ICD-11 Trauma Questionnaires for PTSD and Complex PTSD: Validation among Civilians and Former Abducted Children in Northern Uganda

Dokkedah, Sarah; Oboke, Henry; Ovuga, Emilio; Elklit, Ask

doi:10.4172/2378-5756.1000335

Cited by 10 publications

(29 citation statements)

References 16 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…However, at the time of planning the current study, no instrument was yet available to assess the proposed ICD-11 criteria (Brewin et al, 2009; Maercker et al, 2013). We are aware that in the meantime an instrument assessing the proposed ICD-11 criteria was developed (Cloitre, Roberts, Bisson, & Brewin, 2015) that has been used in recent research (Dokkedahl, Oboke, Ovuga, & Elklit, 2015). However, this instrument has not been well enough established and validated up to now.…”

Section: Discussionmentioning

confidence: 99%

Comparison of DSM-5 and proposed ICD-11 criteria for PTSD with DSM-IV and ICD-10: changes in PTSD prevalence in military personnel

Kuester

Köhler²,

Ehring

et al. 2017

European Journal of Psychotraumatology

View full text Add to dashboard Cite

Background: Recently, changes have been introduced to the diagnostic criteria for posttraumatic stress disorder (PTSD) according to the Diagnostic and Statistical Manual of Mental Disorders (DSM) and the International Classification of Diseases (ICD). Objectives:This study investigated the effect of the diagnostic changes made from DSM-IV to DSM-5 and from ICD-10 to the proposed ICD-11. The concordance of provisional PTSD prevalence between the diagnostic criteria was examined in a convenience sample of 100 members of the German Armed Forces. Method: Based on questionnaire measurements, provisional PTSD prevalence was assessed according to DSM-IV, DSM-5, ICD-10, and proposed ICD-11 criteria. Consistency of the diagnostic status across the diagnostic systems was statistically evaluated. Results: Provisional PTSD prevalence was the same for DSM-IV and DSM-5 (both 56%) and comparable under DSM-5 versus ICD-11 proposal (48%). Agreement between DSM-IV and DSM-5, and between DSM-5 and the proposed ICD-11, was high (both p < .001). Provisional PTSD prevalence was significantly increased under ICD-11 proposal compared to ICD-10 (30%) which was mainly due to the deletion of the time criterion. Agreement between ICD-10 and the proposed ICD-11 was low (p = .014). Conclusion: This study provides preliminary evidence for a satisfactory concordance between provisional PTSD prevalence based on the diagnostic criteria for PTSD that are defined using DSM-IV, DSM-5, and proposed ICD-11. This supports the assumption of a set of PTSD core symptoms as suggested in the ICD-11 proposal, when at the same time a satisfactory concordance between ICD-11 proposal and DSM was given. The finding of increased provisional PTSD prevalence under ICD-11 proposal in contrast to ICD-10 can be of guidance for future epidemiological research on PTSD prevalence, especially concerning further investigations on the impact, appropriateness, and usefulness of the time criterion included in ICD-10 versus the consequences of its deletion as proposed for ICD-11.

show abstract

Section: Discussionmentioning

confidence: 99%

Comparison of DSM-5 and proposed ICD-11 criteria for PTSD with DSM-IV and ICD-10: changes in PTSD prevalence in military personnel

Kuester

Köhler²,

Ehring

et al. 2017

European Journal of Psychotraumatology

View full text Add to dashboard Cite

show abstract

“…However, most of this research has been restricted to high-income countries (HICs), whereas significantly fewer studies have analysed samples from low- and middle-income countries (LMICs); e.g. Uganda (Dokkedahl, Ovuga, & Elklit, 2015 ; Murphy, Elklit, Dokkedahl, & Shevlin, 2016 , 2018 ); Angola (Rocha et al, 2019 ); Ghana, Kenya, and Nigeria (Ben-Ezra et al, 2020 ; Owczarek et al, 2020 ); Ukraine (McElroy et al, 2019 ; Shevlin et al, 2018 ); and Lebanon (Hyland et al, 2018 ; Vallières et al, 2018 ). Further research in LMICs is therefore necessary to determine whether ICD-11 criteria for PTSD and CPTSD are internationally relevant.…”

Section: Introductionmentioning

confidence: 99%

“…Consistent with aetiological factors associated with CPTSD, trauma experience in these settings is therefore likely to be protracted and impact both adults and children. For example, approximately 40% of adult participants in samples from northern Uganda were abducted in the 1980s as child soldiers, and civil conflict is ongoing in the region (Dokkedahl et al, 2015 ; Murphy et al, 2016 , 2018 ). In the case of South Africa, many people live in communities that are hubs of ongoing trauma, where violence is persistent and pervasive (Kaminer, Eagle, & Crawford-Browne, 2018 ), and many trauma survivors are children (Artz et al, 2016 ; Hsiao et al, 2018 ).…”

Section: Introductionmentioning

confidence: 99%

Evidence of distinct profiles of ICD-11 post-traumatic stress disorder (PTSD) and complex PTSD in a South African sample

Rink

Lipinska

2020

European Journal of Psychotraumatology

View full text Add to dashboard Cite

Background: Both post-traumatic stress disorder (PTSD) and complex post-traumatic stress disorder (CPTSD) have been included in the 11th edition of the International Classification of Diseases (ICD-11). Although the validity of CPTSD has been controversial, a growing number of studies support the distinction between PTSD and CPTSD. However, the majority of this research has originated in high-income countries (HICs), whereas the prevalence of trauma experience associated with PTSD/CPTSD diagnosis is significantly higher in low- and middle-income countries (LMICs). Objective: This study assessed whether a sample from an LMIC setting produced distinct classes that reflect ICD-11 criteria for PTSD and CPTSD. Furthermore, this study investigated whether childhood trauma distinguished between PTSD and CPTSD. Method: International Trauma Questionnaire responses from a sample of South African university undergraduates were used as indicator variables in a latent class analysis (LCA). Chi-squared tests of independence and Kruskal–Wallis H tests were used to assess between-class differences. Results: The LCA identified four distinct classes: a PTSD class with elevated symptoms of PTSD, but low endorsement of disturbances in self-organization (DSO; symptoms that are specific to CPTSD); a CPTSD class with elevated symptoms of PTSD and DSO; a DSO class with low symptoms of PTSD, but elevated symptoms of DSO; and a Low class with low endorsements on all symptoms. Regarding childhood trauma, participants in the CPTSD class had more severe childhood abuse and neglect, specifically emotional abuse and neglect, than participants in the PTSD class. Conclusions: Findings were consistent with the distinction between PTSD and CPTSD symptom profiles in the ICD-11. Our findings support a similar qualitative distinction between PTSD and CPTSD in our LMIC context, as previously reported in HICs. This distinction is especially relevant in LMICs because of the significant number of individuals vulnerable to these disorders.

show abstract

“…Findings related to the role of trauma history variables (e.g., type of trauma, its chronicity, and number of exposures to traumatic events) as risk factors for CPTSD have been somewhat mixed. Many studies have found a positive association between chronic childhood trauma exposure and a CPTSD symptom profile (Cloitre et al, 2013;Dokkedahl, Oboke, Ovuga, & Elklit, 2015;. The experience of cumulative childhood exposure to various types of interpersonal trauma (Hyland, Murphy, Shevlin, et al, 2017;Karatzias et al, 2017) has been more strongly associated with CPTSD than with PTSD symptom profiles.…”

Section: Introductionmentioning

confidence: 99%

“…Research supporting the validity of the ICD-11 CPTSD construct has, to date, been conducted among quite varied clinical and community samples who have been exposed to interpersonal violence. These include individuals who experienced both adult and childhood interpersonal violence (Cloitre et al, 2013;Karatzias et al, 2017), childhood sexual abuse victims Hyland, Shevlin, McNally, et al, 2016), survivors of institutional abuse (Knefel, Garvert, Cloitre, & Lueger-Schuster, 2015), a community sample of young adults exposed to interpersonal violence (Perkonigg et al, 2015), and a non-western (Ugandan) young adult sample exposed to civil war, including those abducted as children for soldiering (Dokkedahl et al, 2015;Murphy et al, 2016).…”

Section: Introductionmentioning

confidence: 99%

ICD-11 complex PTSD among Israeli male perpetrators of intimate partner violence: Construct validity and risk factors

Gilbar

Hyland

Cloitre

et al. 2018

Journal of Anxiety Disorders

View full text Add to dashboard Cite

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.

show abstract

ICD-11 Trauma Questionnaires for PTSD and Complex PTSD: Validation among Civilians and Former Abducted Children in Northern Uganda

Cited by 10 publications

References 16 publications

Comparison of DSM-5 and proposed ICD-11 criteria for PTSD with DSM-IV and ICD-10: changes in PTSD prevalence in military personnel

Comparison of DSM-5 and proposed ICD-11 criteria for PTSD with DSM-IV and ICD-10: changes in PTSD prevalence in military personnel

Evidence of distinct profiles of ICD-11 post-traumatic stress disorder (PTSD) and complex PTSD in a South African sample

ICD-11 complex PTSD among Israeli male perpetrators of intimate partner violence: Construct validity and risk factors

Contact Info

Product

Resources

About