• Andreas Maercker, Marylene Cloitre, Rahel Bachem, Yolanda R Schlumpf, Brigitte Khoury, Caitlin Hitchcock, and Martin Bohus.
• Division of Psychopathology and Clinical Intervention, University of Zurich, Zurich, Switzerland. Electronic address: maercker@psychologie.uzh.ch.
• Lancet. 2022 Jul 2; 400 (10345): 60-72.

AbstractComplex post-traumatic stress disorder (complex PTSD) is a severe mental disorder that emerges in response to traumatic life events. Complex PTSD is characterised by three core post-traumatic symptom clusters, along with chronic and pervasive disturbances in emotion regulation, identity, and relationships. Complex PTSD has been adopted as a new diagnosis in the ICD-11. Individuals with complex PTSD typically have sustained or multiple exposures to trauma, such as childhood abuse and domestic or community violence. The disorder has a 1-8% population prevalence and up to 50% prevalence in mental health facilities. Progress in diagnostics, assessment, and differentiation from post-traumatic stress disorder and borderline personality disorder is reported, along with assessment and treatment of children and adolescents. Studies recommend multicomponent therapies starting with a focus on safety, psychoeducation, and patient-provider collaboration, and treatment components that include self-regulatory strategies and trauma-focused interventions.Copyright © 2022 Elsevier Ltd. All rights reserved.

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