Examining the Diagnostic Construct of Complex PTSD Among a Sample of PTSD Patients in Iraq

Authors

  • Dr. Zahraa Aqeel Abdulmajeed M.B.Ch.B., F.A.B.M.S. \ (Psychiatry) Iraqi Ministry of Health, Al-karkh Health Directorate, Central Teaching Hospital of Pediatric, Baghdad, Iraq
  • Dr. Bushra Abdul Aziz Saeed M.B.Ch.B., F.A.B.M.S. \ (Psychiatry) Iraqi Ministry of Health, Al-karkh Health Directorate, Central Teaching Hospital of Pediatric, Baghdad, Iraq
  • Dr. Uday Khalid Al Qaisy Assistant Professor, Consultant Psychiatrist Al-Nahrain University College of Medicine, Baghdad, Iraq

Keywords:

diagnostic construct, PTSD, Complex PTSD, demographic characteristics

Abstract

This paper aims to Examining the presence of the diagnostic construct of complex PTSD among the Iraqi sample of PTSD and Describe the frequency of occurrence of symptom categories of complex PTSD and the relationship of these symptoms with the demographic characteristics.

A descriptive cross-sectional study was conducted at Ibn-Rushid Psychiatric Hospital, Baghdad Medical City, and Ibn-Sena Teaching Hospital, involving 52 patients with post-traumatic stress disorder, collected over ten months and analyzed through direct interviews.

 The interview formed of the following:

1.Sociodemographic data (age, gender, education, occupation, marital status).

2.Self-rating questionnaire derived from diagnostic criteria of complex PTSD.

The prevalence of complex PTSD in Iraqi Patients who had already been diagnosed with PTSD were (28.8%), explained by the high resilience of people in our society.

Complex PTSD were more common in males (60%) while (40%) in females, and this is explained by the fact that males in our country are more exposed to traumatic events.

(80%) of complex PTSD sample were between 25 and 45 yrs. of age, (33.3%) of complex PTSD Patients were employed, the military represent (26.6%) of the complex PTSD Patients, others were freelancers or unemployed, and more than half of complex PTSD Patients were married (60%).

Complex PTSD affects 28.8% of patients, predominantly young, male, married, highly educated, with previous psychiatric visits and employed. Common complaints include altered affect, impulses, and meaning systems.

References

Smith K. Mental health: a world of depression. Nature. (2014) 515:180–1. 10.1038/515180a [PubMed] [CrossRef] [Google Scholar]

Ferrari AJ, Charlson FJ, Norman RE, Patten SB, Freedman G, Murray CJ, et al. Burden of depressive disorders by country, sex, age, and year: findings from the global burden of disease study 2010. PLoS Med. (2013) 10:e1001547. 10.1371/journal.pmed.1001547 [PMC free article] [PubMed] [CrossRef] [Google Scholar]

Moncrieff J, Cooper RE, Stockmann T, Amendola S, Hengartner MP, Horowitz MA. The serotonin theory of depression: a systematic umbrella review of the evidence. Mol Psychiatry. (2022). 10.1038/s41380-022-01661-0 [PMC free article] [PubMed] [CrossRef] [Google Scholar]

Markowitz JC, Wright JH, Peeters F, Thase ME, Kocsis JH, Sudak DM. The neglected role of psychotherapy for treatment-resistant depression. Am J Psychiatry. (2022) 179:90–3. 10.1176/appi.ajp.2021.21050535 [PubMed] [CrossRef] [Google Scholar]

López-López JA, Davies SR, Caldwell DM, Churchill R, Peters TJ, Tallon D, et al. The process and delivery of CBT for depression in adults: a systematic review and network meta-analysis. Psychol Med. (2019) 49:1937–47. 10.1017/S003329171900120X [PMC free article] [PubMed] [CrossRef] [Google Scholar]

Walsh BT, Seidman SN, Sysko R, Gould M. Placebo response in studies of major depression: variable, substantial, and growing. J Am Med Assoc. (2002) 287:1840–7. 10.1001/JAMA.287.14.1840 [PubMed] [CrossRef] [Google Scholar]

Leichsenring F, Steinert C, Rabung S, Ioannidis JPA. The efficacy of psychotherapies and pharmacotherapies for mental disorders in adults: an umbrella review and meta-analytic evaluation of recent meta-analyses. World Psychiatry. (2022) 21:133–45. 10.1002/wps.20941 [PMC free article] [PubMed] [CrossRef] [Google Scholar]

Goldberg D. The heterogeneity of major depression [PAPER]. World Psychiatry. (2011) 10:226–8. 10.1002/j.2051-5545.2011.tb00061.x [PMC free article] [PubMed] [CrossRef] [Google Scholar]

Winokur G. All roads lead to depression: clinically homogeneous, etiologically heterogeneous. J Affect Disord. (1997) 45:97–108. 10.1016/S0165-0327 (97)00063-3 [PubMed] [CrossRef] [Google Scholar]

Rantala MJ, Luoto S, Krams I, Karlsson H. Depression subtyping based on evolutionary psychiatry: proximate mechanisms and ultimate functions. Brain Behav Immun. (2018) 69:603–17. 10.1016/j.bbi.2017.10.012 [PubMed] [CrossRef] [Google Scholar]

Cloitre M, Hyland P, Prins A, Shevlin M. The International Trauma Questionnaire (ITQ) measures reliable and clinically significant treatment-related changes in PTSD and complex PTSD. Eur J Psychotraumatol. (2021) 12:1930961. 10.1080/20008198.2021.1930961 [PMC free article] [PubMed] [CrossRef] [Google Scholar]

Bancila D, Mittelmark MB. Measuring interpersonal stress with the Bergen Social Relationships Scale: psychometric properties in studies in Norway, Romania, and Russia. Eur J Psychol Assess. (2009) 25:260–5. 10.1027/1015-5759.25.4.260 [CrossRef] [Google Scholar]

Mittelmark MB, Aarø LE, Henriksen SG, Siqveland J, Torsheim T. Chronic social stress in the community and associations with psychological distress: a social psychological perspective. Int J Ment Health Promot. (2004) 6:5–17. 10.1080/14623730.2004.9721919 [CrossRef] [Google Scholar]

Kazarian SS, McCabe SB. Dimensions of social support in the MSPSS: Factorial structure, reliability, and theoretical implications. J Community Psychol. (1991) 19:150–60. [Google Scholar]

Zimet GD, Dahlem NW, Zimet SG, Farley GK. The multidimensional scale of perceived social support. J Pers Assess. (1988) 52:30–41. 10.1207/s15327752jpa5201_2 [PubMed] [CrossRef] [Google Scholar]

Canty-Mitchell J, Zimet GD. Psychometric properties of the Multidimensional Scale of Perceived Social Support in urban adolescents. Am J Community Psychol. (2000) 28:391–400. 10.1023/A:1005109522457 [PubMed] [CrossRef] [Google Scholar]

Briere J, Weathers FW, Runtz M. Is dissociation a multidimensional construct? Data from the Multiscale Dissociation Inventory. J Trauma Stress. (2005) 18:221–31. 10.1002/jts.20024 [PubMed] [CrossRef] [Google Scholar]

Briere J. Multiscale Dissociation Inventory Professional Manual. Odessa, FL: Psychological Assessment Resources; (2002). [Google Scholar]

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Published

2024-03-31

How to Cite

Abdulmajeed, D. Z. A., Saeed, D. B. A. A., & Al Qaisy, D. U. K. (2024). Examining the Diagnostic Construct of Complex PTSD Among a Sample of PTSD Patients in Iraq. International Journal of Cognitive Neuroscience and Psychology, 2(3), 37–57. Retrieved from http://medicaljournals.eu/index.php/IJCNP/article/view/216