ICD-11 complex PTSD among Israeli male perpetrators of intimate partner violence: Construct validity and risk factors
Abstract
The International Classification of Diseases 11th Version (ICD-11) will include Complex Posttraumatic Stress Disorder (CPTSD) as a unique diagnostic entity comprising core PTSD and DSO (disturbances in self-organization) symptoms. The current study had three aims: (1) assessing the validity of CPTSD in a unique population of male perpetrators of intimate partner violence; (2) examining whether exposure to different types of traumatic events would be associated with the two proposed CPTSD factors, namely PTSD or DSO; and (3) assessing the differential association of various sociodemographic and symptom characteristics with each factor. Participants were 234 males drawn randomly from a sample of 2600 men receiving treatment at 66 domestic violence centers in Israel. Data were collected using the International Trauma Questionnaire (ITQ) - Hebrew version. Confirmatory factor analysis supported the factorial validity of ICD-11 CPTSD. Cumulative lifetime trauma and physical childhood neglect were associated with PTSD and DSO, while cumulative childhood violence exposure was associated only with DSO. Anxiety was associated only with DSO; depression more strongly with DSO than PTSD. Religious level contributed only to PTSD; compulsory military service only to DSO. The study supports the distinction between PTSD and DSO in the CPTSD construct and introduces the role of cultural variables.
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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 [54]
The discussion (p. 7) links cumulative childhood violence to the DSO symptom cluster of CPTSD, and the paper reports that several earlier studies found associations between chronic or cumulative childhood trauma and CPTSD. But it describes the wider evidence as mixed, does not establish an incremental dose-response relationship, and says its measures did not capture how frequent or prolonged traumatic experiences were. Its findings therefore do not support the full claim about repeated demonstration across childhood and adulthood. (LLM, conf=0.86)
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References 52 · Cited by 66
Research works printed but not linked: 5
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- Authors
- Gilbar, O., Hyland, P., Cloitre, M., & Dekel, R.
- Affiliations
- Bar-Ilan University (IL)
- National College of Ireland (IE)
- Corresponding author
- Gilbar, Ohad
- Venue
- Journal of Anxiety Disorders
- Publisher
- Elsevier BV
- Published
- 2018-03
- Volume
- 54
- Pages
- 49-56
- ISSN
- 0887-6185 (ISSN-L)
- OpenAlex
- W2793364713
- Cited by
- 66
- References
- 52
- Citations by year
- 2026: 3 · 2025: 6 · 2024: 11 · 2023: 6 · 2022: 9 · 2021: 12 · 2020: 9 · 2019: 7 · 2018: 3
- FWCI
- 9.12
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Anxiety Disorders (publishedVersion)
- PubMed (publishedVersion)
- Maynooth University ePrints and eTheses Archive (Maynooth University) (acceptedVersion)
- NORMA (acceptedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
- Social Sciences › Psychology › Clinical Psychology › Child Abuse and Trauma
- Social Sciences › Health › Intimate Partner and Family Violence
- Keywords
- complex PTSD, ICD-11, male perpetrators, intimate partner violence, domestic violence, disturbances in self-organization, construct validity, child neglect, childhood exposure to violence, cumulative trauma, depression, anxiety, religious affiliation, conscription, cultural factors
- MeSH terms
- Intimate Partner Violence, Exposure to Violence, Adult, Factor Analysis, Statistical, Humans, Israel, Male, Personality, Surveys and Questionnaires, Risk Factors, Stress Disorders, Post-Traumatic, International Classification of Diseases, Criminals
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