ICD-11 PTSD and Complex PTSD among Syrian Refugees in Lebanon: The factor structure and the clinical utility of the International Trauma Questionnaire

Frederique Vallieres, Ruth Ceannt, F Daccache, R Abou Daher, J Sleiman, B Gilmore, S Byrne, M Shevlin, Jamie Murphy, Philip Hyland

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

OBJECTIVE:
Support for ICD-11 post-traumatic stress disorder (PTSD) and complex PTSD (CPTSD) is growing; however, few studies include refugees or examine the clinical utility of PTSD/CPTSD classifications. This study sought to provide the first evaluations of (i) the factor structure of ICD-11 PTSD/CPTSD amongst refugees in the Middle East; and (ii) the clinical utility of the International Trauma Questionnaire (ITQ) to identify PTSD/CPTSD in a humanitarian context.
METHOD:
Participants were 112 treatment-seeking Syrian refugees living in Lebanon. Factorial validity was assessed using confirmatory factor analysis (CFA) based on responses to the ITQ. Clinical utility of the ITQ was assessed through semi-structured interviews with six Lebanese psychotherapists.
RESULTS:
Complex PTSD (36.1%) was more common than PTSD (25.2%), and no sex or age differences were observed at the prevalence or symptomatic levels. CFA results supported a two-factor higher-order model consistent with ICD-11 PTSD/CPTSD. Qualitative findings indicated that the ITQ is generally positively regarded, with some limitations and suggested modifications noted.
CONCLUSION:
This is the first study to support the ICD-11 PTSD/CPTSD amongst refugees in the Middle East and the clinical utility of the ITQ in a humanitarian context. Findings support the growing evidence for the cross-cultural applicability of ICD-11 PTSD/CPTSD.
LanguageEnglish
Pages547-557
Number of pages28
JournalActa Psychiatrica Scandinavica
Volume138
Issue number6
Early online date24 Oct 2018
DOIs
Publication statusE-pub ahead of print - 24 Oct 2018

Fingerprint

Lebanon
Refugees
Post-Traumatic Stress Disorders
Wounds and Injuries
Middle East
Surveys and Questionnaires
Statistical Factor Analysis

Keywords

  • International Trauma Questionnaire
  • Lebannon
  • Syrian Conflict
  • Post Traumatic stress disorder
  • Refugees
  • complex post-traumatic stress disorder

Cite this

Vallieres, Frederique ; Ceannt, Ruth ; Daccache, F ; Abou Daher, R ; Sleiman, J ; Gilmore, B ; Byrne, S ; Shevlin, M ; Murphy, Jamie ; Hyland, Philip. / ICD-11 PTSD and Complex PTSD among Syrian Refugees in Lebanon: The factor structure and the clinical utility of the International Trauma Questionnaire. In: Acta Psychiatrica Scandinavica. 2018 ; Vol. 138, No. 6. pp. 547-557.
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ICD-11 PTSD and Complex PTSD among Syrian Refugees in Lebanon: The factor structure and the clinical utility of the International Trauma Questionnaire. / Vallieres, Frederique; Ceannt, Ruth; Daccache, F; Abou Daher, R; Sleiman, J; Gilmore, B; Byrne, S; Shevlin, M; Murphy, Jamie; Hyland, Philip.

In: Acta Psychiatrica Scandinavica, Vol. 138, No. 6, 24.10.2018, p. 547-557.

Research output: Contribution to journalArticle

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AU - Vallieres, Frederique

AU - Ceannt, Ruth

AU - Daccache, F

AU - Abou Daher, R

AU - Sleiman, J

AU - Gilmore, B

AU - Byrne, S

AU - Shevlin, M

AU - Murphy, Jamie

AU - Hyland, Philip

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N2 - OBJECTIVE:Support for ICD-11 post-traumatic stress disorder (PTSD) and complex PTSD (CPTSD) is growing; however, few studies include refugees or examine the clinical utility of PTSD/CPTSD classifications. This study sought to provide the first evaluations of (i) the factor structure of ICD-11 PTSD/CPTSD amongst refugees in the Middle East; and (ii) the clinical utility of the International Trauma Questionnaire (ITQ) to identify PTSD/CPTSD in a humanitarian context.METHOD:Participants were 112 treatment-seeking Syrian refugees living in Lebanon. Factorial validity was assessed using confirmatory factor analysis (CFA) based on responses to the ITQ. Clinical utility of the ITQ was assessed through semi-structured interviews with six Lebanese psychotherapists.RESULTS:Complex PTSD (36.1%) was more common than PTSD (25.2%), and no sex or age differences were observed at the prevalence or symptomatic levels. CFA results supported a two-factor higher-order model consistent with ICD-11 PTSD/CPTSD. Qualitative findings indicated that the ITQ is generally positively regarded, with some limitations and suggested modifications noted.CONCLUSION:This is the first study to support the ICD-11 PTSD/CPTSD amongst refugees in the Middle East and the clinical utility of the ITQ in a humanitarian context. Findings support the growing evidence for the cross-cultural applicability of ICD-11 PTSD/CPTSD.

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