Type

Journal Article

Authors

M Cloitre
C. R. Brewin
J I Bisson
N Roberts
C Fyvie
T Karatzias
P Hyland
M Shevlin

Subjects

Psychology

Topics
self esteem first order national centre stress disorders traumatic structural model national health service stressful life events self concept

Alternative models of disorders of traumatic stress based on the new ICD-11 proposals. (2016)

Abstract 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. 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. 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. Our results are in support of the ICD-11 proposals for PTSD and CPTSD.
Collections Ireland -> National College of Ireland -> PubMed

Full list of authors on original publication

M Cloitre, C. R. Brewin, J I Bisson, N Roberts, C Fyvie, T Karatzias, P Hyland, M 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