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

Matthias Knefel · Donn W. Garvert · Marylène Cloître · Brigitte Lueger‐Schuster

99 citations0/0 files storedEuropean Journal of Psychotraumatology

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

Abstract

BACKGROUND: 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). OBJECTIVE: 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. METHODS: 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. RESULTS: 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. CONCLUSIONS: 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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References

2007Deciding on the Number of Classes in Latent Class Analysis and Growth Mixture Modeling: A Monte Carlo Simulation Study 1983The Brief Symptom Inventory: an introductory report 2006Sex differences in trauma and posttraumatic stress disorder: A quantitative review of 25 years of research.2013Diagnosis and classification of disorders specifically associated with stress: proposals for ICD-11 2013Evidence for proposed ICD-11 PTSD and complex PTSD: a latent profile analysis 1991PTSD Checklist—Civilian version (PCL-C)2005Early traumatic life events, parental attitudes, family history, and birth risk factors in patients with borderline personality disorder and healthy controls 2002TRAUMATIC EXPOSURE AND POSTTRAUMATIC STRESS DISORDER IN BORDERLINE, SCHIZOTYPAL, AVOIDANT, AND OBSESSIVE-COMPULSIVE PERSONALITY DISORDERS: FINGINGS FROM THE COLLABORATIVE LONGITUDINAL PERSONALITY DISORDERS STUDY

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2017The impacts of institutional child sexual abuse: A rapid review of the evidence 2018Affect dysregulation, psychoform dissociation, and adult relational fears mediate the relationship between childhood trauma and complex posttraumatic stress disorder independent of the symptoms of borderline personality disorder 2017A network analysis of anger, shame, proposed ICD-11 post-traumatic stress disorder, and different types of childhood trauma in foster care settings in a sample of adult survivors

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