Abstract:
:Background: The World Health Organization(WHO) International Classification of Diseases, 11th version (ICD-11), has proposed a new trauma-related diagnosis of complex posttraumatic stress disorder (CPTSD), separate and distinct from posttraumatic stress disorder (PTSD). However, to date, no study has examined CPTSD over time. Objectives: This prospective study aimed to examine predictors and outcomes of latent classes of PTSD and CPTSD following war captivity. Method: A sample of 183 Israeli former prisoners of the 1973 Yom Kippur War (ex-POWs) participated in a 24-year longitudinal study with three waves of measurements (T1: 1991, T2: 2008, and T3: 2015). Participants completed validated self-report measures, and their cognitive performance was assessed using the Montreal Cognitive Assessment (MoCA). Results: Estimated rates of PTSD and CPTSD were high at all waves, with PTSD rates higher than CPTSD. A Latent Class Analysis (LCA) identified three main classes at T2: (1) a small class with low probability to meet PTSD and CPTSD clusters criteria (15.26%); (2) a class high only in PTSD symptoms (42.37%) and (3) a class high only in CPTSD symptoms (42.37%). Importantly, higher levels of psychological suffering in captivity at T1 were associated with higher odds of being in the CPTSD class at T2. In addition, CPTSD at T2 was more strongly associated with low self-rated health, functional impairment, and cognitive performance at T3, compared to the PTSD only class. Conclusions: Adulthood prolonged trauma of severe interpersonal intensity such as war captivity is related to CPTSD, years after the end of the war. Exposure to psychological suffering in captivity is a risk factor for future endorsement of CPTSD symptoms. CPTSD among ex-POWs is a marker for future dire mental health and functional consequences. :Antecedentes: La Clasificación Internacional de Enfermedades de la Organización Mundial de la Salud (OMS), 11ª versión (CIE-11), ha propuesto un nuevo diagnóstico relacionado con el trauma del trastorno de estrés postraumático complejo (TEPTC), separado y distinto del trastorno de estrés postraumático (TEPT). Sin embargo, hasta la fecha, ningún estudio ha examinado el TEPTC a lo largo del tiempo.Objetivos: Este estudio prospectivo tuvo como objetivo examinar los factores predictivos y los resultados de las clases latentes del TEPT y el TEPTC después del cautiverio de la guerra.Método: Una muestra de 183 prisioneros israelíes de la Guerra de Yom Kippur de 1973 (ex-prisioneros de guerra) participó en un estudio longitudinal de 24 años con tres momentos de mediciones (T1: 1991, T2: 2008, y T3: 2015). Los participantes completaron medidas validadas de autoinforme y su rendimiento cognitivo se evaluó mediante la Evaluación Cognitiva de Montreal (MoCA en sus siglas en inglés).Resultados: Las tasas estimadas del TEPT y TEPTC fueron altas en todos los momentos evaluados, con las tasas del TEPT más altas que del TEPTC. Un Análisis de Clase Latente (LCA en sus siglas en inglés) identificó tres clases principales en T2: (1) un grupo pequeño con baja probabilidad de cumplir con los criterios sintomáticos del TEPT y TEPTC (15.26%); (2) un grupo alto solo en los síntomas del TEPT (42.37%), y (3) un grupo alto solo en los síntomas del TEPTC (42.37%). Es importante destacar que los niveles más altos de sufrimiento psicológico en cautiverio en T1 se asociaron con mayores probabilidades de estar en el grupo del TEPTC en T2. Además, el TEPTC en T2 se asoció más fuertemente con una baja autoevaluación de salud, deterioro funcional, y rendimiento cognitivo en T3, en comparación con el grupo del TEPT solamente.Conclusiones: El trauma prolongado en la edad adulta de intensidad interpersonal severa, como el cautiverio de guerra, está relacionado con el TEPTC, años después de término de la guerra. La exposición al sufrimiento psicológico en cautiverio es un factor de riesgo para confirmación futura de los síntomas de TEPTC. El TEPTC entre los ex prisioneros de guerra es un marcador para la salud mental y las consecuencias funcionales futuras. :背景:世界卫生组织(WHO)国际疾病分类第11版(ICD-11),提出了一种新的创伤相关的复杂性创伤后应激障碍(CPTSD)诊断,与创伤后应激障碍(PTSD)区分。然而,到目前为止,还没有研究对CPTSD进行追踪考察。目标:这项前瞻性研究旨在研究战争囚禁后PTSD和CPTSD潜在类别的预测因素和结果。方法:1973年赎罪日战争的183名以色列前囚犯(ex-POWs, 前战俘)参加了一项为期24年的纵向研究,其中有三次测量(T1:1991年,T2:2008年和T3:2015年)。参与者完成了自评问卷,并使用蒙特利尔认知评估工具(MoCA)评估了他们的认知表现。结果:在所有测量时间点PTSD和CPTSD的估计发病率都很高,PTSD高于CPTSD。潜类分析(LCA)确定了T2的三个主要类别:(1)符合PTSD和CPTSD症状簇标准的概率较低的小类(15.26%); (2)仅有高PTSD症状(42.37%)和(3)仅有高CPTSD症状的大类(42.37%)。重要的是,在T1时被囚禁时更多的心理痛苦和出现在T2的CPTSD类别的更高的几率相关。此外,与PTSD类相比,T2的CPTSD类与T3的低自评健康、功能障碍和认知表现更强烈相关。结论:成年后长期严重的人际剧烈创伤,如战争囚禁,与战争结束数年后的CPTSD有关。囚禁过程中遭受心理痛苦是未来出现CPTSD症状的风险因素。前战俘中的CPTSD是以后的心理健康和功能恶化的提示。.
journal_name
Eur J Psychotraumatoljournal_title
European journal of psychotraumatologyauthors
Zerach G,Shevlin M,Cloitre M,Solomon Zdoi
10.1080/20008198.2019.1616488subject
Has Abstractpub_date
2019-05-28 00:00:00pages
1616488issue
1issn
2000-8066pii
1616488journal_volume
10pub_type
杂志文章abstract::Background: A crucial but often overlooked impact of early life exposure to trauma is its far-reaching effect on a person's relationship with their body. Several domains of body experience may be negatively influenced or damaged as a result of early childhood trauma. Objective: The aim of this study was to investigate...
journal_title:European journal of psychotraumatology
pub_type: 杂志文章
doi:10.1080/20008198.2017.1322892
更新日期:2017-05-31 00:00:00
abstract::Background: Humanitarian workers operate in traumatic contexts, putting them at an increased risk of adverse mental health outcomes. The quality of the support they receive from their organization, their supervisor, and team members are proposed as determinants of mental illness and well-being, via the stress-appraisa...
journal_title:European journal of psychotraumatology
pub_type: 杂志文章
doi:10.1080/20008198.2019.1694811
更新日期:2019-12-03 00:00:00
abstract::Background: Moral injury has been found to adversely affect US veteran mental health, and the mental health difficulties resulting from moral injury can be particularly challenging to treat. Yet little is known about the impact of moral injury on the well-being of UK armed forces (AF) veterans and how moral injury is ...
journal_title:European journal of psychotraumatology
pub_type: 杂志文章
doi:10.1080/20008198.2018.1562842
更新日期:2019-01-14 00:00:00
abstract:BACKGROUND:The representation of low- and middle-income countries (LMIC) in traumatic stress research is important to establish a global evidence base, build research capacity, and reduce the burden of unmet mental health needs around the world. Reviews of the traumatic stress literature up to 2002 showed trends toward...
journal_title:European journal of psychotraumatology
pub_type: 杂志文章
doi:10.3402/ejpt.v5.23269
更新日期:2014-02-20 00:00:00
abstract:BACKGROUND:Posttraumatic Diagnostic Scale (PDS) is a self-descriptive measure developed to provide information regarding posttraumatic stress disorder (PTSD) diagnosis and symptom severity. OBJECTIVES:THE AIM OF THIS ARTICLE IS TO REPORT ON THE VALIDATION OF THE POLISH VERSION OF PDS AND TO TEST ITS FACTOR STRUCTURE W...
journal_title:European journal of psychotraumatology
pub_type: 杂志文章
doi:10.3402/ejpt.v3i0.18479
更新日期:2012-01-01 00:00:00
abstract::Background: Approximately half of all asylum seekers suffer from trauma-related disorders requiring treatment, among them Posttraumatic Stress Disorder (PTSD), depression, anxiety, and somatic symptoms. There is a lack of easily accessible, low-threshold treatments taking the cultural background into account. Cultural...
journal_title:European journal of psychotraumatology
pub_type: 杂志文章
doi:10.1080/20008198.2017.1390362
更新日期:2017-11-07 00:00:00
abstract:BACKGROUND:Despite robust empirical support for the efficacy of trauma-focused treatments, the dissemination proves difficult, especially in relation to patients with comorbid psychosis. Many therapists endorse negative beliefs about the credibility, burden, and harm of such treatment. OBJECTIVE:This feasibility study...
journal_title:European journal of psychotraumatology
pub_type: 杂志文章
doi:10.3402/ejpt.v7.31712
更新日期:2016-09-06 00:00:00
abstract:BACKGROUND:Prolonged grief disorder is proposed for the International Classification of Diseases (ICD-11), though it was rejected as a diagnosis for DSM-5. OBJECTIVE:This review outlines findings and defines important areas for future research viewed from a lifespan perspective. RESULTS:The development and psychometr...
journal_title:European journal of psychotraumatology
pub_type: 杂志文章
doi:10.3402/ejpt.v6.27303
更新日期:2015-05-19 00:00:00
abstract:BACKGROUND:To date no validated instrument in the French language exists to screen for posttraumatic stress disorder (PTSD) in survivors of torture and organized violence. OBJECTIVE:The aim of this study is to adapt and validate the Harvard Trauma Questionnaire (HTQ) to this population. METHOD:The adapted version was...
journal_title:European journal of psychotraumatology
pub_type: 杂志文章
doi:10.3402/ejpt.v3i0.19225
更新日期:2012-01-01 00:00:00
abstract::Brief eclectic psychotherapy for PTSD (BEPP) is an evidence-based therapeutic approach that combines and integrates elements from psychodynamic, cognitive-behavioral, and directive psychotherapy. Psychoeducation is done jointly with the patient and his or her partner. Exposure, a structured writing task, and memorabil...
journal_title:European journal of psychotraumatology
pub_type: 杂志文章
doi:10.3402/ejpt.v4i0.21369
更新日期:2013-12-20 00:00:00
abstract:Background:Due to the one-child policy implemented in China, most families have only one child. When parents experience the death of their only child, these parents receive the label 'Shidu parents'. Shidu is a major public health issue in China. However, the patterns of post-traumatic stress disorder (PTSD) and depres...
journal_title:European journal of psychotraumatology
pub_type: 杂志文章
doi:10.1080/20008198.2020.1766770
更新日期:2020-07-07 00:00:00
abstract:BACKGROUND:While males constitute the majority, female adolescent offenders are a sizeable minority of the overall delinquent population. Further, those females who become involved in delinquent activities appear to be doing so at a younger age, and they are involved in a wide range of criminal activities, including vi...
journal_title:European journal of psychotraumatology
pub_type: 杂志文章
doi:10.3402/ejpt.v3i0.17247
更新日期:2012-01-01 00:00:00
abstract:BACKGROUND:The colonial war that Portugal was involved in between 1961 and 1974 had a significant impact on veterans and their families. However, it is unclear what the consequences of this war are, in particular with regard to levels of childhood maltreatment (CM) in offspring. OBJECTIVE:Our study aims to analyze the...
journal_title:European journal of psychotraumatology
pub_type: 杂志文章
doi:10.3402/ejpt.v5.20198
更新日期:2014-02-04 00:00:00
abstract::Background: A diagnosis of post-traumatic stress disorder (PTSD) requires the identification of one or more traumatic events, designated the index trauma, which serves as the basis for assessment of severity of PTSD. In patients who have experienced more than one traumatic event, severity may depend on the exact defin...
journal_title:European journal of psychotraumatology
pub_type: 杂志文章
doi:10.1080/20008198.2018.1486124
更新日期:2018-07-09 00:00:00
abstract:BACKGROUND:This paper investigated adherence to a self-help web-based intervention for PTSD (Chinese My Trauma Recovery, CMTR) in mainland China and evaluated the association between adherence measures and potential predictors, for example, traumatic symptoms and self-efficacy. METHODS:Data from 56 urban and 90 rural ...
journal_title:European journal of psychotraumatology
pub_type: 杂志文章
doi:10.3402/ejpt.v5.26526
更新日期:2014-12-09 00:00:00
abstract:BACKGROUND:During the past several years, there has been a growing interest in the negative effects that providing therapy may have on therapists. Of special interest is a phenomenon called secondary traumatization, which can arise while working with traumatized clients. To develop a simple screening tool for secondary...
journal_title:European journal of psychotraumatology
pub_type: 杂志文章
doi:10.3402/ejpt.v5.21875
更新日期:2014-01-09 00:00:00
abstract:BACKGROUND:The war in former Yugoslavia, which commenced in 1990, caused the biggest refugee crisis in Europe since World War II. There are numerous research investigations into the trauma and associated problems. However, there is no available publication concerning refugees' own perception of the provided support in ...
journal_title:European journal of psychotraumatology
pub_type: 杂志文章
doi:10.3402/ejpt.v3i0.8447
更新日期:2012-01-01 00:00:00
abstract:BACKGROUND:To date, mental health professionals' attitudes toward posttraumatic stress disorder (PTSD), compared to other psychiatric disorders such as schizophrenia or depression, have rarely been studied. OBJECTIVE:We assessed mental health professionals' attitudes toward patients with PTSD compared to patients suff...
journal_title:European journal of psychotraumatology
pub_type: 杂志文章
doi:10.3402/ejpt.v6.28693
更新日期:2015-10-26 00:00:00
abstract::Background: Sexual abuse victims often experience symptoms of post-traumatic stress disorder (PTSD), including sleep disturbances. Objective: To investigate whether or not characteristics of sexual abuse are associated with sleep disturbance, and to explore whether correlates of sleep disturbance are distinguishable f...
journal_title:European journal of psychotraumatology
pub_type: 杂志文章
doi:10.1080/20008198.2019.1581019
更新日期:2019-03-21 00:00:00
abstract::Background: Trauma exposure and post-traumatic stress disorder (PTSD) are risk factors for chronic pain. Objective: This study investigated how exposure to intentional and non-intentional traumatic events and PTSD are related to pain severity and outcome of treatment in chronic pain patients. Methods: We assessed expo...
journal_title:European journal of psychotraumatology
pub_type: 杂志文章
doi:10.1080/20008198.2017.1375337
更新日期:2017-09-19 00:00:00
abstract:BACKGROUND:Therapists who work with trauma clients are impacted both positively and negatively. However, most studies have tended to focus on the negative impact of the work, the quantitative evidence has been inconsistent, and the research has primarily been conducted outside the United Kingdom. OBJECTIVES:This study...
journal_title:European journal of psychotraumatology
pub_type: 杂志文章
doi:10.3402/ejpt.v4i0.21869
更新日期:2013-12-30 00:00:00
abstract::Background: Previous research exploring the psychometric properties of the scores of measures of posttraumatic stress disorder (PTSD) suggests there is variation in their functioning depending on the target population. To date, there has been little study of these properties within UK veteran populations. Objective: T...
journal_title:European journal of psychotraumatology
pub_type: 杂志文章
doi:10.1080/20008198.2017.1398001
更新日期:2017-11-13 00:00:00
abstract:OBJECTIVE:To test the effect of misinformation outside of the laboratory and to explore correlates of the effect, including arousal, cognitive ability, and neuroticism. METHOD:About 2 months before deployment to Afghanistan, 249 soldiers enrolled in this study, which was embedded in a larger project. Two months after ...
journal_title:European journal of psychotraumatology
pub_type: 杂志文章
doi:10.3402/ejpt.v4i0.19864
更新日期:2013-05-02 00:00:00
abstract::Background: The variables that underlie comorbid chronic pain and posttraumatic stress symptoms (PTSS) are not yet clearly established. Objective: The aim of the present study was to analyse the role of the behavioural inhibition system (BIS), behavioural approach system (BAS) and experiential avoidance (EA) in pain a...
journal_title:European journal of psychotraumatology
pub_type: 杂志文章
doi:10.1080/20008198.2019.1581013
更新日期:2019-03-11 00:00:00
abstract:BACKGROUND:Patients with posttraumatic stress disorder (PTSD) are prone to dissociation, which in theory should interfere with successful treatment. However, most empirical studies do not substantiate this assumption. OBJECTIVE:The primary objective was to test whether state dissociation predicts the success of an ada...
journal_title:European journal of psychotraumatology
pub_type: 杂志文章
doi:10.3402/ejpt.v7.30375
更新日期:2016-07-06 00:00:00
abstract::Background: Fatalism, known as the propensity to believe that one's destiny is externally determined, has so far been examined selectively, and not yet in a cross-cultural study. Moreover, a general, non-data-based speculation assumes that fatalism occurs to a lesser extent in countries of the Global North than in the...
journal_title:European journal of psychotraumatology
pub_type: 杂志文章
doi:10.1080/20008198.2019.1657371
更新日期:2019-09-02 00:00:00
abstract::In the past few years the number of refugees worldwide has increased dramatically. Many of them were traumatized in their homelands due to violent conflict or persecution, as well as during their flight, and are confronted with ongoing stressors in the exile countries. In order to contribute to enhancing the clinical ...
journal_title:European journal of psychotraumatology
pub_type: 社论
doi:10.1080/20008198.2017.1388103
更新日期:2017-11-07 00:00:00
abstract::Background: The network approach to mental disorders offers a novel framework for conceptualizing posttraumatic stress disorder (PTSD) as a causal system of interacting symptoms. Objective: In this study, we extended this work by estimating the structure of relations among PTSD symptoms in adults reporting personal hi...
journal_title:European journal of psychotraumatology
pub_type: 杂志文章
doi:10.1080/20008198.2017.1341276
更新日期:2017-07-15 00:00:00
abstract::Background: Despite a large body of evidence demonstrating the effectiveness of psychotherapy for posttraumatic stress for children and adolescents, the adoption of empirically supported treatments (ESTs) in routine care is low. Objective: This implementation study aims to evaluate the dissemination of Trauma-Focused ...
journal_title:European journal of psychotraumatology
pub_type: 杂志文章
doi:10.1080/20008198.2020.1837531
更新日期:2020-11-26 00:00:00
abstract::Background: Post-traumatic stress disorder (PTSD) is triggered by distinct events and is therefore amenable to studies of its early pathogenesis. Longitudinal studies during the year that follows trauma exposure revealed typical symptom trajectories leading to either recovery or protracted PTSD. Thezneurobehavioral co...
journal_title:European journal of psychotraumatology
pub_type: 杂志文章
doi:10.1080/20008198.2019.1683941
更新日期:2019-11-11 00:00:00