Update to an evaluation of ICD-11 PTSD and complex PTSD criteria in a sample of adult survivors of childhood institutional abuse by Knefel & Lueger-Schuster (2013): A latent profile analysis

Matthias Knefel, Donn W. Garvert, Marylene Cloitre, Brigitte Lueger-Schuster

Research output: Contribution to journalArticlepeer-review

Abstract

Background: The World Health Organization (WHO) International Classification of Diseases, 11th version (ICD-11), has proposed a trauma-related diagnosis of complex posttraumatic stress disorder (CPTSD) separate and distinct from posttraumatic stress disorder (PTSD). Objective: To determine whether the symptoms endorsed by individuals who had experienced childhood institutional abuse form classes that are consistent with diagnostic criteria for ICD-11 CPTSD as distinct from PTSD. Methods: A latent profile analysis (LPA) was conducted on 229 adult survivors of institutional abuse using the Brief Symptom Inventory and the PTSD Checklist*Civilian Version to assess current psychopathological symptoms. Results: The LPA revealed four classes of individuals: (1) a class with elevated symptoms of CPTSD (PTSD symptoms and disturbances in self-organization); (2) a class with elevated symptoms of PTSD and low disturbances in self-organization; (3) a class with elevated disturbances in self-organization symptoms and some elevated PTSD symptoms; and (4) a class with low symptoms. Conclusions: The results support the existence of a distinct group in our sample, that could be described by the proposed diagnostic category termed CPTSD more precisely than by normal PTSD. In addition, there seems to be a group of persons that do not fulfill the criteria for a trauma-related disorder but yet suffer from psychopathological symptoms.

Original languageEnglish (US)
Article number25290
Pages (from-to)1-6
Number of pages6
JournalEuropean Journal of Psychotraumatology
Volume6
DOIs
StatePublished - Feb 25 2015

Keywords

  • Childhood abuse
  • Complex PTSD
  • ICD-11
  • Institutional abuse
  • Latent profile analysis
  • Posttraumatic stress disorder
  • WHO

ASJC Scopus subject areas

  • Psychiatry and Mental health

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