Kompleks PTSD
Betegnelsen kompleks PTSD benyttes ofte i klinisk sammenheng, men er p.t. ingen egen diagnose i ICD-10. I ICD-11 innføres kompleks PTSD som diagnose.
Bakgrunn for betegnelsen kompleks PTSD er at pasienter som har opplevd traumatisering i barndom og oppvekst eller omfattende gjentakende overveldende hendelser i voksenlivet, ofte har symptomer ut over symptomene for PTSD. Symptomene som kommer i tillegg til PTSD-symptomene er som følger:
- Vansker med følelsesregulering
- Relasjonelle vansker
- Negativt selvbilde
→ Les mer om Komplekse traumer
→ Les mer om Symptomer ved kompleks traumatisering
Kompleks PTSD (6B41)
Kompleks PTSD innføres som diagnose i ICD-11 og beskrives som følger:
«Complex post traumatic stress disorder (Complex PTSD) is a disorder that may develop following exposure to an event or series of events of an extremely threatening or horrific nature, most commonly prolonged or repetitive events from which escape is difficult or impossible (e.g. torture, slavery, genocide campaigns, prolonged domestic violence, repeated childhood sexual or physical abuse). All diagnostic requirements for PTSD are met.
In addition, Complex PTSD is characterised by severe and persistent:
1) problems in affect regulation;
2) beliefs about oneself as diminished, defeated or worthless, accompanied by feelings of shame, guilt or failure related to the traumatic event; and
3) difficulties in sustaining relationships and in feeling close to others.
These symptoms cause significant impairment in personal, family, social, educational, occupational or other important areas of functioning.»
Referanser og videre fordypning:
- World Health Organization. ICD-11 for Mortality and Morbidity Statistics.