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PTSD and complex PTSD in treatment-seeking Danish soldiers: a replication of Folke et al. (2019) using the International Trauma Questionnaire
European Journal of Psychotraumatology ( IF 5.783 ) Pub Date : 2021-06-28 , DOI: 10.1080/20008198.2021.1930703
Sofie Folke 1, 2 , Anni B S Nielsen 1, 3 , Karen-Inge Karstoft 1, 4
Affiliation  

ABSTRACT

Background: 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.

Objective: 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.

Method: Formerly deployed treatment-seeking Danish soldiers (N = 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.

Results: 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.

Conclusion: 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.



中文翻译:

寻求治疗的丹麦士兵的 PTSD 和复杂 PTSD:Folke 等人的复制。(2019) 使用国际创伤问卷

摘要

背景:虽然对 ICD-11 创伤后应激障碍 (PTSD) 和复杂 PTSD (CPTSD) 之间区别的实证支持越来越多,但对军人 CPTSD 的 ICD-11 模型的实证研究很少且不一致。

目标:使用国际创伤问卷 (ITQ) 从我们自己的小组中复制一项根据 CPTSD 症状识别不同类别的研究,并识别与 PTSD 和 CPTSD 之间潜在区别相关的预测因子和功能结果。

方法:以前部署的寻求治疗的丹麦士兵 ( N  = 294) 在治疗前完成了 ITQ 和创伤性生活事件的自我报告措施。潜在概况分析 (LPA) 用于根据 CPTSD 症状提取类别。

结果:LPA 揭示了四个类别;(1) 高度CPTSD症状(‘CPTSD’,28.7%);(2) 高 PTSD 症状和低 DSO 症状(“PTSD”,23.5%);(3) 高 DSO 症状('DSO',17.3%);(4) 低症状(“低症状”,30.5%)。与 PTSD 类相比,CPTSD 类的成员资格不能通过成人生活和童年时期的创伤事件来预测。与 PTSD 班级相比,CPTSD 班级更多的是单身/离婚/丧偶。此外,与 DSO 级和低症状级相比,CPTSD 级更常使用精神药物。

结论:使用 ITQ,本研究在退伍军人临床样本中为 CPTSD 的 ICD-11 模型提供了实证支持。结果复制了我们之前研究的结果,该研究还确定了 ICD-11 PTSD 和 CPTSD 的不同概况。

更新日期:2021-06-28
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