Response of young patients with probable ICD-11 complex PTSD to treatment with developmentally adapted cognitive processing therapy

Eilers, Rebekka; Rimane, Eline; Vogel, Anna; Renneberg, Babette; Steil, Regina; Rosner, Rita

doi:10.1080/20008198.2021.1929024

Cited by 12 publications

(10 citation statements)

References 31 publications

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“…A typical approach is to select items based on face validity using questions that are closely representative of the suggested DSO symptoms (see Cloitre et al, 2013 for a description). Using this strategy studies have shown that interpersonal trauma as well as multiple victimization predicts CPTSD (Eilers et al, 2021 ; Sachser et al, 2017 ).…”

Section: Introductionmentioning

confidence: 99%

“…Four studies have to date examined treatments effects for CPTSD in youth using proxy instruments. Eilers et al ( 2021 ) examined the use of a developmentally adapted youth model of Cognitive Processing Therapy (D-CPT) for CPTSD and found that both the CPTSD and the non-CPTSD groups showed significant symptom reductions. The CPTSD group reported however higher symptom severity both before and after treatment (Eilers et al, 2021 ).…”

Section: Introductionmentioning

confidence: 99%

“…Eilers et al ( 2021 ) examined the use of a developmentally adapted youth model of Cognitive Processing Therapy (D-CPT) for CPTSD and found that both the CPTSD and the non-CPTSD groups showed significant symptom reductions. The CPTSD group reported however higher symptom severity both before and after treatment (Eilers et al, 2021 ). Similar results have been found in treatment studies for youth receiving TF-CBT (Hébert & Amedée, 2020 ; Ross et al, 2021 ; Sachser et al, 2017 ), suggesting that treatment length may need to be extended or the dosage of the individual components altered for youth with CPTSD.…”

Section: Introductionmentioning

confidence: 99%

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Complex PTSD and treatment outcomes in TF-CBT for youth: a naturalistic study

Jensen

Braathu

Birkeland

et al. 2022

European Journal of Psychotraumatology

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Background: Complex posttraumatic stress disorder (CPTSD) has recently been added to the ICD-11 diagnostic system for classification of diseases. The new disorder adds three symptom clusters to posttraumatic stress disorder (PTSD) related to disturbances in self-organization (affect dysregulation, negative self-concept, and disturbances in relationships). Little is known whether recommended evidence-based treatments for PTSD in youth are helpful for youth with CPTSD. Objectives: This study examined whether Trauma-Focused Cognitive-Behavioral Therapy (TF-CBT) is useful in reducing PTSD and CPTSD in traumatized youth. Methods: Youth ( n = 73, 89.0% girls, M age = 15.4 SD = 1.8) referred to one of 23 Norwegian child and adolescent mental health clinics that fulfilled the criteria for PTSD or CPTSD according to ICD-11 and received TF-CBT were included in the study. Assessments were conducted pre-treatment, and every fifth session. Linear mixed effects models were run to investigate whether youth with CPTSD and PTSD responded differently to TF-CBT. Results: Among the 73 youth, 61.6% ( n = 45) fulfilled criteria for CPTSD and 38.4% ( n = 28) fulfilled criteria for PTSD. There were no differences in sex, age, birth country, trauma type, number of trauma types or treatment length across groups. Youth with CPTSD had a steeper decline in PTSD and CPTSD compared to youth with PTSD. The groups reported similar levels of PTSD and CPTSD post-treatment. The percentage of youth who dropped out of treatment was not different across groups. Further, the groups did not differ significantly in number of received treatment sessions. Conclusions: This is the first study to examine whether TF-CBT is helpful for youth who have CPTSD using a validated instrument for measuring CPTSD. The results suggest that TF-CBT may be useful for treating CPTSD in youth. These are promising findings that should be replicated in studies with larger sample sizes.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Complex PTSD and treatment outcomes in TF-CBT for youth: a naturalistic study

Jensen

Braathu

Birkeland

et al. 2022

European Journal of Psychotraumatology

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“…Additionally, several studies have found CPTSD to be more prevalent than PTSD in general populations (Cloitre et al, 2019 ; Hyland et al, 2021 ) and in veteran samples (Armour, Robinson, et al, 2021 ; Mur-Crepulja et al, 2020 ; Murphy et al, 2020 ; Zerach et al, 2019 ). Trauma-focused interventions have shown efficacy in reducing CPTSD distress and symptomology (Hébert & Amédée, 2020 ; Voorendonk, De Jongh, Rozendaal, & Van Minnen, 2020 ), including several specialised variants of cognitive behavioural therapy (CBT) (Eilers et al, 2021 ; Karatzias et al, 2019 ), a personalised approach utilising multiple practices to suit the individual is recommended (Cloitre, 2021 ). In veteran treatment-seeking populations, several phase-based interventions have shown positive results (Landes, Garovoy, & Burkman, 2013 ), though it has been noted that CPTSD symptomology may act as an additional barrier to help-seeking (Williamson et al, 2021 ).…”

Section: Introductionmentioning

confidence: 99%

Exploring complex-PTSD comorbidity in trauma-exposed Northern Ireland veterans

Spikol

Robinson

McGlinchey

et al. 2022

European Journal of Psychotraumatology

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Background Complex posttraumatic stress disorder (CPTSD) describes the results of complex, prolonged, and/or inescapable trauma, and is typified by avoidance, re-experiencing, sense of threat, affect dysregulation, negative self-concept, and interpersonal disturbances. Additionally, CPTSD is highly comorbid with other common psychopathologies. Objectives A study was conducted in a trauma-exposed UK Armed Forces Veteran population resident in Northern Ireland ( N = 638, NI) to determine the prevalence of CPTSD and comorbid associations. Methods Data from the Northern Ireland Veterans Health and Wellbeing Study (NIVHWS), including self-report data describing traumatic stress, depression, anxiety, and suicidality, were used in a latent class analysis to identify distinct profiles of symptomology in the sample, and in a multinomial logistic regression to identify comorbidities associated with class membership. Results Three distinct classes emerged: a low endorsement ‘baseline’ class (36%), a ‘Moderate Symptomatic’ class (27%), and a high endorsement ‘Probable CPTSD’ class (37%). Both the Moderate Symptomatic and CPTSD classes were predicted by cumulative trauma exposure. Depression was highly comorbid ( OR = .06 in CPTSD), as was anxiety ( OR = .05 in CPTSD) and suicidal ideation ( OR = .32 in CPTSD), with suicidal attempt associated with the CPTSD class ( OR = .51). Conclusions Cases of probable CPTSD were more prevalent than cases of probable posttraumatic stress disorder (PTSD) without Difficulties in Self-Organisation (DSO) symptoms in a UK Armed Forces veteran sample, were associated with repeated/cumulative trauma, and were highly comorbid across a range of psychopathologies. Findings validate previous literature on CPTSD and indicate considerable distress and thus need for support in UK Armed Forces veterans resident in NI.

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“…Bei Jugendlichen und jungen Erwachsenen wurde in einer Sekundäranalyse die entwicklungsangepasste Kognitive Verhaltenstherapie (E-KVT; Matulis, Resick, Rosner & Steil, 2014) für kPTBS untersucht (Eilers, Rimane, Vogel, Renneberg, Steil & Rosner, 2021). Die E-KVT adressiert neben der PTSS in weiteren Phasen auch SSO-Symptombereiche (Emotionsregulation, Beziehungsgestaltung).…”

Section: Behandlung Der Kptbsunclassified

Die einfache und komplexe Posttraumatische Belastungsstörung in der Praxis

Eilers

Rosner

2021

Kindheit und Entwicklung

Self Cite

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Zusammenfassung. Theoretischer Hintergrund: Die ICD-11 enthält reformulierte Kriterien für die Posttraumatische Belastungsstörung (PTBS) und die neue Diagnose komplexe PTBS (kPTBS). Fragestellung: Wie wirken sich die Neuerungen auf die Diagnostik und Behandlung von Kindern und Jugendlichen aus? Methode: In dieser Übersichtsarbeit werden die neuen Kriterien vorgestellt und mit früheren Diagnosemanualen verglichen. Bisherige Forschungsergebnisse zu PTBSICD-11 und kPTBS bei Kindern und Jugendlichen werden zusammengefasst und diskutiert. Ergebnisse: Die PTBSICD-11-Kriterien führen eher zu geringeren Prävalenzraten verglichen mit PTBSICD-10, PTBSDSM-IV und PTBSDSM-5. Erste Studien weisen darauf hin, dass evidenzbasierte traumafokussierte Therapiemanuale auch zur Behandlung der kPTBS geeignet sind. Diskussion und Schlussfolgerung: Die Anwendung neuer Kriterien stellt Praktiker_innen und Forscher_innen vor Herausforderungen. Bisherige Ergebnisse deuten an, dass die kPTBS gut behandelbar ist.

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Response of young patients with probable ICD-11 complex PTSD to treatment with developmentally adapted cognitive processing therapy

Cited by 12 publications

References 31 publications

Complex PTSD and treatment outcomes in TF-CBT for youth: a naturalistic study

Complex PTSD and treatment outcomes in TF-CBT for youth: a naturalistic study

Exploring complex-PTSD comorbidity in trauma-exposed Northern Ireland veterans

Die einfache und komplexe Posttraumatische Belastungsstörung in der Praxis

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