Matthias Knefel1, Ulrich S Tran2, Brigitte Lueger-Schuster2. 1. Faculty of Psychology, University of Vienna, Liebiggasse 5, 1010 Vienna, Austria. Electronic address: Matthias.knefel@univie.ac.at. 2. Faculty of Psychology, University of Vienna, Liebiggasse 5, 1010 Vienna, Austria.
Abstract
BACKGROUND: Posttraumatic Stress Disorder (PTSD), Complex PTSD, and Borderline Personality Disorder (BPD) share etiological risk factors and an overlapping set of associated symptoms. Since the ICD-11 proposal for trauma-related disorders, the relationship of these disorders has to be clarified. A novel approach to psychopathology, network analysis, allows for a detailed analysis of comorbidity on symptom level. METHODS: Symptoms were assessed in adult survivors of childhood abuse (N=219) using the newly developed ICD-11 Trauma-Questionnaire and the SCID-II. The psychopathological network was analyzed using the network approach. RESULTS: PTSD and Complex PTSD symptoms were strongly connected within disorders and to a lesser degree between disorders. Symptoms of BPD were weakly connected to others. Re-experiencing and dissociation were the most central symptoms. CONCLUSIONS: Mental disorders are no discrete entities, clear boundaries are unlikely to be found. The psychopathological network revealed central symptoms that might be important targets for specific first interventions.
BACKGROUND:Posttraumatic Stress Disorder (PTSD), Complex PTSD, and Borderline Personality Disorder (BPD) share etiological risk factors and an overlapping set of associated symptoms. Since the ICD-11 proposal for trauma-related disorders, the relationship of these disorders has to be clarified. A novel approach to psychopathology, network analysis, allows for a detailed analysis of comorbidity on symptom level. METHODS: Symptoms were assessed in adult survivors of childhood abuse (N=219) using the newly developed ICD-11 Trauma-Questionnaire and the SCID-II. The psychopathological network was analyzed using the network approach. RESULTS:PTSD and Complex PTSD symptoms were strongly connected within disorders and to a lesser degree between disorders. Symptoms of BPD were weakly connected to others. Re-experiencing and dissociation were the most central symptoms. CONCLUSIONS:Mental disorders are no discrete entities, clear boundaries are unlikely to be found. The psychopathological network revealed central symptoms that might be important targets for specific first interventions.
Authors: Amit Lazarov; Benjamin Suarez-Jimenez; Ofir Levi; Daniel D L Coppersmith; Gadi Lubin; Daniel S Pine; Yair Bar-Haim; Rany Abend; Yuval Neria Journal: Psychol Med Date: 2019-08-27 Impact factor: 7.723
Authors: Abigail Powers; Jessica M Petri; Chelsea Sleep; Yara Mekawi; Emma C Lathan; Karen Shebuski; Bekh Bradley; Negar Fani Journal: J Anxiety Disord Date: 2022-03-23
Authors: Eiko I Fried; Marloes B Eidhof; Sabina Palic; Giulio Costantini; Hilde M Huisman-van Dijk; Claudi L H Bockting; Iris Engelhard; Cherie Armour; Anni B S Nielsen; Karen-Inge Karstoft Journal: Clin Psychol Sci Date: 2018-01-05