An evaluation of ICD-11 PTSD and complex PTSD criteria in a sample of adult survivors of childhood institutional abuse.
An evaluation of ICD-11 PTSD and complex PTSD criteria in a sample of adult survivors of childhood institutional abuse.
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DOI：
10.3402/ejpt.v4i0.22608
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发表时间：
2013
影响因子：
5
通讯作者：
Lueger-Schuster B
中科院分区：
文献类型：
--
作者：
Knefel M;Lueger-Schuster B
世界卫生组织最近提出了第11版国际疾病分类（ICD-11）的建议，其中也包括与创伤性应激相关的两种诊断。与《精神疾病诊断与统计手册》第五版（DSM-5）不同，ICD-11除了定义创伤后应激障碍（PTSD）外，还可能定义一种新的诊断，称为“复杂性创伤后应激障碍”（CPTSD）。我们的目的是应用拟议的ICD-11 PTSD和CPTSD标准，并将其患病率与ICD-10（国际疾病分类[第10次修订]）PTSD患病率进行比较。此外，我们根据阈下PTSD编制了CPTSD症状列表，以便包括更广泛的个体群体。为了评价WHO ICD-11建议与ICD-10标准相比的适当性，我们采用了新引入的创伤后应激障碍和CPTSD标准，这些标准来自创伤后应激障碍检查表-平民版（PCL-C）和简明症状量表（BSI）量表，以儿童机构虐待的成年幸存者（N=229）为样本。我们使用验证性因素分析（CFA）来评估CPTSD的结构效度。更多的人符合ICD-10的PTSD标准（52.8%），而不是ICD-11的建议（17%仅为PTSD; 38.4%，如果合并复杂的PTSD）。新版本的创伤后应激障碍消除了性别影响。CPTSD的患病率为21.4%，女性的CPTSD患病率明显高于男性（分别为40.4%和15.8%）。那些被诊断出患有CPTSD的幸存者经历了更长时间的机构虐待。CFA显示出很强的模型拟合。CPTSD是一个高度相关的分类与复杂的创伤史的个人，但令人惊讶的是，性别的影响是明显的。因此，应进一步研究性别影响。
The WHO recently launched the proposal for the 11th version of the International Classification of Diseases (ICD-11) that also includes two diagnoses related to traumatic stress. In contrast to the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5), ICD-11 will probably, in addition to posttraumatic stress disorder (PTSD), also define a new diagnosis termed “complex posttraumatic stress disorder” (CPTSD). We aimed to apply the proposed ICD-11 criteria for PTSD and CPTSD and to compare their prevalence to the ICD-10 (International Classification of Diseases [10th revision]) PTSD prevalence. In addition, we compiled a list of symptoms for CPTSD based on subthreshold PTSD so as to include a wider group of individuals. To evaluate the appropriateness of the WHO ICD-11 proposal compared to the criteria of ICD-10, we applied the newly introduced criteria for PTSD and CPTSD deriving from the Posttraumatic Stress Disorder Checklist – Civilian Version (PCL-C) and the Brief Symptom Inventory (BSI) scales, to a sample of adult survivors (N=229) of childhood institutional abuse. We evaluated the construct validity of CPTSD using confirmatory factor analysis (CFA). More individuals fulfilled the criteria for PTSD according to ICD-10 (52.8%) than the ICD-11 proposal (17% for PTSD only; 38.4% if combined with complex PTSD). The new version of PTSD neutralized the gender effects. The prevalence of CPTSD was 21.4%, and women had a significantly higher rate of CPTSD than men (40.4 and 15.8%, respectively). Those survivors who were diagnosed with CPTSD experienced institutional abuse for a longer time. CFA showed a strong model fit. CPTSD is a highly relevant classification for individuals with complex trauma history, but surprisingly, effects of gender were apparent. Further research should thus address gender effects.
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影响因子：
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作者：
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