Clinical implications of the proposed ICD-11 PTSD diagnostic criteria. Barbano, A., C., Mei, W., F., v., d., 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. Psychological Medicine, 49(3):483-490, 8, 2019. ![Clinical implications of the proposed ICD-11 PTSD diagnostic criteria [link]](https://bibbase.org/img/filetypes/link.svg "link")
Website abstract bibtex BackgroundProjected 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.MethodsThe 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.ResultsThe 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.ConclusionsThis 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.
@article{
title = {Clinical implications of the proposed ICD-11 PTSD diagnostic criteria},
type = {article},
year = {2019},
identifiers = {[object Object]},
keywords = {Diagnosis,ICD-10,ICD-11,individual participant-level data,longitudinal,post-traumatic stress disorder},
pages = {483-490},
volume = {49},
websites = {https://www.cambridge.org/core/journals/psychological-medicine/article/clinical-implications-of-the-proposed-icd11-ptsd-diagnostic-criteria/165FE76D121920F1BAF7B2A5D11F6F26,http://files/347/Barbano et al. - 2019 - Clinical implications of the proposed ICD},
month = {8},
day = {25},
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created = {2020-09-17T09:27:39.055Z},
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abstract = {BackgroundProjected 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.MethodsThe 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.ResultsThe 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.ConclusionsThis 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.},
bibtype = {article},
author = {Barbano, Anna C and Mei, Willem F van der and Bryant, Richard A and Delahanty, Douglas L and deRoon-Cassini, Terri A and Matsuoka, Yutaka J and Olff, Miranda and Qi, Wei and Ratanatharathorn, Andrew and Schnyder, Ulrich and Seedat, Soraya and Kessler, Ronald C and Koenen, Karestan C and Shalev, Arieh Y},
journal = {Psychological Medicine},
number = {3}
}
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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.MethodsThe 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.ResultsThe 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.ConclusionsThis 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.","bibtype":"article","author":"Barbano, Anna C and Mei, Willem F van der and Bryant, Richard A and Delahanty, Douglas L and deRoon-Cassini, Terri A and Matsuoka, Yutaka J and Olff, Miranda and Qi, Wei and Ratanatharathorn, Andrew and Schnyder, Ulrich and Seedat, Soraya and Kessler, Ronald C and Koenen, Karestan C and Shalev, Arieh Y","journal":"Psychological Medicine","number":"3","bibtex":"@article{\n title = {Clinical implications of the proposed ICD-11 PTSD diagnostic criteria},\n type = {article},\n year = {2019},\n identifiers = {[object Object]},\n keywords = {Diagnosis,ICD-10,ICD-11,individual participant-level data,longitudinal,post-traumatic stress disorder},\n pages = {483-490},\n volume = {49},\n websites = {https://www.cambridge.org/core/journals/psychological-medicine/article/clinical-implications-of-the-proposed-icd11-ptsd-diagnostic-criteria/165FE76D121920F1BAF7B2A5D11F6F26,http://files/347/Barbano et al. - 2019 - Clinical implications of the proposed ICD},\n month = {8},\n day = {25},\n id = {1ead46a9-fb9a-33be-827f-920a03567f5c},\n created = {2020-09-17T09:27:39.055Z},\n file_attached = {false},\n profile_id = {20f87055-ac78-3c65-9cf5-216a3558d16a},\n group_id = {14ca8526-77d5-34fd-89de-e48cae5e6ee2},\n last_modified = {2020-09-17T09:27:39.055Z},\n read = {false},\n starred = {false},\n authored = {false},\n confirmed = {true},\n hidden = {false},\n source_type = {JOUR},\n language = {en},\n private_publication = {false},\n abstract = {BackgroundProjected 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.MethodsThe 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.ResultsThe 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.ConclusionsThis 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. 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