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Are posttraumatic stress disorder (PTSD) and complex-PTSD distinguishable within a treatment-seeking sample of Syrian refugees living in Lebanon?

BACKGROUND: The World Health Organization will publish its 11(th) revision of the International Classification of Diseases (ICD-11) in 2018. The ICD-11 will include a refined model of posttraumatic stress disorder (PTSD) and a new diagnosis of complex PTSD (CPTSD). Whereas emerging data supports the...

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Autores principales: Hyland, P., Ceannt, R., Daccache, F., Abou Daher, R., Sleiman, J., Gilmore, B., Byrne, S., Shevlin, M., Murphy, J., Vallières, F.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cambridge University Press 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5981765/
https://www.ncbi.nlm.nih.gov/pubmed/29868234
http://dx.doi.org/10.1017/gmh.2018.2
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author Hyland, P.
Ceannt, R.
Daccache, F.
Abou Daher, R.
Sleiman, J.
Gilmore, B.
Byrne, S.
Shevlin, M.
Murphy, J.
Vallières, F.
author_facet Hyland, P.
Ceannt, R.
Daccache, F.
Abou Daher, R.
Sleiman, J.
Gilmore, B.
Byrne, S.
Shevlin, M.
Murphy, J.
Vallières, F.
author_sort Hyland, P.
collection PubMed
description BACKGROUND: The World Health Organization will publish its 11(th) revision of the International Classification of Diseases (ICD-11) in 2018. The ICD-11 will include a refined model of posttraumatic stress disorder (PTSD) and a new diagnosis of complex PTSD (CPTSD). Whereas emerging data supports the validity of these proposals, the discriminant validity of PTSD and CPTSD have yet to be tested amongst a sample of refugees. METHODS: Treatment-seeking Syrian refugees (N = 110) living in Lebanon completed an Arabic version of the International Trauma Questionnaire; a measure specifically designed to capture the symptom content of ICD-11 PTSD and CPTSD. RESULTS: In total, 62.6% of the sample met the diagnostic criteria for PTSD or CPTSD. More refugees met the criteria for CPTSD (36.1%) than PTSD (25.2%) and no gender differences were observed. Latent class analysis results identified three distinct groups: (1) a PTSD class, (2) a CPTSD class and (3) a low symptom class. Class membership was significantly predicted by levels of functional impairment. CONCLUSION: Support for the discriminant validity of ICD-11 PTSD and CPTSD was observed for the first time within a sample of refugees. In support of the cross-cultural validity of the ICD-11 proposals, the prevalence of PTSD and CPTSD were similar to those observed in culturally distinct contexts.
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spelling pubmed-59817652018-06-04 Are posttraumatic stress disorder (PTSD) and complex-PTSD distinguishable within a treatment-seeking sample of Syrian refugees living in Lebanon? Hyland, P. Ceannt, R. Daccache, F. Abou Daher, R. Sleiman, J. Gilmore, B. Byrne, S. Shevlin, M. Murphy, J. Vallières, F. Glob Ment Health (Camb) Original Research Paper BACKGROUND: The World Health Organization will publish its 11(th) revision of the International Classification of Diseases (ICD-11) in 2018. The ICD-11 will include a refined model of posttraumatic stress disorder (PTSD) and a new diagnosis of complex PTSD (CPTSD). Whereas emerging data supports the validity of these proposals, the discriminant validity of PTSD and CPTSD have yet to be tested amongst a sample of refugees. METHODS: Treatment-seeking Syrian refugees (N = 110) living in Lebanon completed an Arabic version of the International Trauma Questionnaire; a measure specifically designed to capture the symptom content of ICD-11 PTSD and CPTSD. RESULTS: In total, 62.6% of the sample met the diagnostic criteria for PTSD or CPTSD. More refugees met the criteria for CPTSD (36.1%) than PTSD (25.2%) and no gender differences were observed. Latent class analysis results identified three distinct groups: (1) a PTSD class, (2) a CPTSD class and (3) a low symptom class. Class membership was significantly predicted by levels of functional impairment. CONCLUSION: Support for the discriminant validity of ICD-11 PTSD and CPTSD was observed for the first time within a sample of refugees. In support of the cross-cultural validity of the ICD-11 proposals, the prevalence of PTSD and CPTSD were similar to those observed in culturally distinct contexts. Cambridge University Press 2018-04-16 /pmc/articles/PMC5981765/ /pubmed/29868234 http://dx.doi.org/10.1017/gmh.2018.2 Text en © The Author(s) 2018 http://creativecommons.org/licenses/by/4.0/ This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Research Paper
Hyland, P.
Ceannt, R.
Daccache, F.
Abou Daher, R.
Sleiman, J.
Gilmore, B.
Byrne, S.
Shevlin, M.
Murphy, J.
Vallières, F.
Are posttraumatic stress disorder (PTSD) and complex-PTSD distinguishable within a treatment-seeking sample of Syrian refugees living in Lebanon?
title Are posttraumatic stress disorder (PTSD) and complex-PTSD distinguishable within a treatment-seeking sample of Syrian refugees living in Lebanon?
title_full Are posttraumatic stress disorder (PTSD) and complex-PTSD distinguishable within a treatment-seeking sample of Syrian refugees living in Lebanon?
title_fullStr Are posttraumatic stress disorder (PTSD) and complex-PTSD distinguishable within a treatment-seeking sample of Syrian refugees living in Lebanon?
title_full_unstemmed Are posttraumatic stress disorder (PTSD) and complex-PTSD distinguishable within a treatment-seeking sample of Syrian refugees living in Lebanon?
title_short Are posttraumatic stress disorder (PTSD) and complex-PTSD distinguishable within a treatment-seeking sample of Syrian refugees living in Lebanon?
title_sort are posttraumatic stress disorder (ptsd) and complex-ptsd distinguishable within a treatment-seeking sample of syrian refugees living in lebanon?
topic Original Research Paper
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5981765/
https://www.ncbi.nlm.nih.gov/pubmed/29868234
http://dx.doi.org/10.1017/gmh.2018.2
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