Complex posttraumatic stress disorder in patients exposed to emotional neglect and traumatic events: Latent class analysis.

Autor(en)

Marloes B. Eidhof, Manik J. Djelantik, Ellen R. Klaassens, Viktoria Kantor, Doris Rittmannsberger, Marieke Sleijpen, Anne Steenbakkers, Dina Weindl, Jackie June Ter Heide

Abstrakt

The inclusion of a complex posttraumatic stress disorder (CPTSD) diagnosis in the 11th revision of the International Classification of Diseases reflects growing evidence that a subgroup of individuals with PTSD also suffer from disturbances in emotion regulation, interpersonal skills, and self-concept, which together are termed "disturbances in self-organization" (DSO). Although CPTSD is assumed to result from exposure to complex traumatic events, emotional neglect may be an important contributor. This study investigated the presence of CPTSD, defined by endorsement of PTSD and DSO symptoms in a clinical postwar generation sample. The sample consisted of 218 patients who had been exposed to emotional neglect in childhood, a subgroup of whom had also been exposed to potentially traumatic events. Using items from the Harvard Trauma Questionnaire and the Brief Symptom Inventory, a latent class analysis revealed two classes: high endorsement of almost all CPTSD symptoms (n = 83; 38.1%) and low endorsement of all CPTSD symptoms (n = 135; 61.9%). Contrary to our hypothesis, no DSO-only class was found. The R3step method showed gender and number of traumatic events to be significant predictors of class membership. Compared to the low endorsement class, individuals in the CPTSD class were more likely to be female, p = .013, and to report a higher number of traumatic experiences, p < .001. The potential intermediary role of emotional neglect in the development of DSO and CPTSD is discussed.

Organisation(en)

Institut für Klinische und Gesundheitspsychologie

Externe Organisation(en)

ARQ National Psychotrauma Centre, Stichting Centrum '45, University of Groningen

Journal

Journal of Traumatic Stress

Band

32

Seiten

23-31

Anzahl der Seiten

9

ISSN

0894-9867

DOI

https://doi.org/10.1002/jts.22363

Publikationsdatum

02-2019

Peer-reviewed

Ja

ÖFOS 2012

501010 Klinische Psychologie

Schlagwörter

ASJC Scopus Sachgebiete

Psychiatry and Mental health, Clinical Psychology

Link zum Portal

https://ucrisportal.univie.ac.at/de/publications/3dc0b219-68ee-47b2-96fa-35c2cf189c22