Comparing diagnostic criteria for posttraumatic stress disorder in a diverse sample of trauma ‐exposed youth
AbstractDivergent conceptualization of posttraumatic stress disorder (PTSD) within theDiagnostic and Statistical Manual of Mental Disorders (5th ed.;DSM-5) andInternational Statistical Classification of Diseases and Related Health Problems (11th ed..;ICD-11) significantly confounds both research and practice. Using a diverse sample of trauma-exposed youth (N = 1,542, age range: 8 –20 years), we compared these two diagnostic approaches along with an expanded version of theICD-11 PTSD criteria that included three additional reexperiencing symptoms (ICD-11+). Within the sample, PTSD was more prevalent using theDSM-5 criteria (25.7%) compared to theICD-11 criteria (16.0%), with moderate agreement between these diagnostic systems, κ = .57. The inclusion of additional reexperiencing symptoms (i.e.,ICD-11+) reduced this discrepancy in prevalence (24.7%) and increased concordance withDSM-5 criteria, κ = .73. All three PTSD classification systems exhibited similar comorbidity rates with major depressive episode (MDE) or generalized anxiety disorder (GAD; 78.0%–83.6%). Most youths who met theDSM-5 PTSD criteria also met the criteria forICD-11 PTSD, MDE, or GAD (88.4%), and this proportion increased when applying theICD-11+ criteria (95.5%). Symptom-level analyses identified reexperiencing/intrusions and negative alterations in cognition and mood symptoms as primary sources of discrepancy between theDSM-5 andICD-11 PTSD diagnostic systems. Overall, these results challenge assert...
Source: Journal of Traumatic Stress - Category: Psychiatry & Psychology Authors: Cody G. Dodd,
Claire L. Kirk,
Paul J. Rathouz,
James Custer,
Amy S. Garrett,
Leslie Taylor,
Justin F. Rousseau,
Cynthia Claasen,
Myesha M. Morgan,
D. Jeffrey Newport,
Karen D. Wagner,
Charles B. Nemeroff Tags: RESEARCH ARTICLE Source Type: research
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