Maternal Health, School of Health and Social Care, Edinburgh Napier University (ENU), Sighthill Campus, Edinburgh, Scotland, UK, EH11 4BN.
School of Health and Social Care, Sighthill Campus, Edinburgh Napier University, 9 Sighthill Court, UK, EH11 4BN.
Midwifery. 2021 May;96:102947. doi: 10.1016/j.midw.2021.102947. Epub 2021 Feb 12.
The 11th revision of the WHO International Classification of Diseases (ICD-11) has identified Complex PTSD (CPTSD) as a new condition.
To explore whether the new diagnosis of CPTSD (ICD11) is relevant to women who have experienced perinatal bereavement and to advance knowledge about the acceptability, feasibility and perceived impact of delivering an innovative flexible Compassionate Focused Therapy (CFT) informed treatment package to alleviate symptoms of this condition.
A mixed methods study using survey and interviews was conducted. Participants first completed the International Trauma Questionnaire (ITQ) to assess if they met the criteria for PTSD or CPTSD (n=72), and subsequent semi-structured interviews (n=12) identified participants' views about different treatment approaches.
A convenience sample of women who had experienced perinatal bereavement were recruited from one geographical region in Scotland.
Information was gathered about trauma experiences related to perinatal bereavement; participants' levels of PTSD or CPTSD using the ITQ; and views regarding the features of treatment options. In-depth interviews with women (n=12) and a focus group with staff (n=5) were also conducted.
Of 74 participants (n=74) who fully completed the ITQ, 10.8% (n=8) met the criteria for PTSD and 29.7% (n=22) for CPTSD, equating to a total of 40.5% of participants experiencing traumatic stress. Results suggest that CPTSD is a more common condition than PTSD in people with perinatal bereavement, with qualitative data suggesting that CFT and EMDR can be useful and acceptable interventions for this population group.
A feasibility study is recommended next to evaluate acceptability of trial processes in preparation for a definitive randomised controlled trial of a new flexible CFT informed treatment package to address PTSD and CPTSD in people with perinatal bereavement.
Routine assessment of ICD-11 CPTSD is recommended in this population group.
世界卫生组织（WHO）第 11 次修订的《国际疾病分类》（ICD-11）将复杂性创伤后应激障碍（CPTSD）确定为一种新的疾病。
探讨新的 CPTSD（ICD11）诊断是否与经历围产期丧亲的女性相关，并增进对提供创新的灵活共情聚焦治疗（CFT）信息治疗方案以缓解该疾病症状的可接受性、可行性和感知影响的认识。
采用问卷调查和访谈的混合方法研究。参与者首先完成国际创伤问卷（ITQ），以评估他们是否符合 PTSD 或 CPTSD 的标准（n=72），随后的半结构化访谈（n=12）确定了参与者对不同治疗方法的看法。
从苏格兰一个地理区域招募了经历围产期丧亲的便利样本的女性。
收集与围产期丧亲相关的创伤经历信息；使用 ITQ 评估参与者的 PTSD 或 CPTSD 水平；以及对治疗方案特征的看法。还对 12 名女性（n=12）进行了深入访谈和对 5 名工作人员（n=5）进行了焦点小组讨论。
在完全完成 ITQ 的 74 名参与者中（n=74），10.8%（n=8）符合 PTSD 标准，29.7%（n=22）符合 CPTSD 标准，相当于 40.5%的参与者经历了创伤应激。结果表明，在经历围产期丧亲的人群中，CPTSD 比 PTSD 更为常见，定性数据表明，CFT 和 EMDR 对该人群是有用且可接受的干预措施。
建议下一步进行可行性研究，以评估试验过程的可接受性，为针对经历围产期丧亲的人群的新的灵活的 CFT 信息治疗方案治疗 PTSD 和 CPTSD 的随机对照试验做准备。
建议在该人群中常规评估 ICD-11 CPTSD。
