Complex Posttraumatic Stress Disorder in Patients Exposed to Emotional Neglect and Traumatic Events : Latent Class Analysis

The inclusion of a complex posttraumatic stress disorder (CPTSD) diagnosis in the 11th revision of the International Classification of Diseases reflects growing evidence that a subgroup of individuals with PTSD also suffer from disturbances in emotion regulation, interpersonal skills, and self-concept, which together are termed “disturbances in self-organization” (DSO). Although CPTSD is assumed to result from exposure to complex traumatic events, emotional neglect may be an important contributor.

Associations between perceived social support, posttraumatic stress disorder (PTSD) and complex PTSD (CPTSD) : implications for treatment

ABSTRACT

 

Background:

Perceived social support (PSS) is one of the most important risk factors for the onset and maintenance of posttraumatic stress disorder (PTSD) symptoms, however the relationship between PSS and Complex PTSD (CPTSD) is unknown. The evidence-base for CPTSD treatment is currently lacking, though increasingly important given the recent publication of the ICD-11, which now allows for a formal diagnosis of CPTSD.

 

Objective:

ISTSS Guidelines Position Paper on Complex PTSD in Children and Adolescents

For the past two decades, there has been substantial debate about whether there are qualitatively different symptom profiles that can develop in children from different types of traumatic events and life circumstances. The term “complex trauma” is often used to describe both the presumed causes and the consequences of exposure to traumatic stressors when the child has experienced other significant adversities and is manifesting more severe clinical presentations.

ISTSS Guidelines Position Paper on Complex PTSD in Adults

For the past two decades, there has been substantial debate about whether there are qualitatively different symptom profiles that can develop from different experiences of traumatic events. It has been proposed that more complex symptom profiles, called “complex PTSD,” can emerge from events that involve multiple, chronic or repeated types of traumas that are of an interpersonal nature and from which escape is difficult or impossible such as childhood abuse, domestic violence, genocide campaigns and being a prisoner of war (Herman, 1992).

Intensive prolonged exposure therapy for chronic PTSD patients following multiple trauma and multiple treatment attempts

ABSTRACT

Background: Suboptimal response and high dropout rates leave room for improvement of trauma-focused treatment (TFT) effectiveness in ameliorating posttraumatic stress disorder (PTSD) symptoms.

Objective: To explore the effectiveness and safety of intensive prolonged exposure (iPE) targeting chronic PTSD patients with a likely diagnosis of ICD-11 Complex PTSD following multiple interpersonal trauma and a history of multiple treatment attempts.

Posttraumatic world assumptions among treatment-seeking refugees.

Abstract

The clinical relevance of negative changes in cognitions about oneself, others, and the world is reflected in the diagnostic criteria for posttraumatic stress disorder (PTSD) in the DSM-5 and complex posttraumatic stress disorder in the ICD-11. Although such changes in cognition have been posited to be especially relevant for traumatised refugees, few studies have examined this in refugee populations.

Intensive prolonged exposure treatment for adolescent complex posttraumatic stress disorder : a single-trial design

Background

The current study evaluated the effectiveness and safety of intensive prolonged exposure (PE) targeting adolescent patients with complex posttraumatic stress disorder (PTSD) and comorbid disorders following multiple interpersonal trauma.

Complex PTSD and phased treatment in refugees: a debate piece

Background: Asylum seekers and refugees have been claimed to be at increased risk of developing complex posttraumatic stress disorder (complex PTSD). Consequently, it has been recommended that refugees be treated with present-centred or phased treatment rather than stand-alone trauma-focused treatment. This recommendation has contributed to a clinical practice of delaying or waiving trauma-focused treatment in refugees with PTSD.

Peritraumatic Distress and Dissociation in Prolonged Grief and Post-Traumatic Stress Following Violent and Unexpected Deaths

Abstract: This study examined associations between the violence of a loss and the suddenness of a loss and symptom levels of prolonged grief disorder (PGD) and posttraumatic stress disorder (PTSD) after the death of a loved one. A further aim was to investigate whether peritraumatic distress (i.e., fear, helplessness, and horror) and peritraumatic dissociation mediate the emotional impact of violent losses and unexpected losses. We obtained self-reported data from 265 individuals bereaved in the previous 3 years by losses due to violent causes (17%) or illness (83%).

Optimism in prolonged grief and depression following loss: A three-wave longitudinal study

Abstract: There is considerable evidence that optimism, the predisposition to have generalized favorable expectancies for the future, is associated with numerous desirable outcomes. Few studies have examined the association of optimism with emotional distress following the death of a loved one. Doing so is important, because optimism may be an important target for interventions for post-loss psychopathology.

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