Evidence for proposed ICD-11 PTSD and complex PTSD: a latent profile analysis
Background: The WHO International Classification of Diseases, 11th version (ICD-11), has proposed two related diagnoses, posttraumatic stress disorder (PTSD) and complex PTSD within the spectrum of trauma and stress-related disorders. Objective: To use latent profile analysis (LPA) to determine whet...
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2013-05-01
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doaj-547d49ad91884a97b9a9af209755e1512020-11-25T02:43:20ZengTaylor & Francis GroupEuropean Journal of Psychotraumatology2000-80662013-05-014011210.3402/ejpt.v4i0.20706Evidence for proposed ICD-11 PTSD and complex PTSD: a latent profile analysisMarylène CloitreDonn W. GarvertChris R. BrewinRichard A. BryantAndreas MaerckerBackground: The WHO International Classification of Diseases, 11th version (ICD-11), has proposed two related diagnoses, posttraumatic stress disorder (PTSD) and complex PTSD within the spectrum of trauma and stress-related disorders. Objective: To use latent profile analysis (LPA) to determine whether there are classes of individuals that are distinguishable according to the PTSD and complex PTSD symptom profiles and to identify potential differences in the type of stressor and severity of impairment associated with each profile. Method: An LPA and related analyses were conducted on 302 individuals who had sought treatment for interpersonal traumas ranging from chronic trauma (e.g., childhood abuse) to single-incident events (e.g., exposure to 9/11 attacks). Results: The LPA revealed three classes of individuals: (1) a complex PTSD class defined by elevated PTSD symptoms as well as disturbances in three domains of self-organization: affective dysregulation, negative self-concept, and interpersonal problems; (2) a PTSD class defined by elevated PTSD symptoms but low scores on the three self-organization symptom domains; and (3) a low symptom class defined by low scores on all symptoms and problems. Chronic trauma was more strongly predictive of complex PTSD than PTSD and, conversely, single-event trauma was more strongly predictive of PTSD. In addition, complex PTSD was associated with greater impairment than PTSD. The LPA analysis was completed both with and without individuals with borderline personality disorder (BPD) yielding identical results, suggesting the stability of these classes regardless of BPD comorbidity. Conclusion: Preliminary data support the proposed ICD-11 distinction between PTSD and complex PTSD and support the value of testing the clinical utility of this distinction in field trials. Replication of results is necessary.For the abstract or full text in other languages, please see Supplementary files under Article Tools onlinehttp://www.eurojnlofpsychotraumatol.net/index.php/ejpt/article/download/20706/pdf_1Complex PTSDposttraumatic stress disorderWHOICD-11 |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Marylène Cloitre Donn W. Garvert Chris R. Brewin Richard A. Bryant Andreas Maercker |
spellingShingle |
Marylène Cloitre Donn W. Garvert Chris R. Brewin Richard A. Bryant Andreas Maercker Evidence for proposed ICD-11 PTSD and complex PTSD: a latent profile analysis European Journal of Psychotraumatology Complex PTSD posttraumatic stress disorder WHO ICD-11 |
author_facet |
Marylène Cloitre Donn W. Garvert Chris R. Brewin Richard A. Bryant Andreas Maercker |
author_sort |
Marylène Cloitre |
title |
Evidence for proposed ICD-11 PTSD and complex PTSD: a latent profile analysis |
title_short |
Evidence for proposed ICD-11 PTSD and complex PTSD: a latent profile analysis |
title_full |
Evidence for proposed ICD-11 PTSD and complex PTSD: a latent profile analysis |
title_fullStr |
Evidence for proposed ICD-11 PTSD and complex PTSD: a latent profile analysis |
title_full_unstemmed |
Evidence for proposed ICD-11 PTSD and complex PTSD: a latent profile analysis |
title_sort |
evidence for proposed icd-11 ptsd and complex ptsd: a latent profile analysis |
publisher |
Taylor & Francis Group |
series |
European Journal of Psychotraumatology |
issn |
2000-8066 |
publishDate |
2013-05-01 |
description |
Background: The WHO International Classification of Diseases, 11th version (ICD-11), has proposed two related diagnoses, posttraumatic stress disorder (PTSD) and complex PTSD within the spectrum of trauma and stress-related disorders. Objective: To use latent profile analysis (LPA) to determine whether there are classes of individuals that are distinguishable according to the PTSD and complex PTSD symptom profiles and to identify potential differences in the type of stressor and severity of impairment associated with each profile. Method: An LPA and related analyses were conducted on 302 individuals who had sought treatment for interpersonal traumas ranging from chronic trauma (e.g., childhood abuse) to single-incident events (e.g., exposure to 9/11 attacks). Results: The LPA revealed three classes of individuals: (1) a complex PTSD class defined by elevated PTSD symptoms as well as disturbances in three domains of self-organization: affective dysregulation, negative self-concept, and interpersonal problems; (2) a PTSD class defined by elevated PTSD symptoms but low scores on the three self-organization symptom domains; and (3) a low symptom class defined by low scores on all symptoms and problems. Chronic trauma was more strongly predictive of complex PTSD than PTSD and, conversely, single-event trauma was more strongly predictive of PTSD. In addition, complex PTSD was associated with greater impairment than PTSD. The LPA analysis was completed both with and without individuals with borderline personality disorder (BPD) yielding identical results, suggesting the stability of these classes regardless of BPD comorbidity. Conclusion: Preliminary data support the proposed ICD-11 distinction between PTSD and complex PTSD and support the value of testing the clinical utility of this distinction in field trials. Replication of results is necessary.For the abstract or full text in other languages, please see Supplementary files under Article Tools online |
topic |
Complex PTSD posttraumatic stress disorder WHO ICD-11 |
url |
http://www.eurojnlofpsychotraumatol.net/index.php/ejpt/article/download/20706/pdf_1 |
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