TY  - JOUR
PY  - 2021//
TI  - Response of young patients with probable ICD-11 complex PTSD to treatment with developmentally adapted cognitive processing therapy
JO  - European journal of psychotraumatology
A1  - Eilers, Rebekka
A1  - Rimane, Eline
A1  - Vogel, Anna
A1  - Renneberg, Babette
A1  - Steil, Regina
A1  - Rosner, Rita
SP  - e1929024
EP  - e1929024
VL  - 12
IS  - 1
N2  - 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>
LA  - en
SN  - 2000-8198
UR  - http://dx.doi.org/10.1080/20008198.2021.1929024
ID  - ref1
ER  -