ICD-11 PTSD and Complex PTSD in the United States: A population-based study

Marylène Cloitre, Philip Hyland, Jonathan I. Bisson, C. R. Brewin, N Roberts, Thanos Karatzias, M Shevlin

Research output: Contribution to journalArticle

Abstract

The primary aim of this study was to provide an assessment of the current prevalence rates of ICD-11 posttraumatic stress disorder (PTSD) and complex PTSD (CPTSD) among the adult population of the United States and to identify characteristics and correlates associated with each disorder. A total of 7.2% of the sample met criteria for either PTSD or CPTSD where the prevalence rate for PTSD was 3.4% and for CPTSD was 3.8%. Females were more likely than males to meet criteria for both PTSD and CPTSD. Cumulative adulthood trauma was associated with PTSD and CPTSD, however cumulative childhood trauma was more strongly associated with CPTSD than PTSD. Among traumatic stressors occurring in childhood, sexual and physical abuse by caregivers were identified as events associated with risk for CPTSD while sexual assault (by non-caregiver) and abduction were risk factors for PTSD. Adverse childhood events (ACEs) were associated with both PTSD and CPTSD and equally so. Those with CPTSD reported substantially higher psychiatric burden and lower psychological well-being compared to those with PTSD, and with neither diagnosis.
LanguageEnglish
JournalJournal of Traumatic Stress
Publication statusAccepted/In press - 6 Mar 2019

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Post-Traumatic Stress Disorders
Population
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Wounds and Injuries

Keywords

  • posttraumatic stress disorder (PTSD)
  • ; complex PTSD (CPTSD)
  • ; cumulative trauma
  • ; childhood trauma;
  • prevalence.

Cite this

Cloitre, M., Hyland, P., Bisson, J. I., Brewin, C. R., Roberts, N., Karatzias, T., & Shevlin, M. (Accepted/In press). ICD-11 PTSD and Complex PTSD in the United States: A population-based study..
Cloitre, Marylène ; Hyland, Philip ; Bisson, Jonathan I. ; Brewin, C. R. ; Roberts, N ; Karatzias, Thanos ; Shevlin, M. / ICD-11 PTSD and Complex PTSD in the United States: A population-based study. 2019.
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abstract = "The primary aim of this study was to provide an assessment of the current prevalence rates of ICD-11 posttraumatic stress disorder (PTSD) and complex PTSD (CPTSD) among the adult population of the United States and to identify characteristics and correlates associated with each disorder. A total of 7.2{\%} of the sample met criteria for either PTSD or CPTSD where the prevalence rate for PTSD was 3.4{\%} and for CPTSD was 3.8{\%}. Females were more likely than males to meet criteria for both PTSD and CPTSD. Cumulative adulthood trauma was associated with PTSD and CPTSD, however cumulative childhood trauma was more strongly associated with CPTSD than PTSD. Among traumatic stressors occurring in childhood, sexual and physical abuse by caregivers were identified as events associated with risk for CPTSD while sexual assault (by non-caregiver) and abduction were risk factors for PTSD. Adverse childhood events (ACEs) were associated with both PTSD and CPTSD and equally so. Those with CPTSD reported substantially higher psychiatric burden and lower psychological well-being compared to those with PTSD, and with neither diagnosis.",
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Cloitre, M, Hyland, P, Bisson, JI, Brewin, CR, Roberts, N, Karatzias, T & Shevlin, M 2019, 'ICD-11 PTSD and Complex PTSD in the United States: A population-based study'.

ICD-11 PTSD and Complex PTSD in the United States: A population-based study. / Cloitre, Marylène; Hyland, Philip; Bisson, Jonathan I.; Brewin, C. R.; Roberts, N; Karatzias, Thanos; Shevlin, M.

06.03.2019.

Research output: Contribution to journalArticle

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T1 - ICD-11 PTSD and Complex PTSD in the United States: A population-based study

AU - Cloitre, Marylène

AU - Hyland, Philip

AU - Bisson, Jonathan I.

AU - Brewin, C. R.

AU - Roberts, N

AU - Karatzias, Thanos

AU - Shevlin, M

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Y1 - 2019/3/6

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AB - The primary aim of this study was to provide an assessment of the current prevalence rates of ICD-11 posttraumatic stress disorder (PTSD) and complex PTSD (CPTSD) among the adult population of the United States and to identify characteristics and correlates associated with each disorder. A total of 7.2% of the sample met criteria for either PTSD or CPTSD where the prevalence rate for PTSD was 3.4% and for CPTSD was 3.8%. Females were more likely than males to meet criteria for both PTSD and CPTSD. Cumulative adulthood trauma was associated with PTSD and CPTSD, however cumulative childhood trauma was more strongly associated with CPTSD than PTSD. Among traumatic stressors occurring in childhood, sexual and physical abuse by caregivers were identified as events associated with risk for CPTSD while sexual assault (by non-caregiver) and abduction were risk factors for PTSD. Adverse childhood events (ACEs) were associated with both PTSD and CPTSD and equally so. Those with CPTSD reported substantially higher psychiatric burden and lower psychological well-being compared to those with PTSD, and with neither diagnosis.

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Cloitre M, Hyland P, Bisson JI, Brewin CR, Roberts N, Karatzias T et al. ICD-11 PTSD and Complex PTSD in the United States: A population-based study. 2019 Mar 6.