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首页> 外文期刊>Psychological trauma: theory, research, practice and policy >An Assessment of the Construct Validity of the ICD-11 Proposal for Complex Posttraumatic Stress Disorder
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An Assessment of the Construct Validity of the ICD-11 Proposal for Complex Posttraumatic Stress Disorder

机译：评估综合性强调障碍的ICD-11提案的构建有效性

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Background: A new diagnosis, complex posttraumatic stress disorder (CPTSD), is set to be introduced in the 11th revision to the International Classification of Diseases (ICD-11). Studies have supported a unique group of trauma-exposed individuals who exhibit symptoms consistent with CPTSD proposals. No studies have yet tested the proposed latent symptom structure of CPTSD proposed for ICD-11. This study tests the factorial validity of CPTSD and assesses the role of a range of risk factors to predict CPTSD. Method: A large sample (N = 453) of treatment-seeking adult victims of childhood sexual abuse completed self-report measures of CPTSD. Confirmatory factor analysis (CFA) was used to compare a set of alternative factor models of CPTSD. Results: Just less than half of the sample met the diagnostic criteria for CPTSD (42.8%). CFA results supported the factorial validity of the ICD-11 proposals for CPTSD. Being female and experiencing a greater number of sexual abuse acts during childhood were more strongly associated with PTSD than CPTSD symptoms. Regarding symptoms, anxiety was more strongly associated with PTSD than CPTSD, whereas higher levels of dysthymia were more strongly associated with CPTSD than PTSD symptoms. Conclusions: Results provide initial evidence regarding the factorial validity of the proposed ICD-11 model of CPTSD. In addition, current results support the proposals of the ICD-11 that exposure to abuse during early development is associated with a greater likelihood of CPTSD than PTSD. The study contributes to a growing body of empirical data supporting the construct validity of CPTSD as a unique diagnostic entity.
机译：背景：新的诊断，复杂的创始失调（CPTSD），将在第11次修订中引入对国际疾病的国际分类（ICD-11）。研究支持了一组独特的创伤群，表现出与CPTSD提案一致的症状。没有研究尚未测试为ICD-11提出的CPTSD的提议潜在症状结构。本研究测试了CPTSD的因子有效性，并评估了一系列危险因素来预测CPTSD的作用。方法：寻求童年性虐待的治疗成人受害者的大型样本（n = 453）完成了CPTSD的自我报告措施。确认因子分析（CFA）用于比较CPTSD的一组替代因子模型。结果：少于一半的样本符合CPTSD的诊断标准（42.8％）。 CFA结果支持CPTSD的ICD-11提案的因子有效性。女性和体验更多的性虐待行为，儿童时期的行为比CPTSD症状更强烈地关联。关于症状，与PTSD的焦虑比CPTSD更强烈，而更高水平的缺损程度与CPTSD比PTSD症状更强烈。结论：结果为拟议的CPTSD拟议ICD-11模型的因子有效性提供了初步证据。此外，目前的结果支持ICD-11的建议，在早期发展期间接触滥用的侵略性与CPTSD的可能性高于PTSD。该研究有助于越来越多的经验数据，支持CPTSD作为独特的诊断实体的构建有效性。

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