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Reinforcing the new diagnosis of Complex Post-Traumatic Stress disorder (CPTSD) of ICD-11: exploring the clinical outcomes in youth exposed to complex trauma

Published online by Cambridge University Press:  01 September 2022

L. Marques Feixa ,
S. Romero ,
J. Moya-Higueras ,
P. Santamarina-Pérez ,
J. March-Llanes ,
M.J. Muñoz ,
I. Zorrilla ,
M. Rapado-Castro ,
H. Blasco-Fontecilla  and
E. Anglada
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L. Marques Feixa*
Affiliation:
University of Barcelona, Evolutionary Biology, Ecology And Environmental Sciences, Barcelona, Spain
S. Romero
Affiliation:
Hospital Clínic of Barcelona, Department Of Child And Adolescent Psychiatry And Psychology, Barcelona, Spain
J. Moya-Higueras
Affiliation:
Universitat de Lleida, Department Of Psychology, Lleida, Spain
P. Santamarina-Pérez
Affiliation:
Hospital Clínic of Barcelona, Department Of Child And Adolescent Psychiatry And Psychology, Barcelona, Spain
J. March-Llanes
Affiliation:
Universitat de Lleida, Department Of Psychology, Lleida, Spain
M.J. Muñoz
Affiliation:
Hospital Benito Menni, Adolescent Crisis Unit, Sant Boi de Llobregat, Spain
I. Zorrilla
Affiliation:
Hospital Santiago Apostol, Department Of Psychiatry, Vitoria-Gasteiz , Spain
M. Rapado-Castro
Affiliation:
Hospital General Universitario Gregorio Marañón, Department Of Child And Adolescent Psychiatry, Madrid, Spain
H. Blasco-Fontecilla
Affiliation:
Hospital Puerta de Hierro, Department Of Child And Adolescent Psychiatry, Majadahona, Spain
E. Anglada
Affiliation:
Fundació Orienta Gavà, Hospital For Adolescents, Gava, Spain
M. Ramirez
Affiliation:
Galdakao Mental Health Services, Child And Adolescent Mental Health, Galdakao, Spain
L. Fañanas
Affiliation:
University of Barcelona, Evolutionary Biology, Ecology And Environmental Sciences, Barcelona, Spain
*
*Corresponding author.

Abstract

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Introduction

Youth exposed to complex trauma (CT) show an increased risk of psychiatric morbidity, including a wide range of psychiatric disorders. However, to date, there is no specific diagnosis in the DSM-5 that capture the clinical complexity of these patients. Properly, the last version of the ICD-11 includes a diagnosis termed Complex Post-Traumatic Stress Disorder (CPTSD), which considers the pattern of post-traumatic stress symptoms, plus life-impairing disturbances in self-organization (emotion dysregulation, negative self-concept and interpersonal problems). Clinical research about CPTSD, especially in younger population, is still limited.

Objectives

To explore the symptomatology of CPTSD in a sample of youth exposed to CT and its association with worse clinical outcomes.

Methods

187 youth aged 7 to 17 years participated in the EPI_young_stress_project (116 with current psychiatric disorder and 71 healthy controls). CT was evaluated following the TASSCV criteria. To identify CPTSD symptomatology, we performed an exploratory factor analysis including CBCL and TEIQue items. The global level of functioning was measured by CGAS.

Results

Preliminary results pointed that youth exposed to CT showed greater internalizing (p<.001) and externalizing (p<.001) symptomatology. Regardless of their current primary diagnosis based on DSM-5, youth exposed to CT reported more CPTSD symptomatology (p<.001). Moreover, youth with CPTSD showed greater use of psychotropic drugs (p<.001), higher and longer hospitalizations (p=.002) and worse overall functioning (p<.001).

Conclusions

The inclusion of the CPTSD in future versions of mental disorders manuals should increase the implementation of early specific trauma interventions, which may improve victims’ lives and reduce the risk of worse clinical outcomes.

Disclosure

No significant relationships.

Keywords

Maltreatmentcomplex traumayouthCPTSD
Type
Abstract
Information
European Psychiatry , Volume 65 , Special Issue S1: Abstracts of the 30th European Congress of Psychiatry , June 2022 , pp. S448 - S449
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2022. Published by Cambridge University Press on behalf of the European Psychiatric Association
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