{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T18:20:17Z","timestamp":1787854817209,"version":"build-2784847793"},"reference-count":40,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2023,11,22]],"date-time":"2023-11-22T00:00:00Z","timestamp":1700611200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100000272","name":"National Institute for Health Research","doi-asserted-by":"publisher","award":["CDF\u20102015\u201008\u2010073"],"award-info":[{"award-number":["CDF\u20102015\u201008\u2010073"]}],"id":[{"id":"10.13039\/501100000272","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["acamh.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Child Psychology Psychiatry"],"published-print":{"date-parts":[[2024,6]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Complex PTSD (CPTSD) is a relatively new diagnosis. The objective of the present study was to investigate how trauma characteristics, comorbid psychopathology and cognitive and social factors experienced by children and adolescents with a posttraumatic stress disorder (PTSD) diagnosis following exposure to multiple traumatic events differs between those who meet the criteria for CPTSD and those who do not.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>\n                      The present research used baseline data from the DECRYPT trial (BMJ Open, 2021, 11, e047600). Participants (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009120) were aged 8\u201317\u2009years and had exposure to multiple traumas and a PTSD diagnosis. The data collected comprised self\u2010report and parent\/caregiver\u2010report questionnaires and interviews. Three primary analyses were conducted, comparing number of trauma types, prevalence of sexual trauma and prevalence of intrafamilial abuse between the CPTSD and PTSD\u2010only groups. A range of comorbid psychopathology and cognitive and social factors were compared between the groups in an exploratory secondary analysis. All analyses were preregistered.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The CPTSD group (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200972, 60%) had a significantly higher frequency of sexual trauma than the PTSD\u2010only group (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200948, 40%). The groups did not significantly differ on number of trauma types or prevalence of intrafamilial abuse. From the secondary analysis, the CPTSD group were found to have significantly higher scores on measures of negative post\u2010traumatic cognitions, depression and panic. These results were replicated in correlation analyses using a continuous measure of CPTSD symptoms.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>A large proportion of youth exposed to multiple traumatic events met criteria for CPTSD. Sexual trauma appears to be related to CPTSD symptoms. Youth with CPTSD appear to have greater severity of comorbid depression and panic symptoms, as well as more negative post\u2010traumatic cognitions. Further investigation could focus on the directionality and mechanisms for these associations.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jcpp.13918","type":"journal-article","created":{"date-parts":[[2023,11,24]],"date-time":"2023-11-24T19:00:58Z","timestamp":1700852458000},"page":"822-831","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":15,"title":["Characteristics of complex posttraumatic stress disorder (\n                    <scp>PTSD<\/scp>\n                    ) in young people with\n                    <scp>PTSD<\/scp>\n                    following multiple trauma exposure"],"prefix":"10.1111","volume":"65","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7556-0502","authenticated-orcid":false,"given":"Katie","family":"Lofthouse","sequence":"first","affiliation":[{"name":"Department of Clinical Psychology and Psychological Therapies, Norwich Medical School University of East Anglia  Norwich 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