The 11th revision to the World Health Organization’s International Classification of Diseases (ICD-11) proposes two distinct sibling conditions: Posttraumatic Stress Disorder (PTSD) and Complex PTSD (CPTSD). In this paper, we aim to provide an update on the latest research regarding the conceptual structure and measurement of PTSD and CPTSD using the International Trauma Questionnaire (ITQ) as per ICD-11 proposals in the USA, UK, Germany and Lithuania. Preliminary findings suggest that CPTSD is common in clinical and population samples, although there may be variations across countries in prevalence rates. In clinical samples, preliminary evidence suggests that CPTSD is a more commonly observed condition than PTSD. Preliminary evidence also suggests that the ITQ scores are reliable and valid and can adequately distinguish between PTSD and CPTSD. Further cross-cultural work is proposed to explore differences in PTSD and CPTSD across different countries with regard to prevalence, incidence, and predictors of PTSD and CPTSD.
Adjustment disorder is one of the most prevalent mental disorders. However, there are almost no measures available for its assessment. We aimed to analyze the psychometric properties of a brief version of the International Classification of Diseases (ICD)-11 adjustment disorder scale (Adjustment Disorder New Module-8; ADNM-8) in a help-seeking sample. Data from 1,174 participants with an average age of 35 years who registered for the internet-based self-help adjustment disorder intervention were analyzed. Psychometric properties of the brief 8-item self-report (ADNM-8) scale measuring the 2 core adjustment disorder symptoms of preoccupation and failure to adapt were tested. Confirmatory factor analysis (CFA) was applied for the analysis of construct validity. CFA supported the 2-factor structure of ADNM-8. Further research is needed for validation of ADNM-8 in cross-cultural studies.
Adjustment disorder (AjD) is among the most often diagnosed mental disorders in clinical practice. This paper reviews current status of AjD research and discusses scientific and clinical issues associated with AjD. AjD has been included in diagnostic classifications for over 50 years. Still, the diagnostic criteria for AjD remain vague and cause difficulties to mental health professionals. Controversies in definition resulted in the lack of reliable and valid measures of AjD. Epidemiological data on prevalence of AjD is scarce and not reliable because prevalence data are biased by the diagnostic algorithm, which is usually developed for each study, as no established diagnostic standards for AjD are available. Considerable changes in the field of AjD could follow after the release of the 11th edition of International Classification of Diseases (ICD-11). A new AjD symptom profile was introduced in ICD-11 with 2 main symptoms as follows: 1) preoccupation and 2) failure to adapt. However, differences between the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition and ICD-11 AjD diagnostic criteria could result in diverse research findings in the future. The best treatment approach for AjD remains unclear, and further treatment studies are needed to provide AjD treatment guidelines to clinicians.
27 August 2020 in European Journal of Psychotraumatology
During the current COVID-19 pandemic, the people in Europe are exposed to self-isolation, quarantine, job loss, risk of contracting COVID-19, or grief of loved ones. Such a complex array of stresso... Antecedentes: Durante la actual pandemia de COVID-19, las personas en Europa están expuestas a autoaislamiento, cuarentena, pérdida de empleo, riesgo de contraer COVID-19 o duelo de sus seres queri... 背景:在当前COVID 19大流行期间, 欧洲人民面临自我隔离, 隔离, 失业, 感染COVID-19的风险或丧亲之痛。如此复杂的一系列应激源可能导致适应障碍或创伤后应激障碍症状。本研究方案描述了由欧洲创伤应激研究学会 (ESTSS) 发起的一项研究, 以研究COVID-19大流行对个欧洲国家的适应障碍症状的影响。 目的:纵向线上队列研究旨在 (1) 探查10个欧洲国家对COVID-19大流...
23 February 2022 in European Journal of Psychotraumatology
The 11th revision of the International Classification of Diseases (ICD-11) includes a new diagnosis of complex posttraumatic stress disorder (CPTSD). The International Trauma Interview (ITI) is a n... A study in Lithuania showed that the International Trauma Interview is a valid tool for assessing and diagnosing ICD-11 posttraumatic stress disorder (PTSD) and complex PTSD (CPTSD). Antecedentes: La 11ª revisión de la Clasificación Internacional de Enfermedades (CIE-11) incluye un nuevo diagnóstico de trastorno de estrés postraumático complejo (TEPT-C). La Entrevista Internaci... 背景:第 11 版国际疾病分类 (ICD-11) 纳入了对复杂性创伤后应激障碍 (CPTSD) 的新诊断。国际创伤访谈 (ITI) 是一种评估 ICD-11 PTSD 和 CPTSD的全新临床用诊断访谈。目的:本研究旨在评估立陶宛样本中 ITI与评分者之一致性, 潜在结构, 内部信度以及收敛效度和区分效度有关的心理测量学特性。方法:共有 103 名有各种创伤经历史的成年人参与了这项研究。样本...