BJPsych Open
Volume 4, Issue 5, 2018, Pages 361-367

Differentiating ICD-11 complex post-traumatic stress disorder from other common mental disorders based on levels of exposure to childhood adversities, the traumas of persecution and postmigration living difficulties among refugees from West Papua (Article) (Open Access)

Silove D.* , Rees S. , Mohsin M. , Tam N. , Kareth M. , Tay A.K.
  • a Psychiatry, Research and Teaching Unit, Liverpool Hospital, School of Psychiatry, University of New South Wales, Cnr, Forbes and Campbell Streets, Liverpool, NSW 2170, Australia
  • b Psychiatry, Research and Teaching Unit, Liverpool Hospital, School of Psychiatry, University of New South Wales, Cnr, Forbes and Campbell Streets, Liverpool, NSW 2170, Australia
  • c Psychiatry, Research and Teaching Unit, Liverpool Hospital, School of Psychiatry, University of New South Wales, Cnr, Forbes and Campbell Streets, Liverpool, NSW 2170, Australia
  • d Psychiatry, Research and Teaching Unit, Liverpool Hospital, School of Psychiatry, University of New South Wales, Cnr, Forbes and Campbell Streets, Liverpool, NSW 2170, Australia
  • e Psychiatry, Research and Teaching Unit, Liverpool Hospital, School of Psychiatry, University of New South Wales, Cnr, Forbes and Campbell Streets, Liverpool, NSW 2170, Australia
  • f Psychiatry, Research and Teaching Unit, Liverpool Hospital, School of Psychiatry, University of New South Wales, Cnr, Forbes and Campbell Streets, Liverpool, NSW 2170, Australia

Abstract

Background Following years of controversy, a category of complex post-traumatic stress disorder (CPTSD) will be included in the forthcoming ICD-11.Aims To test whether refugees with CPTSD differ from those with other common mental disorders (CMDs) in the degree of exposure to childhood adversities, adult interpersonal trauma and post-traumatic hardship.Method Survey of 487 West Papuan refugees (response rate 85.5%) in Papua New Guinea.Results Refugees with CPTSD had higher exposure to childhood adversities (CPTSD: mean 2.6, 95% CI 2.5-2.7 versus CMD: mean 1.15, 95% CI 1.10-1.20), interpersonal trauma (CPTSD: mean 9, 95% CI 8.6-9.4 versus CMD: mean 5.4, 95% CI 5.4-5.5) and postmigration living difficulties (CPTSD: mean 2.3, 95% CI 2-2.5 versus CMD mean 1.85, 95% CI 1.84-1.86), compared with those with CMDs who in turn exceeded those with no mental disorder on all these indices.Conclusions The findings support the cross-cultural validity of CPTSD as a reaction to high levels of exposure to recurrent interpersonal trauma and associated adversities. © 2018 The Royal College of Psychiatrists.

Author Keywords

Common mental disorders Postmigration living difficulties Refugees childhood adversities Complex PTSD trauma

Index Keywords

ICD-11 refugee human Irian Jaya persistent complicated bereavement disorder priority journal panic mental disease male intermittent explosive disorder female prevalence Article major clinical study adult migration separation anxiety posttraumatic stress disorder structured interview generalized anxiety disorder ICD-10 major depression DSM-5 DSM-IV
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-85061517687&doi=10.1192%2fbjo.2018.49&partnerID=40&md5=e64cfae156b525a0fb0c8861b9beccb6
DOI: 10.1192/bjo.2018.49
ISSN: 20564724
Original Language: English