Complex PTSD in victims exposed to sexual and physical abuse: Results from the DSM‐IV field trial for posttraumatic stress disorder
Abstract
Two hundred thirty four participants in the DSM‐IV Posttraumatic Stress Disorder (PTSD) Field Trial who reported sexual and/or physical abuse were evaluated. Participants were categorized according to type of abuse (physical, sexual, both), duration of abuse (acute versus chronic), and onset of abuse (early versus late). Separate logistic regression analyses examined the relationship between age of onset, duration, abuse type, and the complex PTSD (CP) lifetime diagnosis for women and men. Sexually abused women, especially those who also experienced physical abuse, had a higher risk of developing CP, although CP symptoms occurred at a high base rate among physically abused women. The theoretical implications and incremental clinical usefulness of targeting CP symptoms with abused populations are discussed.
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Data from the DSM-IV field trials showed that nearly all of those who meet criteria for DESNOS also meet criteria for PTSD.
“Notably, the data from the DSM-IV field trials showed that nearly all of those who meet criteria for DESNOS also meet criteria for PTSD (Roth et al., 1997), supporting the proposed ICD-11 formulation of complex PTSD, which incorporates PTSD symptoms as a core component.”
From Evidence for proposed ICD-11 PTSD and complex PTSD: a latent profile analysis (2013) · cites this paper as Roth et al., 1997
Findings from the DSM-IV field trial revealed high rates of endorsement of symptoms representative of disturbances in affective, self, and relational domains among those with chronic trauma compared to participants with other types of trauma histories.
“Findings from the DSM-IV field trial revealed high rates of endorsement of symptoms representative of disturbances in affective, self, and relational domains among those with chronic trauma compared to participants with other types of trauma histories.”
From Evidence for proposed ICD-11 PTSD and complex PTSD: a latent profile analysis (2013) · cites this paper as Roth, Newman, Pelcovitz, Van der Kolk, & Mandel, 1997
The DSM-IV field trial for PTSD indicated that individuals who had experienced early and chronic interpersonal trauma reported a greater number and severity of DESNOS symptoms particularly related to emotion regulation difficulties, negative self-concept, and relational disturbances, in comparison to those without such a history.
“The DSM-IV field trial for PTSD 26,27 indicated that individuals who had experienced early and chronic interpersonal trauma reported a greater number and severity of DESNOS symptoms particularly related to emotion regulation difficulties, negative self-concept, and relational disturbances, in comparison to those without such a history.”
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References 31 · Cited by 581
- Authors
- Roth, S., Newman, E., Pelcovitz, D., van der Kolk, B., & Mandel, F. S.
- Affiliations
- Duke University (US)
- University of Tulsa (US)
- Cornell University (US)
- Corresponding author
- Roth, Susan
- Venue
- Journal of Traumatic Stress
- Publisher
- Wiley
- Published
- 1997-10
- Volume
- 10
- Issue
- 4
- Pages
- 539-555
- ISSN
- 0894-9867 (ISSN-L)
- 1573-6598
- OpenAlex
- W2004057429
- Cited by
- 581
- References
- 31
- Citations by year
- 2026: 6 · 2025: 8 · 2024: 16 · 2023: 8 · 2022: 14 · 2021: 20 · 2020: 61 · 2019: 13 · 2018: 16 · 2017: 16 · 2016: 26 · 2015: 21 · 2014: 36 · 2013: 30 · 2012: 26
- FWCI
- 12.65
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Traumatic Stress (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institutes of Health (5p01mh047200-03)
- National Institute of Mental Health (1 PO1 MH47200-01)
- 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, sexual abuse, physical abuse, childhood abuse, age of onset, abuse duration, abuse types, women, men
- MeSH terms
- Adaptation, Psychological, Adolescent, Adult, Aged, Child, Child Abuse, Child Abuse, Sexual, Combat Disorders, Evaluation Studies as Topic, Female, Humans, Life Change Events, Male, Middle Aged, Psychiatric Status Rating Scales, Psychometrics, Rape, Regression Analysis, Stress Disorders, Post-Traumatic, Violence, Reproducibility of Results
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