DSM-5 and ICD-11 definitions of posttraumatic stress disorder: investigating "narrow" and "broad" approaches

Mostra el registre complet Registre parcial de l'ítem

• dc.contributor.author Stein, Dan J.
• dc.contributor.author Alonso Caballero, Jordi
• dc.contributor.author Kessler, Ronald C.
• dc.date.accessioned 2019-02-13T10:56:17Z
• dc.date.available 2019-02-13T10:56:17Z
• dc.date.issued 2014
• dc.description.abstract BACKGROUND: The development of the Diagnostic and Statistical Manual of Mental Disorders 5th edition (DSM-5) and ICD-11 has led to reconsideration of diagnostic criteria for posttraumatic stress disorder (PTSD). The World Mental Health (WMH) Surveys allow investigation of the implications of the changing criteria compared to DSM-IV and ICD-10. METHODS: WMH Surveys in 13 countries asked respondents to enumerate all their lifetime traumatic events (TEs) and randomly selected one TE per respondent for PTSD assessment. DSM-IV and ICD-10 PTSD were assessed for the 23,936 respondents who reported lifetime TEs in these surveys with the fully structured Composite International Diagnostic Interview (CIDI). DSM-5 and proposed ICD-11 criteria were approximated. Associations of the different criteria sets with indicators of clinical severity (distress-impairment, suicidality, comorbid fear-distress disorders, PTSD symptom duration) were examined to investigate the implications of using the different systems. RESULTS: A total of 5.6% of respondents met criteria for "broadly defined" PTSD (i.e., full criteria in at least one diagnostic system), with prevalence ranging from 3.0% with DSM-5 to 4.4% with ICD-10. Only one-third of broadly defined cases met criteria in all four systems and another one third in only one system (narrowly defined cases). Between-system differences in indicators of clinical severity suggest that ICD-10 criteria are least strict and DSM-IV criteria most strict. The more striking result, though, is that significantly elevated indicators of clinical significance were found even for narrowly defined cases for each of the four diagnostic systems. CONCLUSIONS: These results argue for a broad definition of PTSD defined by any one of the different systems to capture all clinically significant cases of PTSD in future studies.
• dc.description.sponsorship These activities were supported by contract grant sponsor: European Commission; contract grant numbers: QLG5–1999–01042 and SANCO 2004123; contract grant sponsor: The Piedmont Region; contract grant sponsor: Fondo de Investigación Sanitaria; contract grant sponsor: Instituto de Salud Carlos III; contract grant number: FIS 00/0028; contract grant sponsor: Ministerio de Ciencia y Tecnología, Spain; contract grant number: SAF 2000–158-CE; contract grant sponsor: Departament de Salut, Generalitat de Catalunya; contract grant sponsor: Instituto de Salud Carlos III; contract grant numbers: CIBER CB06/02/0046 and RETICS RD06/0011 REM-TAP
• dc.format.mimetype application/pdf
• dc.identifier.citation Stein DJ, McLaughlin KA, Koenen KC, Atwoli L, Friedman MJ, Hill ED et al. DSM-5 and ICD-11 definitions of posttraumatic stress disorder: investigating "narrow" and "broad" approaches. Depress Anxiety. 2014 Jun;31(6):494-505. DOI: 10.1002/da.22279
• dc.identifier.doi http://dx.doi.org/10.1002/da.22279
• dc.identifier.issn 1091-4269
• dc.identifier.uri http://hdl.handle.net/10230/36576
• dc.language.iso eng
• dc.publisher Wiley-VCH Verlag
• dc.relation.ispartof Depress Anxiety. 2014 Jun;31(6):494-505
• dc.rights © 2014 Wiley Periodicals, Inc. + DSM-5 and ICD-11 definitions of posttraumatic stress disorder: investigating "narrow" and "broad" approaches, Dan J. Stein et al, Depress Anxiety, Volum 31 núm 6
• dc.rights.accessRights info:eu-repo/semantics/openAccess
• dc.subject.other Estrès
• dc.subject.other Malalties mentals
• dc.subject.other Salut mundial
• dc.subject.other Esdeveniments vitals de canvi
• dc.title DSM-5 and ICD-11 definitions of posttraumatic stress disorder: investigating "narrow" and "broad" approaches
• dc.type info:eu-repo/semantics/article
• dc.type.version info:eu-repo/semantics/acceptedVersion