Update to an evaluation of ICD-11 PTSD and complex PTSD criteria in a sample of adult survivors of childhood institutional abuse by Knefel & Lueger-Schuster (2013): a latent profile analysis.

Update to an evaluation of ICD-11 PTSD and complex PTSD criteria in a sample of adult survivors of childhood institutional abuse by Knefel & Lueger-Schuster (2013): a latent profile analysis.
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DOI:
10.3402/ejpt.v6.25290
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发表时间:
2015
影响因子:
5
通讯作者:
Lueger-Schuster B
Lueger-Schuster B
中科院分区:
医学2区
文献类型:
--
作者:
Knefel M;Garvert DW;Cloitre M;Lueger-Schuster B

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世界卫生组织(WHO)国际疾病分类第11版(ICD-11)提出了一种与创伤后应激障碍(PTSD)不同的创伤相关诊断,即复杂创伤后应激障碍(CPTSD)。确定童年遭受机构虐待的个体所认可的症状是否与ICD-11 CPTSD的诊断标准相一致,并与创伤后应激障碍相区别。采用《创伤后应激障碍简易症状量表》和《创伤后应激障碍平民版量表》对229名机构虐待成年幸存者进行潜在特征分析(LPA),评估其当前精神病理症状。LPA显示了四类个体:(1)CPTSD (PTSD症状和自组织障碍)症状升高的一类;(2) PTSD症状升高,自我组织障碍低的一类;(3)自组织障碍症状升高和部分PTSD症状升高的班级;(4)低症状类。研究结果支持了我们样本中一个独特群体的存在,这个群体可以用被称为CPTSD的诊断类别来描述,而不是用正常的PTSD来描述。此外,似乎有一群人不符合创伤相关障碍的标准,但却患有精神病理症状。
The World Health Organization (WHO) International Classification of Diseases, 11th version (ICD-11), has proposed a trauma-related diagnosis of complex posttraumatic stress disorder (CPTSD) separate and distinct from posttraumatic stress disorder (PTSD). To determine whether the symptoms endorsed by individuals who had experienced childhood institutional abuse form classes that are consistent with diagnostic criteria for ICD-11 CPTSD as distinct from PTSD. A latent profile analysis (LPA) was conducted on 229 adult survivors of institutional abuse using the Brief Symptom Inventory and the PTSD Checklist—Civilian Version to assess current psychopathological symptoms. The LPA revealed four classes of individuals: (1) a class with elevated symptoms of CPTSD (PTSD symptoms and disturbances in self-organization); (2) a class with elevated symptoms of PTSD and low disturbances in self-organization; (3) a class with elevated disturbances in self-organization symptoms and some elevated PTSD symptoms; and (4) a class with low symptoms. The results support the existence of a distinct group in our sample, that could be described by the proposed diagnostic category termed CPTSD more precisely than by normal PTSD. In addition, there seems to be a group of persons that do not fulfill the criteria for a trauma-related disorder but yet suffer from psychopathological symptoms.
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发表时间: 2014-01-01
影响因子: 4.8
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DOI: 10.3402/ejpt.v4i0.22608
发表时间: 2013
影响因子: 5
作者:
Knefel M;Lueger-Schuster B
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