| Abstract | Objectives: The main objective of this research was to investigate the relationship between early childhood trauma, PTSD, and complex PTSD in war veterans.
Materials and methods: Research participants were 88 male war veterans, 40 diagnosed with PTSD and 48 diagnosed with CPTSD. This research was conducted at the Department of Psychiatry, University Hospital Split, and the Regional Center for Psychotrauma. The measurement instruments were four questionnaires: the Clinician-Administered PTSD Scale for DSM-V (CAPS-V) used to confirm the diagnosis of PTSD, the International Trauma Questionnaire (ITQ) used to establish the diagnosis of CPTSD, the Stress and Adversity Inventory (STRAIN) used to gain information on early childhood trauma, and a sociodemographic questionnaire used for demographic variable analysis and exclusion/inclusion criteria.
Results: Veterans with CPTSD reported a somewhat greater count and severity of chronic traumatic childhood experiences than veterans with PTSD, but the difference was not statistically significant (P= 0.14 and P=0.2, respectively). Veterans with CPTSD and PTSD did not differ significantly in sociodemographic characteristics. Veterans with CPTSD reported significantly greater symptoms of avoidance, cognitive symptoms, arousal/irritability symptoms, social functioning problems, and subjective disturbance than veterans with PTSD.
Conclusions: Although veterans with CPTSD and PTSD did not show a statistically significant difference in early childhood trauma, veterans with CPTSD did report a somewhat greater count and severity of chronic childhood adversities, which is in accordance with the literature. Veterans with CPTSD showed significantly greater symptoms of avoidance, cognitive symptoms, arousal/irritability symptoms, social functioning problems, and subjective disturbance compared to veterans with CPTSD. There was no statistically significant difference in the sociodemographic variables of veterans with CPTSD and PTSD. |
| Abstract (croatian) | Ciljevi: Glavni cilj ovog istraživanja je bio ispitati povezanost rane traumatizacije i nastanka posttraumatskog stresnog poremećaja i kompleks posttraumatskog stresnog poremećaja u ratnih veterana.
Materijali i metode: Ispitanici su bili 88 ratnih veterana, 40 njih dijagnosticirano s PTSP-om i 48 s kompleks PTSP-om. Istraživanje je provedeno pri Klinici za psihijatriju KBC-a Split i Regionalnom centru za psihotraumu. U ovom istraživanju su kao mjerni instrumenti korištena četiri upitnika: Clinician-Administered PTSD Scale for DSM-V (CAPS-V) korišten za dijagnosticiranje PTSP-a, International Trauma Questionnaire (ITQ) korišten za dijagnosticiranje kompleks PTSP-a, Stress and Adversity Inventory (STRAIN) korišten za prikupljanje informacija o ranoj životnoj traumi i sociodemografski upitnik koji je korišten za analizu demografskih varijabli te kao mjerilo kriterija uključivanja i isključivanja.
Rezultati: Veterani s kompleks PTSP-om su iskazivali donekle veći broj i težinu kroničnih traumatskih iskustava u djetinjstvu od veterana s PTSP-om, iako razlika nije statistički značajna (P=0.14 i P=0.2). Nije bilo statistički značajne razlike između sociodemografskih karakteristika veterana s PTSP-om i kompleks PTSP-om. Veterani s kompleks PTSP-om su iskazali značajno više simptoma izbjegavanja, kognitivnih simptoma, simptoma iritabilnosti, problema sa socijalnim funkcioniranjem i subjektivne procjene uznemirenosti od veterana s PTSP-om.
Zaključak: Iako veterani s kompleks PTSP-om nisu pokazali statistički značajnu razliku u ranoj traumatizaciji od veterana s PTSP-om, iskazali su donekle veći broj i težinu kroničnih traumatskih iskustava u djetinjstvu, što je u skladu s dosadašnjom literaturom. Veterani s kompleks PTSP-om su pokazali statistički više simptoma izbjegavanja, kognitivnih simptoma, simptoma iritabilnosti, problema sa socijalnim funkcioniranjem i subjektivne procjene uznemirenosti od veterana s PTSP-om. Nije bilo statistički značajne razlike u sociodemografskim karakteristikama između veterana s PTSP-om i kompleks PTSP-om. |
