Cargando…
Trauma exposure and co‐occurring ICD‐11 post‐traumatic stress disorder and complex post‐traumatic stress disorder in adults with lived experience of psychiatric disorder
OBJECTIVE: To establish factors associated with ICD‐11 post‐traumatic stress disorder (PTSD) and complex PTSD (CPTSD) in a large sample of adults with lived experience of psychiatric disorder and examine the psychiatric burden associated with the two disorders. METHODS: One thousand three hundred an...
Autores principales: | , , , , , , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
John Wiley and Sons Inc.
2022
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9543812/ https://www.ncbi.nlm.nih.gov/pubmed/35752949 http://dx.doi.org/10.1111/acps.13467 |
_version_ | 1784804461233831936 |
---|---|
author | Lewis, Catrin Lewis, Katie Roberts, Alice Edwards, Bethan Evison, Claudia John, Ann Meudell, Alan Parry, Patrick Pearce, Holly Richards, Natalie Jones, Ian Bisson, Jonathan I. |
author_facet | Lewis, Catrin Lewis, Katie Roberts, Alice Edwards, Bethan Evison, Claudia John, Ann Meudell, Alan Parry, Patrick Pearce, Holly Richards, Natalie Jones, Ian Bisson, Jonathan I. |
author_sort | Lewis, Catrin |
collection | PubMed |
description | OBJECTIVE: To establish factors associated with ICD‐11 post‐traumatic stress disorder (PTSD) and complex PTSD (CPTSD) in a large sample of adults with lived experience of psychiatric disorder and examine the psychiatric burden associated with the two disorders. METHODS: One thousand three hundred and five adults were recruited from the National Centre for Mental Health (NCMH) cohort. ICD‐11 PTSD/CPTSD were assessed with the International Trauma Questionnaire (ITQ). Binary logistic regression was used to determine factors associated with both PTSD and CPTSD. One‐way between‐groups analysis of variance was conducted to examine the burden associated with the two disorders in terms of symptoms of anxiety, depression, and psychological wellbeing. For post‐hoc pairwise comparisons, the Tukey HSD test was used, and the magnitude of between‐group differences assessed using Cohen's d. RESULTS: Probable ICD‐11 CPTSD was more common than PTSD within the sample (PTSD 2.68%; CPTSD 12.72%). We found evidence that PTSD was associated with interpersonal trauma and household income under £20,000 a year. CPTSD was also associated with interpersonal trauma, higher rates of personality disorder, and lower rates of bipolar disorder. Those with probable‐CPTSD had higher levels of current anxiety and depressive symptoms and lower psychological wellbeing in comparison to those with probable‐PTSD and those with neither disorder. CONCLUSIONS: CPTSD was more prevalent than PTSD in our sample of people with lived experience of psychiatric disorder. Our findings indicate a need for routine screening for trauma histories and PTSD/CPTSD in clinical settings and a greater focus on the need for interventions to treat CPTSD. |
format | Online Article Text |
id | pubmed-9543812 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | John Wiley and Sons Inc. |
record_format | MEDLINE/PubMed |
spelling | pubmed-95438122022-10-14 Trauma exposure and co‐occurring ICD‐11 post‐traumatic stress disorder and complex post‐traumatic stress disorder in adults with lived experience of psychiatric disorder Lewis, Catrin Lewis, Katie Roberts, Alice Edwards, Bethan Evison, Claudia John, Ann Meudell, Alan Parry, Patrick Pearce, Holly Richards, Natalie Jones, Ian Bisson, Jonathan I. Acta Psychiatr Scand Original Articles OBJECTIVE: To establish factors associated with ICD‐11 post‐traumatic stress disorder (PTSD) and complex PTSD (CPTSD) in a large sample of adults with lived experience of psychiatric disorder and examine the psychiatric burden associated with the two disorders. METHODS: One thousand three hundred and five adults were recruited from the National Centre for Mental Health (NCMH) cohort. ICD‐11 PTSD/CPTSD were assessed with the International Trauma Questionnaire (ITQ). Binary logistic regression was used to determine factors associated with both PTSD and CPTSD. One‐way between‐groups analysis of variance was conducted to examine the burden associated with the two disorders in terms of symptoms of anxiety, depression, and psychological wellbeing. For post‐hoc pairwise comparisons, the Tukey HSD test was used, and the magnitude of between‐group differences assessed using Cohen's d. RESULTS: Probable ICD‐11 CPTSD was more common than PTSD within the sample (PTSD 2.68%; CPTSD 12.72%). We found evidence that PTSD was associated with interpersonal trauma and household income under £20,000 a year. CPTSD was also associated with interpersonal trauma, higher rates of personality disorder, and lower rates of bipolar disorder. Those with probable‐CPTSD had higher levels of current anxiety and depressive symptoms and lower psychological wellbeing in comparison to those with probable‐PTSD and those with neither disorder. CONCLUSIONS: CPTSD was more prevalent than PTSD in our sample of people with lived experience of psychiatric disorder. Our findings indicate a need for routine screening for trauma histories and PTSD/CPTSD in clinical settings and a greater focus on the need for interventions to treat CPTSD. John Wiley and Sons Inc. 2022-07-13 2022-09 /pmc/articles/PMC9543812/ /pubmed/35752949 http://dx.doi.org/10.1111/acps.13467 Text en © 2022 The Authors. Acta Psychiatrica Scandinavica published by John Wiley & Sons Ltd. https://creativecommons.org/licenses/by/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Original Articles Lewis, Catrin Lewis, Katie Roberts, Alice Edwards, Bethan Evison, Claudia John, Ann Meudell, Alan Parry, Patrick Pearce, Holly Richards, Natalie Jones, Ian Bisson, Jonathan I. Trauma exposure and co‐occurring ICD‐11 post‐traumatic stress disorder and complex post‐traumatic stress disorder in adults with lived experience of psychiatric disorder |
title | Trauma exposure and co‐occurring ICD‐11 post‐traumatic stress disorder and complex post‐traumatic stress disorder in adults with lived experience of psychiatric disorder |
title_full | Trauma exposure and co‐occurring ICD‐11 post‐traumatic stress disorder and complex post‐traumatic stress disorder in adults with lived experience of psychiatric disorder |
title_fullStr | Trauma exposure and co‐occurring ICD‐11 post‐traumatic stress disorder and complex post‐traumatic stress disorder in adults with lived experience of psychiatric disorder |
title_full_unstemmed | Trauma exposure and co‐occurring ICD‐11 post‐traumatic stress disorder and complex post‐traumatic stress disorder in adults with lived experience of psychiatric disorder |
title_short | Trauma exposure and co‐occurring ICD‐11 post‐traumatic stress disorder and complex post‐traumatic stress disorder in adults with lived experience of psychiatric disorder |
title_sort | trauma exposure and co‐occurring icd‐11 post‐traumatic stress disorder and complex post‐traumatic stress disorder in adults with lived experience of psychiatric disorder |
topic | Original Articles |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9543812/ https://www.ncbi.nlm.nih.gov/pubmed/35752949 http://dx.doi.org/10.1111/acps.13467 |
work_keys_str_mv | AT lewiscatrin traumaexposureandcooccurringicd11posttraumaticstressdisorderandcomplexposttraumaticstressdisorderinadultswithlivedexperienceofpsychiatricdisorder AT lewiskatie traumaexposureandcooccurringicd11posttraumaticstressdisorderandcomplexposttraumaticstressdisorderinadultswithlivedexperienceofpsychiatricdisorder AT robertsalice traumaexposureandcooccurringicd11posttraumaticstressdisorderandcomplexposttraumaticstressdisorderinadultswithlivedexperienceofpsychiatricdisorder AT edwardsbethan traumaexposureandcooccurringicd11posttraumaticstressdisorderandcomplexposttraumaticstressdisorderinadultswithlivedexperienceofpsychiatricdisorder AT evisonclaudia traumaexposureandcooccurringicd11posttraumaticstressdisorderandcomplexposttraumaticstressdisorderinadultswithlivedexperienceofpsychiatricdisorder AT johnann traumaexposureandcooccurringicd11posttraumaticstressdisorderandcomplexposttraumaticstressdisorderinadultswithlivedexperienceofpsychiatricdisorder AT meudellalan traumaexposureandcooccurringicd11posttraumaticstressdisorderandcomplexposttraumaticstressdisorderinadultswithlivedexperienceofpsychiatricdisorder AT parrypatrick traumaexposureandcooccurringicd11posttraumaticstressdisorderandcomplexposttraumaticstressdisorderinadultswithlivedexperienceofpsychiatricdisorder AT pearceholly traumaexposureandcooccurringicd11posttraumaticstressdisorderandcomplexposttraumaticstressdisorderinadultswithlivedexperienceofpsychiatricdisorder AT richardsnatalie traumaexposureandcooccurringicd11posttraumaticstressdisorderandcomplexposttraumaticstressdisorderinadultswithlivedexperienceofpsychiatricdisorder AT jonesian traumaexposureandcooccurringicd11posttraumaticstressdisorderandcomplexposttraumaticstressdisorderinadultswithlivedexperienceofpsychiatricdisorder AT bissonjonathani traumaexposureandcooccurringicd11posttraumaticstressdisorderandcomplexposttraumaticstressdisorderinadultswithlivedexperienceofpsychiatricdisorder |