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1
Ealing Recovery Team East.
2
School of Health and Social Care, Edinburgh Napier University.
3
School of Psychology, Ulster University, Coleraine.
4
Centre for Anxiety Disorders and Trauma, Camberwell.
1
Ealing Recovery Team East.
2
School of Health and Social Care, Edinburgh Napier University.
3
School of Psychology, Ulster University, Coleraine.
4
Centre for Anxiety Disorders and Trauma, Camberwell.
Complex posttraumatic stress disorder (CPTSD) has been included as a diagnostic category in the International Classification of Diseases, 11th Edition, consisting of six symptom clusters: the three PTSD criteria of reexperiencing, avoidance, and hypervigilance, in addition to three disturbances of self-organization (DSO) symptoms defined as emotional dysregulation, interpersonal difficulties, and negative self-concept. As borderline personality disorder (BPD) shares similar features to DSO presentations and is commonly associated with PTSD, there is debate as to whether and how CPTSD is distinct from PTSD comorbid with BPD. This article aimed to identify groups with distinct profiles of self-reported CPTSD and BPD symptoms and associated trauma history characteristics. A latent class analysis (LCA) using CPTSD and BPD symptom variables was conducted on a sample of 195 treatment-seeking adults at a specialist trauma service. The classes were then compared on demographic and clinical characteristics using a series of analysis of variance and χ2 tests. The latent class analysis determined three distinct classes: a CPTSD/High BPD class characterized by high symptom endorsement across both conditions, a CPTSD/Moderate BPD class characterized by high PTSD and DSO symptom endorsement and moderate BPD, and a PTSD/Low BPD class characterized by PTSD symptoms and low DSO and BPD symptom endorsement. The two CPTSD classes were associated with greater exposure to multiple, interpersonal traumas earlier in life and exhibited higher functional impairment. Findings support the construct of a CPTSD diagnosis as a separate entity although BPD features seem to overlap greatly with CPTSD symptoms in this highly traumatized clinical sample. (PsycINFO Database Record (c) 2019 APA, all rights reserved).
Saraiya TC, et al.
J Trauma Stress. 2021 Feb;34(1):56-68. doi: 10.1002/jts.22590. Epub 2020 Oct 1.
J Trauma Stress. 2021.
PMID:
33006199
Free PMC article.
Powers A, et al.
J Anxiety Disord. 2022 May;88:102558. doi: 10.1016/j.janxdis.2022.102558. Epub 2022 Mar 23.
J Anxiety Disord. 2022.
PMID:
35378368
Free PMC article.
Owczarek M, et al.
J Pers Disord. 2023 Feb;37(1):112-129. doi: 10.1521/pedi.2023.37.1.112.
J Pers Disord. 2023.
PMID:
36723419
Nestgaard Rød Å, et al.
Eur J Psychotraumatol. 2021 Dec 9;12(1):2002028. doi: 10.1080/20008198.2021.2002028. eCollection 2021.
Eur J Psychotraumatol. 2021.
PMID:
34912502
Free PMC article.
Review.
Stopyra MA, et al.
Rev Neurosci. 2022 Aug 8;34(1):103-128. doi: 10.1515/revneuro-2022-0014. Print 2023 Jan 27.
Rev Neurosci. 2022.
PMID:
35938987
Harris J, et al.
Front Psychiatry. 2024 Mar 6;15:1331256. doi: 10.3389/fpsyt.2024.1331256. eCollection 2024.
Front Psychiatry. 2024.
PMID:
38510809
Free PMC article.
Verhaak L, et al.
Case Rep Psychiatry. 2024 Feb 22;2024:8552659. doi: 10.1155/2024/8552659. eCollection 2024.
Case Rep Psychiatry. 2024.
PMID:
38434423
Free PMC article.
Iazzolino AM, et al.
J Clin Med. 2024 Jan 24;13(3):673. doi: 10.3390/jcm13030673.
J Clin Med. 2024.
PMID:
38337367
Free PMC article.
Lee J, et al.
Borderline Personal Disord Emot Dysregul. 2023 Dec 15;10(1):36. doi: 10.1186/s40479-023-00242-z.
Borderline Personal Disord Emot Dysregul. 2023.
PMID:
38098052
Free PMC article.
Wen A, et al.
Behav Res Ther. 2024 Jan;172:104441. doi: 10.1016/j.brat.2023.104441. Epub 2023 Nov 28.
Behav Res Ther. 2024.
PMID:
38091721
