Post-traumatic stress disorder in psychosis

Psychiatria i Psychologia Kliniczna, Journal Year: 2025, Volume and Issue: 24(3), P. 260 - 266

Published: Jan. 31, 2025

The diagnosis of schizophrenia spectrum disorders often overshadows other psychopathological issues, such as post-traumatic stress disorder (PTSD), which has a significantly higher lifetime prevalence in individuals with psychosis, ranging from 14% to 53%, compared the general population. experience psychosis and its treatment, particularly during first episode, can be traumatic frequently leads PTSD, may present specific clinical profile. Recognising PTSD is challenging for several reasons: difficulties gathering trauma history, diagnostic challenges arising similarity between symptoms, systemic barriers healthcare. An additional complication structure criteria DSM-5 classification, make it difficult classify psychosis-related experiences traumatic. complex introduced ICD-11, poorly studied among though initial research indicates high this group. Screening tools helpful identifying experiences, while self-report questionnaires interviews are useful accurately diagnosing psychosis. Psychotherapy context both effective safe, also contributes improved treatment outcomes itself. most well-researched methods trauma-focused cognitive behavioural therapy eye movement desensitisation reprocessing (EMDR).

Language: Английский

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Assessment policy of post-traumatic stress disorder in aviation and its practical application using turbulence-triggered trauma as an example

Frontiers in Public Health, Journal Year: 2025, Volume and Issue: 13

Published: March 18, 2025

The U.S. Federal Aviation Administration (FAA) recently provided detailed instructions on how Medical Examiners (AMEs) should assess and evaluate pilots for post-traumatic stress disorder (PTSD). European, Australian International Civil Organization guidelines the assessment of PTSD in aviation are general do not address unique specific circumstances a flight crew per se. starting point FAA's guidance is an already-established clinical diagnosis since it known that compromises safety has been related to fatal accidents. According guidance, undertaken based whether condition symptomatic medicated, or more than 2 years have elapsed showing symptoms receiving medication. Classification Diseases (ICD) criteria disorders changed between versions ICD-10 soon-to-be-released ICD-11. new ICD-11 discussed this article context health. Additionally, PTSD, potentially caused by incident turbulence, mental There currently no published studies turbulence-caused trauma. We identified potential factors which pilots' cabin crew's stressors incidents severe extreme turbulence. Three recommendations provided: (1) harmonize practices internationally; (2) healthcare professionals taking care traumatized follow-up guide takes local conditions into account, ensures identification patients who require treatment as early possible; (3) health consider diagnostic information may be useful aviation-related

Language: Английский

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Testing the Use of “Clinical Checks” With the International Trauma Questionnaire to Measure PTSD and Complex PTSD

Acta Psychiatrica Scandinavica, Journal Year: 2025, Volume and Issue: unknown

Published: March 23, 2025

ABSTRACT Background The International Trauma Questionnaire (ITQ) is the most widely used measure of ICD‐11 Posttraumatic Stress Disorder (PTSD) and Complex PTSD (CPTSD). This self‐report scale has been to estimate prevalence rates these disorders in general populations clinical samples, but concerns abound that estimates derived from measures are too high. To address this concern, we previously introduced concept adding “clinical checks” ensure initial responses reflected intended meaning item. Here provide a rationale for checks ITQ, describe process developing them, demonstrate their effect at symptom, cluster, disorder levels population sample. Methods A team researchers clinicians, including those who developed all ITQ items. These were tested using data non‐probability quota‐based representative sample adults United Kingdom ( N = 975). Results Use led decreases symptom endorsements ranging 18.0% 43.9%, cluster requirements 19.1% 35.9%. without 5.4% 9.5% CPTSD. With checks, dropped 3.8% (relative decrease 29.6%) 4.9% CPTSD 48.4%). Conclusion Clinical can be easily embedded into have significant on estimates. We contextualize results relation existing literature interviews discrepancies between measures.

Language: Английский

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Investigating the latent structure of the International Trauma Questionnaire to assess ICD‐11 posttraumatic stress disorder (PTSD) and complex PTSD in an adult civilian sample during the Ukraine war

Journal of Traumatic Stress, Journal Year: 2023, Volume and Issue: 36(4), P. 820 - 829

Published: June 20, 2023

Abstract The symptom structure of ICD‐11 posttraumatic stress disorder (PTSD) and complex PTSD (CPTSD) the validity International Trauma Questionnaire (ITQ) are yet to be tested among civilians in an active war zone. present investigation examined factor ITQ, internal consistency observed scores, their associations with demographic characteristics war‐related experiences using a nationwide sample 2,004 adults from general population Ukraine approximately 6 months after full‐scale Russian invasion 2022. Overall, rates endorsement across all clusters were high. mean total number stressors reported was 9.07 ( SD = 4.35, range: 1–26). Internal reliability good for six ITQ subscales, Cronbach's αs .73–.88, correlated six‐factor model found provide best representation latent based on fit indices. There evidence dose–response relationship, increasing scores associated higher stressors.

Language: Английский

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Initial validation of the International Trauma Questionnaire (ITQ) in a sample of Chilean adults

European journal of psychotraumatology, Journal Year: 2023, Volume and Issue: 14(2)

Published: Oct. 10, 2023

ICD-11 Posttraumatic Stress Disorder (PTSD) and Complex PTSD (CPTSD) are stress-related disorders. The International Trauma Questionnaire (ITQ) is a widely used instrument to assess CPTSD. To date, there no evidence of the psychometric characteristics ITQ in Latin American countries.The aim this study was construct concurrent validity Spanish adaptation sample Chilean adults.A 275 young adults completed ITQ, traumatic life events checklist, Adverse Childhood Experiences Questionnaire, Depression Anxiety Scales-21, Columbia-Suicide Severity Rating Scale short version. Four alternative confirmatory factor analysis models were tested. Correlation analyses performed determine with associated measures (number reported events, number adverse childhood experiences, anxiety, depression, suicidal risk).The second-order two-factor (PTSD DSO) correlated first-order six-factor model provided acceptable fit; however, first showed better fit based on BIC difference. DSO dimensions, as well six clusters positive correlations life-events, levels risk.The provides CPTSD accordance ICD-11.This an initial validation sample.The latent structure supported by (PTSD/DSO); also acceptable.The symptom clusters, PTSD/CPTSD dimensions significantly positively three criterion variables: potentially exposure symptoms.

Language: Английский

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Assessing complex PTSD and PTSD: validation of the German version of the International Trauma Interview (ITI)

European journal of psychotraumatology, Journal Year: 2024, Volume and Issue: 15(1)

Published: April 30, 2024

With the introduction of ICD-11 into clinical practice, reliable distinction between Posttraumatic Stress Disorder (PTSD) and Complex (CPTSD) becomes paramount. The semi-structured clinician-administered International Trauma Interview (ITI) aims to close this gap in research settings.

Language: Английский

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Social support and (complex) posttraumatic stress symptom severity: does gender matter?

European journal of psychotraumatology, Journal Year: 2024, Volume and Issue: 15(1)

Published: Oct. 15, 2024

Perceived social support is an established predictor of post-traumatic stress disorder (PTSD) after exposure to a traumatic event. Gender important factor that could differentiate responses support, yet this has been little explored. Symptoms complex PTSD are also common following trauma but have under-researched in context. Large scale studies with culturally diverse samples particularly lacking.

Language: Английский

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A Systematic Review of the Assessment of ICD‐11 Complex Post‐Traumatic Stress Disorder (CPTSD) in Young People and Adults

Clinical Psychology & Psychotherapy, Journal Year: 2024, Volume and Issue: 31(3)

Published: May 1, 2024

ABSTRACT Complex post‐traumatic stress disorder (CPTSD) was introduced in the International Classification of Diseases (ICD) 11 2013 to simplify diagnosis and increase clinical utility. Given recent ICD‐11 conceptualisation, there is no standard approach for its assessment, a review research necessary. This systematic focuses on CPTSD assessment young people aged 7 17 adults 18 above, examining measures, differentiating features considerations. Data from five databases are reviewed using narrative synthesis quality evidence assessed discussed. A total 36 studies involving 5901 participants recruited settings 1458 professionals with experience were included. Studies predominantly focused adults, most used measure Trauma Questionnaire. Papers focusing highlighted increased symptom severity, impairment difficulties individuals CPTSD, compared those PTSD across various characteristics both adults. also identified importance sensitive adaptations based culture age. Although gold‐standard recommendations cannot be made, this paper offers tentative practice considerations regarding assessment.

Language: Английский

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Trauma exposure and co‐occurring ICD‐11 post‐traumatic stress disorder and complex post‐traumatic stress disorder in adults with lived experience of psychiatric disorder

Acta Psychiatrica Scandinavica, Journal Year: 2022, Volume and Issue: 146(3), P. 258 - 271

Published: June 26, 2022

To establish factors associated with ICD-11 post-traumatic stress disorder (PTSD) and complex PTSD (CPTSD) in a large sample of adults lived experience psychiatric examine the burden two disorders.

Language: Английский

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Distinguishing between ICD-11 complex post-traumatic stress disorder and borderline personality disorder: clinical guide and recommendations for future research

The British Journal of Psychiatry, Journal Year: 2023, Volume and Issue: 223(3), P. 403 - 406

Published: June 29, 2023

Although complex post-traumatic stress disorder and borderline personality are distinct disorders, there is confusion in clinical practice regarding the similarities between diagnostic profiles of these conditions. We summarise differences criteria that clinically informative we illustrate with case studies to enable accuracy practice.

Language: Английский

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