Enhanced Skills Training in Affective and Interpersonal Regulation (ESTAIR): A New Modular Treatment for ICD-11 Complex Posttraumatic Stress Disorder (CPTSD)

Karatzias, Thanos; Glanaghy, Edel Mc; Cloitre, Marylene

Abstract

ICD-11 Complex Posttraumatic Stress Disorder (CPTSD) is a relatively new condition; therefore, there is limited available evidence for its treatment. Prior to the recognition of CPTSD as a separate trauma condition, people who met criteria were often diagnosed with multiple co-morbid conditions such as PTSD, anxiety, depression, and emotional dysregulation difficulties. In the absence of a coherent evidence base, treatment tended to involve multiple treatments for these multiple conditions or lengthy phase-based interventions, often delivered in an integrative fashion, which was not standardized. In this paper, we present Enhanced Skills Training in Affective and Interpersonal Regulation (ESTAIR), a new flexible multi-modular approach for the treatment of CPTSD and its transdiagnostic symptoms. ESTAIR is consistent with trauma-informed and patient-centered care, which highlights the importance of patient choice in identification and sequencing in targeting CPTSD symptoms. Directions for future research are discussed.

Citation

Karatzias, T., Glanaghy, E. M., & Cloitre, M. (2023). Enhanced Skills Training in Affective and Interpersonal Regulation (ESTAIR): A New Modular Treatment for ICD-11 Complex Posttraumatic Stress Disorder (CPTSD). Brain Sciences, 13(9), Article 1300. https://doi.org/10.3390/brainsci13091300

• Journal Article Type: Article
• Acceptance Date: Sep 7, 2023
• Online Publication Date: Sep 9, 2023
• Publication Date: 2023
• Deposit Date: Sep 11, 2023
• Publicly Available Date: Sep 11, 2023
• Publisher: MDPI
• Peer Reviewed: Peer Reviewed
• Volume: 13
• Issue: 9
• Article Number: 1300
• DOI: https://doi.org/10.3390/brainsci13091300
• Keywords: complex PTSD, CPTSD, modular treatment, ESTAIR