Complex Post Traumatic Stress Disorder (cPTSD)- Impact of Childhood Trauma | Assessment and Management Principles
Acts of commission and omission towards a child are a considerable social and public health problem with a prevalence of approximately 20%. [Van Horne et al. 2018]
A systematic review of Australian research estimates prevalence rates of childhood sexual abuse are approximately 8.6%, physical abuse 8.9%, emotional abuse 8.7% and childhood neglect 2.4%. [Su and Stone 2020]
Beyond the acute medical consequences such as traumatic brain injury, ACEs can result in the long-term development of risky behaviours, chronic diseases, and poor life potential. [Su and Stone 2020]
- Behavioural issues – Risky health behaviours, high-risk sexual behaviour, and substance abuse
- Academic problems – Conduct disorder, childhood aggression, delinquency, and youth violence
- Chronic diseases – Anxiety, depression, post-traumatic stress disorder, and metabolic diseases
Adult patients with a history of trauma have clinically complex presentations. This has resulted in the recent development of a new diagnostic category in the International Classification of Diseases, 11th revision. [Karatzias et al. 2017]
It is called complex post-traumatic stress disorder (cPTSD) and was endorsed by the WHO in May 2019 and is planned to come into effect in January 2022.
Bisson, J. I., Berliner, L., Cloitre, M., Forbes, D., Jensen, T. K., Lewis, C., … & Shapiro, F. (2019). The international society for traumatic stress studies new guidelines for the prevention and treatment of posttraumatic stress disorder: Methodology and development process. Journal of Traumatic Stress, 32(4), 475-483.