ArticleFrontiers in psychiatry2017
The Relationship of Complex Post-traumatic Stress Disorder and Post-traumatic Stress Disorder in a Culturally Distinct, Conflict-Affected Population: A Study among West Papuan Refugees Displaced to Papua New Guinea.
Article in Frontiers in psychiatry, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.
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Who cites it
10 citing papers in PubMed, 1 synthesis or guideline pooled it, 39 citations in OpenAlex.
- Complex post-traumatic stress disorder in refugees, asylum seekers, and internally displaced people: a systematic review and meta-analysis.European journal of psychotraumatology · 2026Pooled it
- Factor validation of the International Trauma Questionnaire in a sample of trauma-exposed Colombian adults in the MI-VIDA study.BJPsych open · 2024Article
- Prevalence, comorbidities, and factors associated with prolonged grief disorder, posttraumatic stress disorder and complex posttraumatic stress disorder in refugees: a systematic review.Conflict and health · 2024Review
- Invisible wounds of the Israel-Gaza war in Australia.The Medical journal of Australia · 2024Article
- Considerations in designing trauma-focused interventions for displaced Afghan women.Frontiers in global women's health · 2022Review
- Personal experience, posttraumatic symptomatology, and meaning in life during the first months of the COVID-19 pandemic.Current psychology (New Brunswick, N.J.) · 2021Article
- Quality of mental health questionnaires in conflict-affected adult populations in low and middle income countries: A systematic review.Journal of migration and health · 2021Review
- Complex trauma, PTSD and complex PTSD in African refugees.European journal of psychotraumatology · 2019Article
- Testing competing factor models of the latent structure of post-traumatic stress disorder and complex post-traumatic stress disorder according to ICD-11.European journal of psychotraumatology · 2018Article
- Prolonged Grief in Refugees Seeking Treatment for PTSD: Comorbidity with Post-Traumatic Stress Symptoms and Network Structure.Clinical psychology & psychotherapyArticle
Corrections and comments
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Authors and funding
4 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundControversy continues about the validity of the construct of complex post-traumatic stress disorder (C-PTSD). In particular, questions remain whether C-PTSD can be differentiated from post-traumatic stress disorder (PTSD) and, secondarily, other common mental disorders. The examination of these issues needs to be expanded to populations of diverse cultural backgrounds exposed to prolonged persecution. We undertake such an inquiry among a community sample of West Papuan refugees exposed to extensive persecution and trauma.
methodsWe interviewed over 300 West Papuan refugees using the Refugee-Mental Health Assessment Package to record symptoms of PTSD, C-PTSD, major depressive disorder (MDD), and complex grief (CG). We used first- and second-order confirmatory factor analysis (CFA) to test aspects of the convergent and discriminant validity of C-PTSD.
resultsThe CFA analysis supported both a one-factor and two-factor model of PTSD and C-PTSD. Nested model comparison tests provide support for the parsimonious one-factor model solution. A second-order CFA model of PTSD and C-PTSD produced a poor fit. The modified three-factor multi-disorder solution combining a traumatic stress (TS) factor (amalgamating PTSD and C-PTSD), MDD, and CG yielded a good fit only after removing three CG domains (estrangement, yearning, and behavioral change), a model that produced large standardized residuals (>0.20).
conclusionThe most parsimonious model yielded a single TS factor combining symptom domains of C-PTSD and PTSD in this culturally distinct community exposed to extensive persecution and conflict-related trauma. There may be grounds for expanding the scope of psychological treatments for refugees to encompass this wider TS response. Our findings are consistent with theoretical frameworks focusing on the wider TS reaction of refugees exposed to human rights-related traumas of mass conflict, persecution, and displacement.
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