Los traumas tempranos y repetidos en el contexto de las relaciones de apego impactan de una manera dramática en el desarrollo de los niños/as, generando una diversidad de manifestaciones psicopatológicas complejas, que se incluyen en la última versión de la Clasificación Internacional de Enfermedades (CIE-11) como un diagnóstico nuevo denominado Trastorno por Estrés Postraumático Complejo (TEPT-C). Los objetivos del presente trabajo fueron, por un lado, ofrecer una revisión de la sintomatología postraumática que se desarrolla por la exposición a estos eventos traumáticos, y, por otro, recapitular la evidencia empírica existente del TEPT-C o Trastorno Traumático del Desarrollo (TTD). Los resultados de los estudios revisados confirman la presencia de síntomas extensos y heterogéneos, así como graves alteraciones en la autorregulación (afectiva, cognitiva y conductual), que se ajustan a un TEPT Complejo o TTD, por lo que los datos existentes apoyarían la validez de dichos diagnósticos. Palabras clave: Trauma complejo, Trastorno traumático del desarrollo, Maltrato.Repeated and early attachment trauma has a huge impact on children's development, producing a wide range of psychopathology, which is included as a new diagnosis called complex posttraumatic stress disorder (CPTSD) in the 11th revision to the World Health Organization's International Classification of Diseases (ICD-11). The aim of this study is to provide a review of the posttraumatic symptomatology caused by exposure to complex traumatic events and to summarize the existing empirical evidence on CPTSD and developmental trauma disorder (DTD). The results of the reviewed studies confirm the presence of extensive and heterogeneous symptoms, as well as serious affective, cognitive, and behavioral self-regulation alterations, which correspond to complex PTSD or DTD. Therefore, the current data support the validity of these diagnostic proposals.
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