Complex PTSD in victims exposed to sexual and physical abuse: Results from the DSM-IV field trial for posttraumatic stress disorder

Two hundred thirty four participants in the DSM‐IV Posttraumatic Stress Disorder (PTSD) Field Trial who reported sexual and/or physical abuse were evaluated. Participants were categorized according to type of abuse (physical, sexual, both), duration of abuse (acute versus chronic), and onset of abus...

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Bibliographic Details
Published in:Journal of traumatic stress 1997-10, Vol.10 (4), p.539-555
Main Authors: Roth, Susan, Newman, Elana, Pelcovitz, David, van der Kolk, Bessel, Mandel, Francine S.
Format: Article
Language:English
Subjects:
Adaptation, Psychological
Adolescent
Adult
Adult and adolescent clinical studies
Aged
Anxiety disorders. Neuroses
Biological and medical sciences
Child
Child Abuse - psychology
Child Abuse, Sexual - psychology
childhood abuse
Combat Disorders - classification
Combat Disorders - diagnosis
Combat Disorders - psychology
complex PTSD
diagnosis
disorder of extreme stress
Evaluation Studies as Topic
Female
Humans
Life Change Events
Male
Medical sciences
Middle Aged
Post-traumatic stress disorder
Psychiatric Status Rating Scales - statistics & numerical data
Psychology. Psychoanalysis. Psychiatry
Psychometrics
Psychopathology. Psychiatry
PTSD
Rape - psychology
Regression Analysis
Reproducibility of Results
Stress Disorders, Post-Traumatic - classification
Stress Disorders, Post-Traumatic - diagnosis
Stress Disorders, Post-Traumatic - psychology
Victimology
Violence - psychology
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Summary:Two hundred thirty four participants in the DSM‐IV Posttraumatic Stress Disorder (PTSD) Field Trial who reported sexual and/or physical abuse were evaluated. Participants were categorized according to type of abuse (physical, sexual, both), duration of abuse (acute versus chronic), and onset of abuse (early versus late). Separate logistic regression analyses examined the relationship between age of onset, duration, abuse type, and the complex PTSD (CP) lifetime diagnosis for women and men. Sexually abused women, especially those who also experienced physical abuse, had a higher risk of developing CP, although CP symptoms occurred at a high base rate among physically abused women. The theoretical implications and incremental clinical usefulness of targeting CP symptoms with abused populations are discussed.
ISSN:0894-9867
1573-6598
DOI:10.1002/jts.2490100403