Voorendonk Eline M, De Jongh Ad, Rozendaal Linda, Van Minnen Agnes
Research Department, PSYTREC, Bilthoven, The Netherlands.
Behavioural Science Institute (BSI), Radboud University Nijmegen, Nijmegen, The Netherlands.
Eur J Psychotraumatol. 2020 Jul 23;11(1):1783955. doi: 10.1080/20008198.2020.1783955.
Complex PTSD (CPTSD) has been incorporated in the 11th edition of the (ICD-11) as a mental health condition distinct from PTSD.
The objective of the current study is to determine whether individuals classified as having CPTSD can benefit from an intensive trauma-focused treatment, resulting in decreased PTSD and CPTSD symptoms, and loss of diagnoses.
Patients diagnosed with PTSD ( = 308) took part in an intensive 8-day treatment programme combining prolonged exposure, EMDR therapy, psycho-education, and physical activity. The treatment was not phase-based in that it did not contain a stabilization phase or skill training prior to therapy. CPTSD diagnosis was assessed by means of the International Trauma Questionnaire (ITQ) and PTSD diagnosis was assessed with both the ITQ and CAPS-5. Treatment response was measured with the CAPS-5, PCL-5, and ITQ.
Symptoms of both PTSD and CPTSD significantly decreased from pre- to post-treatment resulting in a significant loss of CAPS-5 based PTSD (74.0%) and ITQ-based PTSD and CPTSD diagnoses (85.0% and 87.7%, respectively). No adverse events occurred in terms of suicides, suicide attempts, or hospital admissions.
The results are supportive of the notion that the majority of patients classified as having CPTSD strongly benefit from an intensive trauma-focused treatment for their PTSD.
复杂性创伤后应激障碍（CPTSD）已被纳入第11版《国际疾病分类》（ICD - 11），作为一种与创伤后应激障碍（PTSD）不同的心理健康状况。
本研究的目的是确定被归类为患有CPTSD的个体是否能从强化的以创伤为重点的治疗中受益，从而减少PTSD和CPTSD症状，并消除诊断。
308名被诊断为PTSD的患者参加了一个为期8天的强化治疗项目，该项目结合了延长暴露疗法、眼动脱敏再处理疗法（EMDR）、心理教育和体育活动。该治疗不是基于阶段的，因为它在治疗前不包含稳定阶段或技能训练。通过国际创伤问卷（ITQ）评估CPTSD诊断，通过ITQ和临床医师专用PTSD量表第5版（CAPS - 5）评估PTSD诊断。用CAPS - 5、创伤后应激障碍检查表第5版（PCL - 5）和ITQ测量治疗反应。
从治疗前到治疗后，PTSD和CPTSD的症状均显著减轻，导致基于CAPS - 5的PTSD诊断显著减少（74.0%），基于ITQ的PTSD和CPTSD诊断分别显著减少（85.0%和87.7%）。在自杀、自杀未遂或住院方面未发生不良事件。
结果支持这样一种观点，即大多数被归类为患有CPTSD的患者从针对其PTSD的强化以创伤为重点的治疗中获益匪浅。
