ICD-11 complex PTSD among Israeli male perpetrators of intimate partner violence: Construct validity and risk factors. (March 2018)

• Record Type: Journal Article
• Authors: Gilbar, Ohad; Hyland, Philip; Cloitre, Marylene; Dekel, Rachel
• Is Part Of: Journal of anxiety disorders. Volume 54(2018:Mar.)
• Page Start: 49
• Page End: 56
• Publication Date: 2018-03
• Subjects: PTSD -- CPTSD -- ICD-11 -- International trauma questionnaire (ITQ) -- Intimate partner violence -- Confirmatory factor analysis (CFA); Anxiety -- Periodicals; Anxiety Disorders -- Periodicals; Angoisse -- Périodiques; Electronic journals; 616.8522
• DOI: 10.1016/j.janxdis.2018.01.004
• Languages: English
• ISSNs: 0887-6185

Abstract

Highlights: Confirmatory factor analyses supported the factorial validity of the ICD-ITQ. ICD-ITQ, Hebrew version, demonstrated satisfactory internal reliability. Cumulative childhood violence exposure was associated only with the DSO cluster. Introduces a consideration of the role of cultural variables in predicting CPTSD 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.