Impact of the diagnostic changes to post-traumatic stress disorder for DSM-5 and the proposed changes to ICD-11

There have been changes to the criteria for diagnosing post-traumatic stress disorder (PTSD) in DSM-5 and changes are proposed for ICD-11. To investigate the impact of the changes to diagnostic criteria for PTSD in DSM-5 and the proposed changes in ICD-11 using a large multisite trauma-exposed sampl...

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Bibliographic Details
Published in:British journal of psychiatry 2014-09, Vol.205 (3), p.230-235
Main Authors: O'Donnell, Meaghan L., Alkemade, Nathan, Nickerson, Angela, Creamer, Mark, McFarlane, Alexander C., Silove, Derrick, Bryant, Richard A., Forbes, David
Format: Article
Language:English
Subjects:
Adolescent
Adult
Adult and adolescent clinical studies
Aged
Anxiety disorders. Neuroses
Australia - epidemiology
Biological and medical sciences
Depressive Disorder, Major - diagnosis
Depressive Disorder, Major - epidemiology
Diagnostic and Statistical Manual of Mental Disorders
Female
Humans
International Classification of Diseases
Male
Medical sciences
Middle Aged
Post-traumatic stress disorder
Prevalence
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Quality of Life
Stress Disorders, Post-Traumatic - diagnosis
Stress Disorders, Post-Traumatic - epidemiology
Young Adult
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Summary:There have been changes to the criteria for diagnosing post-traumatic stress disorder (PTSD) in DSM-5 and changes are proposed for ICD-11. To investigate the impact of the changes to diagnostic criteria for PTSD in DSM-5 and the proposed changes in ICD-11 using a large multisite trauma-exposed sample and structured clinical interviews. Randomly selected injury patients admitted to four hospitals were assessed 72 months post trauma (n = 510). Structured clinical interviews for PTSD and major depressive episode, as well as self-report measures of disability and quality of life were administered. Current prevalence of PTSD under DSM-5 scoring was not significantly different from DSM-IV (6.7% v. 5.9%, z = 0.53, P = 0.59). However, the ICD-11 prevalence was significantly lower than ICD-10 (3.3% v. 9.0%, z = -3.8, P
ISSN:0007-1250
1472-1465
DOI:10.1192/bjp.bp.113.135285