consequently, it has been recommended that refugees be treated with present-centred or phased treatment rather than stand-alone trauma-focused treatment. This recommendation has contributed to a clinical practice of delaying or waiving trauma-focused treatment in refugees with PTSD. OBJECTIVE: The aim of this debate piece is to defend two theses: (1) that complex trauma leads to complex PTSD in a minority of refugees only and (2) that trauma-focused treatment should be offered to all refugees who seek treatment for PTSD...
2016: European Journal of Psychotraumatology
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
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
Andreas Maercker, Tobias Hecker
This paper addresses consequences of exposure to violence and trauma. Traumata are defined as events with an extraordinary threat or catastrophic extent. Beside Posttraumatic Stress Disorder (PTSD), affected people may develop Complex PTSD, Prolonged Grief Disorder or Adjustment Disorder as direct consequences of exposure with extreme stress. Indirect trauma-related disorders are amongst others Major Depression, Substance Dependency and Personality Disorders. These disorders develop often comorbid to PTSD. The likelihood to develop a PTSD at one point during the life course is 1-4% in Germany...
January 2016: Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz
Julian D Ford, Christine A Courtois
Complex PTSD (cPTSD) was formulated to include, in addition to the core PTSD symptoms, dysregulation in three psychobiological areas: (1) emotion processing, (2) self-organization (including bodily integrity), and (3) relational security. The overlap of diagnostic criteria for cPTSD and borderline personality disorder (BPD) raises questions about the scientific integrity and clinical utility of the cPTSD construct/diagnosis, as well as opportunities to achieve an increasingly nuanced understanding of the role of psychological trauma in BPD...
2014: Borderline Personality Disorder and Emotion Dysregulation
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
Frank M Corrigan, Alastair M Hull
Considerable research has been conducted on particular approaches to the psychotherapy of post-traumatic stress disorder (PTSD). However, the evidence indicates that modalities tested in randomised controlled trials (RCTs) are far from 100% applicable and effective and the RCT model itself is inadequate for evaluating treatments of conditions with complex presentations and frequently multiple comorbidities. Evidence at levels 2 and 3 cannot be ignored. Expert-led interventions consistent with the emerging understanding of affective neuroscience are needed and not the unthinking application of a dominant therapeutic paradigm with evidence for PTSD but not complex PTSD...
April 2015: BJPsych Bulletin
E Dorrepaal, K Thomaes, N Draijer, D J Veltman, A J L M van Balkom
No abstract text is available yet for this article.
2015: Tijdschrift Voor Psychiatrie
I Bicanic, A de Jongh, E Ten Broeke
BACKGROUND: With regard to the treatment of patients who have been traumatised in childhood by interpersonal trauma and have been diagnosed as having symptoms of complex ptsd, it is advisable that exposure of such patients to traumatic memories should be preceded by a stabilisation phase: during this phase patients can be taught various techniques including particularly those that enable them to regulate their emotions. AIM: To find out whether there is strong empirical evidence for the introduction of a phase-based treatment approach for this patient group...
2015: Tijdschrift Voor Psychiatrie
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