The Italian Version of the International Trauma Questionnaire: Symptom and Network Structure of Post-Traumatic Stress Disorder and Complex Post-Traumatic Stress Disorder in a Sample of Late Adolescents Exposed to a Natural Disaster

The 11th revision of the International Classification of Diseases has endorsed substantial changes in Post-Traumatic Stress Disorder (PTSD) and has introduced Complex PTSD (cPTSD). The objective of this study was to assess the symptom and network structure of PTSD and cPTSD using the International T...

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Main Authors: Rodolfo Rossi, Valentina Socci, Francesca Pacitti, Claudia Carmassi, Alessandro Rossi, Giorgio Di Lorenzo, Philip Hyland
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-05-01
Series:Frontiers in Psychiatry
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fpsyt.2022.859877/full
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author Rodolfo Rossi
Valentina Socci
Francesca Pacitti
Claudia Carmassi
Alessandro Rossi
Giorgio Di Lorenzo
Giorgio Di Lorenzo
Philip Hyland
author_facet Rodolfo Rossi
Valentina Socci
Francesca Pacitti
Claudia Carmassi
Alessandro Rossi
Giorgio Di Lorenzo
Giorgio Di Lorenzo
Philip Hyland
author_sort Rodolfo Rossi
collection DOAJ
description The 11th revision of the International Classification of Diseases has endorsed substantial changes in Post-Traumatic Stress Disorder (PTSD) and has introduced Complex PTSD (cPTSD). The objective of this study was to assess the symptom and network structure of PTSD and cPTSD using the International Trauma Questionnaire- Italian version (ITQ) and the prevalence of PTSD and cPTSD in a community sample of late adolescents enriched with exposure to a destructive earthquake. A 1,010 high school students participated to the study. Confirmatory Factor Analysis supports that a six first-order correlated factors was the best fitting model of ICD-11 PTSD/cPTSD. The network analysis supports a clear separation between core PTSD symptoms and disturbances in self-organization (DSO) symptoms, avoidance, and negative self-concept were the most central items. The prevalence of PTSD and cPTSD was 9.11 and 4.06%, respectively. Female participants reported higher rates of both PTSD and cPTSD. This is the first study to report on ICD-11 PTSD and cPTSD rates on an Italian adolescence community sample. Consistent with other community samples, we found higher rates of PTSD compared to cPTSD. The results confirmed the factorial validity of the ITQ. The network structure highlights the importance of negative self-concept in cPTSD and avoidance in PTSD.
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spelling doaj.art-7a8049f1a28a468d82d537b079cd6ac32022-12-22T02:23:09ZengFrontiers Media S.A.Frontiers in Psychiatry1664-06402022-05-011310.3389/fpsyt.2022.859877859877The Italian Version of the International Trauma Questionnaire: Symptom and Network Structure of Post-Traumatic Stress Disorder and Complex Post-Traumatic Stress Disorder in a Sample of Late Adolescents Exposed to a Natural DisasterRodolfo Rossi0Valentina Socci1Francesca Pacitti2Claudia Carmassi3Alessandro Rossi4Giorgio Di Lorenzo5Giorgio Di Lorenzo6Philip Hyland7Department of Systems Medicine, Tor Vergata University of Rome, Rome, ItalyDepartment of Biotechnological and Applied Clinical Sciences, University of L’Aquila, L’Aquila, ItalyDepartment of Biotechnological and Applied Clinical Sciences, University of L’Aquila, L’Aquila, ItalyDepartment of Clinical and Experimental Medicine, University of Pisa, Pisa, ItalyDepartment of Biotechnological and Applied Clinical Sciences, University of L’Aquila, L’Aquila, ItalyDepartment of Systems Medicine, Tor Vergata University of Rome, Rome, ItalyIRCCS Fondazione Santa Lucia, Rome, ItalyDepartment of Psychology, Maynooth University, Maynooth, IrelandThe 11th revision of the International Classification of Diseases has endorsed substantial changes in Post-Traumatic Stress Disorder (PTSD) and has introduced Complex PTSD (cPTSD). The objective of this study was to assess the symptom and network structure of PTSD and cPTSD using the International Trauma Questionnaire- Italian version (ITQ) and the prevalence of PTSD and cPTSD in a community sample of late adolescents enriched with exposure to a destructive earthquake. A 1,010 high school students participated to the study. Confirmatory Factor Analysis supports that a six first-order correlated factors was the best fitting model of ICD-11 PTSD/cPTSD. The network analysis supports a clear separation between core PTSD symptoms and disturbances in self-organization (DSO) symptoms, avoidance, and negative self-concept were the most central items. The prevalence of PTSD and cPTSD was 9.11 and 4.06%, respectively. Female participants reported higher rates of both PTSD and cPTSD. This is the first study to report on ICD-11 PTSD and cPTSD rates on an Italian adolescence community sample. Consistent with other community samples, we found higher rates of PTSD compared to cPTSD. The results confirmed the factorial validity of the ITQ. The network structure highlights the importance of negative self-concept in cPTSD and avoidance in PTSD.https://www.frontiersin.org/articles/10.3389/fpsyt.2022.859877/fullPTSDICD-11 cPTSDInternational Trauma Questionnairefactor structurenetwork analysis
spellingShingle Rodolfo Rossi
Valentina Socci
Francesca Pacitti
Claudia Carmassi
Alessandro Rossi
Giorgio Di Lorenzo
Giorgio Di Lorenzo
Philip Hyland
The Italian Version of the International Trauma Questionnaire: Symptom and Network Structure of Post-Traumatic Stress Disorder and Complex Post-Traumatic Stress Disorder in a Sample of Late Adolescents Exposed to a Natural Disaster
Frontiers in Psychiatry
PTSD
ICD-11 cPTSD
International Trauma Questionnaire
factor structure
network analysis
title The Italian Version of the International Trauma Questionnaire: Symptom and Network Structure of Post-Traumatic Stress Disorder and Complex Post-Traumatic Stress Disorder in a Sample of Late Adolescents Exposed to a Natural Disaster
title_full The Italian Version of the International Trauma Questionnaire: Symptom and Network Structure of Post-Traumatic Stress Disorder and Complex Post-Traumatic Stress Disorder in a Sample of Late Adolescents Exposed to a Natural Disaster
title_fullStr The Italian Version of the International Trauma Questionnaire: Symptom and Network Structure of Post-Traumatic Stress Disorder and Complex Post-Traumatic Stress Disorder in a Sample of Late Adolescents Exposed to a Natural Disaster
title_full_unstemmed The Italian Version of the International Trauma Questionnaire: Symptom and Network Structure of Post-Traumatic Stress Disorder and Complex Post-Traumatic Stress Disorder in a Sample of Late Adolescents Exposed to a Natural Disaster
title_short The Italian Version of the International Trauma Questionnaire: Symptom and Network Structure of Post-Traumatic Stress Disorder and Complex Post-Traumatic Stress Disorder in a Sample of Late Adolescents Exposed to a Natural Disaster
title_sort italian version of the international trauma questionnaire symptom and network structure of post traumatic stress disorder and complex post traumatic stress disorder in a sample of late adolescents exposed to a natural disaster
topic PTSD
ICD-11 cPTSD
International Trauma Questionnaire
factor structure
network analysis
url https://www.frontiersin.org/articles/10.3389/fpsyt.2022.859877/full
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