Evidence of symptom profiles consistent with posttraumatic stress disorder and complex posttraumatic stress disorder in different trauma samples.

Evidence of symptom profiles consistent with posttraumatic stress disorder and complex posttraumatic stress disorder in different trauma samples.
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DOI:
10.3402/ejpt.v5.24221
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发表时间:
2014
影响因子:
5
通讯作者:
Shevlin M
Shevlin M
中科院分区:
医学2区
文献类型:
--
作者:
Elklit A;Hyland P;Shevlin M

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国际疾病分类第11版(ICD-11)提出了两种相关的应激和创伤相关障碍,即创伤后应激障碍(PTSD)和复杂性PTSD(CPTSD)。CPTSD的诊断要求除了PTSD症状外,个体还必须认可三个主要领域的症状:(1)情感失调,(2)消极的自我概念,(3)人际关系问题。本研究旨在确定三组创伤个体(丧亲、性骚扰和身体攻击)的自然发生的症状分布是否符合ICD-11、PTSD和CPTSD规范。该研究还调查了这些群体是否在一系列其他心理问题上存在差异。参与者完成自我报告的措施,每个症状组和潜在的类分析一致发现,三个类的解决方案是最好的。这些类别是“仅PTSD”、“CPTSD”和“低PTSD/CPTSD”。这些班级在抑郁、焦虑、分离、睡眠障碍、躯体化、人际敏感和攻击性的测量上存在显着差异。三个样本中的“CPTSD”类在所有变量上得分最高,“仅PTSD”类得分较低,“低PTSD/CPTSD”类得分最低。这项研究提供了证据支持CPTSD的诊断结构,并指出CPTSD与广泛的其他心理问题有关。
The International Classification of Diseases, 11th version (ICD-11), proposes two related stress and trauma-related disorders, posttraumatic stress disorder (PTSD) and complex PTSD (CPTSD). A diagnosis of CPTSD requires that in addition to the PTSD symptoms, an individual must also endorse symptoms in three major domains: (1) affective dysregulation, (2) negative self-concepts, and (3) interpersonal problems. This study aimed to determine if the naturally occurring distribution of symptoms in three groups of traumatised individuals (bereavement, sexual victimisation, and physical assault) were consistent with the ICD-11, PTSD, and CPTSD specification. The study also investigated whether these groups differed on a range of other psychological problems. Participants completed self-report measures of each symptom group and latent class analyses consistently found that a three class solution was best. The classes were “PTSD only,” “CPTSD,” and “low PTSD/CPTSD.” These classes differed significantly on measures of depression, anxiety, dissociation, sleep disturbances, somatisation, interpersonal sensitivity, and aggression. The “CPTSD” class in the three samples scored highest on all the variables, with the “PTSD only” class scoring lower and the “low PTSD/CPTSD” class the lowest. This study provides evidence to support the diagnostic structure of CPTSD and indicted that CPTSD is associated with a broad range of other psychological problems.
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