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Title: Complex post-traumatic stress disorder (CPTSD) of ICD-11 in youths with childhood maltreatment: Associations with age of exposure and clinical outcomes.
Author: Marques-Feixa, Laia
Moya-Higueras, Jorge
Romero, Soledad
Santamarina-Pérez, Pilar
San Martín-Gonzalez, Nerea
Mas, Ariadna
Rapado-Castro, Marta
Blasco-Fontecilla, Hilario
Zorrilla, Iñaki
Forner-Puntonet, Mireia
Anglada, Eulalia
Ramírez, Maite
Mayoral, María
Muñoz, María José
Fañanás Saura, Lourdes
EPI-Young Stress GROUP
Palma-Gudiel, Helena
Castro-Quintas, Águeda
Monteserín-García, José Luis
Marín-Vila, María
Lobato, María José
Martín, María
Méndez, Iria
Gadea, Silvia
Vidal, Jorge
Guillen, Hugo
Piazza, Flavia
Fábregas, A. (Anna)
Rios, Giulana
Keywords: Maltractament infantil
Trastorn per estrès posttraumàtic
Psicopatologia de l'adolescència
Child abuse
Post-traumatic stress disorder
Adolescent psychopathology
Issue Date: 31-Mar-2023
Publisher: Elsevier B.V.
Abstract: Background: Exposure to childhood maltreatment (CM) increases the risk of psychiatric morbidity in youths. The new Complex Post-Traumatic Stress Disorder (CPTSD) diagnosis captures the heterogeneity and complexity of clinical outcomes observed in youths exposed to CM. This study explores CPTSD symptomatology and its association with clinical outcomes, considering the impact of CM subtypes and age of exposure. Methods: Exposure to CM and clinical outcomes were evaluated in 187 youths aged 7-17 (116 with psychiatric disorder; 71 healthy controls) following the Tools for Assessing the Severity of Situations in which Children are Vulnerable (TASSCV) structured interview criteria. CPTSD symptomatology was explored by confirmatory factor analysis, considering four subdomains: post-traumatic stress symptoms, emotion dysregulation, negative self-concept and interpersonal problems. Results: Youths exposed to CM (with or without psychiatric disorders) showed greater internalizing, externalizing and other symptomatology, worse premorbid adjustment and poorer overall functioning. Youth with psychiatric disorder and exposed to CM reported more CPTSD symptomatology, psychiatric comorbidity and polypharmacy and earlier onset of cannabis use. Different subtypes of CM and the developmental stage of exposure differentially impact CPTSD subdomains. Limitations: Small percentage of resilient youths was studied. It was not possible to explore specific interactions between diagnostic categories and CM. Direct inference cannot be assumed. Conclusions: Gathering information on type and age of exposure to CM is clinically useful to understand the complexity of psychiatric symptoms observed in youths. Inclusion of the CPTSD diagnosis should increase the implementation of early specific interventions, improving youths' functioning and reducing the severity of clinical outcomes.
Note: Versió postprint del document publicat a:
It is part of: Journal of Affective Disorders, 2023, num. 332, p. 92-104
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ISSN: 0165-0327
Appears in Collections:Articles publicats en revistes (Biologia Evolutiva, Ecologia i Ciències Ambientals)

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