gms | German Medical Science

15th Congress of the European Forum for Research in Rehabilitation (EFRR)

15.04. - 17.04.2019, Berlin

Capacity limitations (Mini-ICF-APP-S) and complex post-traumatic stress disorder

Meeting Abstract

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  • author presenting/speaker Lorena Brenner - Charité Universitätsmedizin Berlin, Forschungsgruppe Psychosomatische Rehabilitation, Berlin, Germany
  • author Rahel Bachem - Tel Aviv University School of Social Work, I-CORE: Israel Multidisciplinary Center for Mass Trauma Research Israel, Tel Aviv, Israel
  • corresponding author Volker Köllner - Rehazentrum Seehof der deutschen Rentenversicherung, Teltow, Germany; Charité Universitätsmedizin Berlin, Forschungsgruppe Psychosomatische Rehabilitation, Berlin, Germany

15th Congress of the European Forum for Research in Rehabilitation (EFRR). Berlin, 15.-17.04.2019. Düsseldorf: German Medical Science GMS Publishing House; 2019. Doc012

doi: 10.3205/19efrr012, urn:nbn:de:0183-19efrr0120

Veröffentlicht: 16. April 2019

© 2019 Brenner et al.
Dieser Artikel ist ein Open-Access-Artikel und steht unter den Lizenzbedingungen der Creative Commons Attribution 4.0 License (Namensnennung). Lizenz-Angaben siehe



Background: According to the bio-psycho-social illness concept, chronic illness manifest not only in disorder-specific symptoms but have further consequences such as illness-related capacity restrictions and disability [1].

The 11th revision to the International Classification of Diseases [2] includes a new chapter of stress-related disorders and presents two distinct sibling conditions: Posttraumatic Stress Disorder (PTSD) and complex PTSD (cPTSD). They are associated with different levels of functional impairment.

Aim: The current study therefore has the aim to supply information on PTSD and cPTSD specific differences in work-related impairment.

Method: Participants were 662 patients (mean age 50.99+/–8.99 years; 70.1% female) of a Psychosomatic Rehabilitation Clinic. Self-reported screening instruments including the Mini-ICF-APP-S, SCL-90-R, IES-R and the SkPTBS [3] were administered to participants at the beginning of their inpatient psychotherapy.

Results/findings: A multivariate analysis of variance showed that the groups differed significantly regarding the strength of impairment at the Mini-ICF-APP-S dimensions (Pillai trace: V=.179, F(26,1228)=4.647, p<.001, partial η²=.090). Significant Bonferroni-corrected differences emerged between the cPTSD group and the PTSD group (p<.001) as well as the cPTSD group and the no-PTSD group (p=< .001) among all dimensions. No significant differences were found between the PTSD group and the no-PTSD.

Discussion and conclusions: Patients with cPTSD reported stronger impairment in all capacity dimensions of the Mini ICF-APP-S than patients with PTSD or patients with no-PTSD. This confirms the theoretical construct of cPTSD and supports the need for an independent cPTSD diagnosis and own rehabilitation strategies for these group of patients.


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