Factor structures of Complex Posttraumatic Stress Disorder and PTSD in a community sample of refugees from West Papua

Tay, Alvin Kuowei; Mohsin, Mohammed; Rees, Susan; Tam, Natalino; Kareth, Moses; Silove, Derrick

doi:10.1016/j.comppsych.2018.05.001

Cited by 33Posttraumatic Stress Disorder ResearchMigration, Health and TraumaPsychoanalysis and Psychopathology Research

Factor structures of Complex Posttraumatic Stress Disorder and PTSD in a community sample of refugees from West Papua

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Tay, Alvin Kuowei, Mohsin, Mohammed, Rees, Susan, Tam, Natalino, Kareth, Moses, Silove, Derrick·2018·Comprehensive Psychiatry

DOI 10.1016/j.comppsych.2018.05.001

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Abstract

Objectives The intention to include a category of Complex Posttraumatic Stress Disorder (CPTSD) in ICD-11 has renewed interest in this construct. Although growing evidence from high income countries supports the construct validity of CPTSD, little parallel research has been undertaken across cultures. We tested theoretically supported CPTSD structures (a one-factor, six-factor, one-factor higher-order, and two-factor higher order structure) in a community sample of West Papuan refugees living in a remote town, Kiunga, in Papua New Guinea (PNG).Procedures A community-wide survey was conducted (2016-2017; response rate 85.5%) amongst 486 West Papuans. Culturally adapted measures were applied to assess cumulative traumatic exposure, postmigration living difficulties (PMLDs), CPTSD symptoms, and functional impairment.Findings A six factor structure for CPTSD provided the best fit to the data, consistent with our past study amongst West Papuans.Conclusions The cross-cultural validity of our findings is supported by the isolation of West Papuan participants from services treating traumatic stress. To further support the universal applicability of CPTSD, our findings need to be confirmed amongst other refugee groups from diverse cultural backgrounds.

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Studies with certain populations have not found this higher-level organization of complex PTSD symptoms.
“It should be noted that studies with certain populations have not found this higher-level organization e.g.,43 , a finding that is of interest and requires further investigation.”
From Emerging experience with selected new categories in the <scp>ICD</scp>‐11: complex <scp>PTSD</scp>, prolonged grief disorder, gaming disorder, and compulsive sexual behaviour disorder (2022) · cites this paper as [43]

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Authors: Tay, A. K., Mohsin, M., Rees, S., Tam, N., Kareth, M., & Silove, D.
Affiliations: UNSW Sydney (AU)
Corresponding author: Tay, Alvin Kuowei
ORCID: Tay, Alvin Kuowei
Mohsin, Mohammed
Rees, Susan
Silove, Derrick
Venue: Comprehensive Psychiatry
Publisher: Elsevier BV
Published: 2018-08
Volume: 85
Pages: 15-22
ISSN: 0010-440X (ISSN-L)
DOI: 10.1016/j.comppsych.2018.05.001
OpenAlex: W2803739227
Cited by: 33
References: 45
Citations by year: 2026: 2 · 2024: 11 · 2023: 3 · 2022: 5 · 2021: 4 · 2020: 2 · 2019: 6
FWCI: 3.53
Type: journal article
Language: en
Open access: bronze
doi.org
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations: Comprehensive Psychiatry (publishedVersion)
PubMed (publishedVersion)
UNSWorks (UNSW Sydney) (submittedVersion, cc-by-nc-nd)
DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
Topics: Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
Social Sciences › Psychology › Clinical Psychology › Migration, Health and Trauma
Social Sciences › Psychology › Clinical Psychology › Psychoanalysis and Psychopathology Research
Keywords: complex PTSD, post-traumatic stress disorder, factor structure, cross-cultural validity, ICD-11, functional disability, DSM-5 PTSD criteria, remote communities
MeSH terms: Adult, Factor Analysis, Statistical, Female, Humans, Indonesia, Male, Papua New Guinea, Refugees, Stress Disorders, Post-Traumatic

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Factor structures of Complex Posttraumatic Stress Disorder and PTSD in a community sample of refugees from West Papua

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