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

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

46 Scopus citations


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 languageAmerican English
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


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