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Investigating post-traumatic stress disorder (PTSD) and complex PTSD among people with self-reported depressive symptoms

BACKGROUND: Trauma has been increasingly linked to depression. Previous studies have suggested that comorbid post-traumatic stress disorder (PTSD) may be associated with poor outcomes in depression treatment. However, the prevalence and correlates of ICD-11 PTSD and complex PTSD (CPTSD) in people wi...

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Autores principales: Fung, Hong Wang, Chien, Wai Tong, Lam, Stanley Kam Ki, Ross, Colin A.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9627202/
https://www.ncbi.nlm.nih.gov/pubmed/36339839
http://dx.doi.org/10.3389/fpsyt.2022.953001
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author Fung, Hong Wang
Chien, Wai Tong
Lam, Stanley Kam Ki
Ross, Colin A.
author_facet Fung, Hong Wang
Chien, Wai Tong
Lam, Stanley Kam Ki
Ross, Colin A.
author_sort Fung, Hong Wang
collection PubMed
description BACKGROUND: Trauma has been increasingly linked to depression. Previous studies have suggested that comorbid post-traumatic stress disorder (PTSD) may be associated with poor outcomes in depression treatment. However, the prevalence and correlates of ICD-11 PTSD and complex PTSD (CPTSD) in people with depression remain unclear. METHODS: This study examined the prevalence and correlates of ICD-11 PTSD and CPTSD in an online convenience sample of 410 adults from 18 different countries/regions who reported clinically significant levels of depressive symptoms (indicated by a Patient Health Questionnaire-9 score ≥10). RESULTS: According to the International Trauma Questionnaire results, 62.68% of participants met the ICD-11 criteria for PTSD/CPTSD (5.6% PTSD, 57.1% CPTSD). Participants with CPTSD reported more types of trauma and higher levels of interpersonal stress than those without PTSD. Participants with CPTSD also reported higher levels of mental health problems, including depressive, dissociative and psychotic symptoms, than those without PTSD. Only disturbances in self-organization (DSO) symptoms but not classical PTSD symptoms had a significant relationship with depressive symptoms, when other major variables (including trauma, interpersonal stress, and comorbid psychotic and dissociative symptoms) were controlled for. CONCLUSIONS: Trauma-related symptoms should be regularly screened for in clients who report depressive symptoms. Depressed clients who have comorbid trauma disorders have more trauma and interpersonal stress and exhibit more severe mental health problems. They may require specific trauma-focused interventions in addition to standard depression treatments.
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spelling pubmed-96272022022-11-03 Investigating post-traumatic stress disorder (PTSD) and complex PTSD among people with self-reported depressive symptoms Fung, Hong Wang Chien, Wai Tong Lam, Stanley Kam Ki Ross, Colin A. Front Psychiatry Psychiatry BACKGROUND: Trauma has been increasingly linked to depression. Previous studies have suggested that comorbid post-traumatic stress disorder (PTSD) may be associated with poor outcomes in depression treatment. However, the prevalence and correlates of ICD-11 PTSD and complex PTSD (CPTSD) in people with depression remain unclear. METHODS: This study examined the prevalence and correlates of ICD-11 PTSD and CPTSD in an online convenience sample of 410 adults from 18 different countries/regions who reported clinically significant levels of depressive symptoms (indicated by a Patient Health Questionnaire-9 score ≥10). RESULTS: According to the International Trauma Questionnaire results, 62.68% of participants met the ICD-11 criteria for PTSD/CPTSD (5.6% PTSD, 57.1% CPTSD). Participants with CPTSD reported more types of trauma and higher levels of interpersonal stress than those without PTSD. Participants with CPTSD also reported higher levels of mental health problems, including depressive, dissociative and psychotic symptoms, than those without PTSD. Only disturbances in self-organization (DSO) symptoms but not classical PTSD symptoms had a significant relationship with depressive symptoms, when other major variables (including trauma, interpersonal stress, and comorbid psychotic and dissociative symptoms) were controlled for. CONCLUSIONS: Trauma-related symptoms should be regularly screened for in clients who report depressive symptoms. Depressed clients who have comorbid trauma disorders have more trauma and interpersonal stress and exhibit more severe mental health problems. They may require specific trauma-focused interventions in addition to standard depression treatments. Frontiers Media S.A. 2022-10-19 /pmc/articles/PMC9627202/ /pubmed/36339839 http://dx.doi.org/10.3389/fpsyt.2022.953001 Text en Copyright © 2022 Fung, Chien, Lam and Ross. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Psychiatry
Fung, Hong Wang
Chien, Wai Tong
Lam, Stanley Kam Ki
Ross, Colin A.
Investigating post-traumatic stress disorder (PTSD) and complex PTSD among people with self-reported depressive symptoms
title Investigating post-traumatic stress disorder (PTSD) and complex PTSD among people with self-reported depressive symptoms
title_full Investigating post-traumatic stress disorder (PTSD) and complex PTSD among people with self-reported depressive symptoms
title_fullStr Investigating post-traumatic stress disorder (PTSD) and complex PTSD among people with self-reported depressive symptoms
title_full_unstemmed Investigating post-traumatic stress disorder (PTSD) and complex PTSD among people with self-reported depressive symptoms
title_short Investigating post-traumatic stress disorder (PTSD) and complex PTSD among people with self-reported depressive symptoms
title_sort investigating post-traumatic stress disorder (ptsd) and complex ptsd among people with self-reported depressive symptoms
topic Psychiatry
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9627202/
https://www.ncbi.nlm.nih.gov/pubmed/36339839
http://dx.doi.org/10.3389/fpsyt.2022.953001
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