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A clinician rating to diagnose CPTSD according to ICD-11 and to evaluate CPTSD symptom severity: Complex PTSD Item Set additional to the CAPS (COPISAC)
European Journal of Psychotraumatology ( IF 5.783 ) Pub Date : 2021-04-30 , DOI: 10.1080/20008198.2021.1891726
Franziska Lechner-Meichsner 1 , Regina Steil 1, 2
Affiliation  

ABSTRACT

Background: Researchers who wish to study stress-related disorders need to use valid, reliable, and sensitive instruments and the Clinician-administered PTSD Scale (CAPS) constitutes the gold standard in the assessment of posttraumatic stress disorder (PTSD). While the CAPS corresponds with PTSD criteria according to the DSM-5, researchers face a challenge with the forthcoming ICD-11: ICD-11 introduces the new diagnosis Complex PTSD (CPTSD) that does not exist in DSM-5.

Objective: Researchers as well as clinicians will need to assess the incidence and prevalence of CPTSD and will want to evaluate treatment effects according to both criteria sets. However, using two clinician-rated interviews is often not feasible and a burden to patients, particularly in psychotherapy research.

Method & Results: We have therefore developed the Complex PTSD Item Set additional to the CAPS (COPISAC). This clinician rating is an easy-to-use and economic addition to the CAPS that permits assessing diagnosis and evaluating symptom severity of CPTSD. COPISAC consists of three items that assess disturbances in self-regulation including prompts for symptom description and frequency, and two additional items assessing impairment. Diagnostic status and severity ratings for CPTSD are possible. Items that account for the specific forms of trauma which the ICD-11 describes as precursors of CPTSD (e.g. torture, being enslaved) are further suggested as additions to the Life Events Checklist.

Conclusion: With an introduction of COPISAC at this point, we aim at suggesting an easy transition into diagnosing CPTSD and evaluating its course over treatment.



中文翻译:

根据 ICD-11 诊断 CPTSD 并评估 CPTSD 症状严重程度的临床医生评级:除了 CAPS (COPISAC) 之外的复杂 PTSD 项目集

摘要

背景:希望研究压力相关障碍的研究人员需要使用有效、可靠和灵敏的仪器,而临床医生管理的 PTSD 量表 (CAPS) 构成了评估创伤后应激障碍 (PTSD) 的金标准。虽然 CAPS 符合 DSM-5 的 PTSD 标准,但研究人员面临着即将发布的 ICD-11 的挑战:ICD-11 引入了 DSM-5 中不存在的新诊断复杂性 PTSD (CPTSD)。

目的:研究人员和临床医生需要评估 CPTSD 的发病率和患病率,并希望根据这两个标准集评估治疗效果。然而,使用两个临床医生评价的访谈通常是不可行的,并且会给患者带来负担,特别是在心理治疗研究中。

方法与结果:因此,我们开发了除 CAPS (COPISAC) 之外的复杂 PTSD 项目集。该临床医生评级是对 CAPS 的一种易于使用且经济的补充,允许评估诊断和评估 CPTSD 的症状严重程度。COPISAC 包括三个评估自我调节障碍的项目,包括症状描述和频率的提示,以及两个额外的评估损伤的项目。CPTSD 的诊断状态和严重等级是可能的。进一步建议将 ICD-11 描述为 CPTSD 前兆(例如酷刑、被奴役)的具体创伤形式的项目添加到生活事件清单中。

结论:此时引入 COPISAC,我们的目的是建议轻松过渡到诊断 CPTSD 并评估其治疗过程。

更新日期:2021-04-30
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