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Clinical implications of the proposed ICD-11 PTSD diagnostic criteria

Show simple item record Barbano, Anna van der Mei, Willem Bryant, Richard Delahanty, Douglas deRoon-Cassini, Terri Matsuoka, Yutaka Olff, Miranda Qi, Wei Ratanatharathorn, Andrew Schnyder, Ulrich Seedat, Soraya Kessler, Ronald Koenen, Karestan Shaley, Arieh 2018-12-10T22:16:21Z 2018-12-10T22:16:21Z 2018
dc.identifier.citation Barbano, Anna; van der Mei, Willem; Bryant, Richard; Delahanty, Douglas; deRoon-Cassini, Terri; Matsuoka, Yutaka; Olff, Miranda; Qi, Wei; Ratanatharathorn, Andrew; Schnyder, Ulrich; Seedat, Soraya; Kessler, Ronald; Koenen, Karestan; Shalev, Arieh. (2018). Clinical implications of the proposed ICD-11 PTSD diagnostic criteria. Psychological Medicine, 8 pgs. en_US
dc.description.abstract Background. 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. Methods. The study sample comprised 3,863 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. Results. 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 either ICD-10 or ICD-11 shortly after traumatic events had similar longitudinal course. Conclusions. This study indicates that significantly fewer individuals would be diagnosed with PTSD using the proposed ICD-11 criteria. Though ICD-11 criteria identify more severe cases, those meeting ICD-10 but not ICD-11 criteria remain in the moderate range of PTSD symptoms. Use of ICD-11 criteria will have critical implications for case identification in clinical practice, national reporting, and research. (Author Abstract) en_US
dc.language.iso en_US en_US
dc.publisher Cambridge University Press en_US
dc.subject Screening en_US
dc.subject PTSD en_US
dc.subject Posttraumatic Stress en_US
dc.subject Trauma en_US
dc.subject Complex Trauma en_US
dc.subject Psychiatric Disorders en_US
dc.subject Symptoms en_US
dc.subject Victimization en_US
dc.subject Victims en_US
dc.subject Survivors en_US
dc.subject Data Analysis en_US
dc.subject Longitudinal Study en_US
dc.subject Severe Mental Illness en_US
dc.subject Recovery en_US
dc.subject Prevalence en_US
dc.subject Severity en_US
dc.subject Emergency Room en_US
dc.subject Motor Vehicle Accidents en_US
dc.subject Car Crashes en_US
dc.subject Interpersonal Violence en_US
dc.subject Violent Victimization en_US
dc.subject Emotional Distress en_US
dc.subject Neuropsychological en_US
dc.title Clinical implications of the proposed ICD-11 PTSD diagnostic criteria en_US
dc.type Article en_US

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