Type

Journal Article

Authors

Marylène Cloitre
C. R. Brewin
Jonathan I. Bisson
N Roberts
Claire Fyvie
Thanos Karatzias
Philip Hyland
Mark Shevlin

Subjects

Psychology

Topics
national health service self concept psychology stressful life events posttraumatic stress disorder self esteem post traumatic stress disorder national centre

Alternative Models of Posttraumatic Stress Disorder (PTSD) and Complex Posttraumatic Stress Disorder (CPTSD) Based on the New ICD-11 Proposals (2017)

Abstract Objective Although there is emerging evidence for the factorial validity of the distinction between post-traumatic stress disorder (PTSD) and complex PTSD (CPTSD) proposed in ICD-11, such evidence has been predominantly based on using selected items from individual scales that describe these factors. We have attempted to address this gap in the literature by testing a range of alternative models of disorders of traumatic stress using a broader range of symptoms and standardized measures. Method Participants in this cross-sectional study were a sample of individuals who were referred for psychological therapy to a National Health Service (NHS) trauma centre in Scotland (N = 195). Participants were recruited over a period of 18 months and completed measures of stressful life events, DSM-5 PTSD, emotion dysregulation, self-esteem and interpersonal difficulties. Results Overall, results indicate that a structural model incorporating six first-order factors (re-experiencing, avoidance of traumatic reminders, sense of threat, affective dysregulation, negative self-concept and disturbances in relationships) and two second-order factors (PTSD and disturbances in self-organization [DSO]) was the best fitting. The model presented with good concurrent validity. Childhood trauma was found to be more strongly associated with DSO than with PTSD. Conclusion Our results are in support of the ICD-11 proposals for PTSD and CPTSD.
Collections Ireland -> National College Ireland -> Status = Published
Ireland -> National College Ireland -> Subject = B Philosophy. Psychology. Religion
Ireland -> National College of Ireland -> Type = Article
Ireland -> National College Ireland -> Subject = B Philosophy. Psychology. Religion: Psychology
Ireland -> National College of Ireland -> Subject = B Philosophy. Psychology. Religion: Psychology: Stress (Psychology): Post-traumatic stress disorder
Ireland -> National College Ireland -> Subject = B Philosophy. Psychology. Religion: Psychology: Stress (Psychology)
Ireland -> National College of Ireland -> Status = Published
Ireland -> National College of Ireland -> Subject = B Philosophy. Psychology. Religion
Ireland -> National College of Ireland -> Subject = B Philosophy. Psychology. Religion: Psychology
Ireland -> National College Ireland -> Type = Article
Ireland -> National College Ireland -> Subject = B Philosophy. Psychology. Religion: Psychology: Stress (Psychology): Post-traumatic stress disorder
Ireland -> National College of Ireland -> Subject = B Philosophy. Psychology. Religion: Psychology: Stress (Psychology)

Full list of authors on original publication

Marylène Cloitre, C. R. Brewin, Jonathan I. Bisson, N Roberts, Claire Fyvie, Thanos Karatzias, Philip Hyland, Mark Shevlin

Experts in our system

1
Marylène Cloitre
National College Ireland
Total Publications: 38
 
2
Chris R. Brewin
National College Ireland
Total Publications: 25
 
3
Jonathan I. Bisson
National College Ireland
Total Publications: 29
 
4
Neil Roberts
National College Ireland
Total Publications: 27
 
5
Claire Fyvie
National College Ireland
Total Publications: 11
 
6
Thanos Karatzias
Maynooth University
Total Publications: 32
 
7
Philip Hyland
National College of Ireland
Total Publications: 231
 
8
Mark Shevlin
National College of Ireland
Total Publications: 125