ICD-11 complex PTSD among Israeli male perpetrators of intimate partner violence: Construct validity and risk factors

Ohad Gilbar, Philip Hyland, Marylene Cloitre, Rachel Dekel

Research output: Contribution to journalArticlepeer-review


The International Classification of Diseases 11th Version (ICD-11) will include Complex Posttraumatic Stress Disorder (CPTSD) as a unique diagnostic entity comprising core PTSD and DSO (disturbances in self-organization) symptoms. The current study had three aims: (1) assessing the validity of CPTSD in a unique population of male perpetrators of intimate partner violence; (2) examining whether exposure to different types of traumatic events would be associated with the two proposed CPTSD factors, namely PTSD or DSO; and (3) assessing the differential association of various sociodemographic and symptom characteristics with each factor. Participants were 234 males drawn randomly from a sample of 2600 men receiving treatment at 66 domestic violence centers in Israel. Data were collected using the International Trauma Questionnaire (ITQ) – Hebrew version. Confirmatory factor analysis supported the factorial validity of ICD-11 CPTSD. Cumulative lifetime trauma and physical childhood neglect were associated with PTSD and DSO, while cumulative childhood violence exposure was associated only with DSO. Anxiety was associated only with DSO; depression more strongly with DSO than PTSD. Religious level contributed only to PTSD; compulsory military service only to DSO. The study supports the distinction between PTSD and DSO in the CPTSD construct and introduces the role of cultural variables.

Original languageEnglish
Pages (from-to)49-56
Number of pages8
JournalJournal of Anxiety Disorders
StatePublished - Mar 2018
Externally publishedYes

Bibliographical note

Publisher Copyright:
© 2018 Elsevier Ltd


  • Confirmatory factor analysis (CFA)
  • ICD-11
  • International trauma questionnaire (ITQ)
  • Intimate partner violence
  • PTSD

ASJC Scopus subject areas

  • Clinical Psychology
  • Psychiatry and Mental health


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