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Abstract
Background
The World Health Organization (WHO) International Classification of Diseases, 11th version (ICD-11), has proposed a trauma-related diagnosis of complex posttraumatic stress disorder (CPTSD) separate and distinct from posttraumatic stress disorder (PTSD).
Objective
To determine whether the symptoms endorsed by individuals who had experienced childhood institutional abuse form classes that are consistent with diagnostic criteria for ICD-11 CPTSD as distinct from PTSD.
Methods
A latent profile analysis (LPA) was conducted on 229 adult survivors of institutional abuse using the Brief Symptom Inventory and the PTSD Checklist—Civilian Version to assess current psychopathological symptoms.
Results
The LPA revealed four classes of individuals: (1) a class with elevated symptoms of CPTSD (PTSD symptoms and disturbances in self-organization); (2) a class with elevated symptoms of PTSD and low disturbances in self-organization; (3) a class with elevated disturbances in self-organization symptoms and some elevated PTSD symptoms; and (4) a class with low symptoms.
Conclusions
The results support the existence of a distinct group in our sample, that could be described by the proposed diagnostic category termed CPTSD more precisely than by normal PTSD. In addition, there seems to be a group of persons that do not fulfill the criteria for a trauma-related disorder but yet suffer from psychopathological symptoms.
For the abstract or full text in other languages, please see Supplementary files under Article Tools online
For the abstract or full text in other languages, please see Supplementary files under Article Tools online
Acknowledgements
The authors thank Asisa Butollo, Tobias Glück, Reinhold Jagsch, Viktoria Kantor, Yvonne Moy, and Dina Weindl for their invaluable collaboration in this research.
Conflict of interest and funding
There is no conflict of interest in the present study for any of the authors.
Notes
For the abstract or full text in other languages, please see Supplementary files under Article Tools online