In 2013, Complex Post-Traumatic Stress Disorder (CPTSD) was introduced in the International Classification of Diseases (ICD) 11 to simplify diagnosis and increase clinical utility. Given the recent ICD-11 conceptualisation, there is no standard approach for its assessment, and a review of research is necessary. This systematic review focuses on ICD-11 CPTSD assessment in young people aged 7 to 17 and adults aged 18 and above, examining measures, differentiating features, and clinical considerations. Cochrane Library, Web of Science, Pubmed, Psychinfo and PTSDpubs databases were searched. Studies were reviewed using a narrative synthesis approach and the quality of evidence was assessed using Joanna Briggs Institute checklists. A total of 36 studies involving 5,901 participants recruited from clinical settings and 1,458 professionals with CPTSD assessment experience were included. Studies predominantly focused on adults and the most used measure for assessment was the International Trauma Questionnaire. Papers focusing on differentiating features highlighted increased symptom severity, impairment and difficulties in individuals with CPTSD, compared to those with PTSD, across various characteristics in both young people and adults. This review also identified the importance of a sensitive clinical approach with adaptations based on culture and age. Although gold-standard recommendations cannot be made, this paper offers tentative clinical practice recommendations and considerations regarding ICD-11 CPTSD assessment.
Date of Award | 1 Oct 2024 |
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Original language | English |
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Awarding Institution | |
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Supervisor | Freya Rumball (Supervisor) & Deborah Spain (Supervisor) |
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Differential diagnosis of autism, attachment disorders, complex post- traumatic stress disorder and emotionally unstable personality disorder: A Delphi study
Sarr, R. (Author). 1 Oct 2024
Student thesis: Doctoral Thesis › Doctor of Clinical Psychology