gms | German Medical Science

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

15.04. - 17.04.2019, Berlin

Article

Send article

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

Meeting Abstract

Search Medline for

  • 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

Published: April 16, 2019

© 2019 Brenner et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 License. See license information at http://creativecommons.org/licenses/by/4.0/.

Outline

Text

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.

Outline

References

1.
Linden M. Definition and assessment of disability in mental disorders under the perspective of the International Classification of Functioning, Disability and Health (ICF). Behavioral Sciences & the Law. 2017;35(2):124-34.
2.
WHO. The ICD-11 classification of mental and behavioral disorders: Clinical descriptions and diagnostic guidelines. Geneva: World Health Organization; 2018.
3.
Dorr F, Firus C, Kramer R, Bengel J. Entwicklung und Prüfung eines Screenings zur komplexen Posttraumatischen Belastungsstörung (SkPTBS). Psychother Psych Med. 2016;66(11):441-8. DOI:10.1055/s-0042-109403 External link