Validation of a clinician-administered diagnostic measure of ICD-11 PTSD and Complex PTSD: the International Trauma Interview in a Swedish sample
Background: The recently published ICD-11 includes substantial changes to the diagnosis of posttraumatic stress disorder (PTSD) and introduces the diagnosis of Complex PTSD (CPTSD). The International Trauma Interview (ITI) has been developed for clinicians to assess these new diagnoses but has not y...
Main Authors: | , , , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
Taylor & Francis Group
2019-12-01
|
Series: | European Journal of Psychotraumatology |
Subjects: | |
Online Access: | http://dx.doi.org/10.1080/20008198.2019.1665617 |
_version_ | 1797954521033342976 |
---|---|
author | Kristina Bondjers Philip Hyland Neil P. Roberts Jonathan I. Bisson Mimmie Willebrand Filip K. Arnberg |
author_facet | Kristina Bondjers Philip Hyland Neil P. Roberts Jonathan I. Bisson Mimmie Willebrand Filip K. Arnberg |
author_sort | Kristina Bondjers |
collection | DOAJ |
description | Background: The recently published ICD-11 includes substantial changes to the diagnosis of posttraumatic stress disorder (PTSD) and introduces the diagnosis of Complex PTSD (CPTSD). The International Trauma Interview (ITI) has been developed for clinicians to assess these new diagnoses but has not yet been evaluated. Objectives: To evaluate the psychometric properties of the Swedish translation of the ITI by examining the interrater agreement, latent structure, internal consistency, and convergent and discriminant validity. Methods: In a prospective study, 186 adults who had experienced a potentially traumatic event were assessed with the ITI and answered questionnaires for symptoms of posttraumatic stress, other psychiatric disorders, functional disability, and quality of life (QoL). Results: The diagnostic rate was 16% for PTSD and 6% for CPTSD. Interrater agreement was satisfactory (α = .76), and confirmatory factor analysis indicated that a two-factor second-20 order model consistent with the ICD-11 model of CPTSD provided acceptable fit to the data. Composite reliability analysis demonstrated that the ITI possessed acceptable internal reliability, and associations with measures of other psychiatric disorders, insomnia, functional disability, and QoL supported the concurrent validity of the ITI. Conclusion: Swedish ITI shows promise as a clinician-administered instrument to assess and diagnose ICD-11 PTSD and CPTSD. |
first_indexed | 2024-04-10T23:19:55Z |
format | Article |
id | doaj.art-7dabd3bd16384d17841e49cfe2365630 |
institution | Directory Open Access Journal |
issn | 2000-8066 |
language | English |
last_indexed | 2024-04-10T23:19:55Z |
publishDate | 2019-12-01 |
publisher | Taylor & Francis Group |
record_format | Article |
series | European Journal of Psychotraumatology |
spelling | doaj.art-7dabd3bd16384d17841e49cfe23656302023-01-12T15:31:31ZengTaylor & Francis GroupEuropean Journal of Psychotraumatology2000-80662019-12-0110110.1080/20008198.2019.16656171665617Validation of a clinician-administered diagnostic measure of ICD-11 PTSD and Complex PTSD: the International Trauma Interview in a Swedish sampleKristina Bondjers0Philip Hyland1Neil P. Roberts2Jonathan I. Bisson3Mimmie Willebrand4Filip K. Arnberg5Uppsala UniversityMaynooth UniversityCardiff & Vale University Health BoardCardiff UniversityUppsala UniversityUppsala UniversityBackground: The recently published ICD-11 includes substantial changes to the diagnosis of posttraumatic stress disorder (PTSD) and introduces the diagnosis of Complex PTSD (CPTSD). The International Trauma Interview (ITI) has been developed for clinicians to assess these new diagnoses but has not yet been evaluated. Objectives: To evaluate the psychometric properties of the Swedish translation of the ITI by examining the interrater agreement, latent structure, internal consistency, and convergent and discriminant validity. Methods: In a prospective study, 186 adults who had experienced a potentially traumatic event were assessed with the ITI and answered questionnaires for symptoms of posttraumatic stress, other psychiatric disorders, functional disability, and quality of life (QoL). Results: The diagnostic rate was 16% for PTSD and 6% for CPTSD. Interrater agreement was satisfactory (α = .76), and confirmatory factor analysis indicated that a two-factor second-20 order model consistent with the ICD-11 model of CPTSD provided acceptable fit to the data. Composite reliability analysis demonstrated that the ITI possessed acceptable internal reliability, and associations with measures of other psychiatric disorders, insomnia, functional disability, and QoL supported the concurrent validity of the ITI. Conclusion: Swedish ITI shows promise as a clinician-administered instrument to assess and diagnose ICD-11 PTSD and CPTSD.http://dx.doi.org/10.1080/20008198.2019.1665617icd-11ptsdcomplex ptsdpsychometricsfactor analysis |
spellingShingle | Kristina Bondjers Philip Hyland Neil P. Roberts Jonathan I. Bisson Mimmie Willebrand Filip K. Arnberg Validation of a clinician-administered diagnostic measure of ICD-11 PTSD and Complex PTSD: the International Trauma Interview in a Swedish sample European Journal of Psychotraumatology icd-11 ptsd complex ptsd psychometrics factor analysis |
title | Validation of a clinician-administered diagnostic measure of ICD-11 PTSD and Complex PTSD: the International Trauma Interview in a Swedish sample |
title_full | Validation of a clinician-administered diagnostic measure of ICD-11 PTSD and Complex PTSD: the International Trauma Interview in a Swedish sample |
title_fullStr | Validation of a clinician-administered diagnostic measure of ICD-11 PTSD and Complex PTSD: the International Trauma Interview in a Swedish sample |
title_full_unstemmed | Validation of a clinician-administered diagnostic measure of ICD-11 PTSD and Complex PTSD: the International Trauma Interview in a Swedish sample |
title_short | Validation of a clinician-administered diagnostic measure of ICD-11 PTSD and Complex PTSD: the International Trauma Interview in a Swedish sample |
title_sort | validation of a clinician administered diagnostic measure of icd 11 ptsd and complex ptsd the international trauma interview in a swedish sample |
topic | icd-11 ptsd complex ptsd psychometrics factor analysis |
url | http://dx.doi.org/10.1080/20008198.2019.1665617 |
work_keys_str_mv | AT kristinabondjers validationofaclinicianadministereddiagnosticmeasureoficd11ptsdandcomplexptsdtheinternationaltraumainterviewinaswedishsample AT philiphyland validationofaclinicianadministereddiagnosticmeasureoficd11ptsdandcomplexptsdtheinternationaltraumainterviewinaswedishsample AT neilproberts validationofaclinicianadministereddiagnosticmeasureoficd11ptsdandcomplexptsdtheinternationaltraumainterviewinaswedishsample AT jonathanibisson validationofaclinicianadministereddiagnosticmeasureoficd11ptsdandcomplexptsdtheinternationaltraumainterviewinaswedishsample AT mimmiewillebrand validationofaclinicianadministereddiagnosticmeasureoficd11ptsdandcomplexptsdtheinternationaltraumainterviewinaswedishsample AT filipkarnberg validationofaclinicianadministereddiagnosticmeasureoficd11ptsdandcomplexptsdtheinternationaltraumainterviewinaswedishsample |