Karatzias Thanos, Cloitre Marylene, Maercker Andreas, Kazlauskas Evaldas, Shevlin Mark, Hyland Philip, Bisson Jonathan I, Roberts Neil P, Brewin Chris R
School of Health & Social Care, Edinburgh Napier University, Edinburgh, UK.
NHS Lothian, Rivers Centre for Traumatic Stress, Edinburgh, UK.
Eur J Psychotraumatol. 2018 Jan 15;8(sup7):1418103. doi: 10.1080/20008198.2017.1418103. eCollection 2017.
The 11th revision to the World Health Organization's International Classification of Diseases (ICD-11) proposes two distinct sibling conditions: Posttraumatic Stress Disorder (PTSD) and Complex PTSD (CPTSD). In this paper, we aim to provide an update on the latest research regarding the conceptual structure and measurement of PTSD and CPTSD using the International Trauma Questionnaire (ITQ) as per ICD-11 proposals in the USA, UK, Germany and Lithuania. Preliminary findings suggest that CPTSD is common in clinical and population samples, although there may be variations across countries in prevalence rates. In clinical samples, preliminary evidence suggests that CPTSD is a more commonly observed condition than PTSD. Preliminary evidence also suggests that the ITQ scores are reliable and valid and can adequately distinguish between PTSD and CPTSD. Further cross-cultural work is proposed to explore differences in PTSD and CPTSD across different countries with regard to prevalence, incidence, and predictors of PTSD and CPTSD.
世界卫生组织《国际疾病分类》（ICD - 11）的第11次修订提出了两种不同的同类病症：创伤后应激障碍（PTSD）和复杂创伤后应激障碍（CPTSD）。在本文中，我们旨在根据美国、英国、德国和立陶宛的ICD - 11提案，使用国际创伤问卷（ITQ）提供有关PTSD和CPTSD概念结构及测量的最新研究进展。初步研究结果表明，CPTSD在临床样本和人群样本中很常见，尽管各国的患病率可能存在差异。在临床样本中，初步证据表明CPTSD比PTSD更为常见。初步证据还表明，ITQ得分可靠且有效，能够充分区分PTSD和CPTSD。建议开展进一步的跨文化研究，以探讨不同国家在PTSD和CPTSD的患病率、发病率以及PTSD和CPTSD的预测因素方面的差异。
