ICD-11 PTSD and complex PTSD in treatment-seeking Danish veterans: a latent profile analysis. Issue 1 (31st December 2019)

• Record Type: Journal Article
• Authors: Folke, Sofie; Nielsen, Anni B. S.; Andersen, Søren Bo; Karatzias, Thanos; Karstoft, Karen-Inge
• Is Part Of: European journal of psychotraumatology. Volume 10:Issue 1(2019)
• Publication Date: 2019-12-31
• Subjects: ICD-11 -- posttraumatic stress disorder (PTSD) and complex posttraumatic stress disorder (CPTSD) -- military veterans -- treatment-seeking persons -- latent profile analysis; CIE-11 -- Trastorno de Estrés Postraumático (TEPT) y Trastorno de Estrés Postraumático Complejo (TEPT-C) -- veteranos militares -- personas en busca de tratamiento -- análisis de perfil latente; ICD-11 -- 创伤后应激障碍（PTSD）和复杂性创伤后应激障碍（CPTSD） -- 退伍军人 -- 寻求治疗者 -- 潜在剖面分析; Post-traumatic stress disorder -- Periodicals; Stress Disorders, Post-Traumatic; Post-traumatic stress disorder; Electronic journals; Periodicals; Periodicals; Fulltext; Internet Resources; Periodicals; 616.8521
• DOI: 10.1080/20008198.2019.1686806
• Languages: English
• ISSNs: 2000-8198

Abstract

ABSTRACT: Background : The WHO International Classification of Diseases, 11th version (ICD-11), includes a trauma-related diagnosis of complex posttraumatic stress disorder (CPTSD) distinct from posttraumatic stress disorder (PTSD). Results from previous studies support the validity of this distinction. However, no studies to date have evaluated the ICD-11 model of PTSD and CPTSD in treatment-seeking military veterans. Objective : To determine if the distribution of symptoms in treatment-seeking Danish veterans was consistent with the ICD-11 PTSD and CPTSD symptom profiles. Based on previous studies, we hypothesized that separate classes representing PTSD and CPTSD would be found that membership of a potential CPTSD-class would be predicted by a larger number of childhood traumas, and that a potential distinction between PTSD and CPTSD would be supported by differences in sociodemographic and functional outcomes. Method : Participants (N = 1, 541) were formerly deployed Danish soldiers who completed proxy measures of ICD-11 PTSD and disturbances in self-organization (DSO) symptoms, along with self-report measures of traumatic life events, prior to starting treatment at the Military Psychology Department of the Danish Defence. Results : All hypotheses were supported. Latent profile analysis (LPA) revealed separate classes representing PTSD and CPTSD. In comparison to the PTSD-class, membership of the CPTSD-class was predicted by more childhood traumatic experiences, and members of this class were more likely being single/divorced/widowed and more likely to use psychotropic medication. Besides a PTSD-class and a CPTSD-class, LPA revealed a Low Symptoms-class, a Moderate DSO-class, a Hyperarousal-class, and a High DSO-class, with clear differences in functional outcomes between classes. Conclusion : Findings replicate previous studies supporting the distinction between ICD-11 PTSD and CPTSD. In addition, there seem to be groups of treatment-seeking military veterans that do not fulfil full criteria for a trauma-related disorder. Further research should explore subsyndromal PTSD and CPTSD profiles in veterans and other populations. HIGHLIGHTS: The present study evaluated the ICD-11 model of PTSD and CPTSD in a sample of treatment-seeking military veterans. Latent profile analysis revealed a CPTSD-class, a PTSD-class, a High DSO-class, a Hyperarousal-class, a Moderate DSO-class, and a Low Symptoms-class. CPTSD is a more debilitating condition than PTSD. Compared to the PTSD-class, membership of the CPTSD-class was predicted by increased exposure to childhood traumatic experiences.