{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,27]],"date-time":"2026-10-27T13:50:28Z","timestamp":1793109028575,"version":"4.5.0"},"reference-count":39,"publisher":"MDPI AG","issue":"13","license":[{"start":{"date-parts":[[2023,7,2]],"date-time":"2023-07-02T00:00:00Z","timestamp":1688256000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>In 2018, the International Classification of Diseases (ICD-11) established a novel nosographic category within the stress-specific disorders known as complex post-traumatic stress disorder (C-PTSD). Characterized by distinctive clinical attributes and a limited response to conventional PTSD treatments, C-PTSD has prompted the reconsideration of care methods. Our study\u2019s purpose was to explore the intricate factors shaping the care pathways for individuals suffering from C-PTSD. We used a grounded theorization technique involving professionals across a range of specialized French psychotraumatology institutions. The resulting comprehensive theoretical model offers valuable insights into the constitution mechanisms of these pathways, helping elucidate the varying care options. Interestingly, we found that differences in clinical perspectives were determined by the care provider\u2019s viewpoint on clinical guidelines, screening tools, and treatment options, but also by structural and organizational factors. The distinctive dynamics and interrelationships identified in our research reveal potential areas of focus for incorporating C-PTSD care more effectively into specialized French trauma centers. This investigation offers a path toward improved understanding and management of C-PTSD, ultimately advancing patient outcomes.<\/jats:p>","DOI":"10.3390\/ijerph20136278","type":"journal-article","created":{"date-parts":[[2023,7,3]],"date-time":"2023-07-03T00:53:16Z","timestamp":1688345596000},"page":"6278","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Determinants of Care Pathways for C-PTSD Patients in French Psychotrauma Centers: A Qualitative Study"],"prefix":"10.3390","volume":"20","author":[{"given":"Germain","family":"Salome","sequence":"first","affiliation":[{"name":"Centre R\u00e9gional du Psychotraumatisme Auvergne-Rh\u00f4ne-Alpes, H\u00f4pital Edouard Herriot, Hospices Civils de Lyon, F-69003 Lyon, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Philippe","family":"Vignaud","sequence":"additional","affiliation":[{"name":"Centre R\u00e9gional du Psychotraumatisme Auvergne-Rh\u00f4ne-Alpes, H\u00f4pital Edouard Herriot, Hospices Civils de Lyon, F-69003 Lyon, France"},{"name":"Facult\u00e9 de M\u00e9decine Lyon-Est, Universit\u00e9 Claude Bernard Lyon 1, F-69008 Lyon, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Perrine","family":"Galia","sequence":"additional","affiliation":[{"name":"Centre R\u00e9gional du Psychotraumatisme Auvergne-Rh\u00f4ne-Alpes, H\u00f4pital Edouard Herriot, Hospices Civils de Lyon, F-69003 Lyon, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nathalie","family":"Prieto","sequence":"additional","affiliation":[{"name":"Centre R\u00e9gional du Psychotraumatisme Auvergne-Rh\u00f4ne-Alpes, H\u00f4pital Edouard Herriot, Hospices Civils de Lyon, F-69003 Lyon, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7503-4796","authenticated-orcid":false,"given":"Nicolas","family":"Chauliac","sequence":"additional","affiliation":[{"name":"Centre R\u00e9gional du Psychotraumatisme Auvergne-Rh\u00f4ne-Alpes, H\u00f4pital Edouard Herriot, Hospices Civils de Lyon, F-69003 Lyon, France"},{"name":"Research on Healthcare Performance (RESHAPE), INSERM U1290 & Universit\u00e9 Claude Bernard Lyon 1, Domaine Rockefeller, F-69008 Lyon, France"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2023,7,2]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"82","DOI":"10.1002\/wps.20189","article-title":"The development of the ICD-11 Clinical Descriptions and Diagnostic Guidelines for Mental and Behavioural Disorders","volume":"14","author":"First","year":"2015","journal-title":"World Psychiatry"},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"198","DOI":"10.1002\/wps.20057","article-title":"Diagnosis and classification of disorders specifically associated with stress: Proposals for ICD-11","volume":"12","author":"Maercker","year":"2013","journal-title":"World Psychiatry"},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"377","DOI":"10.1002\/jts.2490050305","article-title":"Complex PTSD: A syndrome in survivors of prolonged and repeated trauma","volume":"5","author":"Herman","year":"1992","journal-title":"J. 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