Acta Psychiatrica Scandinavica
Volume 138, Issue 6, 2018, Pages 547-557

ICD-11 PTSD and complex PTSD amongst Syrian refugees in Lebanon: the factor structure and the clinical utility of the International Trauma Questionnaire (Article)

Vallières F.* , Ceannt R. , Daccache F. , Abou Daher R. , Sleiman J. , Gilmore B. , Byrne S. , Shevlin M. , Murphy J. , Hyland P.
  • a Centre for Global Health, University of Dublin, Trinity College, Dublin 2, Ireland, School of Psychology, University of Dublin, Trinity College, Dublin 2, Ireland
  • b Centre for Global Health, University of Dublin, Trinity College, Dublin 2, Ireland
  • c International Medical Corps Lebanon, Beirut, Lebanon
  • d International Medical Corps Lebanon, Beirut, Lebanon
  • e International Medical Corps Lebanon, Beirut, Lebanon
  • f Centre for Global Health, University of Dublin, Trinity College, Dublin 2, Ireland, School of Psychology, University of Dublin, Trinity College, Dublin 2, Ireland
  • g School of Psychology, University of Dublin, Trinity College, Dublin 2, Ireland
  • h Psychology Research Institute, Ulster University, Londonderry, United Kingdom
  • i Psychology Research Institute, Ulster University, Londonderry, United Kingdom
  • j Centre for Global Health, University of Dublin, Trinity College, Dublin 2, Ireland, School of Business, International Financial Services Centre, National College of Ireland, Dublin 1, Ireland

Abstract

Objective: Support for ICD-11 post-traumatic stress disorder (PTSD) and complex PTSD (CPTSD) is growing; however, few studies include refugees or examine the clinical utility of PTSD/CPTSD classifications. This study sought to provide the first evaluations of (i) the factor structure of ICD-11 PTSD/CPTSD amongst refugees in the Middle East; and (ii) the clinical utility of the International Trauma Questionnaire (ITQ) to identify PTSD/CPTSD in a humanitarian context. Method: Participants were 112 treatment-seeking Syrian refugees living in Lebanon. Factorial validity was assessed using confirmatory factor analysis (CFA) based on responses to the ITQ. Clinical utility of the ITQ was assessed through semi-structured interviews with six Lebanese psychotherapists. Results: Complex PTSD (36.1%) was more common than PTSD (25.2%), and no sex or age differences were observed at the prevalence or symptomatic levels. CFA results supported a two-factor higher-order model consistent with ICD-11 PTSD/CPTSD. Qualitative findings indicated that the ITQ is generally positively regarded, with some limitations and suggested modifications noted. Conclusion: This is the first study to support the ICD-11 PTSD/CPTSD amongst refugees in the Middle East and the clinical utility of the ITQ in a humanitarian context. Findings support the growing evidence for the cross-cultural applicability of ICD-11 PTSD/CPTSD. © 2018 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd

Author Keywords

Syrian conflict Post-traumatic stress disorder Refugees International Trauma Questionnaire Lebanon Complex PTSD

Index Keywords

personal experience ICD-11 refugee psychotherapist Syrian Arab Republic human Factor Analysis, Statistical Refugees factor analysis middle aged International Classification of Diseases priority journal International Trauma Questionnaire qualitative research psychotherapy Surveys and Questionnaires Young Adult Lebanon Humans Arabic (language) Adolescent male semi structured interview female psychological rating scale confirmatory factor analysis reproducibility Psychiatric Status Rating Scales Reproducibility of Results questionnaire refugee camp symptom prevalence Article high risk behavior major clinical study Syrian adult posttraumatic stress disorder Syria Stress Disorders, Post-Traumatic Psychological Trauma sexual assault psychotrauma health literacy complex posttraumatic stress disorder
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-85055531058&doi=10.1111%2facps.12973&partnerID=40&md5=f94959576caf3cf97a0f4cd7832ad2ea
DOI: 10.1111/acps.12973
ISSN: 0001690X
Cited by: 5
Original Language: English