Clinical implications of the proposed ICD-11 PTSD diagnostic criteria

Psychological Medicine
Anna C BarbanoA Y Shalev

Abstract

Projected changes to post-traumatic stress disorder (PTSD) diagnostic criteria in the upcoming International Classification of Diseases (ICD)-11 may affect the prevalence and severity of identified cases. This study examined differences in rates, severity, and overlap of diagnoses using ICD-10 and ICD-11 PTSD diagnostic criteria during consecutive assessments of recent survivors of traumatic events. The study sample comprised 3863 survivors of traumatic events, evaluated in 11 longitudinal studies of PTSD. ICD-10 and ICD-11 diagnostic rules were applied to the Clinician-Administered PTSD Scale (CAPS) to derive ICD-10 and ICD-11 diagnoses at different time intervals between trauma occurrence and 15 months. The ICD-11 criteria identified fewer cases than the ICD-10 across assessment intervals (range -47.09% to -57.14%). Over 97% of ICD-11 PTSD cases met concurrent ICD-10 PTSD criteria. PTSD symptom severity of individuals identified by the ICD-11 criteria (CAPS total scores) was 31.38-36.49% higher than those identified by ICD-10 criteria alone. The latter, however, had CAPS scores indicative of moderate PTSD. ICD-11 was associated with similar or higher rates of comorbid mood and anxiety disorders. Individuals identified by eith...Continue Reading

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Citations

Feb 13, 2020·Acta Psychiatrica Scandinavica·L MøllerE Simonsen
Jan 16, 2019·Der Nervenarzt·Julia SchellongAntje Krüger-Gottschalk
Jan 27, 2019·Depression and Anxiety·Anna C BarbanoUNKNOWN International Consortium to Prevent PTSD
Sep 19, 2020·Psychiatry, Psychology, and Law : an Interdisciplinary Journal of the Australian and New Zealand Association of Psychiatry, Psychology and Law·Colin James
Jul 31, 2019·Nature Neuroscience·Joel GelernterUNKNOWN Department of Veterans Affairs Cooperative Studies Program (#575B) and Million Veteran Program
Jan 29, 2021·Journal of Psychosomatic Research·Grace W K HoPhilip Hyland
May 25, 2021·European Journal of Psychotraumatology·Alexandra HowardMeaghan L O'Donnell
Nov 6, 2021·Fortschritte der Neurologie-Psychiatrie·Harald Raimund Dreßing, Klaus Foerster

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