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Assessment tools for complex post traumatic stress disorder: a systematic review.
Natalie Seiler1,2, Keivan Davoodi1,2, Michael Keem3
1Austin Hospital, Austin Health, Melbourne, Australia.
Accurate screening for complex post traumatic stress disorder (CPTSD) requires validated tools. The International Trauma Questionnaire (ITQ) is recommended for clinical screening, with interviews like ITI and SOTS for specific cases.
Area of Science:
- Psychology
- Psychiatry
- Clinical Assessment
Background:
- Accurate detection of complex post traumatic stress disorder (CPTSD) is crucial for effective patient care.
- A variety of assessment tools exist, but their comparative validity and utility for CPTSD require systematic evaluation.
Approach:
- A systematic literature review was conducted in February 2022, searching Embase and PsychINFO for studies evaluating CPTSD assessment tools.
- Inclusion criteria focused on full-text papers from 2002-2022 that assessed CPTSD, excluding reviews and non-primary research.
- Twenty-two studies met the criteria, examining various self-report and interview-based instruments.
Key Points:
- The International Trauma Questionnaire (ITQ) was the most frequently used and thoroughly validated tool across diverse populations.
- Other tools like the International Trauma Interview (ITI), Symptoms of Trauma Scale (SOTS), and COPISAC are interview-based options suitable when self-report is not feasible.
- Single studies evaluated the Developmental Trauma Inventory (DTI), Cameron Complex Trauma Interview (CCTI), Complex Trauma Questionnaire (ComplexTQ), and MMPI Scale 8.
Conclusions:
- The ITQ is a validated and convenient self-report questionnaire for clinical screening of CPTSD.
- Interview-based tools (ITI, SOTS, COPISAC) can detect CPTSD but necessitate further validation and should complement clinical assessment.
- Selecting the appropriate CPTSD assessment tool depends on the clinical context and the need for self-report versus interview methods.
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