scholarly journals Complex post-traumatic stress disorder: a new diagnosis in ICD-11

2019 ◽  
Vol 26 (3) ◽  
pp. 145-152 ◽  
Author(s):  
Chris R. Brewin
Keyword(s):  
Post Traumatic Stress Disorder ◽  
Traumatic Stress ◽  
Stress Disorder ◽  
Diagnostic System ◽  
World Health ◽  
Post Traumatic Stress ◽  
System A ◽  
Assessment And Treatment ◽  
Post Traumatic ◽  
New Diagnosis

SUMMARYThe World Health Organization's proposals in ICD-11, released for comment by member states in 2018, introduce for the first time in a major diagnostic system a distinction between post-traumatic stress disorder (PTSD) and complex post-traumatic stress disorder (CPTSD). This article sets the new diagnosis of CPTSD within the context of previous similar formulations, describes its definition and requirements, and reviews the evidence concerning its epidemiology, differential diagnosis, assessment and treatment.

scholarly journals Development of the new CPTSD diagnosis for ICD-11

2021 ◽  
Vol 8 (1) ◽  
Author(s):  
Andreas Maercker
Keyword(s):  
Post Traumatic Stress Disorder ◽  
Traumatic Stress ◽  
Stress Disorder ◽  
International Classification Of Diseases ◽  
Personality Change ◽  
World Health ◽  
Post Traumatic Stress ◽  
Multi Stage ◽  
Post Traumatic ◽  
Health Organization

Abstract Background The diagnosis of complex post-traumatic stress disorder (CPTSD) was proposed several decades ago by scientist-practitioners, almost parallel to the first description of the diagnosis of post-traumatic stress disorder (PTSD). In the previous International Classification of Diseases, version 10 (ICD-10) issued by the World Health Organization (WHO), this symptom constellation was termed ‘enduring personality change after catastrophic experience’. This diagnosis has not been clinically influential, nor has it been subjected to much research. Thus, in a multi-stage process of ICD-11 development, the diagnosis of CPTSD was developed. Methods This paper provides a review of the historical lines of development that led to the CPTSD diagnosis, as well as the results since the ICD-11 publication in 2018. Results The CPTSD diagnosis comprises the core symptoms of the – newly, narrowly defined – PTSD diagnosis, the three symptom groups of affective, relationship, and self-concept changes. The diagnosis is clinically easy to use in accordance with the WHO development goals for the ICD-11 and has shown good psychodiagnostic properties in various studies, including good discrimination from personality disorder with borderline pattern. Conclusion The scholarly use of the new diagnosis has resulted in an increasing number of published studies on this topic in the diagnostic and therapeutic fields.

Post Traumatic Stress Disorder in Police and Military Personnel: Assessment and Treatment Methods from Psychophysiology and Neuroscience—Essential Preliminary Information

Biofeedback ◽  
2009 ◽  
Vol 37 (1) ◽  
pp. 32-35 ◽  
Author(s):  
John A. Carmichael
Keyword(s):  
Post Traumatic Stress Disorder ◽  
Traumatic Stress ◽  
Stress Disorder ◽  
Treatment Effectiveness ◽  
Clinical Approach ◽  
Post Traumatic Stress ◽  
Assessment And Treatment ◽  
Post Traumatic ◽  
Dsm Iv ◽  
The Impact

Abstract This article presents the clinical approach developed by a Canadian biofeedback practitioner for the assessment and treatment of police and military clients, especially those with post traumatic stress disorder (PTSD). The author conducted a clinical practice for more than 25 years primarily with male police and military clients. He examines the impact on treatment effectiveness of a number of factors, such as how police and military clients differ from civilian populations, the definition of trauma in this population, Diagnostic and Statistical Manual of Mental Disorders (4th edition; DSM-IV) diagnostic criteria, the assessment of post-traumatic stress disorder, risks and coping factors, consequences of PTSD, DSM-IV conundrums, epidemiology, and other reactions to traumatic events.

scholarly journals Association between traumatic events and post-traumatic stress disorder: results from the ESEMeD-Spain study

2014 ◽  
Vol 24 (2) ◽  
pp. 172-183 ◽  
Author(s):  
B. Olaya ◽  
J. Alonso ◽  
L. Atwoli ◽  
R. C. Kessler ◽  
G. Vilagut ◽  
...  
Keyword(s):  
Sexual Assault ◽  
Post Traumatic Stress Disorder ◽  
Traumatic Stress ◽  
Stress Disorder ◽  
Community Sample ◽  
Traumatic Events ◽  
World Health ◽  
Post Traumatic Stress ◽  
Unexpected Death ◽  
Post Traumatic

Background.The relative importance of traumatic events (TEs) in accounting for the social burden of post-traumatic stress disorder (PTSD) could vary according to cross-cultural factors. In that sense, no such studies have yet been conducted in the Spanish general population. The present study aims to determine the epidemiology of trauma and PTSD in a Spanish community sample using the randomly selected TEs method.Methods.The European Study of the Epidemiology of Mental Disorders (ESEMeD)-Spain is a cross-sectional household survey of a representative sample of adult population. Lifetime prevalence of self-reported TEs and lifetime and 12-month prevalence of PTSD were evaluated using the World Health Organization (WHO) Composite International Diagnostic Interview. Reports of PTSD associated with randomly selected TEs were weighted by the individual-level probabilities of TE selection to generate estimates of population-level PTSD risk associated with each TE.Results.Road accident was the most commonly self-reported TE (14.1%). Sexual assault had the highest conditional risk of PTSD (16.5%). The TEs that contributed most to societal PTSD burden were unexpected death of a loved one (36.4% of all cases) and sexual assault (17.2%). Being female and having a low educational level were associated with low risk of overall TE exposure and being previously married was related to higher risk. Being female was related to high risk of PTSD after experiencing a TE.Conclusions.Having an accident is commonly reported among Spanish adults, but two TE are responsible for the highest burden associated with PTSD: the unexpected death of someone close and sexual assault. These results can help designing public health interventions to reduce the societal PTSD burden.

Trauma, Dissociation, and Post-traumatic Stress Disorder

2014 ◽  
pp. 363-391
Author(s):  
Terence M. Keane ◽  
Brian P. Marx ◽  
Denise M. Sloan ◽  
Anne DePrince
Keyword(s):  
Cognitive Processing ◽  
Post Traumatic Stress Disorder ◽  
Traumatic Stress ◽  
Stress Disorder ◽  
Cognitive Processing Therapy ◽  
Post Traumatic Stress ◽  
Assessment And Treatment ◽  
Post Traumatic ◽  
Future Work ◽  
The Impact

Worldwide, post-traumatic stress disorder (PTSD) is among the most common psychological disorders; over the past three decades researchers have made considerable progress in understanding the prevalence of PTSD and its psychological and biological underpinnings, while developing methods for its assessment and treatment. Only included in the diagnostic nomenclature since 1980, the history of PTSD extends as far back as the oldest literature in Western civilization. Homer’s Iliad and Odyssey capture the impact of war on combatants and civilians, as do many of the works of writers and artists across the centuries. The focus of this chapter is on the integration of contemporary work on traumatic stress exposure, psychological dissociation, and the development of PTSD, a disorder characterized by concurrent high levels of anxiety and depression and, in many instances, considerable chronicity and disability. More than 50 randomized controlled treatment outcome studies suggest that cognitive- behavioral treatments are especially effective, and support the use of exposure therapy, stress management therapy, cognitive therapy, cognitive processing therapy, and eye movement desensitization and reprocessing in treating PTSD. All these approaches constitute key evidence-based psychological treatments for PTSD. Future work will determine which treatments used by which therapists are best for patients with specific symptoms and concomitant conditions.

Trauma, Dissociation, and Post-traumatic Stress Disorder

2010 ◽  
pp. 359-387
Author(s):  
Terence M. Keane ◽  
Brian P. Marx ◽  
Denise M. Sloan ◽  
Anne DePrince
Keyword(s):  
Cognitive Processing ◽  
Post Traumatic Stress Disorder ◽  
Traumatic Stress ◽  
Stress Disorder ◽  
Cognitive Processing Therapy ◽  
Post Traumatic Stress ◽  
Assessment And Treatment ◽  
Post Traumatic ◽  
Future Work ◽  
The Impact

Worldwide, post-traumatic stress disorder (PTSD) is among the most common psychological disorders; over the past three decades researchers have made considerable progress in understanding the prevalence of PTSD and its psychological and biological underpinnings, while developing methods for its assessment and treatment. Only included in the diagnostic nomenclature since 1980, the history of PTSD extends as far back as the oldest literature in Western civilization. Homer’s Iliad and Odyssey capture the impact of war on combatants and civilians, as do many of the works of writers and artists across the centuries. The focus of this chapter is on the integration of contemporary work on traumatic stress exposure, psychological dissociation, and the development of PTSD, a disorder characterized by concurrent high levels of anxiety and depression and, in many instances, considerable chronicity and disability. More than 50 randomized controlled treatment outcome studies suggest that cognitive-behavioral treatments are especially effective, and support the use of exposure therapy, stress management therapy, cognitive therapy, cognitive processing therapy, and eye movement desensitization and reprocessing in treating PTSD. All these approaches constitute key evidence-based psychological treatments for PTSD. Future work will determine which treatments used by which therapists are best for patients with specific symptoms and concomitant conditions.

scholarly journals To Determine Level of Post Traumatic Stress Faced By Adolescent Children with Chronic Illness

2017 ◽  
Vol 4 (2) ◽  
Author(s):  
Mridula.C.Jobson ◽  
Dr. R. Subhashini
Keyword(s):  
Chronic Illness ◽  
Post Traumatic Stress Disorder ◽  
Traumatic Stress ◽  
Stress Disorder ◽  
Sampling Technique ◽  
Well Being ◽  
Post Traumatic Stress ◽  
Symptom Scale ◽  
Assessment And Treatment ◽  
Post Traumatic

Background: Chronic Illness is disorders or diseases that compromise well-being, either temporarily or chronically. Identifying related risk factors is of theoretical and practical relevance. It helps to understand psychosocial consequences of chronic diseases and provide valuable information for clinicians regarding who should be screened for what kind of problems. These children undergo a silent development of stress which occur Post Trauma. Post Traumatic Stress (intrusive memories, avoidance, and distress) is a condition of persistent mental and emotional stress occurring as a result of injury or severe psychological shock. Aim and Objective: To determine level of post traumatic stress faced by adolescent children with chronic illness. Samples and Methods: The study was carried out in 75 samples under treatment for Chronic illness in MMM hospital between age group 1 to 20 years. The samples were selected through convenient sampling technique. The Tool used for data collection and assessment of Post traumatic stress level is a Semi structured questionnaire which includes: Demographic details-: Socio demographic profile (age, gender, place of residence, religion, education, occupation, type of family etc) and .Post traumatic stress scale-Manual for the Administration and Scoring of the PTSD(Post Traumatic stress disorder) Symptom Scale – Interview for DSM-5 (PSS-I-5) Result: PTSD (Post Traumatic stress disorder) was significantly observed in all the respondents’ with chronic illness. Conclusion: The preliminary study concludes the presence of post traumatic stress disorder among adolescence with chronic illness. This particularly emphasizes on multidimensional   assessment and treatment.

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