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Response of young patients with probable ICD-11 Complex PTSD to treatment with developmentally adapted cognitive processing therapy


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Eilers, Rebekka ; Rimane, Eline ; Vogel, Anna ; Renneberg, Babette ; Steil, Regina ; Rosner, Rita:
Response of young patients with probable ICD-11 Complex PTSD to treatment with developmentally adapted cognitive processing therapy.
In: European journal of psychotraumatology. 12 (2021) 1: 1929024. - 10 S.
ISSN 2000-8066


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Background: ICD-11 features Complex Posttraumatic Stress Disorder (CPTSD) as a new diagnosis.To date, very few studies have investigated CPTSD in young patients, and there is a need for evidence on effective treatment.
Objective: The present study evaluates the applicability of developmentally adapted cognitive processing therapy (D-CPT) for CPTSD in young patients in a secondary analysis of the treatment condition of a randomized controlled trial (RCT) investigating the efficacy of D-CPT.
Methods: The D-CPT treatment group in the original study included 44 patients (14–21 years)with DSM-IV PTSD after childhood abuse. We used the ICD-11 algorithm to divide the sample into a probable CPTSD and a non-CPTSD group. We performed multilevel models for interviewer-rated and self-rated PTSD symptoms with fixed effects of group (CPTSD, non-CPTSD)and time (up to 12 months follow-up) and their interaction. Treatment response rates for both groups were calculated.
Results: Nineteen (43.2%) patients fulfilled criteria for probable ICD-11 CPTSD while 25 (56.8%)did not. Both CPTSD and non-CPTSD groups showed symptom reduction over time. The CPTSD group reported higher symptom severity before and after treatment. Linear improvement and treatment response rates were similar for both groups. D-CPT reduced symptoms of disturbances in self-regulation in both groups.
Discussion: Both, patients with and without probable ICD-11 CPTSD seemed to benefit from D-CPT and the treatment also reduced disturbances in self-regulation.
Conclusion: This study presents initial evidence of the applicability of D-CPT in clinical practice for young patients with CPTSD. It remains debatable whether CPTSD implies different treatment needs as opposed to PTSD.

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Schlagwörter:Child abuse; adolescents; cognitive processing therapy; posttraumatic stress disorder; complex PTSD
Sprache des Eintrags:Englisch
Institutionen der Universität:Philosophisch-Pädagogische Fakultät > Psychologie > Lehrstuhl für Klinische und Biologische Psychologie
DOI / URN / ID:10.1080/20008198.2021.1929024
Open Access: Freie Zugänglichkeit des Volltexts?:Ja (Förderung durch DFG-Mittel)
Verlag:Taylor & Francis
Die Zeitschrift ist nachgewiesen in:
Titel an der KU entstanden:Ja
Eingestellt am: 28. Jul 2021 15:27
Letzte Änderung: 08. Aug 2022 08:58
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