BACKGROUND Complex posttraumatic stress disorder is a new diagnosis in the 11th edition of the International Classification of Diseases (ICD-11). There is a need for a better understanding of complex PTSD in children and adolescents. OBJECTIVE The study aimed to estimate the factors associated with chronic complex PTSD versus recovery of complex PTSD in adolescents in a 2-year follow-up study. METHOD In total, 66 adolescents, mean age 14.5, 73% female, identified as having complex PTSD using self-report at baseline recruited from a general population sample, were included in the study. The International Trauma Questionnaire - Child and Adolescent Version (ITQ-CA) was used for the assessment of complex PTSD. RESULTS Overall, 36% of the study sample has been identified as having chronic complex PTSD over 2 years, 10% met the criteria for PTSD at a 2-year follow-up, and 54% recovered. A higher risk for chronic complex PTSD was associated with exposure to more traumatic events and more life-stressors over the 2 years, low social network, low positive social support, bullying at school, and loneliness. CONCLUSION The study found that around one-third of the traumatized youth had a prolonged trajectory of complex PTSD symptoms, which were associated with negative life experiences and social difficulties.

中文翻译：

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青春期复杂的创伤后应激障碍：一项为期两年的随访研究。

背景技术复杂性创伤后应激障碍是第11版国际疾病分类(ICD-11)中的新诊断。有必要更好地了解儿童和青少年的复杂创伤后应激障碍。目的 该研究旨在通过为期 2 年的随访研究，评估青少年慢性复杂 PTSD 与复杂 PTSD 恢复的相关因素。方法 总共 66 名青少年，平均年龄 14.5 岁，73% 为女性，通过从一般人群样本中招募的基线自我报告，确定患有复杂的 PTSD。国际创伤问卷 - 儿童和青少年版 (ITQ-CA) 用于评估复杂的 PTSD。结果 总体而言，36% 的研究样本已被确定患有超过 2 年的慢性复杂 PTSD，在 2 年随访中，10% 的人符合 PTSD 标准，54% 的人康复了。慢性复杂性创伤后应激障碍（PTSD）的较高风险与两年内接触更多创伤事件和更多生活压力源、社交网络少、积极社会支持低、学校欺凌和孤独有关。结论 研究发现，大约三分之一的受创伤青少年长期存在复杂的创伤后应激障碍症状，这些症状与消极的生活经历和社交困难有关。