Evidence map›Paper›PMID 40678969›Full record

ArticleClinical psychology & psychotherapy

The Association of Posttraumatic Stress Disorder, Complex Posttraumatic Stress Disorder and Depression: A Network Approach.

Yihan Gai, David Berle

Abstract read
In one paragraph

Article in Clinical psychology & psychotherapy. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
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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

2 authors.

Yihan GaiDepartment of Psychology, Renmin University of China, Beijing, China.ORCID https://orcid.org/0000-0001-8021-2094
David BerleSchool of Medicine and Psychology, The Australian National University, Canberra, Australia.ORCID https://orcid.org/0000-0002-4861-2220

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundComplex posttraumatic stress disorder (CPTSD) is a newly recognized condition in the ICD-11, characterized by the core symptoms of PTSD alongside disturbances in self-organization (DSO). Network analysis provides a novel approach to understanding the complex relationships between symptoms. While many studies have identified the comorbidity between PTSD/CPTSD and depression, few have focused on CPTSD using network analysis. This study aims to investigate the bridge symptoms between PTSD, DSO and depression.

methodA sample of 385 US participants who reported at least one lifetime trauma completed the ICD-11 International Trauma Questionnaire (ITQ) and the Patient Health Questionnaire-9 (PHQ-9).

resultsThe obtained network models were stable. The most central symptoms were 'Feeling distant or cut off from people', 'Feeling down, depressed, or hopeless' and 'Feeling like a failure'. The key bridge symptoms in the network were 'Negative self-concept', 'Feeling like a failure', 'When I am upset, it takes me a long time to calm down' and 'Finding it hard to stay emotionally close to people'.

conclusionsThe results indicate that certain symptoms are considerably more influential within the network. Affective, identity and interpersonal DSO symptoms may play a key role in linking PTSD and depression. These symptoms may be important targets for interventions.

Indexed as

Depressive DisorderStress Disorders, Post-TraumaticAdultComorbidityFemaleHumansInternational Classification of DiseasesMaleMiddle AgedSelf ConceptSurveys and QuestionnairesYoung Adultcomorbiditycomplex posttraumatic stress disorderdepressionnetwork analysisposttraumatic stress disorder

Identifiers

PMID40678969
PMCPMC12272819

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Registered trials

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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.