Abstract
BackgroundVeterans with post-traumatic stress disorder (PTSD) typically report a poorer treatment response than those who have not served in the Armed Forces. A possible explanation is that veterans often present with complex symptoms of PTSD. ICD-11 PTSD and complex PTSD (CPTSD) have not previously been explored in a military sample.AimsThis study aimed to validate the only measure of ICD-11 PTSD and CPTSD, the International Trauma Questionnaire, and assess the rates of the disorder in a sample of treatment-seeking UK veterans.MethodA sample of help-seeking veterans (N = 177) was recruited from a national charity in the UK that provides clinical services to veterans. Participants completed measures of ICD-11 PTSD and CPTSD as well as childhood and adult traumatic life events. Confirmatory factor analysis was used to assess the latent structure of PTSD and CPTSD symptoms, and rates of the disorders were estimated.ResultsThe majority of the participants (70.7%) reported symptoms consistent with a diagnosis of either PTSD or CPTSD. Results indicated the presence of two separate disorders, with CPTSD being more frequently endorsed (56.7%) than PTSD (14.0%). CPTSD was more strongly associated with childhood trauma than PTSD.ConclusionsThe International Trauma Questionnaire can adequately distinguish between PTSD and CPTSD within clinical samples of veterans. There is a need to explore the effectiveness of existing and new treatments for CPTSD in military personnel.
Publisher
Royal College of Psychiatrists
Subject
Psychiatry and Mental health
Reference28 articles.
1. The prevalence of post-traumatic stress disorder (PTSD) in US combat soldiers: a head-to-head comparison of DSM-5 versus DSM-IV-TR symptom criteria with the PTSD checklist
2. 10 World Health Organization (WHO). ICD-11 for Mortality and Morbidity Statistics (Version: 04/2019). WHO, 2018 (https://icd.who.int/browse11/l-m/en).
3. 2 Van Hooff, M , Forbes, D , Lawrence-Wood, E , Hodson, S , Saflre, N , Benassi, H , Mental Health Prevalence and Pathways to Care Summary Report, Mental Health and Wellbeing Transition Study. The Department of Defence and the Department of Veterans’ Affairs, 2018.
4. Risk factors and comorbidity of ICD‐11 PTSD and complex PTSD: Findings from a trauma‐exposed population based sample of adults in the United Kingdom
5. Validation of post-traumatic stress disorder (PTSD) and complex PTSD using the International Trauma Questionnaire
Cited by
48 articles.
订阅此论文施引文献
订阅此论文施引文献，注册后可以免费订阅5篇论文的施引文献，订阅后可以查看论文全部施引文献