Vallières, Frédérique and Ceannt, Ruth and Daccache, F. and Abou Daher, R. and Sleiman, J. and Gilmore, B. and Byrne, S. and Shevlin, Mark and Murphy, J. and Hyland, Philip
(2018)
ICD-11 PTSD and complex PTSD amongst
Syrian refugees in Lebanon: the factor
structure and the clinical utility of the
International Trauma Questionnaire.
Acta Psychiatrica Scandinavica, 138.
pp. 547-557.
ISSN 0001-690X
Abstract
Objective: Support for ICD-11 post-traumatic stress disorder (PTSD)
and complex PTSD (CPTSD) is growing; however, few studies include
refugees or examine the clinical utility of PTSD/CPTSD classifications.
This study sought to provide the first evaluations of (i) the factor
structure of ICD-11 PTSD/CPTSD amongst refugees in the Middle East;
and (ii) the clinical utility of the International Trauma Questionnaire
(ITQ) to identify PTSD/CPTSD in a humanitarian context.
Method: Participants were 112 treatment-seeking Syrian refugees living
in Lebanon. Factorial validity was assessed using confirmatory factor
analysis (CFA) based on responses to the ITQ. Clinical utility of the
ITQ was assessed through semi-structured interviews with six Lebanese
psychotherapists.
Results: Complex PTSD (36.1%) was more common than PTSD
(25.2%), and no sex or age differences were observed at the prevalence
or symptomatic levels. CFA results supported a two-factor higher-order
model consistent with ICD-11 PTSD/CPTSD. Qualitative findings
indicated that the ITQ is generally positively regarded, with some
limitations and suggested modifications noted.
Conclusion: This is the first study to support the ICD-11 PTSD/CPTSD
amongst refugees in the Middle East and the clinical utility of the ITQ
in a humanitarian context. Findings support the growing evidence for
the cross-cultural applicability of ICD-11 PTSD/CPTSD.
| Item Type: |
Article
|
| Keywords: |
ICD-11 PTSD; complex PTSD;
Syrian refugees; Lebanon; factor
structure; clinical utility;
International Trauma Questionnaire; |
| Academic Unit: |
Faculty of Science and Engineering > Psychology |
| Item ID: |
13305 |
| Identification Number: |
https://doi.org/10.1111/acps.12973 |
| Depositing User: |
Philip Hyland
|
| Date Deposited: |
25 Sep 2020 15:21 |
| Journal or Publication Title: |
Acta Psychiatrica Scandinavica |
| Publisher: |
Wiley |
| Refereed: |
Yes |
| URI: |
|
| 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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