Cited by 37Posttraumatic Stress Disorder ResearchChild Abuse and TraumaPsychoanalysis and Psychopathology Research

From child maltreatment to ICD‐11 complex post‐traumatic stress symptoms: The role of emotion regulation and re‐victimisation

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Knefel, Matthias, Lueger‐Schuster, Brigitte, Karatzias, Thanos, Shevlin, Mark, Hyland, Phil·2019·Journal of Clinical Psychology

Abstract

Objective: Complex post‐traumatic stress disorder (CPTSD) will be introduced in ICD‐11 and comprises symptoms of PTSD and disturbances in self‐organisation (DSO). The association of trauma with PTSD and DSO is not yet fully understood. We investigated the path from child maltreatment to PTSD and DSO and examined the mediating role of emotion regulation (ER) and adult interpersonal re‐victimisation. Method: Adult patients (N = 193) from a Scottish National Health Service clinic participated in the project. Participants completed measures of life events, ICD‐11 PTSD and CPTSD, and ER. Path analysis was used to assess possible direct and indirect effects from childhood trauma on current post‐traumatic psychopathology. Results: Overall results indicate that the path from child maltreatment to PTSD is a direct one, while the path to DSO is indirectly mediated by ER. Conclusions: Future research should address the potentially beneficial effect of treatment protocols for CPTSD explicitly aiming at reducing ER difficulties.

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Authors
Knefel, M., Lueger‐Schuster, B., Karatzias, T., Shevlin, M., & Hyland, P.
Affiliations
  • University of Vienna (AT)
  • NHS Lothian (GB)
  • University of Ulster (GB)
  • National College of Ireland (IE)
Corresponding author
Knefel, Matthias
Venue
Journal of Clinical Psychology
Publisher
Wiley
Published
2018-06-22
Volume
75
Issue
3
Pages
392-403
ISSN
  • 0021-9762 (ISSN-L)
  • 1097-4679
OpenAlex
W2809487273
Cited by
37
References
47
Citations by year
2026: 5 · 2025: 5 · 2024: 7 · 2023: 3 · 2022: 5 · 2021: 5 · 2020: 4 · 2019: 3
FWCI
3.52
Type
journal article
Language
en
Open access
Locations
  • Journal of Clinical Psychology (publishedVersion, cc-by)
  • Europe PMC (PubMed Central) (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • Maynooth University ePrints and eTheses Archive (Maynooth University) (acceptedVersion)
  • NORMA (acceptedVersion)
  • Edinburgh Napier Research Repository (Edinburgh Napier University) (submittedVersion, cc-by)
  • TRAP@NCI (National College of Ireland) (submittedVersion)
Topics
  • Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
  • Social Sciences › Psychology › Clinical Psychology › Child Abuse and Trauma
  • Social Sciences › Psychology › Clinical Psychology › Psychoanalysis and Psychopathology Research
Keywords
complex PTSD, child abuse, emotion regulation, revictimization, ICD-11, post-traumatic stress disorder, childhood trauma, mediation
MeSH terms
Adverse Childhood Experiences, Emotional Regulation, Adult, Female, Humans, Male, Middle Aged, Stress Disorders, Post-Traumatic, Crime Victims, International Classification of Diseases, Adult Survivors of Child Abuse

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