Complex PTSD and borderline personality disorder

Borderline Personality Disorder and Emotion Dysregulation, Journal Year: 2021, Volume and Issue: 8(1)

Published: May 6, 2021

This article builds on a previous review (Ford and Courtois, Borderline Personal Disord Emot Dysregul 1:9, 2014) which concluded that complex posttraumatic stress disorder (cPTSD) could not be conceptualized as sub-type of either PTSD or BPD. Recent research is reviewed extends clarifies the still nascent understanding relationship between cPTSD BPD.The circumscribed formulation adult has been developed, validated, included in 11th Edition International Classification Diseases spurred aimed at differentiating BPD both descriptively empirically. A newly validated Developmental Trauma Disorder (DTD) syndrome for children adolescents provides basis systematic developmental course origins summarizes recent empirical findings regarding BPD, PTSD, terms of: (1) prevalence comorbidity; (2) clinical phenomenology; (3) traumatic antecedents; (4) psychobiology; (5) emotion dysregulation; (6) dissociation; (7) empirically supported approaches to assessment psychotherapeutic treatment.The evidence suggests cPTSD, are potentially comorbid but distinct syndromes. hypothesis advanced stimulate scientific innovation defining disorders, positing they may represent continuum paralleling classic conceptualization response, with dissociation involved each disorder.

Language: Английский

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PTSD and CPTSD in the new ICD-11 – a latent profile analysis

Psychiatry Research, Journal Year: 2025, Volume and Issue: 344, P. 116350 - 116350

Published: Jan. 5, 2025

Language: Английский

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Trauma-focused treatment outcome for complex PTSD patients: results of an intensive treatment programme

European journal of psychotraumatology, Journal Year: 2020, Volume and Issue: 11(1)

Published: July 23, 2020

Background Complex PTSD (CPTSD) has been incorporated in the 11th edition of International Classification Diseases (ICD-11) as a mental health condition distinct from PTSD.Objective The objective current study is to determine whether individuals classified having CPTSD can benefit an intensive trauma-focused treatment, resulting decreased and symptoms, loss diagnoses.Method Patients diagnosed with (N = 308) took part 8-day treatment programme combining prolonged exposure, EMDR therapy, psycho-education, physical activity. was not phase-based that it did contain stabilization phase or skill training prior therapy. diagnosis assessed by means Trauma Questionnaire (ITQ) both ITQ CAPS-5. Treatment response measured CAPS-5, PCL-5, ITQ.Results Symptoms significantly pre- post-treatment significant CAPS-5 based (74.0%) ITQ-based diagnoses (85.0% 87.7%, respectively). No adverse events occurred terms suicides, suicide attempts, hospital admissions.Conclusions results are supportive notion majority patients strongly for their PTSD.

Language: Английский

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Symptom structure of ICD-11 Complex Posttraumatic Stress Disorder (CPTSD) in trauma-exposed foster children: examining the International Trauma Questionnaire – Child and Adolescent Version (ITQ-CA)

European journal of psychotraumatology, Journal Year: 2020, Volume and Issue: 11(1)

Published: Nov. 5, 2020

Background: The 11th edition of the International Classification Diseases (ICD-11) introduces Posttraumatic Stress Disorder (PTSD) and Complex (CPTSD) as two distinct trauma-related disorders. Numerous studies support proposed symptom structure ICD-11 CPTSD in adults, but only a few have examined children, reporting diverging results. To assess Trauma Questionnaire (ITQ) was recently adapted for children adolescents (ITQ-CA), with no validated German version available yet. Objective: This study aimed (1) to test sample trauma-exposed foster using ITQ-CA, (2) examine concurrent, convergent discriminant validity ITQ-CA. Method: Altogether, 161 Austrian completed set standardized measures, resulting final 135 meeting inclusion criteria. Psychometric properties ITQ-CA were assessed confirmatory factor analysis (CFA), bivariate correlations multivariate regression. Results: CFA supported two-factor higher-order model PTSD Disturbances Self-Organization (DSO) correlated factors very good fit, while one-factor also fitted data well. High loadings excellent levels internal reliability evidenced psychometric adequacy Concurrent by high between scales criterion variables (PTSD symptoms, depression, anxiety, dissociation, lifetime traumatization). Discriminant partly DSO being differently predicted exogenous variables. Conclusions: is conceptualization. are first time, identifying it an easy-to-use screening instrument children. Further implications areas upcoming discussed.Antecedentes: La CIE-11 recientemente publicada presenta el trastorno de estrés postraumático (TEPT) y complejo (TEPT-C) como dos trastornos distintos relacionados con trauma. Numerosos estudios apoyaron la estructura síntomas propuesta TEPT-C en adultos CIE-11, pero solo unos pocos examinaron niños, reportando resultados divergentes. Para evaluar niños según Cuestionario Internacional fue adaptado para adolescentes sin una versión alemana validada disponible todavía.Objetivo: El estudio actual se estableció probar muestra crianza temporal expuestos traumas utilizando examinar validez concurrente, convergente discriminante alemán del ITQ-CA.Método: Ciento sesenta un austriacos completaron conjunto medidas estandarizadas, lo que resultó cumplieron los criterios inclusión. Las propiedades psicométricas evaluaron mediante análisis factorial confirmatorio (AFC), correlaciones bivariadas regresión objetivos multivariados.Resultados: AFC respaldó modelo factores orden superior TEPT (Perturbaciones organización sí mismo) correlacionados muy buen ajuste modelo, mientras también ajustó bien datos. altas cargas factoriales excelentes niveles confiabilidad interna evidenciaron adecuación psicométrica concurrente evidenció por las entre escalas criterio (síntomas TEPT, depresión, ansiedad, disociación, traumatismo vida). apoyada parte siendo diferenciadamente predicho exógenas.Conclusiones: respalda conceptualización CIE-11. evidencia primera vez, identificándola instrumento cribado fácil usar niños. Se discuten más implicaciones áreas futuros estudios.背景: 最近发布的ICD-11引入了创伤后应激障碍 和复杂性PTSD 作为两种不同的创伤相关障碍。许多研究支持了成人中提出的ICD-11 CPTSD症状结构, 但只有极少数研究考查了儿童CPTSD症状结构, 并且报告的结果大不相同。为评估儿童的ICD-11 CPTSD, 最近针对儿童和青少年改编了国际创伤问卷 但尚无经过验证的德语版可用。目的:本研究旨在 使用ITQ-CA考查创伤暴露的寄养儿童样本中ICD-11 CPTSD的症状结构, 以及 考查德语版ITQ-CA的同时效度, 收敛效度和区分效度。方法: 161名奥地利寄养儿童完成了一套标准化测量, 最终获得了135名符合纳入标准的创伤暴露寄养儿童样本。使用验证性因子分析 双变量相关和多目标回归分析评估ITQ-CA的心理计量学性质。结果: CFA支持儿童ICD-11 CPTSD症状结构作为拟合良好的, 以PTSD和DSO为相关因子的两因子高阶模型, 而单因子高阶模型也很好地拟合了数据。高因子载荷和极好的内部信度证明了ITQ-CA在心理计量方面的合格性。同时效度和收敛效度由ITQ-CA量表与标准变量 (PTSD症状, 抑郁, 焦虑, 解离, 终身创伤) 之间的高度相关得到验证。外源标准变量对PTSD和DSO不同的预测程度部分支持了区分效度。结论: 儿童CPTSD症状结构支持ICD-11的概念化。首次证明了德语版ITQ-CA的信效度, 将其确定为评估儿童ICD-11 PTSD和CPTSD的简便易用的筛查工具。讨论了进一步的影响和即将开展的研究领域。.

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Evidence for the coherence and integrity of the complex PTSD (CPTSD) diagnosis: response to Achterhof et al., (2019) and Ford (2020)

European journal of psychotraumatology, Journal Year: 2020, Volume and Issue: 11(1)

Published: April 3, 2020

This letter to the editor responds a recent EJPT editorial and following commentary which express concerns about validity of ICD-11 complex PTSD (CPTSD) diagnosis. Achterhof colleagues caution that latent profile analyses class analyses, have been frequently used demonstrate discriminative CPTSD constructs, limitations cannot be relied on definitively determine Ford takes broader perspective introduces concept 'cPTSD' describes wide ranging set symptoms identified from studies related DSM-IV, DSM-V proposes is in question as it does not address multiple previous trauma-related disorders. We argue theory-driven, empirically supported construct has internal consistency conceptual coherence need explain nor resolve inconsistencies past formulations its validity. do agree with no one single statistical process can answer whether valid construct. reference several utilizing many different approaches implemented across countries, overwhelming majority unique conclude our own cautions research date identify important next steps.

Language: Английский

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Exploring complex-PTSD comorbidity in trauma-exposed Northern Ireland veterans

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

Published: March 31, 2022

Complex posttraumatic stress disorder (CPTSD) describes the results of complex, prolonged, and/or inescapable trauma, and is typified by avoidance, re-experiencing, sense threat, affect dysregulation, negative self-concept, interpersonal disturbances. Additionally, CPTSD highly comorbid with other common psychopathologies.

Language: Английский

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Complex PTSD: what is the clinical utility of the diagnosis?

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

Published: Jan. 1, 2021

The diagnosis of complex posttraumatic stress disorder (CPTSD) was included in the 11th revised edition International Classification Diseases (ICD-11). CPTSD shares trauma-specific symptoms with its sibling PTSD but is additionally characterized by disturbances individual's self-organization (DSO). clinical utility has yet to be thoroughly investigated.

Language: Английский

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Fully remote intensive trauma-focused treatment for PTSD and Complex PTSD

European journal of psychotraumatology, Journal Year: 2022, Volume and Issue: 13(2)

Published: Sept. 22, 2022

It is unknown whether remotely delivered intensive trauma-focused therapy not only an effective treatment for PTSD, but also Complex PTSD.

Language: Английский

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Assessment tools for complex post traumatic stress disorder: a systematic review

International Journal of Psychiatry in Clinical Practice, Journal Year: 2023, Volume and Issue: 27(3), P. 292 - 300

Published: April 17, 2023

Appropriate screening tools are required to accurately detect complex post traumatic stress disorder (CPTSD). This systematic review aimed assess and compare measurement tools. A literature search using key words 'complex disorder', 'PTSD', 'assessment' was undertaken on Embase PsychINFO during February 2022 by two reviewers. Inclusion criteria included full text papers between 2002–2022 which evaluated CPTSD assessment Exclusion reviews, editorials, meta-analyses, or conference abstracts. Twenty-two met selection criteria. Thirteen studies used the International Trauma Questionnaire (ITQ). Two each with Interview (ITI) Symptoms of Scale (SOTS). The Developmental Inventory (DTI), Cameron Complex (CCTI), PTSD Item Set additional Clinician Administered (COPISAC), (ComplexTQ), 8 Minnesota Multiphasic Personality (MMPI) were a single study each. ITQ most thoroughly investigated, validated across different populations, is convenient questionnaire for within clinical setting. Where self-report measures inappropriate, ITI, SOTS, COPISAC interview CPTSD. However, they require further validation should be alongside history examination.

Language: Английский

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Trauma‐focused treatment of a client with Complex PTSD and comorbid pathology using EMDR therapy

Journal of Clinical Psychology, Journal Year: 2023, Volume and Issue: 80(4), P. 824 - 835

Published: April 14, 2023

Abstract Objective Complex post‐traumatic stress disorder (CPTSD) is a classification within the International Classification of Diseases, 11th Revision (ICD‐11) that, besides DSM‐5 symptom clusters post‐post‐traumatic (PTSD), includes presence negative self‐concept, difficulties in regulating emotions and relationship skills. The purpose present study was to provide guidance on how deliver Eye Movement Desensitization Reprocessing (EMDR) therapy context CPTSD, based current clinical knowledge latest scientific research findings. Method This paper describes treatment 52‐year‐old woman with CPTSD borderline personality for which immediate trauma‐focused EMDR used. Results First, description what entails some important strategies that therapist may employ assist clients using are outlined. Conclusion results line mounting evidence supporting notion safe potentially effective alternative individuals or problems.

Language: Английский

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