Matthias Knefel
From child maltreatment to ICD-11 complex post-traumatic stress symptoms: The role of emotion regulation and re-victimisation
Authors
Brigitte Lueger-Schuster
Prof Thanos Karatzias T.Karatzias@napier.ac.uk
Professor
Mark Shevlin
Phil Hyland
Abstract
Objective: Complex Posttraumatic Stress Disorder (CPTSD) will be introduced in ICD-11 and comprises symptoms of PTSD and disturbances in self-organisation (DSO). The association of trauma with PTSD and DSO is not yet fully understood. We investigated the path from child maltreatment to PTSD and DSO and examined the mediating role of emotion regulation (ER) and adult interpersonal revictimisation.
Method: Adult patients (N=193) from a Scottish National Health Service clinic participated in the project. Participants completed measures of life events, ICD-11 PTSD and CPTSD, and ER. Path analysis was used to assess possible direct and indirect effects from childhood trauma on current posttraumatic psychopathology.
Results: Overall results indicate that the path from child maltreatment to PTSD is a direct one, while the path to DSO is indirectly mediated by ER.
Conclusions: Future research should address the potentially beneficial effect of treatment protocols for CPTSD explicitly aiming at reducing ER difficulties
Citation
Knefel, M., Lueger-Schuster, B., Karatzias², T., Shevlin, M., & Hyland, P. (2019). From child maltreatment to ICD-11 complex post-traumatic stress symptoms: The role of emotion regulation and re-victimisation. Journal of Clinical Psychology, 75(3), 392-403. https://doi.org/10.1002/jclp.22655
| Journal Article Type | Article |
|---|---|
| Acceptance Date | Jun 5, 2018 |
| Online Publication Date | Jun 22, 2018 |
| Publication Date | 2019-03 |
| Deposit Date | Jun 6, 2018 |
| Publicly Available Date | Jun 23, 2019 |
| Journal | Journal of Clinical Psychology |
| Print ISSN | 0021-9762 |
| Publisher | Wiley |
| Peer Reviewed | Peer Reviewed |
| Volume | 75 |
| Issue | 3 |
| Pages | 392-403 |
| DOI | https://doi.org/10.1002/jclp.22655 |
| Keywords | Complex Posttraumatic Stress Disorder (CPTSD), disturbances in self-organisation (DSO), child maltreatment, emotion regulation, |
| Public URL | http://researchrepository.napier.ac.uk/Output/1197464 |
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Copyright Statement
This is the peer reviewed version of the following article: Knefel, M., Lueger-Schuster, B., Karatzias², T., Shevlin, M., & Hyland, P. (in press). From child maltreatment to ICD-11 complex posttraumatic stress symptoms: The role of emotion regulation and revictimisation. Journal of Clinical Psychology, ISSN 0021-9762, which has been published in final form at https://doi.org/10.1002/jclp.22655. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Use of Self-Archived Versions