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ICD-11 complex Post Traumatic Stress Disorder (CPTSD) in parents with perinatal bereavement: Implications for

Caroline J Hollins Martin1, Jenny Patterson2, Charlotte Paterson3

  • 1Maternal Health, School of Health and Social Care, Edinburgh Napier University (ENU), Sighthill Campus, Edinburgh, Scotland, UK, EH11 4BN.

Midwifery
|February 21, 2021
PubMed

Insights

Complex Post-Traumatic Stress Disorder (CPTSD) is highly relevant for women experiencing perinatal bereavement, with nearly 30% meeting criteria. Compassionate Focused Therapy (CFT) shows promise for treating traumatic stress in this population.

Area of Science:

  • Psychiatry and Psychology
  • Trauma Studies
  • Perinatal Mental Health

Background:

  • The 11th revision of the World Health Organization's International Classification of Diseases (ICD-11) introduced Complex Post-Traumatic Stress Disorder (CPTSD) as a distinct diagnosis.
  • Perinatal bereavement is a significant traumatic event that can lead to severe psychological distress.

Purpose of the Study:

  • To investigate the relevance of the new ICD-11 CPTSD diagnosis in women who have experienced perinatal bereavement.
  • To explore the acceptability, feasibility, and perceived impact of a flexible Compassionate Focused Therapy (CFT) informed treatment package for CPTSD symptoms in this population.

Main Methods:

  • A mixed-methods study involving 74 women who experienced perinatal bereavement.
  • Utilized the International Trauma Questionnaire (ITQ) to assess for Post-Traumatic Stress Disorder (PTSD) and CPTSD.
  • Conducted semi-structured interviews with 12 participants to gather views on treatment approaches.

Main Results:

  • Nearly 30% (29.7%) of participants met the criteria for CPTSD, while 10.8% met criteria for PTSD, indicating a high prevalence of traumatic stress.
  • CPTSD was found to be more common than PTSD in women experiencing perinatal bereavement.
  • Qualitative data suggested that CFT and Eye Movement Desensitization and Reprocessing (EMDR) are potentially useful and acceptable interventions.

Conclusions:

  • The findings support the relevance of assessing for ICD-11 CPTSD in women who have experienced perinatal bereavement.
  • A feasibility study is recommended to prepare for a randomized controlled trial of a CFT-informed treatment package.
  • Routine assessment of ICD-11 CPTSD in this population is advised.
Abstract

Keywords:
Complex PTSDMidwivesPTSDPerinatal bereavementTreatment

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