Characteristics of complex posttraumatic stress disorder (PTSD) in young people with PTSD following multiple trauma exposure / Ella BEESON ; Tim DALGLEISH ; Andrea DANESE ; Joanne HODGEKINS ; Gerwyn MAHONEY-DAVIES ; Patrick SMITH ; Paul STALLARD ; Jon WILSON ; Richard MEISER-STEDMAN in Journal of Child Psychology and Psychiatry, 65-6 (June 2024)  

Public ISBD [article]  inJournal of Child Psychology and Psychiatry > 65-6 (June 2024) . - p.822-831 Titre : Characteristics of complex posttraumatic stress disorder (PTSD) in young people with PTSD following multiple trauma exposure Type de document : Texte imprimé et/ou numérique Auteurs : Ella BEESON, Auteur ; Tim DALGLEISH, Auteur ; Andrea DANESE, Auteur ; Joanne HODGEKINS, Auteur ; Gerwyn MAHONEY-DAVIES, Auteur ; Patrick SMITH, Auteur ; Paul STALLARD, Auteur ; Jon WILSON, Auteur ; Richard MEISER-STEDMAN, Auteur Année de publication : 2024 Article en page(s) : p.822-831 Langues : Anglais (eng) Index. décimale : PER Périodiques Résumé : Background Complex PTSD (CPTSD) is a relatively new diagnosis. The objective of the present study was to investigate how trauma characteristics, comorbid psychopathology and cognitive and social factors experienced by children and adolescents with a posttraumatic stress disorder (PTSD) diagnosis following exposure to multiple traumatic events differs between those who meet the criteria for CPTSD and those who do not. Method The present research used baseline data from the DECRYPT trial (BMJ Open, 2021, 11, e047600). Participants (n = 120) were aged 8-17?years and had exposure to multiple traumas and a PTSD diagnosis. The data collected comprised self-report and parent/caregiver-report questionnaires and interviews. Three primary analyses were conducted, comparing number of trauma types, prevalence of sexual trauma and prevalence of intrafamilial abuse between the CPTSD and PTSD-only groups. A range of comorbid psychopathology and cognitive and social factors were compared between the groups in an exploratory secondary analysis. All analyses were preregistered. Results The CPTSD group (n = 72, 60%) had a significantly higher frequency of sexual trauma than the PTSD-only group (n = 48, 40%). The groups did not significantly differ on number of trauma types or prevalence of intrafamilial abuse. From the secondary analysis, the CPTSD group were found to have significantly higher scores on measures of negative post-traumatic cognitions, depression and panic. These results were replicated in correlation analyses using a continuous measure of CPTSD symptoms. Conclusions A large proportion of youth exposed to multiple traumatic events met criteria for CPTSD. Sexual trauma appears to be related to CPTSD symptoms. Youth with CPTSD appear to have greater severity of comorbid depression and panic symptoms, as well as more negative post-traumatic cognitions. Further investigation could focus on the directionality and mechanisms for these associations. En ligne : https://doi.org/10.1111/jcpp.13918 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=529 [article] Characteristics of complex posttraumatic stress disorder (PTSD) in young people with PTSD following multiple trauma exposure [Texte imprimé et/ou numérique] / Ella BEESON, Auteur ; Tim DALGLEISH, Auteur ; Andrea DANESE, Auteur ; Joanne HODGEKINS, Auteur ; Gerwyn MAHONEY-DAVIES, Auteur ; Patrick SMITH, Auteur ; Paul STALLARD, Auteur ; Jon WILSON, Auteur ; Richard MEISER-STEDMAN, Auteur . - 2024 . - p.822-831. Langues : Anglais (eng) in Journal of Child Psychology and Psychiatry > 65-6 (June 2024) . - p.822-831 Index. décimale : PER Périodiques Résumé : Background Complex PTSD (CPTSD) is a relatively new diagnosis. The objective of the present study was to investigate how trauma characteristics, comorbid psychopathology and cognitive and social factors experienced by children and adolescents with a posttraumatic stress disorder (PTSD) diagnosis following exposure to multiple traumatic events differs between those who meet the criteria for CPTSD and those who do not. Method The present research used baseline data from the DECRYPT trial (BMJ Open, 2021, 11, e047600). Participants (n = 120) were aged 8-17?years and had exposure to multiple traumas and a PTSD diagnosis. The data collected comprised self-report and parent/caregiver-report questionnaires and interviews. Three primary analyses were conducted, comparing number of trauma types, prevalence of sexual trauma and prevalence of intrafamilial abuse between the CPTSD and PTSD-only groups. A range of comorbid psychopathology and cognitive and social factors were compared between the groups in an exploratory secondary analysis. All analyses were preregistered. Results The CPTSD group (n = 72, 60%) had a significantly higher frequency of sexual trauma than the PTSD-only group (n = 48, 40%). The groups did not significantly differ on number of trauma types or prevalence of intrafamilial abuse. From the secondary analysis, the CPTSD group were found to have significantly higher scores on measures of negative post-traumatic cognitions, depression and panic. These results were replicated in correlation analyses using a continuous measure of CPTSD symptoms. Conclusions A large proportion of youth exposed to multiple traumatic events met criteria for CPTSD. Sexual trauma appears to be related to CPTSD symptoms. Youth with CPTSD appear to have greater severity of comorbid depression and panic symptoms, as well as more negative post-traumatic cognitions. Further investigation could focus on the directionality and mechanisms for these associations. En ligne : https://doi.org/10.1111/jcpp.13918 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=529

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