Complex post-traumatic stress disorder (CPTSD) of ICD-11 in youths with childhood maltreatment: Associations with age of exposure and clinical outcomes

Background Exposure to childhood maltreatment (CM) increases the risk of psychiatric morbidity in youths. The new Complex Post-Traumatic Stress Disorder (CPTSD) diagnosis captures the heterogeneity and complexity of clinical outcomes observed in youths exposed to CM. This study explores CPTSD sympto...

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Detalles Bibliográficos
Autores: Marques Feixa, Laia, Moya Higueras, Jorge, Romero, Soledad, Santamarina Pérez, Pilar, San Martín González, Nerea, Mas, Ariadna, Rapado Castro, Marta, Blasco Fontecilla, Hilario, Zorrilla, Iñaki, Forner-Puntonet, Mireia, Anglada, Eulalia, Ramírez, Maite, Mayoral, María, Muñoz, María José, Fañanás Saura, Lourdes, EPI-Young Stress GROUP, Palma Gudiel, Helena, Castro Quintas, Águeda, Monteserín, José Luís, Marín Vila, María, Lobato, María José, Martín, María, Méndez, Iria, Gadea, Silvia, Vidal, Jorge, Guillen, Hugo, Piazza, Flavia, Fàbregas, Anna, Rios, Giulana
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2023
País:España
Institución:Universitat de Lleida (UdL)
Repositorio:Repositori Obert UdL
OAI Identifier:oai:repositori.udl.cat:10459.1/463226
Acceso en línea:https://doi.org/10.1016/j.jad.2023.03.088
https://hdl.handle.net/10459.1/463226
Access Level:acceso abierto
Palabra clave:Childhood maltreatment (CM)
Complex PTSD (CPTSD)
Age of CM exposure
Subtypes of CM
Youth psychopathology
Descripción
Sumario:Background Exposure to childhood maltreatment (CM) increases the risk of psychiatric morbidity in youths. The new Complex Post-Traumatic Stress Disorder (CPTSD) diagnosis captures the heterogeneity and complexity of clinical outcomes observed in youths exposed to CM. This study explores CPTSD symptomatology and its association with clinical outcomes, considering the impact of CM subtypes and age of exposure. Methods Exposure to CM and clinical outcomes were evaluated in 187 youths aged 7–17 (116 with psychiatric disorder; 71 healthy controls) following the Tools for Assessing the Severity of Situations in which Children are Vulnerable (TASSCV) structured interview criteria. CPTSD symptomatology was explored by confirmatory factor analysis, considering four subdomains: post-traumatic stress symptoms, emotion dysregulation, negative self-concept and interpersonal problems. Results Youths exposed to CM (with or without psychiatric disorders) showed greater internalizing, externalizing and other symptomatology, worse premorbid adjustment and poorer overall functioning. Youth with psychiatric disorder and exposed to CM reported more CPTSD symptomatology, psychiatric comorbidity and polypharmacy and earlier onset of cannabis use. Different subtypes of CM and the developmental stage of exposure differentially impact CPTSD subdomains. Limitations Small percentage of resilient youths was studied. It was not possible to explore specific interactions between diagnostic categories and CM. Direct inference cannot be assumed. Conclusions Gathering information on type and age of exposure to CM is clinically useful to understand the complexity of psychiatric symptoms observed in youths. Inclusion of the CPTSD diagnosis should increase the implementation of early specific interventions, improving youths' functioning and reducing the severity of clinical outcomes.

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