Research and Knowledge Centre, Danish Veterans Centre, Ringsted, Denmark.
Department of Military Psychology, Danish Veterans Centre, Copenhagen, Denmark.
Eur J Psychotraumatol. 2021 Jun 28;12(1):1930703. doi: 10.1080/20008198.2021.1930703. eCollection 2021.
: While empirical support for the ICD-11 distinction between posttraumatic stress disorder (PTSD) and complex PTSD (CPTSD) is growing, empirical research into the ICD-11 model of CPTSD in military populations is scarce and inconsistent. : To replicate a study from our own group identifying distinct classes based on CPTSD symptoms using the International Trauma Questionnaire (ITQ) and to identify predictors and functional outcomes associated with a potential distinction between PTSD and CPTSD. : Formerly deployed treatment-seeking Danish soldiers ( = 294) completed the ITQ and self-report measures of traumatic life events prior to treatment. Latent profile analysis (LPA) was used to extract classes based on CPTSD symptoms. : LPA revealed four classes; (1) high CPTSD symptoms ('CPTSD', 28.7%); (2) high PTSD symptoms and lower DSO symptoms ('PTSD', 23.5%); (3) high DSO symptoms ('DSO', 17.3%); and (4) low symptoms ('Low Symptoms', 30.5%). In comparison to the PTSD-class, CPTSD-class membership was not predicted by traumatic events in adult life and in childhood. The CPTSD class was more often single/divorced/widowed compared to the PTSD class. Moreover, the CPTSD class more often used psychotropic medicine compared to the DSO-class and Low Symptoms-class. : Using the ITQ, this study yields empirical support for the ICD-11 model of CPTSD within a clinical sample of veterans. The results replicate findings from our previous study that also identified distinct profiles of ICD-11 PTSD and CPTSD.
虽然越来越多的实证支持 ICD-11 对创伤后应激障碍(PTSD)和复杂性创伤后应激障碍(CPTSD)的区分,但对军事人群中 ICD-11 CPTSD 模型的实证研究却很少且不一致。
本研究旨在复制我们自己团队的一项研究,该研究使用国际创伤问卷(ITQ)根据 CPTSD 症状确定不同的类别,并确定与 PTSD 和 CPTSD 之间潜在区别相关的预测因素和功能结果。
丹麦曾部署的寻求治疗的士兵(n=294)在治疗前完成了 ITQ 和创伤性生活事件的自我报告量表。潜在剖面分析(LPA)用于基于 CPTSD 症状提取类别。
LPA 显示出四个类别:(1)CPTSD 症状高(“CPTSD”,28.7%);(2)PTSD 症状高且 DSO 症状较低(“PTSD”,23.5%);(3)DSO 症状高(“DSO”,17.3%);(4)症状低(“低症状”,30.5%)。与 PTSD 类别相比,CPTSD 类别的成员资格不受成年和儿童期创伤事件的预测。CPTSD 类别的单身/离婚/丧偶比例高于 PTSD 类别的单身/离婚/丧偶比例。此外,CPTSD 类别的人比 DSO 类和低症状类更常使用精神药物。
本研究使用 ITQ 在退伍军人的临床样本中为 ICD-11 CPTSD 模型提供了实证支持。研究结果复制了我们之前的研究结果,该研究也确定了 ICD-11 PTSD 和 CPTSD 的不同特征。