PTSD in ICD-10 and proposed ICD-11 in elderly with childhood trauma: prevalence, factor structure, and symptom profiles

European Journal of Psychotraumatology
Tobias M GlückBrigitte Lueger-Schuster

Abstract

The proposal for ICD-11 postulates major changes for posttraumatic stress disorder (PTSD) diagnosis, which needs investigation in different samples. To investigate differences of PTSD prevalence and diagnostic agreement between ICD-10 and ICD-11, factor structure of proposed ICD-11 PTSD, and diagnostic value of PTSD symptom severity classes. Confirmatory factor analysis and latent profile analysis were used on data of elderly survivors of childhood trauma (>60 years, N=399). PTSD rates differed significantly between ICD-10 (15.0%) and ICD-11 (10.3%, z=2.02, p=0.04). Unlike previous research, a one-factor solution of ICD-11 PTSD had the best fit in this sample. High symptom profiles were associated with PTSD in ICD-11. ICD-11 concentrates on PTSD's core symptoms and furthers clinical utility. Questions remain regarding the tendency of ICD-11 to diagnose mainly cases with severe symptoms and the influence of trauma type and participant age on the factor structure.

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Citations

Jan 31, 2017·Acta Psychiatrica Scandinavica·M ShevlinM Cloitre
Aug 24, 2017·Der Nervenarzt·M Böttche, C Knaevelsrud
Dec 19, 2017·European Journal of Psychotraumatology·Cherie ArmourMiranda Olff
Jan 27, 2018·European Journal of Psychotraumatology·Thanos KaratziasChris R Brewin
Sep 9, 2018·Current Psychiatry Reports·Joan M Cook, Vanessa Simiola
May 15, 2018·Psychological Medicine·Anna C BarbanoArieh Y Shalev
Feb 13, 2020·Acta Psychiatrica Scandinavica·L MøllerE Simonsen
Jun 25, 2017·European Psychiatry : the Journal of the Association of European Psychiatrists·M Cyniak-CieciuraB Zawadzki
Jan 27, 2019·Depression and Anxiety·Anna C BarbanoUNKNOWN International Consortium to Prevent PTSD
Aug 2, 2017·European Child & Adolescent Psychiatry·Cedric SachserLutz Goldbeck
Jan 4, 2020·European Journal of Psychotraumatology·Miranda OlffSiri Thoresen
Dec 20, 2019·European Journal of Psychotraumatology·A BarbieriA Stellacci
Mar 9, 2021·European Journal of Psychotraumatology·John LangtryMark Shevlin

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