Posttraumatic stress disorder (PTSD) and complex PTSD (CPTSD) as per ICD-11 proposals: A population study in Israel
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BACKGROUND: The current study sought to advance the existing literature by providing the first assessment of the factorial and discriminant validity of the ICD-11 proposals for posttraumatic stress disorder (PTSD) and complex PTSD (CPTSD) in a nationwide level. METHODS: A nationally representative sample from Israel (n = 1,003) using a disorder-specific measure (ITQ; International Trauma Questionnaire) in order to assess PTSD and CPTSD along with the Life Events Checklist and the World Health Organization Well-Being Index. RESULTS: Estimated prevalence rates of PTSD and CPTSD were 9.0 and 2.6%, respectively. The structural analyses indicated that PTSD and disturbances in self-organization symptom clusters were multidimensional, but not necessarily hierarchical, in nature and there were distinct classes that were consistent with PTSD and CPTSD. CONCLUSIONS: These results partially support the factorial validity and strongly support the discriminant validity of the ICD-11 proposals for PTSD and CPTSD in a nationally representative sample using a disorder-specific measure; findings also supported the international applicability of these diagnoses. Further research is required to determine the prevalence rates of PTSD and CPTSD in national representative samples across different countries and explore the predictive utility of different types of traumatic life events on PTSD and CPTSD.
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Chronic and cumulative exposure to multiple types of interpersonal trauma, especially in formative developmental periods in childhood but also including in adulthood, has repeatedly been shown to have an incremental dose-response relationship to cPTSD.
“Chronic and cumulative exposure to multiple types of interpersonal trauma, especially in formative developmental periods in childhood but also including in adulthood [35], has repeatedly been shown to have an incremental dose-response relationship to cPTSD [6, 12, 18, 20, 51, 52, 54, 75, 77, 87, 122, 155].”
From Complex PTSD and borderline personality disorder (2021) · cites this paper as [6]
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Complex PTSD symptoms mediate the association between childhood trauma and physical health problems
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Psychological trauma at different developmental stages and ICD-11 CPTSD: The role of dissociation
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Structure of ICD-11 complex PTSD and relationship with psychoform and somatoform dissociation
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- Authors
- Ben-Ezra, M., Karatzias, T., Hyland, P., Brewin, C. R., Cloitre, M., Bisson, J. I., Roberts, N. P., Lueger-Schuster, B., & Shevlin, M.
- Affiliations
- School of Social Work; Ariel University; Ariel Israel
- NHS Lothian (GB)
- National College of Ireland (IE)
- University College London (GB)
- National Center for PTSD; Veterans Affairs Palo Alto Health Care System; Palo Alto CA USA
- Cardiff University (GB)
- Cardiff and Vale University Health Board (GB)
- Faculty of Psychology; University of Vienna; Vienna Austria
- University of Ulster (GB)
- ORCID
- Venue
- Depression and Anxiety
- Publisher
- Wiley
- Published
- 2018-02-16
- Volume
- 35
- Issue
- 3
- Pages
- 264-274
- ISSN
- 1091-4269 (ISSN-L)
- OpenAlex
- W2787996484
- Cited by
- 241
- References
- 56
- Citations by year
- 2026: 27 · 2025: 38 · 2024: 22 · 2023: 24 · 2022: 34 · 2021: 31 · 2020: 38 · 2019: 18 · 2018: 8
- FWCI
- 27.85
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- Depression and Anxiety (publishedVersion, other-oa)
- PubMed (publishedVersion)
- ORCA Online Research @Cardiff (Cardiff University) (acceptedVersion)
- Maynooth University ePrints and eTheses Archive (Maynooth University) (acceptedVersion)
- NORMA (acceptedVersion)
- Edinburgh Napier Research Repository (Edinburgh Napier University) (submittedVersion, cc-by)
- UCL Discovery (University College London) (submittedVersion)
- ORCA Online Research @Cardiff (Cardiff University) (submittedVersion)
- Funders
- Ariel University (RA1700000037)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
- Social Sciences › Psychology › Clinical Psychology › Migration, Health and Trauma
- Social Sciences › Psychology › Clinical Psychology › Child Abuse and Trauma
- Keywords
- post-traumatic stress disorder, complex PTSD, ICD-11, diagnostic validity, factorial validity, discriminant validity, PTSD prevalence, International Trauma Questionnaire, Life Events Checklist, disturbances in self-organization, traumatic life events, well-being, Israel
- MeSH terms
- Adult, Female, Humans, Israel, Male, Middle Aged, Stress Disorders, Post-Traumatic, Reproducibility of Results, Prevalence, International Classification of Diseases, Young Adult
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