Karatzias, Thanos, Hyland, Philip, Bradley, Aoife, Cloitre, Marylene, Roberts, Neil P., Bisson, Jonathan I. and Shevlin, Mark (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. pp. 887-894. ISSN 1520-6394
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Abstract
Background: Following the recently published 11th version of the WHO International
Classification of Diseases (ICD‐11), we sought to examine the risk factors and
comorbidities associated with posttraumatic stress disorder (PTSD) and complex
PTSD (CPTSD).
Method: Cross‐sectional and retrospective design. The sample consisted of 1,051
trauma‐exposed participants from a nationally representative panel of the UK adult
population.
Results: A total of 5.3% (95% confidence interval [CI] = 4.0–6.7%) met the diagnostic
criteria for PTSD and 12.9% (95% CI = 10.9–15.0%) for CPTSD. Diagnosis of PTSD
was independently associated with being female, being in a relationship, and the
recency of traumatic exposure. CPTSD was independently associated with younger
age, interpersonal trauma in childhood, and interpersonal trauma in adulthood.
Growing up in an urban environment was associated with the diagnosis of PTSD and
CPTSD. High rates of physical and mental health comorbidity were observed for
PTSD and CPTSD. Those with CPTSD were more likely to endorse symptoms
reflecting major depressive disorder (odds ratio [OR] = 21.85, 95 CI = 12.51–38.04)
and generalized anxiety disorder (OR = 24.63, 95 CI = 14.77–41.07). Presence of
PTSD (OR = 3.13, 95 CI = 1.81–5.41) and CPTSD (OR = 3.43, 95 CI = 2.37–4.70)
increased the likelihood of suicidality by more than three times. Nearly half the
participants with PTSD and CPTSD reported the presence of a chronic illness.
Conclusions: CPTSD is a more common, comorbid, debilitating condition compared to
PTSD. Further research is now required to identify effective interventions for its
treatment.
Item Type: | Article |
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Additional Information: | Cite as: Karatzias, T, Hyland, P, Bradley, A, et al. 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. Depress Anxiety. 2019; 36: 887– 894. https://doi.org/10.1002/da.22934 |
Keywords: | comorbidities; ICD‐11 CPTSD; ICD‐11 PTSD; risk factors; |
Academic Unit: | Faculty of Science and Engineering > Psychology |
Item ID: | 14101 |
Identification Number: | 10.1002/da.22934 |
Depositing User: | Philip Hyland |
Date Deposited: | 01 Mar 2021 14:34 |
Journal or Publication Title: | Depression and Anxiety |
Publisher: | Wiley |
Refereed: | Yes |
Related URLs: | |
URI: | https://mu.eprints-hosting.org/id/eprint/14101 |
Use Licence: | This item is available under a Creative Commons Attribution Non Commercial Share Alike Licence (CC BY-NC-SA). Details of this licence are available here |
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