Show simple item record

dc.contributor.authorBarbano, AC
dc.contributor.authorvan der Mei, WF
dc.contributor.authorBryant, RA
dc.contributor.authorDelahanty, DL
dc.contributor.authordeRoon-Cassini, TA
dc.contributor.authorMatsuoka, YJ
dc.contributor.authorOlff, M
dc.contributor.authorQi, W
dc.contributor.authorRatanatharathorn, A
dc.contributor.authorSchnyder, U
dc.contributor.authorSeedat, S
dc.contributor.authorKessler, RC
dc.contributor.authorKoenen, KC
dc.contributor.authorShalev, AY
dc.date.accessioned2020-12-17T04:15:00Z
dc.date.available2020-12-17T04:15:00Z
dc.date.issued2019-02
dc.identifierpii: S0033291718001101
dc.identifier.citationBarbano, A. C., van der Mei, W. F., Bryant, R. A., Delahanty, D. L., deRoon-Cassini, T. A., Matsuoka, Y. J., Olff, M., Qi, W., Ratanatharathorn, A., Schnyder, U., Seedat, S., Kessler, R. C., Koenen, K. C. & Shalev, A. Y. (2019). Clinical implications of the proposed ICD-11 PTSD diagnostic criteria.. Psychol Med, 49 (3), pp.483-490. https://doi.org/10.1017/S0033291718001101.
dc.identifier.issn0033-2917
dc.identifier.urihttp://hdl.handle.net/11343/255226
dc.description.abstractBACKGROUND: 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 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. 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.
dc.languageeng
dc.publisherCambridge University Press (CUP)
dc.titleClinical implications of the proposed ICD-11 PTSD diagnostic criteria.
dc.typeJournal Article
dc.identifier.doi10.1017/S0033291718001101
melbourne.affiliation.departmentPsychiatry
melbourne.source.titlePsychological Medicine
melbourne.source.volume49
melbourne.source.issue3
melbourne.source.pages483-490
dc.rights.licenseCC BY
melbourne.elementsid1330976
melbourne.openaccess.pmchttp://www.ncbi.nlm.nih.gov/pmc/articles/PMC6331687
melbourne.contributor.authorBryant, Richard
dc.identifier.eissn1469-8978
melbourne.accessrightsOpen Access


Files in this item

Thumbnail

This item appears in the following Collection(s)

Show simple item record