Is low self-compassion characteristic of ICD-11 complex PTSD? Further investigation using cross-cultural samples

  • Hong Wang Fung*
  • , Cherry Tin Yan Cheung
  • , Anson Kai Chun Chau
  • , Chak Hei Ocean Huang
  • , Marc Eric S. Reyes
  • , Edo S. Jaya
  • , Firdaus Mukhtar
  • , Amos En Zhe Lian
  • , Görkem Derin
  • , Peejay D. Bengwasan
  • , Georgekutty Kochuchakkalackal Kuriala
  • , Kadir Uludag
  • , Steffi Hartanto
  • , Nimaz Indryastuti Dewantary
  • , Riangga Novrianto
  • , Stanley Kam Ki Lam
  • , Guangzhe Frank Yuan*
  • *Corresponding author for this work

Research output: Contribution to journalJournal articlepeer-review

Abstract

Complex posttraumatic stress disorder (PTSD) is a prevalent, persistent, and disabling trauma disorder newly recognized in ICD-11. Some recent studies suggested that complex PTSD symptoms are negatively associated with self-compassion. This cross-regional study further examined whether low self-compassion would be characteristic of individuals with ICD-11 complex PTSD across cultures. An international sample of 995 female mental health service users completed validated measures of childhood trauma, complex PTSD, and self-compassion (22.7 % came from Western countries, 77.3 % from non-Western countries [mainly Asian countries, including Malaysia, Indonesia, Singapore, India, Philippines]). One-way ANCOVA showed that, compared with participants with and without PTSD, participants with complex PTSD reported the lowest levels of self-compassion, after controlling for the effects of childhood trauma. The results are consistent in both Western and non-Western samples. This study shows that individuals with probable ICD-11 complex PTSD are characterized by low levels of self-compassion across cultures. Interventions targeting self-compassion should be integrated into the prevention and treatment of ICD-11 complex PTSD.

Original languageEnglish
Pages (from-to)15-18
Number of pages4
JournalJournal of Psychiatric Research
Volume193
Early online date11 Nov 2025
DOIs
Publication statusE-pub ahead of print - 11 Nov 2025

User-Defined Keywords

  • Childhood trauma
  • Complex post-traumatic stress disorder (CPTSD)
  • Cross-cultural psychiatry
  • Self-compassion

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