Evidence map›Paper›PMID 30567517›Full record

ArticleBMC psychiatry2018

Why do I have to suffer? Symptom management, views and experiences of persons with a CPTSD: a grounded theory approach.

Manuel P Stadtmann, Andreas Maercker, Jochen Binder, Wilfried Schnepp

Abstract read
In one paragraph

Article in BMC psychiatry, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed.

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  4. [Effects of complex trauma disorder on the workplace: a scoping review].Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz · 2024
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Manuel P StadtmannDepartment of Health, University of Witten/Herdecke, Alfred-Herrhausen-Straße 50, 58448, Witten, Germany. manuel.stadtmann@ipw.zh.ch.
Andreas MaerckerDepartment of Psychology, Psychopathology and Clinical Intervention, University of Zurich, Binzmühlestrasse 14/17, 8050, Zürich, Switzerland.
Jochen BinderCentre for Trauma Disorders, Integrierte Psychiatrie Winterthur, Technikumstrasse 81, Winterthur, Switzerland.
Wilfried SchneppDepartment of Health, University of Witten/Herdecke, Alfred-Herrhausen-Straße 50, 58448, Witten, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundFor the 11th version of the International Classification of Diseases, a new stress related diagnosis has been proposed: complex post-traumatic stress disorder (CPTSD). It is described as a chronic condition with several severe and concurrent symptoms. In the literature, these symptoms are discussed as a common reason for seeking psychiatric treatment as they can influence and impair the quality of life not only for affected persons but also for their social and familial system.

aimThis research studies symptom management in everyday life by exploring and reconstructing the views, perceptions, experiences, facilitators and barriers of adults with CPTSD.

methodsA theoretical sampling was used to recruit 18 to 65 years old patients diagnosed with CPTSD from an inpatient setting. The 17 semi-structured interviews were audio recorded and transcribed verbatim. The transcriptions were uploaded into MAXQDA, and a Grounded Theory method based on Corbin and Strauss was used to analyse the data.

resultsWe provide a process model with 5 interacting phases: trauma experience, emotional ignorance, overcompensation, paroxysm, and perspectives. Each phase is specified with subcategories.

conclusionsThe participants did not recognise their symptoms as such and were unaware of their diagnosis for many years. Nevertheless, they used various resources and were able to develop skills and techniques to deal with their symptoms and to function on a day-to-day basis. Overall, the process of symptom management was extremely exhausting for the participants and they felt left alone with it. The participants were eager to gain support from healthcare professionals and, when necessary, financial support from the government. Thus, these results indicate an essential need to develop support and tailored interventions for the symptom management of persons with a CPTSD.

trial registrationEthical approval was obtained from the Swiss Cantonal Ethic Commission (Nr 201,500,096). This research was also registered at the World Health Organization Clinical Trials Search Portal through the German Clinical Trial Register, Trial DRKS00012268 .

Indexed as

Adaptation, PsychologicalQuality of LifeSocial AdjustmentStress Disorders, Post-TraumaticAdultCommunity Mental Health ServicesFemaleGrounded TheoryHumansInternational Classification of DiseasesMiddle AgedPsychiatric Status Rating ScalesPsychotherapyComplex post-traumatic stress disorderCPTSDExperienceGrounded theoryICD-11Mental healthPsychiatrySymptomsView

Identifiers

PMID30567517
PMCPMC6299949

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.