Complex PTSD symptoms mediate the association between childhood trauma and physical health problems

Ho, Grace W.K.; Karatzias, Thanos; Vallières, Frédérique; Bondjers, Kristina; Shevlin, Mark; Cloitre, Marylène; Ben–Ezra, Menachem; Bisson, Jonathan I.; Roberts, Neil P.; Wright, Laurence Astill; Hyland, Philip

doi:10.1016/j.jpsychores.2021.110358

Cited by 22 publications

(8 citation statements)

References 64 publications

(53 reference statements)

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“…Num-erous studies also showed that deprivation, especially in the context of early development, can adversely impact the developing brain and potentiate risks for psychopathology (De Bellis, 2005 ; McLaughlin, Sheridan, & Nelson, 2017 ). For these reasons, neglect has been proposed to represent a transdiagnostic risk factor for multiple psychiatric disorders (Kumari, 2020 ), and prior investigations support neglect as a significant predictor of psychosis (Bailey et al, 2018 ; Read, Fink, Rudegeair, Felitti, & Whitfield, 2008 ; Van Dam et al, 2015 ) and CPTSD (Ho et al, 2021 ; Karatzias et al, 2017 ). Therefore, although neglect is more often considered to be an adverse childhood experience and not technically defined as a traumatic event within the ICD-11, it should be carefully screened and assessed for as part of history-taking for clients presenting with symptoms of CPTSD or psychosis.…”

Section: Discussionmentioning

confidence: 99%

Traumatic life events as risk factors for psychosis and ICD-11 complex PTSD: a gender-specific examination

Karatzias

Bressington

et al. 2021

European Journal of Psychotraumatology

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Background Numerous studies found robust associations between psychosis and posttraumatic stress disorder (PTSD), but few have examined the relationships between psychosis and recently formulated ICD-11 Complex PTSD (CPTSD). Further, no known study has examined the effects of different traumatic life events on CPTSD and psychotic-like symptoms in a manner that permits gender-specific effects to be identified. Objective Using a nationally representative sample of 1,020 Irish adults, we examined gender-differences in (a) psychotic-like symptoms, CPTSD, and exposure to 21 different traumatic life events, and (b) the unique associations between different traumas with CPTSD and Psychosis. Method Bivariate analyses and structural equation modelling were performed. Results Consistent with the literature, no gender differences were observed in psychotic-like symptoms. Females reported slightly higher levels of CPTSD and were more likely to be exposed to sexual and emotional abuse, whereas men reported greater exposure to physical violence, accidents, and disasters. Psychosis symptoms were explained by trauma exposure to a considerate degree and at a level similar to CPTSD; a moderate correlation was also found between CPTSD and Psychosis. Physical/emotional neglect was the only traumatic life event that significantly and most strongly predicted both conditions. Two gender-specific associations between different traumatic life events and CPTSD and Psychosis were identified out of the 42 possible effects modelled. Conclusions The present investigation provides initial evidence that psychotic-like symptoms and CPTSD are moderately correlated constructs in the general population. Results also highlight the importance of conducting a detailed assessment of trauma history for all clients presenting with symptoms of CPTSD, psychosis, or both.

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Section: Discussionmentioning

confidence: 99%

Traumatic life events as risk factors for psychosis and ICD-11 complex PTSD: a gender-specific examination

Karatzias

Bressington

et al. 2021

European Journal of Psychotraumatology

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“…65 Other studies focus only on elevated posttraumatic stress symptoms without requiring a specific traumatic event. 43,70 These practices increase the number of people who qualify for PTSD-related research or treatment while also revealing concerns about the boundaries of the diagnosis of PTSD and its utility in research and treatment.…”

Section: Critique Of Treating Posttraumatic Stress Disorder In Chroni...mentioning

confidence: 99%

Trauma matters: psychological interventions for comorbid psychosocial trauma and chronic pain

Lumley¹,

Yamin²,

Pester³

et al. 2021

PAIN

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“…For Factor B, participants prioritised mental wellness as the most important consideration in differentiating acceptable versus reporting forms of DB. This view is supported by studies suggesting that the psychological impact of emotional maltreatment may be just as serious as those associated with sexual and physical abuse and even more harmful (Ho et al, 2021). Compared to physical punishment, the traumatic experience and impact of emotional abuse may persist even if the physical injuries had healed over time (Hamarman & Bernet, 2000).…”

Section: Discussionmentioning

confidence: 96%

Home‐visiting mental health professionals' differentiations between acceptable and unacceptable parent discipline behaviours in Hong Kong: A q‐study

Lam

Bressington

2022

Child Abuse Review

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Home-visiting mental health professionals (HMHPs) have an important role in identifying suspected child maltreatment in the community. However, it is unclear how professionals in Hong Kong differentiate acceptable discipline behaviours from reportable forms of abuse, and how their characteristics may influence their view. This study examined HMHPs' views on acceptable versus unacceptable parent discipline behaviours. Using Q-methodology, 50 HMHPs in Hong Kong sorted 52 statements on parent discipline behaviours along a continuum ranging from 'Most Unacceptable' to 'Most Acceptable'. Byperson factor analysis was conducted to uncover prevailing views based on their sorts. Three unique viewpoints in differentiating discipline behaviours from abuse were uncovered, which varied based on how HMHPs prioritised children's physical safety, mental wellness and parental intention. Different views were supported by professionals with different characteristics and occupational backgrounds. K E Y W O R D S child abuse, discipline behaviour, parenting, corporal punishment, Q-methodology Key Practitioner Messages • Three unique viewpoints on differentiating parent discipline behaviours and child abuse were uncovered among 50 HMHPs. • These viewpoints were associated with different professional backgrounds and demographic characteristics. • Views on discipline versus abuse differed by the perceived risk of harm and intent of parent discipline behaviours.

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Complex PTSD symptoms mediate the association between childhood trauma and physical health problems

Cited by 22 publications

References 64 publications

Traumatic life events as risk factors for psychosis and ICD-11 complex PTSD: a gender-specific examination

Traumatic life events as risk factors for psychosis and ICD-11 complex PTSD: a gender-specific examination

Trauma matters: psychological interventions for comorbid psychosocial trauma and chronic pain

Home‐visiting mental health professionals' differentiations between acceptable and unacceptable parent discipline behaviours in Hong Kong: A q‐study

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