Disorder of extreme stress not otherwise specified (DESNOS) in Croatian war veterans with posttraumatic stress disorder: case-control study

Nemčić-Moro, Iva; Frančišković, Tanja; Britvić, Dolores; Klarić, Miro; Zečević, Iva

doi:10.3325/cmj.2011.52.505

Cited by 16 publications

(14 citation statements)

References 18 publications

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“…This result is in concordance with the results from other studies conducted in treatmentseeking samples from different but predominantly Western countries (Cloitre et al, 2018;Hyland, Brewin, & Maercker, 2017b;Hyland et al, 2017a;Karatzias et al, 2016;Nickerson et al, 2016). Although a different measurement for assessment was used (the Structured Interview for Disorder of Extreme Stress -SIDES-SR), a high prevalence (43%) of CPTSD was found in a similar sample, in a study conducted 10 years before this one (Nemčić-Moro, Frančišković, Britvić, Klarić, & Zečević, 2011). The results of that study contributed to the ongoing argument about the controversial diagnosis of Enduring Personality Change after Catastrophic Event (WHO, 1992) that contained an obligatory criterion of exclusion of PTSD symptoms.…”

Section: Discussionsupporting

confidence: 90%

“…The prevalence of the current comorbid disorders was similar in the PTSD and the CPTSD group, with the exception of GAD, which was significantly more likely to be present in the CPTSD group. Previous research indicated that depression was more strongly related to the DSO symptoms and CPTSD (Gilbar et al, 2018;Hyland, Shevlin, Fyvie, & Karatzias, 2018b;Nemčić-Moro et al, 2011) while anxiety disorders were more strongly related to PTSD (Hyland et al, 2016). Other studies revealed an essentially equivalent association of anxiety to the PTSD and DSO clusters of symptoms (Gilbar et al, 2018;Karatzias et al, 2016).…”

Section: Discussionmentioning

confidence: 94%

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Complex PTSD among treatment-seeking veterans with PTSD

Letica-Crepulja

Stevanović

Protuđer

et al. 2020

European Journal of Psychotraumatology

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Background: In the ICD-11 hierarchical classification structure, posttraumatic stress disorder (PTSD) and complex PTSD (CPTSD) are separate and distinct but also 'sibling' disorders, meaning that the diagnoses follow from the parent category of traumatic stress disorders. Objective: The aim of this study was to examine the prevalence of CPTSD in treatmentseeking war veterans with PTSD more than 20 years after the exposure to cumulative warrelated trauma(s). The second aim was to examine if there was an association between demographic and psychosocial variables and CPTSD or PTSD. Method: A sample of 160 male war veterans with PTSD referred to the outpatient service of the PTSD Referral Centre at the Clinical Hospital Centre (CHC) Rijeka participated in a crosssectional study. Psychiatric comorbidity was assessed using the Mini-International Neuropsychiatric Interview (MINI) and participants completed validated self-report measures: The Life Events Checklist for DSM-5 (LEC-5), International Trauma Questionnaire (ITQ). Results: In total, 80.63% of the sample met criteria for a probable diagnosis of CPTSD. The study revealed that there was no significant difference in the length of deployment, in the intensity of the PTSD symptoms, types of trauma exposure and pharmacotherapeutic treatment between PTSD and CPTSD group. It was found that veterans with PTSD were more likely to be divorced and to participate in PTSD clubs. On the other hand, veterans with CPTSD were significantly more likely to have higher levels of functional impairment and comorbidity with general anxiety disorder (GAD) compared to the PTSD group. Conclusions: This study supports the proposition that a prolonged trauma of severe interpersonal intensity such as war is related to high rates of CPTSD among treatmentseeking veterans, years after the war. The distinction between PTSD and complex PTSD may help the selection of person-centred treatment interventions that would target specific mental health and functional problems in patients.

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Section: Discussionsupporting

confidence: 90%

Section: Discussionmentioning

confidence: 94%

Complex PTSD among treatment-seeking veterans with PTSD

Letica-Crepulja

Stevanović

Protuđer

et al. 2020

European Journal of Psychotraumatology

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“…The high percentage of psychiatric comorbidity with PTSD and the large proportion of patients with Enduring Personality Change After Catastrophic Experience (EPCACE) and anxiety-depressive disorder are findings consistent with previous reports ( Ginzburg et al, 2010 , Nemčić-Moro et al, 2011 ), however our and other ( McTeague et al, 2010 ) studies underscored the significance of the duration of trauma exposure on the occurrence of psychiatric comorbidities. The reason why veterans with PTSD complicated with various psychiatric comorbidities suffer less frequently from all cardiovascular diseases, except arrhythmia, and also dermatological diseases is unclear, but might be due to the process of psychiatric diagnosis and clinical evaluation of psychiatric comorbidity that may relieve anxiety, which consequently reduces the risk for other diseases.…”

Section: Discussionsupporting

confidence: 91%

Comorbidities with Posttraumatic Stress Disorder (PTSD) among combat veterans: 15 years postwar analysis

Britvić

Antičević

Kaliterna

et al. 2015

International Journal of Clinical and Health Psychology

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The aim of this study was to investigate the differences in the prevalence of somatic diseases among combat veterans and their contemporaries who were not exposed to the traumatic experience at the battlefield, and to determine whether socio-demographic factors, exposure to war-time trauma and/or injury might predict individual somatic diseases. The study included 1,558 subjects living in south Croatia: 501 male combat veterans with Posttraumatic Stress Disorder (PTSD) and the corresponding control group of 825 men who were not exposed to combat experience. Veterans with PTSD, regardless of the length of time spent in war, suffered more often from cardiovascular, dermatological, musculoskeletal, pulmonary and metabolic diseases than corresponding control subjects who were not exposed to combat experience. The predictors of cardiovascular, musculoskeletal and malignant diseases in veterans were age, length of time spent in combat, having been wounded. A longer period in the combat zone was associated with arrhythmias in veterans with PTSD complicated with other psychiatric comorbidities. PTSD as a result of exposure to war trauma increases the possibility of developing somatic diseases.

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“…The proportion of people with war‐related PTSD who had clinically significant personality pathology varied considerably across the studies. Studies that assessed DESNOS found that the proportion of people with PTSD who also had DESNOS varied from 10% to 43% (Ford, ; Ford & Kidd, ; Jongedijk et al, ; Morina & Ford, ; Nemcic‐Moro, Franciskovic, Britvic, Klaric, & Zecevic, ). A study involving a disaster sample found relatively high rates of lifetime and current PTSD but very low rate of ASPD (0.005%) (Green et al, ).…”

Section: Resultsmentioning

confidence: 99%