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Identifying patients with complex PTSD.

Alastair M Hull, Frank M Corrigan, Stephen A Curran

    The Practitioner
    |October 11, 2017
    PubMed
    Summary
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    Complex trauma, resulting from repeated or multiple traumatic events, requires clinicians to assess beyond standard post-traumatic stress disorder (PTSD) symptoms. It necessitates evaluating emotional, self-concept, and interpersonal disturbances alongside core PTSD criteria.

    Area of Science:

    • Psychiatry
    • Psychology
    • Trauma Studies

    Background:

    • Post-traumatic stress disorder (PTSD) is commonly associated with single traumatic events.
    • Complex trauma involves repeated or multiple traumatic exposures over extended periods, often with associated adversities.
    • Trauma occurring during vulnerable developmental stages, especially involving betrayal of trust, characterizes complex trauma.

    Purpose of the Study:

    • To highlight the distinction between single-event PTSD and complex trauma.
    • To inform clinicians about the unique assessment needs for individuals with complex trauma.
    • To emphasize the importance of evaluating core PTSD symptoms and additional domains.

    Main Methods:

    • Clinical awareness and assessment strategies for complex trauma.

    Related Experiment Videos

  • Distinguishing complex trauma from single-event PTSD.
  • Assessing core PTSD symptoms and disturbances in emotional regulation, self-concept, and interpersonal relationships.

    • Main Results:

    • Complex trauma requires assessment beyond core PTSD symptoms.
    • Key areas for assessment include emotional dysregulation, negative self-concept, and interpersonal disturbances.
    • Disclosure may be incremental due to the nature of complex trauma, such as abuse or domestic violence.

    Conclusions:

    • Clinicians must recognize and assess complex trauma, distinct from single-event PTSD.
    • Comprehensive assessment for complex trauma involves evaluating core PTSD symptoms and specific disturbance domains.
    • Understanding the impact of repeated trauma and betrayal of trust is crucial for effective treatment.