Trauma Violence & Abuse,
Год журнала:
2024,
Номер
25(4), С. 3115 - 3130
Опубликована: Март 27, 2024
Research
has
shown
that
complex
post-traumatic
stress
disorder
(cPTSD)
differs
from
(PTSD)
on
core
symptoms
relating
to
the
individual’s
sense
of
self,
and
this
driven
need
for
treatment
approaches
address
these
specific
features
cPTSD.
The
COVID-19
pandemic
led
increased
use
digital-based
interventions
(DBIs)
treat
mental
illnesses,
including
trauma-related
disorders.
However,
while
evidence
DBIs
PTSD
previously
been
synthesized,
current
review
is
first
synthesis
research
A
systematic
search
Scopus,
PsychINFO,
EBSCOhost
was
conducted,
using
terms
targeting
“cPTSD”
“DBIs,”
identify
cPTSD
symptoms.
Ten
papers
were
identified,
which
provided
preliminary
efficacy
reduce
Further,
reported
as
acceptable
by
individuals
with
a
history
trauma.
paper
also
provides
insight
into
therapeutic
adopted,
digital
modalities
utilized,
safety
measures
included,
whether/to
what
degree
support
provided.
While
show
promise
treating
cPTSD,
there
substantial
room
advancement
empirical
base
approaches.
Both
clinical
research-based
recommendations
are
separately.
European journal of psychotraumatology,
Год журнала:
2021,
Номер
12(1)
Опубликована: Янв. 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.
Brain Sciences,
Год журнала:
2025,
Номер
15(1), С. 86 - 86
Опубликована: Янв. 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.
Psychotherapy and Psychosomatics,
Год журнала:
2024,
Номер
93(3), С. 203 - 215
Опубликована: Янв. 1, 2024
<b><i>Introduction:</i></b>
Complex
PTSD
(CPTSD)
is
a
relatively
new
condition
in
ICD-11.
This
pilot
randomised
controlled
trial
aimed
to
compare
four-module
intervention
developed
target
all
symptoms
of
ICD-11
CPTSD,
namely
Enhanced
Skills
Affective
and
Interpersonal
Regulation
(ESTAIR)
with
treatment
as
usual
(TAU).
The
purpose
the
study
was
assess
feasibility,
safety,
acceptability,
preliminary
outcomes
at
end
3-month
follow-up.
<b><i>Methods:</i></b>
A
total
<i>N</i>
=
56
eligible
veterans
CPTSD
were
either
ESTAIR
(<i>n</i>
28)
or
TAU
28).
Linear
mixed
models
conducted
severity,
primary
outcome,
measured
by
International
Trauma
Questionnaire
(ITQ).
<b><i>Results:</i></b>
Treatment
dropout
low
equivalent
(18%
vs.
11%;
<i>χ</i><sup>2</sup>
(1)
1.19,
<i>p</i>
0.275),
retention
high,
supporting
feasibility
study.
No
serious
adverse
effects
very
few
occurred,
none
which
deemed
related
provided
significantly
greater
reduction
severity
across
time
for
ITQ
(<i>p</i>
<
0.001)
DSO
symptoms.
pre-to-post
effect
sizes
large
(PTSD
<i>d</i>
1.78;
2.00).
Remission
probable
diagnosis
post-treatment
substantially
compared
only
13.6%
versus
84%
retaining
diagnosis.
<b><i>Conclusion:</i></b>
indicates
potential
efficacy
well
its
acceptability.
European journal of psychotraumatology,
Год журнала:
2021,
Номер
12(1)
Опубликована: Янв. 1, 2021
Background:
The
11th
version
of
the
International
Classification
Diseases
(ICD-11)
revised
diagnosis
Posttraumatic
Stress
Disorder
(PTSD)
and
introduced
Complex
PTSD
as
a
sibling
disorder
to
PTSD.
As
Danish
Health
Authorities
will
implement
ICD-11
in
2022,
it
is
more
relevant
than
ever
introduce
measure
that
enables
identification
CPTSD.
Objective:
primary
aim
present
study
was
test
construct
validity
conceptualization
DSO
five
clinical
samples
using
translated
versions
Trauma
Questionnaire
(ITQ).
Method:
Data
from
existing
studies
adult
survivors
sexual
abuse
(n
=
385),
women
shelters
147),
psychiatric
outpatients
endorsing
an
ICD-10
111),
heterogenous
sample
178)
refugees
torture
385)
used
for
current
study.
Confirmatory
factor
analyses
were
conducted
internal
structure
ITQ,
regression
models
convergent
discriminant
solutions
each
sample.
Results:
Findings
supported
formulation
disorders
self-organization
(DSO)
representation
latent
ITQ
across
samples.
Uniquely
shelters,
however,
model
displayed
unacceptable
fit.
A
operationalization
re-experiencing
proved
better
fit
when
'recurrent
nightmares'
exchanged
with
symptoms
intense
emotional
reactions
reminders
trauma
shelter
well
outpatients.
Conclusion:
This
supports
use
assess
introduction
2022.
Future
research
needed
further
explore
different
exposed
populations.Antecedentes:
La
décimo
primera
versión
de
la
Clasificación
Internacional
Enfermedades
(CIE-11)
revisó
el
diagnóstico
Trastorno
Estrés
Postraumático
e
introdujo
TEPT
complejo
como
un
hermano
del
TEPT.
Como
las
autoridades
salud
danesas
implementarán
CIE-11
en
es
más
relevante
que
nunca
introducir
una
medición
permita
identificación
y
acuerdo
CIE-11.Objetivo:
El
principal
objetivo
presente
estudio
fue
probar
validez
constructo
conceptualización
Alteraciones
Auto-Organización
(DSO
por
sus
siglas
inglés)
cinco
muestras
clínicas
usando
versiones
traducidas
Cuestionario
(ITQ
inglés).Método:
Se
usaron
para
estudio,
datos
estudios
ya
existentes
sobrevivientes
adultos
abuso
pacientes
psiquiátricos
ambulatorios
con
CIE-10
muestra
heterogénea
refugiados
tortura
385).
análisis
factoriales
confirmatorios
estructura
interna
se
aplicaron
modelos
regresión
convergente
discriminante
soluciones
cada
muestra.Resultados:
Los
hallazgos
apoyaron
formulación
ls
los
desórdenes
auto-organización
representación)
latente
5
danesas.
Sin
embargo,
caso
mujeres
centros
acogida,
modelo
mostró
ajuste
inaceptable.
Una
operacionalización
revisada
re-experimentación
probó
ser
ajustada
cuando
‘pesadillas
recurrentes’
reemplazada
síntomas
reacciones
emocionales
intensas
ante
recordatorios
acogida
así
según
CIE-10.Conclusión:
Este
apoya
uso
traducida
danés
evaluar
introducción
2022.Se
requiere
futura
investigación
explorar
diferentes
poblaciones
expuestas
al
trauma.背景:
第11版《国际疾病分类》
修订了创伤后应激障碍
的诊断,
并将复杂性PTSD引入了PTSD的同胞障碍中。由于丹麦卫生当局将在2022年施行ICD-11,
因此是引入一项能识别ICD-11
PTSD和CPTSD的测量比以往任何时候更切题。目的:
本研究的主要目的是使用国际创伤问卷
(ITQ)
的翻译版本在五个临床样本中检验PTSD和DSO的ICD-11概念的结构效度。方法:
本研究使用来自对性虐待成年幸存者
庇护所中的女性
有ICD-10
PTSD诊断的精神科门诊患者
一个精神科门诊患者的混杂样本
以及难民和酷刑幸存者
的数据。进行验证性因素分析以检验ITQ的内部结构,
并进行回归模型以检验每个样本中因素结果的收敛和区分效度。结果:
研究结果支持了ICD-11的PTSD组成和自组织疾病
(DSO),
以代表跨五个丹麦临床样品中ITQ的潜在结构。但是,
该模型仅在庇护所中的女性表现出不可接受的拟合。对庇护所中的女性样本和ICD-10
PTSD精神科门诊患者样本的对再体验修订,
‘反复的噩梦’换成对创伤提示物有强烈的情绪反应症状时,
拟合变好。结论:
本研究支持使用丹麦语版ITQ来评估ICD-11
PTSD和DSO的症状,
以在2022年引入ICD-11。需要未来研究进一步探索不同创伤暴露人群的对再体验修订。.
European journal of psychotraumatology,
Год журнала:
2022,
Номер
13(1)
Опубликована: Март 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.
Journal of Anxiety Disorders,
Год журнала:
2021,
Номер
80, С. 102388 - 102388
Опубликована: Март 23, 2021
One
reason
for
the
inclusion
of
Complex
Posttraumatic
Stress
Disorder
(CPTSD)
in
11th
revision
International
Classification
Diseases
(ICD-11)
was
its
suspected
relevance
treatment
indications.
We
investigated
whether
CPTSD
predicted
and
moderated
outcomes
Prolonged
Exposure
(PE),
intensified
PE
(iPE)
Skills
Training
Affective
Interpersonal
Regulation
followed
by
(STAIR
+
PE).
expected
that
would
predict
worse
across
treatments.
Secondly,
we
lead
to
better
effect
STAIR
compared
iPE.We
analyzed
149
patients
with
childhood-abuse
related
PTSD
from
a
randomized
clinical
trial.
diagnosis
symptom
severity
were
measured
Trauma
Questionnaire.
The
main
outcome
change
clinician-assessed
symptoms.
Assessments
took
place
at
baseline,
week
4,
8,
16
(post-treatment)
6-and
12-month
follow-up.
Analyses
based
on
an
intention-to-treat
sample
using
mixed
models.More
than
half
(54
%)
met
criteria
baseline.
more
severe
symptoms
higher
comorbidity
neither
nor
outcome.Inclusion
limited
childhood
abuse.
Replication
is
needed
different
samples.CPTSD
associated
comorbidity.
did
not
indicate
differential
iPE.
International Journal of Psychiatry in Clinical Practice,
Год журнала:
2023,
Номер
27(3), С. 292 - 300
Опубликована: Апрель 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.