A longitudinal study of ICD-11 PTSD and complex PTSD in the general population of Israel
Open accessAbstract
The ICD-11 includes two trauma disorders: Posttraumatic Stress Disorder (PTSD) and Complex PTSD (CPTSD). CPTSD is a disorder comprised of PTSD and Disturbance in Self-Organization (DSO) symptoms. Evidence supports the construct validity of PTSD and CPTSD, however, the temporal stability of these constructs has rarely been tested. This study examined the diagnostic stability of PTSD and CPTSD, and the temporal associations between PTSD and DSO symptoms over a period of one-year. Data were collected from a nationally representative sample of Israeli adults (n = 1,003) and one year later a random half of this sample were reassessed (n = 543). There were no statistically significant changes in rates of PTSD (6.7%, 5.3%) and CPTSD (4.9%, 3.7%) over time. Latent variable cross-lagged analysis indicated that PTSD and DSO symptoms were stable over time and that DSO symptoms predicted subsequent PTSD symptoms. Results suggest that ICD-11 PTSD and CPTSD are stable constructs in the general population over a period of one year. We discuss the possibility that these findings are influenced by the specific cultural context of Israel. Additionally, given the stability and influence of DSO symptoms we discuss the potential value of psychological therapies that directly address these symptoms.
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Patients meeting criteria for cPTSD have more severe dissociative symptoms than patients meeting criteria for PTSD without DSO.
“Moreover, patients meeting criteria for cPTSD have been shown to have more severe dissociative symptoms than patients meeting criteria for PTSD without DSO [74].”
From Complex PTSD and borderline personality disorder (2021) · cites this paper as [74]
The Methods (§2.2.2) describe measures of PTSD and DSO symptoms, and the Results (§3.1) compare symptom scores over time. Neither reports dissociative symptoms or compares their severity between people with CPTSD and PTSD without DSO. Searches for dissociation and related terms found no supporting passage in our copy. (LLM, conf=0.75)
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- Authors
- Hyland, P., Karatzias, T., Shevlin, M., Cloitre, M., & Ben-Ezra, M.
- Affiliations
- National University of Ireland, Maynooth (IE)
- NHS Lothian (GB)
- University of Ulster (GB)
- Corresponding author
- Hyland, Philip
- Venue
- Psychiatry Research
- Publisher
- Elsevier BV
- Published
- 2020-04
- Volume
- 286
- Pages
- 112871
- ISSN
- 0165-1781 (ISSN-L)
- OpenAlex
- W3008867644
- Cited by
- 37
- References
- 29
- Citations by year
- 2026: 4 · 2025: 6 · 2024: 4 · 2023: 17 · 2022: 2 · 2021: 4
- FWCI
- 2.31
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Psychiatry Research (publishedVersion)
- PubMed (publishedVersion)
- Ulster University Research Portal (Ulster University) (publishedVersion, other-oa)
- Maynooth University ePrints and eTheses Archive (Maynooth University) (acceptedVersion)
- Edinburgh Napier Research Repository (Edinburgh Napier University) (acceptedVersion, cc-by-nc-nd)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
- Social Sciences › Psychology › Clinical Psychology › Migration, Health and Trauma
- Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
- Keywords
- post-traumatic stress disorder, complex PTSD, ICD-11, diagnostic stability, temporal stability, longitudinal change, general population, cross-cultural context, Israeli adults, psychotherapy
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