CoChat
Sign Up
Cited by 156Posttraumatic Stress Disorder ResearchChild Abuse and TraumaPsychoanalysis and Psychopathology Research

Complex PTSD as proposed for ICD ‐11: validation of a new disorder in children and adolescents and their response to Trauma‐Focused Cognitive Behavioral Therapy

Sachser, Cedric, Keller, Ferdinand, Goldbeck, Lutz·2017·Journal of Child Psychology and Psychiatry
DOI 10.1111/jcpp.12640
Open this paper in CoChat — free account

Abstract

Background: To evaluate whether the symptoms of children and adolescents with clinically significant posttraumatic stress symptoms ( PTSS ) form classes consistent with the diagnostic criteria of complex PTSD ( CPTSD ) as proposed for the ICD ‐11, and to relate the emerging classes with treatment outcome of Trauma‐Focused Cognitive Behavioral Therapy ( TF ‐ CBT ). Methods: Latent classes analysis ( LCA ) was used to explore the symptom profiles of the clinical baseline assessment of N = 155 children and adolescents participating in a randomized controlled trial of TF ‐ CBT . The treatment outcomes of patients with posttraumatic stress disorder ( PTSD ) and of patients with CPTSD were compared by a t ‐test for depended samples and a repeated‐measures ANOVA . Results: The LCA revealed two distinct classes: a PTSD class characterized by elevated core symptoms of PTSD ( n = 62) and low symptoms of disturbances in self‐organization versus a complex PTSD class with elevated PTSD core symptoms and elevated symptoms of disturbances in self‐organization ( n = 93). The Group × Time interaction regarding posttraumatic stress symptoms was not significant. Pre–post effect sizes regarding posttraumatic stress symptoms were large for both groups ( PTSD : d = 2.81; CPTSD : d = 1.37). For disturbances in self‐organization in the CPTSD class, we found medium to large effect sizes ( d = 0.40–1.16) after treatment with TF ‐ CBT . Conclusions: The results provide empirical evidence of the ICD ‐11 CPTSD and PTSD distinction in a clinical sample of children and adolescents. In terms of relative improvement from their respective baseline posttraumatic stress symptoms, patients with PTSD and CPTSD responded equally to TF ‐ CBT ; however, those with CPTSD ended treatment with clinically and statistically greater symptoms than those with PTSD .

Integrity signals

Registry

Crossref · 10.1111/jcpp.12640

Cites

37 of 37 references verified0 citation errors · 0 not checkable

Statistics

Recomputing p-values needs the paper’s full text.

Claims the paper makes

This paper’s full text isn’t openly available, so its claims and self-check weren’t run. The registry and citation checks still apply.

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

Cites

Flagged first, then by citations

1 of the 38 references couldn’t be matched to a known paper.

Cited by

Sorted by citations

Related

Authors
Sachser, C., Keller, F., & Goldbeck, L.
Affiliations
Universität Ulm (DE)
Corresponding author
Sachser, Cedric
ORCID
Venue
Journal of Child Psychology and Psychiatry
Publisher
Wiley
Published
2016-09-28
Volume
58
Issue
2
Pages
160-168
ISSN
  • 0021-9630 (ISSN-L)
  • 1469-7610
DOI
10.1111/jcpp.12640
OpenAlex
W2524881623
Cited by
156
References
38
Citations by year
2026: 16 · 2025: 7 · 2024: 22 · 2023: 16 · 2022: 18 · 2021: 20 · 2020: 21 · 2019: 20 · 2018: 8 · 2017: 7 · 2012: 1
FWCI
15.60
Type
journal article
Language
en
Open access
closed
Licence
onlinelibrary.wiley.com/termsAndConditions#vor (vor)
Locations
  • Journal of Child Psychology and Psychiatry (publishedVersion)
  • PubMed (publishedVersion)
Funders
  • Bundesministerium für Bildung und Forschung (01GY1141)
  • European Commission
  • Bundesministerium für Gesundheit
  • Deutsche Krebshilfe
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, ICD-11, post-traumatic stress disorder, children and adolescents, trauma-focused cognitive behavioral therapy, disturbances in self-organization, symptom profiles, latent class analysis, treatment outcomes, diagnostic classification
MeSH terms
Adolescent, Child, Female, Humans, Male, Stress Disorders, Post-Traumatic, Cognitive Behavioral Therapy, Outcome Assessment, Health Care, International Classification of Diseases

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

Are you an author, or do you see a problem with this page? Request a review