Complex post-traumatic stress disorder

The Lancet, Journal Year: 2022, Volume and Issue: 400(10345), P. 60 - 72

Published: July 1, 2022

Language: Английский

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Emerging experience with selected new categories in the ICD‐11: complex PTSD, prolonged grief disorder, gaming disorder, and compulsive sexual behaviour disorder

World Psychiatry, Journal Year: 2022, Volume and Issue: 21(2), P. 189 - 213

Published: May 7, 2022

Among the important changes in ICD-11 is addition of 21 new mental disorders. New categories are typically proposed to: a) improve usefulness morbidity statistics; b) facilitate recognition a clinically but poorly classified disorder order to provide appropriate management; and c) stimulate research into more effective treatments. Given major implications for field World Health Organization (WHO) member states, it examine impact these during early phase implementation. This paper focuses on four disorders: complex post-traumatic stress disorder, prolonged grief gaming compulsive sexual behaviour disorder. These were selected because they have been focus considerable activity and/or controversy their inclusion represents different decision than was made DSM-5. The lead authors invited experts each disorders insight why considered add ICD-11, care not having that diagnostic category, controversies about adding review evidence generated other developments related category since WHO signaled its intention include ICD-11. Each appears describe population with distinctive features had previously gone unrecognized as well specific treatment needs would otherwise likely go unmet. introduction has followed by substantial expansion area, which generally supported validity utility, significant increase availability services.

Language: Английский

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Post‐traumatic stress disorder: evolving conceptualization and evidence, and future research directions

World Psychiatry, Journal Year: 2025, Volume and Issue: 24(1), P. 52 - 80

Published: Jan. 15, 2025

The understanding of responses to traumatic events has been greatly influenced by the introduction diagnosis post‐traumatic stress disorder (PTSD). In this paper we review initial versions diagnostic criteria for condition and associated epidemiological findings, including sociocultural differences. We consider evidence reactions occurring in multiple contexts not previously defined as traumatic, implications that these observations have diagnosis. More recent developments such DSM‐5 dissociative subtype ICD‐11 complex PTSD are reviewed, adding there several distinct phenotypes. describe psychological foundations PTSD, involving disturbances memory well identity. A broader focus on identity may be able accommodate group communal influences experience trauma impact resource loss. then summarize current concerning biological with a particular genetic neuroimaging studies. Whereas progress prevention disappointing, is now an extensive supporting efficacy variety treatments established trauma‐focused interventions – cognitive behavior therapy (TF‐CBT) eye movement desensitization reprocessing (EMDR) non‐trauma‐focused therapies, which also include some emerging identity‐based approaches present‐centered compassion‐focused therapies. Additionally, promising neither nor pharmacological, or combine pharmacological approach, 3,4‐methylenedioxymethamphetamine (MDMA)‐assisted psychotherapy. advances priority areas adapting resource‐limited settings across cultural contexts, community‐based approaches. conclude identifying future directions work mental health.

Language: Английский

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The international trauma questionnaire (ITQ) measures reliable and clinically significant treatment-related change in PTSD and complex PTSD

European journal of psychotraumatology, Journal Year: 2021, Volume and Issue: 12(1)

Published: Jan. 1, 2021

Background: The International Trauma Questionnaire (ITQ) is a validated measure that assesses ICD-11 posttraumatic stress disorder (PTSD) and complex PTSD (CPTSD). An important task to determine whether the ITQ an appropriate evaluative for clinical trials.Objective: To assess psychometric properties of in context treatment if measures reliable clinically significant change over course psychosocial intervention.Method: Analyses were based on data from online skills training programme delivered 254 U.S. Veterans. Reliability validity scores assessed at baseline. Changes symptom probable diagnostic rates compared pre-, mid- post-treatment. A index (RCI) score was computed classify participants as improved, unchanged, or worsened. PCL-5 used comparison measure.Results: Baseline concurrent factorial similar previous studies. Internal consistency each assessment excellent comparable PCL-5. Decline symptoms pre-to-post-treatment CPTSD profiles. Rate (PTSD CPTSD) declined significantly pre-treatment Pre-to-post declines exceeded critical RCI values ITQ. Clinically changes observed where most some stayed same, few performance consistent with regarding sensitivity change.Conclusion: This study provides first demonstration treatment-related symptoms.

Language: Английский

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Validation of the International Trauma Interview (ITI) for the Clinical Assessment of ICD-11 Posttraumatic Stress Disorder (PTSD) and Complex PTSD (CPTSD) in a Lithuanian Sample

European journal of psychotraumatology, Journal Year: 2022, Volume and Issue: 13(1)

Published: Feb. 23, 2022

Background The 11th revision of the International Classification Diseases (ICD-11) includes a new diagnosis complex posttraumatic stress disorder (CPTSD). Trauma Interview (ITI) is novel clinician-administered diagnostic interview for assessment ICD-11 PTSD and CPTSD.Objective aim this study was to evaluate psychometric properties ITI in Lithuanian sample relation interrater agreement, latent structure, internal reliability, as well convergent discriminant validity.Method In total, 103 adults with history various traumatic experiences participated study. predominantly female (83.5%), mean age 32.64 years (SD = 9.36). For CPTSD, self-report Questionnaire (ITQ) were used. Mental health indicators, such depression, anxiety, dissociation, measured using questionnaires. structure evaluated confirmatory factor analysis (CFA). order test validity we conducted structural equation model (SEM).Results Overall, based on ITI, 18.4% participants fulfilled criteria 21.4% CPTSD. A second-order two-factor CFA disturbances self-organization (DSO) symptoms demonstrated good fit. associations mental indicators supported ITI. ITQ had poor moderate agreement across different symptom clusters.Conclusion reliable valid tool assessing diagnosing

Language: Английский

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The memory and identity theory of ICD-11 complex posttraumatic stress disorder.

Psychological Review, Journal Year: 2023, Volume and Issue: 130(4), P. 1044 - 1065

Published: June 20, 2023

The 11th version of the International Classification Diseases (ICD-11) includes complex posttraumatic stress disorder (CPTSD) as a separate diagnostic entity alongside (PTSD).ICD-11 CPTSD is defined by six sets symptoms, three that are shared with PTSD (reexperiencing in here and now, avoidance, sense current threat) (affective dysregulation, negative selfconcept, disturbances relationships) representing pervasive "disturbances self-organization" (DSO).There considerable evidence supporting construct validity ICD-11 CPTSD, but no theoretical account its development has thus far been presented.A theory needed to explain several phenomena especially relevant such role played prolonged repeated trauma exposure, functional independence between DSO heterogeneity following exposure.The memory identity states single multiple exposure occur context individual vulnerability which interact give rise intrusive, sensation-based traumatic memories identities which, together, produce symptoms define CPTSD.The model emphasizes two major related causal processes intrusive exist on continuum from prereflective experience full self-awareness.Theoretically derived implications for assessment treatment discussed, well areas future research testing.

Language: Английский

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Age differences in acute stress and PTSD symptoms during the 2023 Israel-Hamas war: Preliminary findings

Journal of Psychiatric Research, Journal Year: 2024, Volume and Issue: 173, P. 111 - 114

Published: March 19, 2024

Language: Английский

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Mental health in Ukraine in 2023

European Psychiatry, Journal Year: 2024, Volume and Issue: 67(1)

Published: Jan. 1, 2024

Abstract Background Very little is known about the mental health of adult population Ukraine following Russia’s full-scale invasion in February 2022. In this study, we estimated prevalence seven disorders, proportion adults screening positive for any disorder, and sociodemographic factors associated with meeting requirements each disorder. Methods A non-probability quota sample ( N = 2,050) living September 2023 was collected online. Participants completed self-report questionnaires disorders. Logistic regression used to determine predictors different Results Prevalence estimates ranged from 1.5% (cannabis use disorder) 15.2% (generalized anxiety disorder), 36.3% screened Females were significantly more likely than males (39.0% vs. 33.8%) screen Disruption life due 2014 Ukraine, greater financial worries, having fewer childhood experiences consistent risk disorders or multiple Conclusion Our findings show that approximately one three report problems diagnostic a disorder 18 months after invasion. Ukraine’s healthcare system has been severely compromised by loss infrastructure human capital war. These may help identify those most vulnerable so limited resources can be effectively.

Language: Английский

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Perception of Loneliness in Adolescence: Role of Maladaptive Personality Traits and Trauma-Related Symptomatology

Brain Sciences, Journal Year: 2025, Volume and Issue: 15(1), P. 86 - 86

Published: Jan. 17, 2025

Background/Objectives: Loneliness is a heterogeneous phenomenon, generally defined as an emotional experience based on the perceived distance between individual’s actual social relationships and those he or she would like to have. Adolescence particularly vulnerable loneliness because of many changes in values, feelings, emotions that characterize it. Among aspects may influence this feeling discomfort, literature identifies maladaptive personality dysfunctional response traumatic events. Our study aims identify possible role traits post-traumatic stress symptomatology form Post-Traumatic Stress Disorder (PTSD) Disturbance Self-Organization (DSO) play perception adolescents: Methods: We identified mediation model constructed through structural equation modeling (SEM) test PTSD DSO independent variables mediator relationship these perceptions population adolescents both sexes, Italian high school students; Results: significant influencing state loneliness, directly indirectly traits, which appear exert substantial potentially functioning mediators latter PTSD/DSO symptomatology. Presumably, complicate recovery from adverse experiences by preventing implementation functional coping strategies promoting responses. Conclusions: findings underscore importance researchers clinicians adequately considering different early identification A focus adolescents’ communication interpersonal skills their ability respond effectively stressful events prove useful identifying more effective for managing related distress adolescents.

Language: Английский

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Diagnosis and management of complex post-traumatic stress disorder (C-PTSD)

BMJ, Journal Year: 2025, Volume and Issue: unknown, P. e079458 - e079458

Published: Jan. 30, 2025

Language: Английский

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