{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T03:24:34Z","timestamp":1792121074422,"version":"4.4.0"},"reference-count":47,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2009,1,1]],"date-time":"2009-01-01T00:00:00Z","timestamp":1230768000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Aust N Z J Psychiatry"],"published-print":{"date-parts":[[2009,1]]},"abstract":"<jats:p>Objective: Given the association between severe childhood trauma, adult somatization and complex post-traumatic stress disorder (cPTSD), the purpose of the present paper was to assess this syndrome and its clinical correlates in patients with somatization disorder (SD).<\/jats:p>\n                  <jats:p>Methods: A total of 28 patients (82% women, mean age = 41.7\u00b110.1 years) meeting DSM-IV criteria for SD as confirmed by the Structured Clinical Interview for DSM-IV, Axis I were compared to 28 age- and gender-matched patients with major depression, but without a lifetime diagnosis of SD. They completed the Structured Interview for Disorders of Extreme Stress, the Brief Symptom Inventory, the Inventory of Interpersonal Problems\u2013Circumplex Scales, and the SF-36 Health Survey.<\/jats:p>\n                  <jats:p>Results: Compared to the control group, SD patients had higher risks for current and lifetime diagnoses of cPTSD (odds ratio (OR) = 15.0, 95% confidence interval (CI) = 1.76\u2013127.54; and OR = 8.33, 95%CI = 2.04\u201334.07, respectively). SD subjects with cPTSD had more psychological distress, more interpersonal problems and worse psychosocial functioning than those without the syndrome.<\/jats:p>\n                  <jats:p>Conclusion: The concept of complex PTSD may hold clinical utility when applied to SD patients because it identifies a distinct subgroup characterized by severe psychosocial impairment. The diagnostic and therapeutic implications of the present findings are discussed.<\/jats:p>","DOI":"10.1080\/00048670802534366","type":"journal-article","created":{"date-parts":[[2009,12,7]],"date-time":"2009-12-07T18:33:57Z","timestamp":1260210837000},"page":"80-86","source":"Crossref","is-referenced-by-count":20,"title":["Complex Post-Traumatic Stress Disorder in Patients with Somatization Disorder"],"prefix":"10.1177","volume":"43","author":[{"given":"Carsten","family":"Spitzer","sequence":"first","affiliation":[{"name":"University Department of Psychosomatic Medicine and Psychotherapy, University Clinic Hamburg-Eppendorf and Klinikum Eilbek (Sch\u00f6n Kliniken), Martinistrasse 52, 20246, Hamburg, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sven","family":"Barnow","sequence":"additional","affiliation":[{"name":"Institute of Psychology, Ruprecht-Karls University, Heidelberg, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katja","family":"Wingenfeld","sequence":"additional","affiliation":[{"name":"University Department of Psychosomatic Medicine and Psychotherapy, University Clinic Hamburg-Eppendorf and Klinikum Eilbek (Sch\u00f6n Kliniken), Martinistrasse 52, 20246, Hamburg, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthias","family":"Rose","sequence":"additional","affiliation":[{"name":"University Department of Psychosomatic Medicine and Psychotherapy, University Clinic Hamburg-Eppendorf and Klinikum Eilbek (Sch\u00f6n Kliniken), Martinistrasse 52, 20246, Hamburg, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bernd","family":"L\u00f6we","sequence":"additional","affiliation":[{"name":"University Department of Psychosomatic Medicine and Psychotherapy, University Clinic Hamburg-Eppendorf and Klinikum Eilbek (Sch\u00f6n Kliniken), Martinistrasse 52, 20246, Hamburg, 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