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dc.date.accessioned2021-12-10T12:13:45Z
dc.date.available2021-12-10T12:13:45Z
dc.date.created2021-09-02T12:03:37Z
dc.date.issued2021
dc.identifier.citationKoirala, Rishav Søegaard, Erik Ganesh Iyer Kan, Zhanna Ojha, Saroj Prasad Hauff, Edvard Thapa, Suraj . Exploring complex PTSD in patients visiting a psychiatric outpatient clinic in Kathmandu, Nepal. Journal of Psychiatric Research. 2021, 143, 23-29
dc.identifier.urihttp://hdl.handle.net/10852/89461
dc.description.abstractDecades of research on trauma patients have shown that a post-traumatic stress disorder (PTSD) diagnosis does not always cover the full spectrum of symptoms after severe trauma. Complex PTSD (CPTSD) was recently introduced in the International Classification of Diseases 11th Revision. There have been no published studies on CPTSD in the South Asian region to date. The objective of this study was to evaluate CPTSD in a sample of trauma patients in Nepal. We also examined quality of life (QOL) and mental health comorbidities and their association with CPTSD caseness. One hundred patients with a history of trauma who visited the outpatient psychiatry clinic at a hospital in Kathmandu from 2017 to 2018 were assessed. The Composite International Diagnostic Interview Version 2.1 was used to evaluate PTSD, major depressive disorder, and generalized anxiety disorder (GAD). Disturbance of self-organization symptoms from the Structured Interview for Disorders of Extreme Stress (SIDES) together with the PTSD diagnosis was used to confirm CPTSD caseness. The World Health Organization (WHO) QOL Scale Brief Version (WHOQOL-BREF) was used to assess QOL in four domains. Among the 83 patients who had PTSD, 42 also had CPTSD. CPTSD was significantly associated with major depressive disorder, GAD, female gender, and lower QOL in all four domains. CPTSD was prevalent among these patients. Having CPTSD was significantly associated with worse outcomes in terms of QOL and comorbid mental disorders, even with similar trauma. There is a need to explore CPTSD symptoms and to address trauma patients with CPTSD in this region.
dc.languageEN
dc.rightsAttribution 4.0 International
dc.rights.urihttps://creativecommons.org/licenses/by/4.0/
dc.titleExploring complex PTSD in patients visiting a psychiatric outpatient clinic in Kathmandu, Nepal
dc.typeJournal article
dc.creator.authorKoirala, Rishav
dc.creator.authorSøegaard, Erik Ganesh Iyer
dc.creator.authorKan, Zhanna
dc.creator.authorOjha, Saroj Prasad
dc.creator.authorHauff, Edvard
dc.creator.authorThapa, Suraj
cristin.unitcode185,53,10,0
cristin.unitnameKlinikk psykisk helse og avhengighet
cristin.ispublishedtrue
cristin.fulltextoriginal
cristin.qualitycode1
dc.identifier.cristin1930788
dc.identifier.bibliographiccitationinfo:ofi/fmt:kev:mtx:ctx&ctx_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.jtitle=Journal of Psychiatric Research&rft.volume=143&rft.spage=23&rft.date=2021
dc.identifier.jtitleJournal of Psychiatric Research
dc.identifier.volume143
dc.identifier.startpage23
dc.identifier.endpage29
dc.identifier.doihttps://doi.org/10.1016/j.jpsychires.2021.08.030
dc.identifier.urnURN:NBN:no-92093
dc.type.documentTidsskriftartikkel
dc.type.peerreviewedPeer reviewed
dc.source.issn0022-3956
dc.identifier.fulltextFulltext https://www.duo.uio.no/bitstream/handle/10852/89461/1/Exploring%2Bcomplex%2BPTSD%2Bin%2Bpatients%2Bvisiting%2Ba%2Bpsychiatric%2Boutpatient%2Bclinic%2Bin%2BKathmandu%252C%2BNepal.pdf
dc.type.versionPublishedVersion


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