Trauma and identity predictors of ICD-11 PTSD and complex PTSD in a trauma-exposed Colombian sample.

IF 2.5 4区医学 Q2 PSYCHIATRY

International Journal of Social Psychiatry Pub Date : 2025-02-28 DOI:10.1177/00207640251318074

Martin Robinson, Emanuele Fino, Gülseli Baysu, Rhiannon N Turner, Natasha I Bloch, Donncha Hanna, Chérie Armour

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引用次数: 0

Abstract

Background: The 11th International Classification of Diseases introduces the diagnosis of Complex PTSD (CPTSD); characterized by traditional PTSD symptomology plus Disturbances in Self Organisation. Part of this construct involves feeling socially disconnected from others, suggesting that aspects of group and individual identity may be associated with this disorder.

Aims: The current study seeks to contribute to better understanding the association of individual social and personal identity in development of this disorder in post-conflict contexts.

Methodology: This study analysed survey data collected as part a case-control investigation of psychological risk and resilience in a trauma-exposed sample in Colombia (N = 541). Identity orientations, that is, the level of importance ascribed to one's social and personal identity, was assessed using the Social and Personal Identities Scale (SIPI) and was assessed as predictor of probable CPTSD diagnosis using multinomial logistic regression.

Results: Analyses indicated that trauma experiences were associated with both diagnostic categories, however Social and Personal identity orientation were significant predictors of probable CPTSD diagnosis, but not probable PTSD diagnosis. Greater Personal identity orientation, that is, viewing oneself as individualistic, was associated with increased likelihood of CPTSD. In contrast, greater Social Identity orientation, that is, stronger group membership identification, was associated with reduced odds of CPTSD diagnosis. Identifying as a victim of the conflict was not significantly associated with risk for PTSD or CPTSD outcomes.

Conclusion: Greater sense of Social Identity and cohesion is suggested to be protective against CPTSD development, whereas greater personal identity orientation is a risk factor. Theoretical perspectives considering the role of social and personal identity may be valuable in understanding individual risk for CPTSD in post-conflict societies.

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哥伦比亚创伤暴露样本中ICD-11 PTSD和复杂PTSD的创伤和身份预测因素

背景：第11版《国际疾病分类》介绍了复杂创伤后应激障碍（CPTSD）的诊断；以传统的PTSD症状加上自我组织障碍为特征。这种构造的一部分涉及与他人的社会脱节感，这表明群体和个人身份的某些方面可能与这种障碍有关。目的：目前的研究旨在更好地理解冲突后背景下个体社会和个人身份在这种障碍发展中的关系。方法：本研究分析了作为哥伦比亚创伤暴露样本（N = 541）心理风险和恢复力的病例对照调查的一部分收集的调查数据。身份取向，即对一个人的社会和个人身份的重要性水平，使用社会和个人身份量表（SIPI）进行评估，并使用多项逻辑回归评估作为CPTSD诊断可能性的预测因子。结果：分析表明创伤经历与两种诊断类别均相关，但社会和个人同一性取向是CPTSD诊断的显著预测因子，而非PTSD诊断的显著预测因子。更大的个人同一性取向，即认为自己是个人主义的，与CPTSD的可能性增加有关。相反，更强的社会认同取向，即更强的群体成员认同，与CPTSD诊断的几率降低有关。认为自己是冲突的受害者与PTSD或CPTSD结果的风险没有显著关联。结论：较高的社会认同感和凝聚力对CPTSD的发展具有保护作用，而较高的个人同一性取向是CPTSD发展的危险因素。考虑社会和个人身份的作用的理论观点可能对理解冲突后社会中cpptsd的个体风险有价值。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International Journal of Social Psychiatry PSYCHIATRY-

CiteScore

12.30

自引率

1.30%

发文量

120

期刊介绍： The International Journal of Social Psychiatry, established in 1954, is a leading publication dedicated to the field of social psychiatry. It serves as a platform for the exchange of research findings and discussions on the influence of social, environmental, and cultural factors on mental health and well-being. The journal is particularly relevant to psychiatrists and multidisciplinary professionals globally who are interested in understanding the broader context of psychiatric disorders and their impact on individuals and communities. Social psychiatry, as a discipline, focuses on the origins and outcomes of mental health issues within a social framework, recognizing the interplay between societal structures and individual mental health. The journal draws connections with related fields such as social anthropology, cultural psychiatry, and sociology, and is influenced by the latest developments in these areas. The journal also places a special emphasis on fast-track publication for brief communications, ensuring that timely and significant research can be disseminated quickly. Additionally, it strives to reflect its international readership by publishing state-of-the-art reviews from various regions around the world, showcasing the diverse practices and perspectives within the psychiatric disciplines. This approach not only contributes to the scientific understanding of social psychiatry but also supports the global exchange of knowledge and best practices in mental health care.