Hyland, Philip, Shevlin, Mark, Fyvie, Claire, Cloitre, Marylene and Karatzias, Thanos (2019) The relationship between ICD-11 PTSD, complex PTSD and dissociative experiences. Journal of Trauma & Dissociation, 21 (1). pp. 62-72. ISSN 1529-9740
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Abstract
Debate exists in the trauma literature regarding the role of dissociation
in traumatic stress disorders. With the release of the new
ICD-11 diagnostic guideline for posttraumatic stress disorder
(PTSD) and complex PTSD (CPTSD), this issue warrants further
attention. In the current study, we provide a preliminary assessment
of the associations between ICD-11 CPTSD and dissociative
experiences. This study is based on a sample (N = 106) of highly
traumatized clinical patients from the United Kingdom who completed
measures of traumatic stress and dissociative experiences.
The majority of participants met the diagnostic criteria for CPTSD
(69.1%, n = 67), with few patients qualifying for a diagnosis of
PTSD (9.3%, n = 9). Those with CPTSD had significantly higher
levels of dissociative experiences compared to those with PTSD
(Cohen’s d = 1.04) and those with no diagnosis (Cohen’s d = 1.44).
Three CPTSD symptom clusters were multivariately associated
with dissociation: Affective Dysregulation (β = .33), Reexperiencing
in the here and now (β = .24), and Disturbed
Relationships (β = .22). These findings indicate that dissociative
experiences are particularly relevant for clinical patients with
CPTSD. Future longitudinal work will be needed to determine if
dissociation is a risk factor for, or outcome of, CPTSD.
Item Type: | Article |
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Additional Information: | Cite as: Hyland P, Shevlin M, Fyvie C, Cloitre M, Karatzias T. The relationship between ICD-11 PTSD, complex PTSD and dissociative experiences. J Trauma Dissociation. 2020 Jan-Feb;21(1):62-72. doi: 10.1080/15299732.2019.1675113. Epub 2019 Oct 4. PMID: 31583967. |
Keywords: | Posttraumatic stress disorder; PTSD; complex PTSD; CPTSD; ICD-11; dissociation; |
Academic Unit: | Faculty of Science and Engineering > Psychology |
Item ID: | 14099 |
Identification Number: | 10.1080/15299732.2019.1675113 |
Depositing User: | Philip Hyland |
Date Deposited: | 01 Mar 2021 14:23 |
Journal or Publication Title: | Journal of Trauma & Dissociation |
Publisher: | Taylor & Francis (Routledge) |
Refereed: | Yes |
Related URLs: | |
URI: | https://mural.maynoothuniversity.ie/id/eprint/14099 |
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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