Cargando…

Symptom burden and work-related impairment among patients with PTSD and complex PTSD

Background: The 11th revision of the International Classification of Diseases includes a new chapter of stress-related disorders and presents two distinct sibling conditions: Posttraumatic stress disorder (PTSD) and complex PTSD (CPTSD). Studies show that PTSD and CPTSD are associated with different...

Descripción completa

Detalles Bibliográficos
Autores principales: Brenner, Lorena, Köllner, Volker, Bachem, Rahel
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Taylor & Francis 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6882441/
https://www.ncbi.nlm.nih.gov/pubmed/31807235
http://dx.doi.org/10.1080/20008198.2019.1694766
_version_ 1783474162629607424
author Brenner, Lorena
Köllner, Volker
Bachem, Rahel
author_facet Brenner, Lorena
Köllner, Volker
Bachem, Rahel
author_sort Brenner, Lorena
collection PubMed
description Background: The 11th revision of the International Classification of Diseases includes a new chapter of stress-related disorders and presents two distinct sibling conditions: Posttraumatic stress disorder (PTSD) and complex PTSD (CPTSD). Studies show that PTSD and CPTSD are associated with different levels of symptom burden, comorbidity and functional impairment, but have not yet addressed the qualitative and quantitative differences in work-related impairment between the two diagnoses. Objective: The aim of this study was to replicate differences in symptom severity, global distress, and the number of comorbid diagnoses between three groups that suffer from no PTSD, PTSD, or CPTSD. More importantly, we evaluated whether the three groups differ in indicators of functional impairment such as qualitative and quantitative working capacity. Finally, this study supplies information on prevalence rates of PTSD and CPTSD in a clinical sample suffering from psychosomatic complaints. Methods: Participants were 662 patients of a Psychosomatic Rehabilitation Clinic (age M = 50.99, SD 8.99 years; 70.1% female). Self-report screening instruments were administered to participants at the beginning of their inpatient psychotherapy. Multivariate analysis of variance and Chi Square tests were utilized to assess group differences in symptom severity, comorbidity and work-related impairment. Results: A prevalence of 13.3% CPTSD and 9.5% PTSD was found among the current sample. CPTSD was associated with heightened symptom burden and more comorbid diagnoses. More importantly, CPTSD was associated with a significantly lowered qualitative and quantitative working capacity compared to PTSD and no-PTSD. Conclusions: The high prevalence, greater psychopathological burden and work-related impairments in CPTSD compared to PTSD highlight the need for developing and evaluating new interventions in rehabilitation that address the complexity of the new disorder.
format Online
Article
Text
id pubmed-6882441
institution National Center for Biotechnology Information
language English
publishDate 2019
publisher Taylor & Francis
record_format MEDLINE/PubMed
spelling pubmed-68824412019-12-05 Symptom burden and work-related impairment among patients with PTSD and complex PTSD Brenner, Lorena Köllner, Volker Bachem, Rahel Eur J Psychotraumatol Clinical Research Article Background: The 11th revision of the International Classification of Diseases includes a new chapter of stress-related disorders and presents two distinct sibling conditions: Posttraumatic stress disorder (PTSD) and complex PTSD (CPTSD). Studies show that PTSD and CPTSD are associated with different levels of symptom burden, comorbidity and functional impairment, but have not yet addressed the qualitative and quantitative differences in work-related impairment between the two diagnoses. Objective: The aim of this study was to replicate differences in symptom severity, global distress, and the number of comorbid diagnoses between three groups that suffer from no PTSD, PTSD, or CPTSD. More importantly, we evaluated whether the three groups differ in indicators of functional impairment such as qualitative and quantitative working capacity. Finally, this study supplies information on prevalence rates of PTSD and CPTSD in a clinical sample suffering from psychosomatic complaints. Methods: Participants were 662 patients of a Psychosomatic Rehabilitation Clinic (age M = 50.99, SD 8.99 years; 70.1% female). Self-report screening instruments were administered to participants at the beginning of their inpatient psychotherapy. Multivariate analysis of variance and Chi Square tests were utilized to assess group differences in symptom severity, comorbidity and work-related impairment. Results: A prevalence of 13.3% CPTSD and 9.5% PTSD was found among the current sample. CPTSD was associated with heightened symptom burden and more comorbid diagnoses. More importantly, CPTSD was associated with a significantly lowered qualitative and quantitative working capacity compared to PTSD and no-PTSD. Conclusions: The high prevalence, greater psychopathological burden and work-related impairments in CPTSD compared to PTSD highlight the need for developing and evaluating new interventions in rehabilitation that address the complexity of the new disorder. Taylor & Francis 2019-11-27 /pmc/articles/PMC6882441/ /pubmed/31807235 http://dx.doi.org/10.1080/20008198.2019.1694766 Text en © 2019 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group. http://creativecommons.org/licenses/by-nc/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial License (http://creativecommons.org/licenses/by-nc/4.0/), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Clinical Research Article
Brenner, Lorena
Köllner, Volker
Bachem, Rahel
Symptom burden and work-related impairment among patients with PTSD and complex PTSD
title Symptom burden and work-related impairment among patients with PTSD and complex PTSD
title_full Symptom burden and work-related impairment among patients with PTSD and complex PTSD
title_fullStr Symptom burden and work-related impairment among patients with PTSD and complex PTSD
title_full_unstemmed Symptom burden and work-related impairment among patients with PTSD and complex PTSD
title_short Symptom burden and work-related impairment among patients with PTSD and complex PTSD
title_sort symptom burden and work-related impairment among patients with ptsd and complex ptsd
topic Clinical Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6882441/
https://www.ncbi.nlm.nih.gov/pubmed/31807235
http://dx.doi.org/10.1080/20008198.2019.1694766
work_keys_str_mv AT brennerlorena symptomburdenandworkrelatedimpairmentamongpatientswithptsdandcomplexptsd
AT kollnervolker symptomburdenandworkrelatedimpairmentamongpatientswithptsdandcomplexptsd
AT bachemrahel symptomburdenandworkrelatedimpairmentamongpatientswithptsdandcomplexptsd