Complex post-traumatic stress disorder (cPTSD) describes a clinical picture that can develop as a result of severe, long-term trauma. In addition to the symptoms of PTSD, the symptoms are characterized by difficulties in emotion regulation, a negative self-concept, and interpersonal problems. Complex PTSD is now included in the ICD-11 as an independent diagnosis.
Studies have shown that some individuals with PTSD have an increased tendency to dissociate. Dissociation primarily includes symptoms of derealization (feeling that one’s surroundings are unreal) and depersonalization (feeling that one’s body is unfamiliar or foreign). The dissociative subtype was included as a specification of PTSD in the DSM-5 diagnostic system.
In the course of these changes in the diagnostic systems, it is therefore of particular interest to investigate to what extent the disorder pattern of cPTSD as well as that of the dissociative subtype of PTSD applies to the patient group of war-traumatized refugees. For this purpose, a cross-sectional study was conducted with patients of the Outpatient Department for Adults and Day Clinic of the Center.