Validation of posttraumatic stress disorder (PTSD) and complex PTSD in Chinese children as per the ICD-11 proposals using the International trauma questionnaire

Li, Jina; Wang, Weiwei; Hu, Wei; Zhi-qiang, Yang; Zhou, Ruifu; Zhang, Weijun; Qu, Zhaowei

doi:10.1080/20008198.2021.1888525

Cited by 11 publications

(15 citation statements)

References 62 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Consistent with prior studies where sexual trauma was identified as a predominant risk factor for CPTSD, 19,21,72,73 experiences of sexual trauma at lower and higher frequencies of exposure significantly predicted 'CPTSD class' membership. Notably, sexual trauma was also a risk-factor for 'DSO class's membership, 74 although this effect was applicable only at lower quantities of exposure. It is likely that DSO symptoms resonate strongly with victims of sexual trauma.…”

Section: Discussionmentioning

confidence: 99%

Prevalence and predictors of ICD‐11 posttraumatic stress disorder and complex PTSD in young people

Redican

Cloitre

McBride

et al. 2022

Acta Psychiatr Scand

View full text Add to dashboard Cite

Objective: The prevalence, construct validity, risk factors and psychopathological correlates associated with ICD-11 posttraumatic stress disorder (PTSD) and complex PTSD (CPTSD) as measured by the International Trauma Questionnaire for Children and Adolescents (ITQ-CA) were assessed in a sample of young people from Northern Ireland. Method: Participants were trauma-exposed 11-19-year-olds (N = 507) who participated in the Northern Ireland Youth Wellbeing Prevalence Survey (YWS-NI, 2020). Factor mixture modelling (FMM) was used to test the latent structure of the ITQ-CA. Risk-factors and psychopathological correlates associated with latent class membership, and ICD-11diagnostic status, were also investigated.Results: More participants met the ITQ-CA criteria for CPTSD (3.4%, n = 44) than PTSD (1.5%, n = 19). A second-order FMM comprising a 'partial-PTSD class', a 'CPTSD class', a 'DSO class' and a 'low symptom endorsement class' was the best-fitting model. Younger age and cumulative trauma were risk factors for all trauma classes. Female gender and two or more violent traumas were significant predictors of the 'PTSD' and 'CPTSD' classes, while single sexual trauma was a significant predictor of the 'DSO' and 'CPTSD' classes.Two or more sexual traumas was a unique predictor of 'CPTSD class', while two or more vicarious traumas was a unique predictor of 'DSO class'. The 'CPTSD' class displayed the most notable comorbidity.Conclusions: Findings indicate that CPTSD may be more prevalent than PTSD in children and young people. Support for the ICD-11 conceptualisation of CPTSD as representing a unique diagnostic construct was supported using FMM, with findings indicating trauma symptom class-specific risk profiles.

show abstract

Section: Discussionmentioning

confidence: 99%

Prevalence and predictors of ICD‐11 posttraumatic stress disorder and complex PTSD in young people

Redican

Cloitre

McBride

et al. 2022

Acta Psychiatr Scand

View full text Add to dashboard Cite

show abstract

“…This is consistent with prior studies demonstrating the second-order model provides a better representation of data sampled from clinical or highly traumatized adult populations using the ITQ [ 4 , 9 ], and in trauma-exposed foster children using the ITQ-CA [ 12 , 14 ]. Conversely, a study of trauma-exposed Chinese children sampled from the general population demonstrated the correlated six-factor model provided the best fit, but this study used the adult version of the ITQ [ 13 ]. Therefore, more research is needed to clarify the factorial structure of the ITQ-CA in assessing ICD-11 CPTSD in Chinese populations across different settings.…”

Section: Discussionmentioning

confidence: 99%

“…Studies of trauma-exposed adolescents in the general population in Lithuania also support the factorial validity of ICD-11 CPTSD using the ITQ-CA [ 17 ], and found family problems, school problems, and lack of social support as factors that differentially predicted PTSD versus CPTSD [ 18 ]. Although two recent studies of trauma-exposed adolescents in Mainland China also support the factorial validity of ICD-11 CPTSD and identified distinct symptom profiles of PTSD and CPTSD [ 13 , 19 ], these studies were limited by the use of the adult version of the ITQ.…”

Section: Introductionmentioning

confidence: 99%

“…The presentation and symptom structure of traumarelated disorders in younger people per ICD-11 algorithm is still under investigation, and many have highlighted a need to refine the assessment and identification of PTSD and CPTSD in children and adolescents in a manner that is in line with the new diagnostic formulation [11][12][13]. In response, the International Trauma Questionnaire-Child and Adolescent Version (ITQ-CA) was developed to assess PTSD and DSO symptoms in a self-report measure that is comprehensible to children and adolescents.…”

mentioning

confidence: 99%

See 1 more Smart Citation

Validation of the International Trauma Questionnaire—Child and Adolescent Version (ITQ-CA) in a Chinese mental health service seeking adolescent sample

Liu

Karatzias

et al. 2022

Child Adolesc Psychiatry Ment Health

View full text Add to dashboard Cite

Background The International Trauma Questionnaire—Child and Adolescent version (ITQ-CA) is a self-report measure that assesses posttraumatic stress disorder (PTSD) and complex PTSD (CPTSD) based on the diagnostic formulation of the 11th version of the International Classification of Diseases (ICD-11). This study aimed to provide a Chinese translation and psychometric evaluation of the ITQ-CA using a sample of mental-health service seeking adolescents in Mainland China. Methods The ITQ-CA was translated and back-translated from English to simplified Chinese and finalized with consensus from an expert panel. Adolescents ages 12–17 were recruited via convenience sampling from an outpatient psychiatric clinic in Mainland China. Participants completed the ITQ-CA; measures of four criterion variables (depression, anxiety, stress, adverse childhood experiences); and the PTSD Checklist for DSM-5 (PCL-5). Construct validity, concurrent validity, and comparison of PTSD caseness between ICD-11 and DSM-5 measures were assessed. Results The final sample consisted of 111 Chinese adolescents (78% female; mean age of 15.23), all diagnosed with a major depressive disorder. Confirmatory factor analysis indicated the two-factor second-order model provided optimal fit. All criterion variables were positively and significant correlated with the six ITQ-CA symptom cluster summed scores. In the present sample, 69 participants (62.16%) met symptom criteria for ICD-PTSD or CPTSD using the ITQ-CA, and 73 participants (65.77%) met caseness for DSM-5 PTSD using the PCL-5. Rates of PTSD symptom cluster endorsement and caseness deriving from both diagnostic systems were comparable. Conclusions The Chinese ITQ-CA has acceptable psychometric properties and confers additional benefits in identifying complex presentations of trauma-related responses in younger people seeking mental health services.

show abstract

“…Brewin et al ( 17 ) further suggest that the value of ICD-11 is that it provides a brief set of systems to distinguish between two sibling disorders, PTSD and complex PTSD (CPTSD). Several studies examine the association of PTSD with disasters, such as studies of earthquake survivors in China ( 19 , 20 ), Australian accident victims ( 21 ), and preadolescent children exposed to a hurricane in the United States ( 22 ). The findings of these studies indicate that the ICD-11 model has an acceptable fit for data collected from postdisaster settings.…”

Section: Introductionmentioning

confidence: 99%

ICD-11 Posttraumatic Stress Disorder and Complex PTSD Among Hospital Medical Workers in China: Impacts of Wenchuan Earthquake Exposure, Workplaces, and Sociodemographic Factors

Guo

Chan

2022

Front. Psychiatry

View full text Add to dashboard Cite

BackgroundPrevious studies address posttraumatic stress disorder (PTSD) following disasters as a public health issue. However, few studies investigate the long-term effect of disaster exposure on PTSD among hospital medical workers (HMWs).ObjectivesThis study aimed to study the prevalence of ICD-11 PTSD and complex PTSD (CPTSD) among exposed and non-exposed HMWs 11 years after the Wenchuan earthquake in China, to identify the factors associated with PTSD and CPTSD scores, and to examine the factor structures of PTSD and CPTSD models.MethodsA cross-sectional study was conducted using a self-administered online questionnaire. Two thousand fifty-nine valid samples were collected from four hospitals in 2019. Descriptive statistical analysis, multivariate regression models, and confirmatory factor analysis (CFA) were performed.ResultsThe prevalence of PTSD and CPTSD was 0.58 and 0.34%, respectively. The unexposed group reported higher PTSD and CPTSD scores than the exposed group. The type of workplace and marital status were significantly associated with the PTSD and CPTSD scores of HMWs. The CFA results indicate that both the correlated first-order model and the correlated two-layer model were a good fit to explain the structure of PTSD and CPTSD.ConclusionThese findings suggest that few HMWs who were exposed to the Wenchuan earthquake suffered from PTSD or CPTSD 11 years following the disaster. However, psychological support was still necessary for all HMWs, especially for unmarried HMWs who were Working in smaller hospitals. Further research is required to analyze mental health status using ICD-11 PTSD and CPTSD to provide ongoing evidence to help HWMs cope effectively with the challenges of future disasters.

show abstract

Validation of posttraumatic stress disorder (PTSD) and complex PTSD in Chinese children as per the ICD-11 proposals using the International trauma questionnaire

Cited by 11 publications

References 62 publications

Prevalence and predictors of ICD‐11 posttraumatic stress disorder and complex PTSD in young people

Prevalence and predictors of ICD‐11 posttraumatic stress disorder and complex PTSD in young people

Validation of the International Trauma Questionnaire—Child and Adolescent Version (ITQ-CA) in a Chinese mental health service seeking adolescent sample

ICD-11 Posttraumatic Stress Disorder and Complex PTSD Among Hospital Medical Workers in China: Impacts of Wenchuan Earthquake Exposure, Workplaces, and Sociodemographic Factors

Contact Info

Product

Resources

About