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Komplex PTSD (C-PTSD) - en (o)känd diagnos?

Ranshede, Marie LU and Sköld, Sara LU (2024) PTPN06 20241
Department of Psychology
Abstract
Since the introduction of ICD-11 in 2018, C-PTSD has been a diagnosis in the international classification of diseases. Socialstyrelsen is currently working on the Swedish translation, which is expected to be published sometime in 2025. However, C-PTSD as a concept, has been around longer than that. The aim of this study has been to examine the level of knowledge regarding C-PTSD among clinicians, with basic psychotherapy training, working in adult psychiatric outpatient clinics. The study was conducted with a qualitative method. Eight semi-structured interviews were made and analyzed through thematic analysis. The analysis resulted in three main themes: C-PTSD as a diagnosis/concept, interpretation of symptoms and treatment of C-PTSD. The... (More)
Since the introduction of ICD-11 in 2018, C-PTSD has been a diagnosis in the international classification of diseases. Socialstyrelsen is currently working on the Swedish translation, which is expected to be published sometime in 2025. However, C-PTSD as a concept, has been around longer than that. The aim of this study has been to examine the level of knowledge regarding C-PTSD among clinicians, with basic psychotherapy training, working in adult psychiatric outpatient clinics. The study was conducted with a qualitative method. Eight semi-structured interviews were made and analyzed through thematic analysis. The analysis resulted in three main themes: C-PTSD as a diagnosis/concept, interpretation of symptoms and treatment of C-PTSD. The first theme reflected on knowledge of diagnosis criteria and the perception of the occurrence of C-PTSD. The second theme depicted the participants' concepts of how symptoms of C-PTSD manifested in patients and the overlap with other diagnoses. The third theme reflected on the knowledge of treatment of C-PTSD and the approach clinicians had when treating patients with symptoms like in C-PTSD. The results indicated that knowledge of C-PTSD was relatively low both regarding diagnosis criteria, assessment tools, and evidence for treatment. It also indicated gaps in knowledge concerning differentiation between C-PTSD and EIPS. However, the participants recognized that many patients had symptoms similar to those in C-PTSD and customized the treatment accordingly. This study shows the need for increased knowledge in order to provide proper care for patients with C-PTSD. (Less)
Abstract (Swedish)
I och med införandet av ICD-11, 2018, tillkom diagnosen Komplex PTSD (C-
PTSD) i den internationella klassifikationen av sjukdomar och Socialstyrelsen
arbetar just nu med den svenska översättningen som förväntas publiceras någon
gång under 2025 på WHO:s plattform. Syftet med denna studie var att undersöka
hur kunskapsläget bland behandlare med lägst steg 1-kompetens såg ut inom
vuxenpsykiatrin. Denna studie gjordes med kvalitativ metod. Åtta
semistrukturerade intervjuer genomfördes och analyserades sedan med tematisk
analys. Analysen resulterade i tre huvudteman: C-PTSD som diagnos/grepp,
tolkning av symtom och behandling vid C-PTSD. Det första temat skildrade
kunskap kring diagnoskriterier samt upplevd omfattning av förekomst av... (More)
I och med införandet av ICD-11, 2018, tillkom diagnosen Komplex PTSD (C-
PTSD) i den internationella klassifikationen av sjukdomar och Socialstyrelsen
arbetar just nu med den svenska översättningen som förväntas publiceras någon
gång under 2025 på WHO:s plattform. Syftet med denna studie var att undersöka
hur kunskapsläget bland behandlare med lägst steg 1-kompetens såg ut inom
vuxenpsykiatrin. Denna studie gjordes med kvalitativ metod. Åtta
semistrukturerade intervjuer genomfördes och analyserades sedan med tematisk
analys. Analysen resulterade i tre huvudteman: C-PTSD som diagnos/grepp,
tolkning av symtom och behandling vid C-PTSD. Det första temat skildrade
kunskap kring diagnoskriterier samt upplevd omfattning av förekomst av C-
PTSD. Det andra temat speglade informanternas bild av hur diagnosen
manifesteras hos patienterna samt överlappning och differentiering med andra
diagnoser. I det tredje temat skildrades kunskap om evidens för behandling och
den ansats behandlare har då de möter patienter med symtom som liknar de som
finns vid C-PTSD. Resultatet indikerade att kunskapen kring C-PTSD var
relativt låg både avseende diagnoskriterier, skattningsinstrument och evidens för
behandling samt att det fanns brister i kunskap kring differentiering mellan
framför allt C-PTSD och EIPS. Informanternas upplevelse var dock att många
patienter hade symtom i linje med de symtom som finns vid C-PTSD, och att
behandling därför anpassades utifrån detta. Studien visade att ökad kunskap
behövs för att kunna ge rätt vård till patienter med C-PTSD. (Less)
Please use this url to cite or link to this publication:
author
Ranshede, Marie LU and Sköld, Sara LU
supervisor
organization
course
PTPN06 20241
year
type
H2 - Master's Degree (Two Years)
subject
keywords
C-PTSD, Complex post-traumatic stress disorder, trauma knowledge, Komplex PTSD, Komplext posttraumatiskt stressyndrom, traumakunskap.
language
Swedish
id
9154791
date added to LUP
2024-05-28 11:47:27
date last changed
2024-05-28 11:47:27
@misc{9154791,
  abstract     = {{Since the introduction of ICD-11 in 2018, C-PTSD has been a diagnosis in the international classification of diseases. Socialstyrelsen is currently working on the Swedish translation, which is expected to be published sometime in 2025. However, C-PTSD as a concept, has been around longer than that. The aim of this study has been to examine the level of knowledge regarding C-PTSD among clinicians, with basic psychotherapy training, working in adult psychiatric outpatient clinics. The study was conducted with a qualitative method. Eight semi-structured interviews were made and analyzed through thematic analysis. The analysis resulted in three main themes: C-PTSD as a diagnosis/concept, interpretation of symptoms and treatment of C-PTSD. The first theme reflected on knowledge of diagnosis criteria and the perception of the occurrence of C-PTSD. The second theme depicted the participants' concepts of how symptoms of C-PTSD manifested in patients and the overlap with other diagnoses. The third theme reflected on the knowledge of treatment of C-PTSD and the approach clinicians had when treating patients with symptoms like in C-PTSD. The results indicated that knowledge of C-PTSD was relatively low both regarding diagnosis criteria, assessment tools, and evidence for treatment. It also indicated gaps in knowledge concerning differentiation between C-PTSD and EIPS. However, the participants recognized that many patients had symptoms similar to those in C-PTSD and customized the treatment accordingly. This study shows the need for increased knowledge in order to provide proper care for patients with C-PTSD.}},
  author       = {{Ranshede, Marie and Sköld, Sara}},
  language     = {{swe}},
  note         = {{Student Paper}},
  title        = {{Komplex PTSD (C-PTSD) - en (o)känd diagnos?}},
  year         = {{2024}},
}