@article{ref1,
title="Response of young patients with probable ICD-11 complex PTSD to treatment with developmentally adapted cognitive processing therapy",
journal="European journal of psychotraumatology",
year="2021",
author="Eilers, Rebekka and Rimane, Eline and Vogel, Anna and Renneberg, Babette and Steil, Regina and Rosner, Rita",
volume="12",
number="1",
pages="e1929024-e1929024",
abstract="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. <br><br>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. <br><br>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. <br><br>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. <br><br>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. <br><br>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.<p /> <p>Language: en</p>",
language="en",
issn="2000-8198",
doi="10.1080/20008198.2021.1929024",
url="http://dx.doi.org/10.1080/20008198.2021.1929024"
}