Combat Stress, Research Department, Tyrwhitt House, Oaklawn Rd, Leatherhead, KT22 0BX, UK.
King's Centre for Military Health Research, King's College London, London, UK.
Soc Psychiatry Psychiatr Epidemiol. 2021 Jul;56(7):1289-1298. doi: 10.1007/s00127-021-02028-6. Epub 2021 Jan 19.
Emerging evidence suggests that ICD-11 CPTSD is a more common condition than PTSD in treatment seeking samples although no study has explored risk factors and comorbidities of PTSD and CPTSD in veteran populations. In this study, risk factors and comorbidity between veterans meeting criteria for PTSD or CPTSD using the ICD-11 International Trauma Questionnaire (ITQ) were explored.
A sample of help-seeking veterans who had been diagnosed with a mental health difficulty (n = 177) was recruited. Participants completed a range of mental health and functioning measures. Multinomial logistic regression analysis was conducted to explore differences in the above factors between participants meeting case criteria for PTSD, CPTSD or another mental health disorder.
Those with CPTSD appeared to have taken longer to seek help, reported higher rates of childhood adversity and more experiences of emotional or physical bullying during their military careers. Further, participants with CPTSD reported a greater burden of comorbid mental health difficulties including high levels of dissociation, anger, difficulties related to moral injury and common mental health difficulties and greater degree of impairment including social isolation, sleep difficulties and impaired functioning.
Considering that CPTSD is a more debilitating condition than PTSD, there is now an urgent need to test the effectiveness of new and existing interventions in veterans with CPTSD.
新出现的证据表明，在寻求治疗的样本中，ICD-11 复杂性创伤后应激障碍（CPTSD）比创伤后应激障碍（PTSD）更为常见，尽管尚无研究探讨退伍军人人群中 PTSD 和 CPTSD 的风险因素和共病。在这项研究中，使用 ICD-11 国际创伤问卷（ITQ）对符合 PTSD 或 CPTSD 标准的退伍军人的风险因素和共病进行了探讨。
招募了寻求帮助的有心理健康问题的退伍军人样本（n=177）。参与者完成了一系列心理健康和功能测量。采用多项逻辑回归分析来探讨符合 PTSD、CPTSD 或其他精神障碍病例标准的参与者在上述因素方面的差异。
CPTSD 患者似乎寻求帮助的时间更长，报告童年逆境的发生率更高，在军队生涯中经历过更多的情感或身体欺凌。此外，CPTSD 患者报告了更多的共病精神健康问题，包括更高水平的分离、愤怒、与道德创伤和常见精神健康问题相关的困难，以及更大程度的损伤，包括社交孤立、睡眠困难和功能受损。
鉴于 CPTSD 比 PTSD 更具致残性，现在迫切需要在 CPTSD 退伍军人中测试新的和现有的干预措施的有效性。
