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Journal of Loss and Trauma
International Perspectives on Stress & Coping
Volume 29, 2024 - Issue 5
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Research Articles

Persistence and Psychological Predictors of ICD-11 Complex PTSD: A Six-Month Longitudinal Study in Hong Kong

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Pages 544-564 | Received 14 Jul 2023, Accepted 27 Sep 2023, Published online: 18 Oct 2023

References

  • American Psychiatric Association. (1980). Diagnostic and statistical manual of mental disorders. (3rd ed.). American Psychiatric Association.
  • Barlow, M. R., Goldsmith Turow, R. E., & Gerhart, J. (2017). Trauma appraisals, emotion regulation difficulties, and self-compassion predict posttraumatic stress symptoms following childhood abuse. Child Abuse & Neglect, 65, 37–47. https://doi.org/10.1016/j.chiabu.2017.01.006
  • Berntsen, D., & Rubin, D. C. (2006). The Centrality of Event Scale: A measure of integrating a trauma into one’s identity and its relation to post-traumatic stress disorder symptoms. Behaviour Research and Therapy, 44(2), 219–231. https://doi.org/10.1016/j.brat.2005.01.009
  • Bond, F. W., Hayes, S. C., Baer, R. A., Carpenter, K. M., Guenole, N., Orcutt, H. K., Waltz, T., & Zettle, R. D. (2011). Preliminary psychometric properties of the Acceptance and Action Questionnaire–II: A revised measure of psychological inflexibility and experiential avoidance. Behavior Therapy, 42(4), 676–688. https://doi.org/10.1016/j.beth.2011.03.007
  • Chan, C., Fung, H. W., Choi, T. M., & Ross, C. A. (2017). Using online methods to develop and examine the Hong Kong Chinese translation of the Dissociative Experiences Scale. Journal of Evidence-Informed Social Work, 14(2), 70–85. https://doi.org/10.1080/23761407.2017.1298073
  • Chen, J., Yan, L-s., & Zhou, L-h (2011). Reliability and validity of Chinese version of self-compassion scale. Chinese Journal of Clinical Psychology, 19(6), 734–736.
  • Classen, C. C., Hughes, L., Clark, C., Hill Mohammed, B., Woods, P., & Beckett, B. (2021). A pilot RCT of a body-oriented group therapy for complex trauma survivors: An adaptation of sensorimotor psychotherapy. Journal of Trauma & Dissociation, 22(1), 52–68. https://doi.org/10.1080/15299732.2020.1760173
  • Cloitre, M., Hyland, P., Bisson, J. I., Brewin, C. R., Roberts, N. P., Karatzias, T., & Shevlin, M. (2019). ICD‐11 posttraumatic stress disorder and complex posttraumatic stress disorder in the United States: A population‐based study. Journal of Traumatic Stress, 32(6), 833–842. https://doi.org/10.1002/jts.22454
  • Cloitre, M., Hyland, P., Prins, A., & Shevlin, M. (2021). The international trauma questionnaire (ITQ) measures reliable and clinically significant treatment-related change in PTSD and complex PTSD. European Journal of Psychotraumatology, 12(1), 1930961. https://doi.org/10.1080/20008198.2021.1930961
  • Cloitre, M., Shevlin, M., Brewin, C. R., Bisson, J. I., Roberts, N. P., Maercker, A., Karatzias, T., & Hyland, P. (2018). The International Trauma Questionnaire: Development of a self‐report measure of ICD‐11 PTSD and complex PTSD. Acta Psychiatrica Scandinavica, 138(6), 536–546. https://doi.org/10.1111/acps.12956
  • Cohen, J. (1988). Statistical power analysis for the behavioral sciences (2nd ed.). Lawrence Erlbaum Associates.
  • Crapolicchio, E., Vezzali, L., & Regalia, C. (2021). “I forgive myself”: The association between self‐criticism, self‐acceptance, and PTSD in women victims of IPV, and the buffering role of self‐efficacy. Journal of Community Psychology, 49(2), 252–265. https://doi.org/10.1002/jcop.22454
  • Fleming, C. J. E., & Resick, P. A. (2016). Predicting three types of dissociation in female survivors of intimate partner violence. Journal of Trauma & Dissociation, 17(3), 267–285. https://doi.org/10.1080/15299732.2015.1079807
  • Fung, H. W., Chan, C., Lee, C. Y., & Ross, C. A. (2019). Using the post-traumatic stress disorder (PTSD) checklist for DSM-5 to screen for PTSD in the Chinese context: A pilot study in a psychiatric sample. Journal of Evidence-Based Social Work, 16(6), 643–651. https://doi.org/10.1080/26408066.2019.1676858
  • Fung, H. W., Chien, W. T., Lam, S. K. K., & Ross, C. A. (2022a). Investigating post-traumatic stress disorder (PTSD) and complex PTSD among people with self-reported depressive symptoms. Frontiers in Psychiatry, 13, 953001. https://doi.org/10.3389/fpsyt.2022.953001
  • Fung, H. W., Chien, W. T., Lam, S. K. K., & Ross, C. A. (2022b). The relationship between dissociation and complex post-traumatic stress disorder: A scoping review. Trauma, Violence & Abuse, 15248380221120835. https://doi.org/10.1177/15248380221120835
  • Fung, H. W., Chien, W. T., Ling, H. W. H., Ross, C. A., & Lam, S. K. K. (2022). The mediating role of post-traumatic stress disorder symptoms in the relationship between childhood adversities and depressive symptoms in two samples. Child Abuse & Neglect, 131, 105707. https://doi.org/10.1016/j.chiabu.2022.105707
  • Fung, H. W., Wong, E. N. M., Lam, S. K. K., Chien, W. T., Hung, S. L., Ross, C. A., & Cloitre, M. (2023). Prevalence and sociocultural correlates of post-traumatic stress disorder (PTSD) and complex PTSD among Chinese community health service users in Hong Kong. International Journal of Social Psychiatry, 69(4), 895–905. https://doi.org/10.1177/00207640221141018
  • Gagnon-Sanschagrin, P., Schein, J., Urganus, A., Serra, E., Liang, Y., Musingarimi, P., Cloutier, M., Guérin, A., & Davis, L. L. (2022). Identifying individuals with undiagnosed post-traumatic stress disorder in a large United States civilian population–a machine learning approach. BMC Psychiatry, 22(1), 630. https://doi.org/10.1186/s12888-022-04267-6
  • Gehrt, T. B., Berntsen, D., Hoyle, R. H., & Rubin, D. C. (2018). Psychological and clinical correlates of the Centrality of Event Scale: A systematic review. Clinical Psychology Review, 65, 57–80. https://doi.org/10.1016/j.cpr.2018.07.006
  • Goldberg, L. R., & Freyd, J. J. (2006). Self-reports of potentially traumatic experiences in an adult community sample: Gender differences and test-retest stabilities of the items in a brief betrayal-trauma survey. Journal of Trauma & Dissociation, 7(3), 39–63. https://doi.org/10.1300/J229v07n03_04
  • He, J., Liu, Y., Cheng, C., Fang, S., Wang, X., & Yao, S. (2021). Psychometric properties of the Chinese version of the 10-item Ruminative Response Scale among undergraduates and depressive patients. Frontiers in Psychiatry, 12, 626859. https://doi.org/10.3389/fpsyt.2021.626859
  • Herman, J. L. (1992). Trauma and recovery. Basic Books.
  • Ho, G. W. K., Hyland, P., Shevlin, M., Chien, W. T., Inoue, S., Yang, P. J., Chen, F. H., Chan, A. C. Y., & Karatzias, T. (2020). The validity of ICD-11 PTSD and Complex PTSD in East Asian cultures: findings with young adults from China, Hong Kong, Japan, and Taiwan. European Journal of Psychotraumatology, 11(1), 1717826. https://doi.org/10.1080/20008198.2020.1717826
  • Ho, G. W. K., Karatzias, T., Cloitre, M., Chan, A. C. Y., Bressington, D., Chien, W. T., Hyland, P., & Shevlin, M. (2019). Translation and validation of the Chinese ICD-11 International Trauma Questionnaire (ITQ) for the Assessment of Posttraumatic Stress Disorder (PTSD) and Complex PTSD (CPTSD). European Journal of Psychotraumatology, 10(1), 1608718. https://doi.org/10.1080/20008198.2019.1608718
  • Howard, A., Agathos, J. A., Phelps, A., Cowlishaw, S., Terhaag, S., Arjmand, H.-A., Armstrong, R., Berle, D., Steel, Z., Brewer, D., Human, B., Herwig, A., Wigg, C., Kemp, P., Wellauer, R., & O'Donnell, M. L. (2021). Prevalence and treatment implications of ICD-11 complex PTSD in Australian treatment-seeking current and ex-serving military members. European Journal of Psychotraumatology, 12(1), 1844441. https://doi.org/10.1080/20008198.2020.1844441
  • Hyland, P., Karatzias, T., Shevlin, M., Cloitre, M., & Ben-Ezra, M. (2020). A longitudinal study of ICD-11 PTSD and complex PTSD in the general population of Israel. Psychiatry Research, 286, 112871. https://doi.org/10.1016/j.psychres.2020.112871
  • Hyland, P., & Shevlin, M. (2023). Clinician-administered interviews should not be considered the ‘gold standard’ method of assessing psychological distress. https://psyarxiv.com/9f8ah/
  • Hyland, P., Shevlin, M., Brewin, C. R., Cloitre, M., Downes, A. J., Jumbe, S., Karatzias, T., Bisson, J. I., & Roberts, N. P. (2017). Validation of post‐traumatic stress disorder (PTSD) and complex PTSD using the International Trauma Questionnaire. Acta Psychiatrica Scandinavica, 136(3), 313–322. https://doi.org/10.1111/acps.12771
  • Hyland, P., Shevlin, M., Fyvie, C., Cloitre, M., & Karatzias, T. (2020). The relationship between ICD-11 PTSD, complex PTSD and dissociative experiences. Journal of Trauma & Dissociation, 21(1), 62–72. https://doi.org/10.1080/15299732.2019.1675113
  • Karatzias, T., Hyland, P., Bradley, A., Cloitre, M., Roberts, N. P., Bisson, J. I., & Shevlin, M. (2019). Risk factors and comorbidity of ICD-11 PTSD and complex PTSD: Findings from a trauma-exposed population based sample of adults in the United Kingdom. Depression and Anxiety, 36(9), 887–894. https://doi.org/10.1002/da.22934
  • Kazlauskas, E., Kairyte, A., & Zelviene, P. (2023). Complex posttraumatic stress disorder in adolescence: A two-year follow-up study. Clinical Child Psychology and Psychiatry, 13591045231187975. https://doi.org/10.1177/13591045231187975
  • Khosravani, Y., & Dastjerdi, H. V. (2013). Back translation vs. collaborative translation: A comparative study of Persian subtitles in English Movies. Lebende Sprachen, 58(2), 366–378. https://doi.org/10.1515/les-2013-0021
  • Kung, Y. W., Su, Y. J., & Chen, S. H. (2022). Psychometric properties of the Chinese version of the Centrality of Event Scale across multiple trauma‐exposed Taiwanese samples. Journal of Traumatic Stress, 35(3), 813–826. https://doi.org/10.1002/jts.22788
  • Li, Y., Zhang, A. J., Meng, Y., Hofmann, S. G., Zhou, A. Y., & Liu, X. (2023). A randomized controlled trial of an online self-help mindfulness intervention for emotional distress: Serial mediating effects of mindfulness and experiential avoidance. Mindfulness, 14(3), 510–523. https://doi.org/10.1007/s12671-023-02083-x
  • Maercker, A. (2021). Development of the new CPTSD diagnosis for ICD-11. Borderline Personality Disorder and Emotion Dysregulation, 8(1), 7. https://doi.org/10.1186/s40479-021-00148-8
  • McGinty, G., Fox, R., & Hyland, P. (2023). Assessing prevalence, validity, and correlates of ICD-11 posttraumatic stress disorder and complex posttraumatic stress disorder in Ireland. Psychological Trauma: Theory, Research, Practice and Policy, 28(7), 571-587. https://doi.org/10.1037/tra0001472
  • McGinty, G., Fox, R., Roberts, B., Makhashvili, N., Javakhishvili, J. D., & Hyland, P. (2023). Post-traumatic stress disorder, complex post-traumatic stress disorder, and coping styles among internally displaced Ukrainians. Journal of Loss and Trauma, 28(7), 571–587. https://doi.org/10.1080/15325024.2023.2217002
  • Moulds, M. L., Bisby, M. A., Wild, J., & Bryant, R. A. (2020). Rumination in posttraumatic stress disorder: A systematic review. Clinical Psychology Review, 82, 101910. https://doi.org/10.1016/j.cpr.2020.101910
  • Na, E., Lee, K., Jeon, B.-H., Jo, C., Kwak, U.-H., Jeon, Y., Yang, K., Lee, E. J., & Jeong, J. (2022). Acceptance and Commitment Therapy for Destructive Experiential Avoidance (ACT-DEA): A feasibility study. International Journal of Environmental Research and Public Health, 19(24), 16434. https://doi.org/10.3390/ijerph192416434
  • National Center for PTSD. (n.d). Using the PTSD checklist for DSM-5 (PCL-5). https://www.ptsd.va.gov/professional/assessment/documents/using-PCL5.pdf.
  • Neff, K. D., Tóth-Király, I., Yarnell, L. M., Arimitsu, K., Castilho, P., Ghorbani, N., Guo, H. X., Hirsch, J. K., Hupfeld, J., Hutz, C. S., Kotsou, I., Lee, W. K., Montero-Marin, J., Sirois, F. M., de Souza, L. K., Svendsen, J. L., Wilkinson, R. B., & Mantzios, M. (2019). Examining the factor structure of the Self-Compassion Scale in 20 diverse samples: Support for use of a total score and six subscale scores. Psychological Assessment, 31(1), 27–45. https://doi.org/10.1037/pas0000629
  • Ni, Y., & Hesketh, T. (2021). Childhood maltreatment: Experiences and perceptions among Chinese young people. Journal of Interpersonal Violence, 36(23–24), 11385–11408. https://doi.org/10.1177/0886260519898446
  • Nolen-Hoeksema, S. (1991). Responses to depression and their effects on the duration of depressive episodes. Journal of Abnormal Psychology, 100(4), 569–582. https://doi.org/10.1037//0021-843x.100.4.569
  • Po, B. S. K., Lam, S. K. K., Chen, Y. J., Chien, W. T., Wong, E. N. M., Wang, E. K. S., & Fung, H. W. (2023). Persistence and outcomes of ICD-11 complex PTSD in the community: A nine-month longitudinal investigation in Hong Kong. Asian Journal of Psychiatry, 87, 103696. https://doi.org/10.1016/j.ajp.2023.103696
  • Redican, E., Hyland, P., Cloitre, M., McBride, O., Karatzias, T., Murphy, J., Bunting, L., & Shevlin, M. (2022). Prevalence and predictors of ICD-11 posttraumatic stress disorder and complex PTSD in young people. Acta Psychiatrica Scandinavica, 146(2), 110–125. https://doi.org/10.1111/acps.13442
  • Ross, C. A., & Browning, E. (2017). The self-report dissociative disorders interview schedule: A preliminary report. Journal of Trauma & Dissociation, 18(1), 31–37. https://doi.org/10.1080/15299732.2016.1172538
  • Ross, D. A., Arbuckle, M. R., Travis, M. J., Dwyer, J. B., van Schalkwyk, G. I., & Ressler, K. J. (2017). An integrated neuroscience perspective on formulation and treatment planning for posttraumatic stress disorder: An educational review. JAMA Psychiatry, 74(4), 407–415. https://doi.org/10.1001/jamapsychiatry.2016.3325
  • Şar, V. (2021). Dissociation across cultures: A transdiagnostic guide for clinical assessment and management. Alpha Psychiatry, 23, 95-103. https://doi.org/10.5152/alphapsychiatry.2021.21556
  • Sar, V., Middleton, W., & Dorahy, M. (2013). Individual and societal oppression: Global perspectives on dissociative disorders. Journal of Trauma & Dissociation, 14(2), 121–126. https://doi.org/10.1080/15299732.2013.761032
  • Scoglio, A. A., Rudat, D. A., Garvert, D., Jarmolowski, M., Jackson, C., & Herman, J. L. (2018). Self-compassion and responses to trauma: The role of emotion regulation. Journal of Interpersonal Violence, 33(13), 2016–2036. https://doi.org/10.1177/0886260515622296
  • Serrano-Ibáñez, E. R., Ruiz-Párraga, G. T., Gómez-Pérez, L., Ramírez-Maestre, C., Esteve, R., & López-Martínez, A. E. (2021). The relationship between experiential avoidance and posttraumatic stress symptoms: A moderated mediation model involving dissociation, guilt, and gender. Journal of Trauma & Dissociation, 22(3), 304–318. https://doi.org/10.1080/15299732.2020.1869647
  • Steele, K., Van der Hart, O., & Nijenhuis, E. R. (2005). Phase-oriented treatment of structural dissociation in complex traumatization: Overcoming trauma-related phobias. Journal of Trauma & Dissociation, 6(3), 11–53. https://doi.org/10.1300/J229v06n03_02
  • Thompson, B. L., & Waltz, J. (2010). Mindfulness and experiential avoidance as predictors of posttraumatic stress disorder avoidance symptom severity. Journal of Anxiety Disorders, 24(4), 409–415. https://doi.org/10.1016/j.janxdis.2010.02.005
  • Thompson, R., & Zuroff, D. C. (2004). The levels of Self-Criticism Scale: Comparative self-criticism and internalized self-criticism. Personality and Individual Differences, 36(2), 419–430. https://doi.org/10.1016/S0191-8869(03)00106-5
  • Tian, Y., Li, W., Wu, X., & Cheng, X. (2022). Complex PTSD in Chinese adolescents exposed to childhood trauma: A latent profile analysis. Journal of Interpersonal Violence, 37(21–22), NP20190–NP20211. https://doi.org/10.1177/08862605211050111
  • Treynor, W., Gonzalez, R., & Nolen-Hoeksema, S. (2003). Rumination reconsidered: A psychometric analysis. Cognitive Therapy and Research, 27(3), 247–259. https://doi.org/10.1023/A:1023910315561
  • Van der Kolk, B. A., Roth, S., Pelcovitz, D., Sunday, S., & Spinazzola, J. (2005). Disorders of extreme stress: The empirical foundation of a complex adaptation to trauma. Journal of Traumatic Stress, 18(5), 389–399. https://doi.org/10.1002/jts.20047
  • Wearden, S. (2010). Phi coefficient, 6(4), 100285. https://doi.org/10.1002/9780470479216.corpsy0677
  • Webb, E. L., Morris, D., Watson, E., Fox, E., Sibley, V., & Taylor, V. (2022). Which complex PTSD symptoms predict functional impairment in females with comorbid personality disorder needs? Research and treatment implications. European Journal of Trauma & Dissociation, 6(4), 100285. https://doi.org/10.1016/j.ejtd.2022.100285
  • White, R. T., & Arzi, H. J. (2005). Longitudinal studies: Designs, validity, practicality, and value. Research in Science Education, 35(1), 137–149. https://doi.org/10.1007/s11165-004-3437-y
  • Williamson, V., Pearson, E. J., Shevlin, M., Karatzias, T., Macmanus, D., & Murphy, D. (2021). Experiences of veterans with ICD-11 complex PTSD in engaging with services. Journal of Loss and Trauma, 26(2), 166–178. https://doi.org/10.1080/15325024.2020.1749784
  • Winders, S. J., Murphy, O., Looney, K., & O'Reilly, G. (2020). Self‐compassion, trauma, and posttraumatic stress disorder: A systematic review. Clinical Psychology & Psychotherapy, 27(3), 300–329. https://doi.org/10.1002/cpp.2429
  • World Health Organization. (2019). The ICD-11 classification of mental and behavioral disorders. Clinical description and diagnostic guidelines. World Health Organization.
  • Wu, Z. Y., Fung, H. W., Chien, W. T., Ross, C. A., & Lam, S. K. K. (2022). Trauma and dissociation among inpatients diagnosed with schizophrenia spectrum disorders in Taiwan. European Journal of Psychotraumatology, 13(2), 2105576. https://doi.org/10.1080/20008066.2022.2105576
  • Yoo, W., Mayberry, R., Bae, S., Singh, K., He, Q. P., & Lillard, J. W., Jr. (2014). A study of effects of multicollinearity in the multivariable analysis. International Journal of Applied Science and Technology, 4(5), 9.
  • Zhang, C.-Q., Chung, P. K., Si, G., Du, M., & Liu, J. D. (2014). Tests of reliability and validity of the Emotion Regulation Questionnaire (ERQ) in Chinese athletes and students. Chinese Journal of Sports Medicine, 9, 907–913. https://doi.org/10.1177/0748175614538064