Comorbidity of developmental trauma disorder (DTD) and post-traumatic stress disorder: findings from the DTD field trial
| Autor: | Julian D. Ford, Bessel A. van der Kolk, Joseph Spinazzola |
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| Rok vydání: | 2019 |
| Předmět: |
• DTD may provide a new way to understand and treat traumatized children that is consistent with adult complex PTSD (CPTSD)
Biopsychosocial model 050103 clinical psychology psicopatología lcsh:RC435-571 diagnosis Interpersonal communication Trauma behavioral disciplines and activities 03 medical and health sciences • Developmental trauma disorder (DTD) is a proposed complex post-traumatic stress disorder (PTSD) syndrome for children 0302 clinical medicine lcsh:Psychiatry mental disorders Medicine 0501 psychology and cognitive sciences 合并症 child development Clinical Research Article business.industry 精神病理学 05 social sciences Traumatic stress diagnostico 儿童发展 psychopathology medicine.disease Child development Comorbidity 030227 psychiatry comorbilidad comorbidity • Comorbidities that are unique to DTD or not associated with PTSD include panic separation anxiety and disruptive behaviour disorders Desarrollo del niño 诊断 business 创伤 Clinical psychology Psychopathology |
| Zdroj: | European Journal of Psychotraumatology European Journal of Psychotraumatology, Vol 10, Iss 1 (2019) |
| ISSN: | 2000-8066 |
| DOI: | 10.1080/20008198.2018.1562841 |
| Popis: | Background: Developmental trauma disorder (DTD) has been proposed to describe the biopsychosocial sequelae of exposure to interpersonal victimization in childhood that extend beyond the symptoms of post-traumatic stress disorder (PTSD). Objective: To characterize the psychopathology comorbid with DTD and to determine whether this comorbidity is distinct from, and extends beyond, comorbidities of PTSD. Method: DTD was assessed by structured interview, and probable Diagnostic and Statistical Manual of Mental Disorders, 4th Edition (DSM-IV) psychiatric disorders were identified with screening modules on the Kiddie Schedule for Affective Disorders and Schizophrenia, Present/Lifetime version (K-SADS-PL), in a multi-site sample of 236 children (7–18 years old; 50% female) referred by paediatric or mental health providers. Results: DTD (N = 80, 34%) and PTSD (N = 69, 29%) were highly comorbid and shared several DSM-IV internalizing disorder and DSM, 5th Edition (DSM-5) dysregulation disorder comorbidities. However, DTD, but not PTSD, was associated with comorbid panic disorder and disruptive behaviour disorders. On a multivariate basis including all probable DSM-IV disorders and DSM-5 dysregulation disorders, DTD was associated with separation anxiety disorder and attention deficit hyperactivity disorder after controlling for PTSD, while PTSD was associated with major depression and generalized anxiety disorder after controlling for DTD. Conclusions: DTD’s comorbidities overlap with but extend beyond those of PTSD to include panic, separation anxiety, and disruptive behaviour disorders. DTD warrants further investigation as a potential diagnosis or a complex variant of PTSD in children, similar to the adult symptoms of disturbances of self-organization in the proposed International Classification of Diseases, 11th revision (ICD-11) complex post-traumatic stress disorder subtype. • Developmental trauma disorder (DTD) is a proposed complex post-traumatic stress disorder (PTSD) syndrome for children. • Comorbidities that are unique to DTD or not associated with PTSD include panic, separation anxiety, and disruptive behaviour disorders. • DTD may provide a new way to understand and treat traumatized children that is consistent with adult complex PTSD (CPTSD). |
| Databáze: | OpenAIRE |
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