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

19 Citations (Scopus)
124 Downloads (Pure)

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.
Original languageEnglish
Pages (from-to)547-557
Number of pages28
JournalActa Psychiatrica Scandinavica
Volume138
Issue number6
Early online date24 Oct 2018
DOIs
Publication statusE-pub ahead of print - 24 Oct 2018

Keywords

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

Fingerprint Dive into the research topics of 'ICD-11 PTSD and Complex PTSD among Syrian Refugees in Lebanon: The factor structure and the clinical utility of the International Trauma Questionnaire'. Together they form a unique fingerprint.

Cite this