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Clinical Phenomenology of Childhood Abuse-Related Complex PTSD in a Population of Female Patients: Patterns of Personality Disturbance
- Source :
- Dorrepaal, E, Thomaes, K, Smit, J H, Hoogendoorn, A, Veltman, D J, van Balkom, A J L M & Draijer, P J 2012, ' Clinical Phenomenology of Childhood Abuse-Related Complex PTSD in a Population of Female Patients: Patterns of Personality Disturbance ', Journal of Trauma & Dissociation, vol. 13, no. 3, pp. 271-290 . https://doi.org/10.1080/15299732.2011.641496, Journal of Trauma & Dissociation, 13(3), 271-290. Routledge
- Publication Year :
- 2012
- Publisher :
- Routledge, 2012.
-
Abstract
- Objective: Complex posttraumatic stress disorder (PTSD) involves a variety of personality disturbances presumed to result from repeated interpersonal trauma such as child abuse. As Complex PTSD patients are a heterogeneous population, we searched for clinically relevant personality-based subtypes. Method: This study used a cluster analysis of Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV), Axis II features within a sample of 71 female outpatients with systematically assessed child abuse-related Complex PTSD. Results: Two main subtypes were found: adaptive and nonadaptive. The latter was further differentiated into withdrawn, alienated, suffering, and aggressive subtypes, characterized by different levels of introversion and disinhibition. Among the nonadaptive subtypes, the severity of Complex PTSD symptoms was lowest in the withdrawn (introverted only) subtype. The subtypes differed in their level of dissociation and depression but did not differ regarding PTSD symptoms, trauma history, or parental bonding characteristics. Conclusion: Confirming earlier findings, our study found personality-based Complex PTSD subtypes, which could implicate differential treatment needs and results. © 2012 Copyright Taylor and Francis Group, LLC.
- Subjects :
- Adult
Child abuse
medicine.medical_specialty
media_common.quotation_subject
Population
Poison control
Dissociative Disorders
Personality Disorders
Severity of Illness Index
Statistics, Nonparametric
Stress Disorders, Post-Traumatic
Adaptation, Psychological
Interview, Psychological
Severity of illness
mental disorders
medicine
Cluster Analysis
Humans
Personality
Psychiatry
education
media_common
Psychiatric Status Rating Scales
education.field_of_study
Extraversion and introversion
Adult Survivors of Child Abuse
Diagnostic and Statistical Manual of Mental Disorders
Psychiatry and Mental health
Clinical Psychology
Disinhibition
Female
Personality Assessment Inventory
medicine.symptom
Psychology
Clinical psychology
Subjects
Details
- Language :
- English
- ISSN :
- 15299732
- Volume :
- 13
- Issue :
- 3
- Database :
- OpenAIRE
- Journal :
- Journal of Trauma & Dissociation
- Accession number :
- edsair.doi.dedup.....b7ebe0b92cdaea7c0c4388455f5deb3b