{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T22:37:13Z","timestamp":1792708633898,"version":"4.5.0"},"reference-count":64,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2019,10,16]],"date-time":"2019-10-16T00:00:00Z","timestamp":1571184000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acta Psychiatr Scand"],"published-print":{"date-parts":[[2020,1]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>\n                      <jats:styled-content style=\"fixed-case\">ICD<\/jats:styled-content>\n                      \u201011 introduces post\u2010traumatic stress disorder (\n                      <jats:styled-content style=\"fixed-case\">PTSD<\/jats:styled-content>\n                      ) and complex\n                      <jats:styled-content style=\"fixed-case\">PTSD<\/jats:styled-content>\n                      (\n                      <jats:styled-content style=\"fixed-case\">CPTSD<\/jats:styled-content>\n                      ) as two distinct trauma\u2010related disorders. Using the International Trauma Questionnaire (\n                      <jats:styled-content style=\"fixed-case\">ITQ<\/jats:styled-content>\n                      ) as disorder\u2010specific measure, this study is the first to examine the factorial and construct validity of\n                      <jats:styled-content style=\"fixed-case\">ICD<\/jats:styled-content>\n                      \u201011\n                      <jats:styled-content style=\"fixed-case\">PTSD<\/jats:styled-content>\n                      ,\n                      <jats:styled-content style=\"fixed-case\">CPTSD<\/jats:styled-content>\n                      and the\n                      <jats:styled-content style=\"fixed-case\">ITQ<\/jats:styled-content>\n                      s\u2019 applicability in children.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Two hundred and eight Austrian foster children completed a set of standardized measures. Excluding participants who reported not having experienced any kind of trauma, a final sample of 136 children completed the\n                      <jats:styled-content style=\"fixed-case\">ITQ<\/jats:styled-content>\n                      . Factorial and construct validity of\n                      <jats:styled-content style=\"fixed-case\">ICD<\/jats:styled-content>\n                      \u201011\n                      <jats:styled-content style=\"fixed-case\">CPTSD<\/jats:styled-content>\n                      and psychometric properties of\n                      <jats:styled-content style=\"fixed-case\">ITQ<\/jats:styled-content>\n                      scales were assessed by factor analysis and latent class analysis.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Confirmatory factor analysis supported the two\u2010factor higher\u2010order model of\n                      <jats:styled-content style=\"fixed-case\">ICD<\/jats:styled-content>\n                      \u201011\n                      <jats:styled-content style=\"fixed-case\">CPTSD<\/jats:styled-content>\n                      in children by high factor loadings and excellent model fit. Reliability and regression analysis evidenced psychometric adequacy and discriminant validity of\n                      <jats:styled-content style=\"fixed-case\">ITQ<\/jats:styled-content>\n                      scales. Latent class analysis substantiated construct validity of\n                      <jats:styled-content style=\"fixed-case\">ICD<\/jats:styled-content>\n                      \u201011\n                      <jats:styled-content style=\"fixed-case\">CPTSD<\/jats:styled-content>\n                      , identifying a\n                      <jats:styled-content style=\"fixed-case\">CPTSD<\/jats:styled-content>\n                      (22.8%),\n                      <jats:styled-content style=\"fixed-case\">PTSD<\/jats:styled-content>\n                      (31.6%) and low symptoms class (45.6%). The\n                      <jats:styled-content style=\"fixed-case\">CPTSD<\/jats:styled-content>\n                      class showed highest rates of childhood trauma, comorbid psychopathology and functional impairment.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>\n                      Factorial and construct validity of\n                      <jats:styled-content style=\"fixed-case\">ICD<\/jats:styled-content>\n                      \u201011\n                      <jats:styled-content style=\"fixed-case\">CPTSD<\/jats:styled-content>\n                      was evidenced in children for the first time using precise descriptions of\n                      <jats:styled-content style=\"fixed-case\">ICD<\/jats:styled-content>\n                      \u201011 symptom content, supporting the reliability and validity of the\n                      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