Post-traumatic stress disorder in psychosis

Psychiatria i Psychologia Kliniczna, Год журнала: 2025, Номер 24(3), С. 260 - 266

Опубликована: Янв. 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).

Язык: 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, Год журнала: 2025, Номер 13

Опубликована: Март 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

Язык: 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, Год журнала: 2025, Номер unknown

Опубликована: Март 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.

Язык: 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, Год журнала: 2023, Номер 36(4), С. 820 - 829

Опубликована: Июнь 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.

Язык: Английский

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

European journal of psychotraumatology, Год журнала: 2023, Номер 14(2)

Опубликована: Окт. 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.

Язык: 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, Год журнала: 2024, Номер 15(1)

Опубликована: Апрель 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.

Язык: Английский

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

European journal of psychotraumatology, Год журнала: 2024, Номер 15(1)

Опубликована: Окт. 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.

Язык: 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, Год журнала: 2022, Номер 146(3), С. 258 - 271

Опубликована: Июнь 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.

Язык: Английский

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A nationally representative survey of ICD‐11 PTSD among Danish adolescents and young adults aged 15–29

Scandinavian Journal of Psychology, Год журнала: 2024, Номер 65(5), С. 893 - 900

Опубликована: Май 29, 2024

Posttraumatic stress disorder (PTSD) is recognized as a debilitating psychiatric affecting populations worldwide. This has inspired many countries to estimate the national prevalence rates of PTSD in Europe and beyond. At present, there are no published representative studies that have assessed occurrence trauma exposure Denmark using valid measurement based on ICD‐11 criteria. A sample general population young Danish residents, ranging age between 15 29 years ( n = 2,434), was surveyed cross‐sectionally from April October 2022. Data weights were applied ensure representativity sample. Multiple regression used study relationship exposure, sex, age, PTSD. Accidents violence most common types with females being more likely experience sexual violence. total 7.7% endorsed probable women reporting higher clinical subclinical (12.3% 12.7%, respectively) than men (3.5% 7.3%, respectively). Findings multiple showed female gender associated PTSD‐severity, although strongest predictor trauma‐type other traumas, displaying PTSD‐severity overall. dose–response number symptomatology found. first nationally measure The identified official estimates adolescent adult (7.7% weighted compared 1%). replicated international findings sex differences endorsement.

Язык: 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, Год журнала: 2024, Номер 31(3)

Опубликована: Май 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.

Язык: Английский

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