UNDERSTANDING THE INTERPLAY BETWEEN ICD-11 COMPLEX PTSD AND PERSONALITY DISORDER FEATURES IN RELATION TO TRAUMATIC LIFE EVENTS IN A TRAUMA-EXPOSED COMMUNITY SAMPLE
In the ICD-11, PD and CPTSD overlap in impaired aspects of self- and interpersonal functioning, with implications for assessment and treatment. This article aimed to explore the relationship between CPTSD and PD features. A trauma-exposed community sample in Denmark (N = 470) completed the ITQ, PDS-ICD-11, and BTQ. Data were analyzed using exploratory structural equation modeling. Both two- and three-factor models were viable. In the two-factor model, both disturbances in self-organization (DSO) and PD items belonged to the same disturbed self-interpersonal functioning factor. Both factors predicted quality of life and functioning and were predicted by number of life events. In the three-factor model (PTSD, DSO, and PD), there was some overlap between DSO and PD items. Number of life events predicted belonging to the PTSD and DSO classes but not the PD class. The findings demonstrate clear overlapping and differentiating features. Multiple traumas and functioning in self-concept and relationships appear to differentiate.
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Edinburgh Napier Univ, Sch Hlth & Social Care, Edinburgh, Midlothian, Scotland
NHS Lothian, Rivers Ctr Traumat Stress, Edinburgh, Midlothian, ScotlandEdinburgh Napier Univ, Sch Hlth & Social Care, Edinburgh, Midlothian, Scotland
Karatzias, Thanos
Hyland, Philip
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Maynooth Univ, Dept Psychol, Maynooth, Kildare, Ireland
Trinity Coll Dublin, Ctr Global Hlth, Dublin, IrelandEdinburgh Napier Univ, Sch Hlth & Social Care, Edinburgh, Midlothian, Scotland
Hyland, Philip
Bradley, Aoife
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Edinburgh Napier Univ, Sch Hlth & Social Care, Edinburgh, Midlothian, ScotlandEdinburgh Napier Univ, Sch Hlth & Social Care, Edinburgh, Midlothian, Scotland
Bradley, Aoife
Cloitre, Marylene
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VA Palo Alto Hlth Care Syst, Natl Ctr PTSD Disseminat & Training Div, Palo Alto, CA USA
Stanford Univ, Dept Psychiat & Behav Sci, Stanford, CA 94305 USAEdinburgh Napier Univ, Sch Hlth & Social Care, Edinburgh, Midlothian, Scotland
Cloitre, Marylene
Roberts, Neil P.
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Cardiff & Vale Univ Hlth Board, Psychol & Psychol Therapies Directorate, Cardiff, S Glam, Wales
Cardiff Univ, Sch Med, Div Psychol Med & Clin Neurosci, Cardiff, S Glam, WalesEdinburgh Napier Univ, Sch Hlth & Social Care, Edinburgh, Midlothian, Scotland
Roberts, Neil P.
Bisson, Jonathan, I
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Cardiff Univ, Sch Med, Div Psychol Med & Clin Neurosci, Cardiff, S Glam, WalesEdinburgh Napier Univ, Sch Hlth & Social Care, Edinburgh, Midlothian, Scotland
Bisson, Jonathan, I
Shevlin, Mark
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Ulster Univ, Sch Psychol, Derry, North IrelandEdinburgh Napier Univ, Sch Hlth & Social Care, Edinburgh, Midlothian, Scotland
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Georgia State Univ, Dept Counseling & Psychol Serv, Atlanta, GA USAEmory Univ, Dept Psychiat & Behav Sci, Sch Med, Atlanta, GA USA
Shebuski, Karen
Bradley, Bekh
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Emory Univ, Dept Psychiat & Behav Sci, Sch Med, Atlanta, GA USA
Atlanta VA Med Ctr, Atlanta, GA USAEmory Univ, Dept Psychiat & Behav Sci, Sch Med, Atlanta, GA USA
Bradley, Bekh
Fani, Negar
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Emory Univ, Dept Psychiat & Behav Sci, Sch Med, Atlanta, GA USAEmory Univ, Dept Psychiat & Behav Sci, Sch Med, Atlanta, GA USA