Complex PTSD: research directions for nosology/assessment, treatment, and public health

Julián D. Ford

68 citations0/0 files storedEuropean Journal of Psychotraumatology

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Posttraumatic Stress Disorder Research Psychoanalysis and Psychopathology Research Child Abuse and Trauma

Abstract

Complex posttraumatic stress disorder (CPTSD) in children and adolescents extends beyond the core PTSD symptoms to dysregulation in three psychobiological domains: (1) emotion processing, (2) self-organization (including bodily integrity), and (3) relational functioning. CPTSD research directions for the next decade and beyond are identified in three areas: (1) diagnostic classification (establishing the empirical integrity of CPTSD as a distinct form of psychopathology) and psychometric assessment [validation and refinement of measures of childhood polyvictimization and developmental trauma disorder (DTD)], (2) rigorous evaluation and refinement of interventions (and algorithms for their delivery) developed or adapted for CPTSD and DTD, and (3) the epidemiology of CPTSD and DTD, and their public health and safety impact, across the lifespan and intergenerationally, for populations, nations, and cultures.

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References

2013Diagnostic and Statistical Manual of Mental Disorders 2014Diagnostic and Statistical Manual of Mental Disorders, 5th ed.1992Complex PTSD: A syndrome in survivors of prolonged and repeated trauma 2009A developmental approach to complex PTSD: Childhood and adult cumulative trauma as predictors of symptom complexity 2013Psychological therapies for chronic post-traumatic stress disorder (PTSD) in adults 2013Evidence for proposed ICD-11 PTSD and complex PTSD: a latent profile analysis 2012Understanding interpersonal trauma in children: Why we need a developmentally appropriate trauma diagnosis.2011Treatment of complex PTSD: Results of the ISTSS expert clinician survey on best practices

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