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Validation of the International Trauma Interview (ITI) for the Clinical Assessment of ICD-11 Posttraumatic Stress Disorder (PTSD) and Complex PTSD (CPTSD) in a Lithuanian Sample

Gelezelyte, Odeta; Roberts, Neil P.; Kvedaraite, Monika; Bisson, Jonathan I.; Brewin, Chris R.; Cloitre, Marylene; Kairyte, Agniete; Karatzias, Thanos; Shevlin, Mark; Kazlauskas, Evaldas


Odeta Gelezelyte

Neil P. Roberts

Monika Kvedaraite

Jonathan I. Bisson

Chris R. Brewin

Marylene Cloitre

Agniete Kairyte

Mark Shevlin

Evaldas Kazlauskas


Background: The 11th revision of the International Classification of Diseases (ICD-11) includes a new diagnosis of complex posttraumatic stress disorder (CPTSD). The International Trauma Interview (ITI) is a novel clinician-administered diagnostic interview for the assessment of ICD-11 PTSD and CPTSD.
Objective: The aim of this study was to evaluate the psychometric properties of the ITI in a Lithuanian sample in relation to interrater agreement, latent structure, internal reliability, as well as convergent and discriminant validity.
Method: In total, 103 adults with a history of various traumatic experiences participated in the study. The sample was predominantly female (83.5%), with a mean age of 32.64 years (SD = 9.36). For the assessment of ICD-11 PTSD and CPTSD, the ITI and the self-report International Trauma Questionnaire (ITQ) were used. Mental health indicators, such as depression, anxiety, and dissociation, were measured using self-report questionnaires. The latent structure of the ITI was evaluated using confirmatory factor analysis (CFA). In order to test the convergent and discriminant validity of the ITI we conducted a structural equation model (SEM).
Results: Overall, based on the ITI, 18.4% of participants fulfilled diagnostic criteria for PTSD and 21.4% for CPTSD. A second-order two-factor CFA model of the ITI PTSD and disturbances in self-organization (DSO) symptoms demonstrated a good fit. The associations with various mental health indicators supported the convergent and discriminant validity of the ITI. The clinician-administered ITI and self-report ITQ had poor to moderate diagnostic agreement across different symptom clusters.
Conclusion: The ITI is a reliable and valid tool for assessing and diagnosing ICD-11 PTSD and CPTSD.

Journal Article Type Article
Acceptance Date Jan 21, 2022
Online Publication Date Feb 23, 2022
Publication Date 2022
Deposit Date Jan 24, 2022
Publicly Available Date Feb 23, 2022
Journal European Journal of Psychotraumatology
Print ISSN 2000-8198
Electronic ISSN 2000-8066
Publisher Co-Action Publishing
Peer Reviewed Peer Reviewed
Volume 13
Issue 1
Article Number 2037905
Keywords International Trauma Interview, posttraumatic stress disorder, complex posttraumatic stress disorder, assessment, ICD-11
Public URL


Validation Of The International Trauma Interview (ITI) For The Clinical Assessment Of ICD-11 Posttraumatic Stress Disorder (PTSD) And Complex PTSD (CPTSD) In A Lithuanian Sample (accepted version) (450 Kb)

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