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| Content Provider | Taylor & Francis Online |
|---|---|
| Author | Heeke, Carina Abbing, Eva M. Knaevelsrud, Christine Stammel, Nadine |
| Abstract | BackgroundThe World Health Organization recently proposed significant changes to the posttraumatic stress disorder (PTSD) diagnostic criteria in the 11th edition of the International Classification of Diseases (ICD-11).ObjectiveThe present study investigated the impact of these changes in two different post-conflict samples.MethodPrevalence and rates of concurrent depression and anxiety, socio-demographic characteristics, and indicators of clinical severity according to ICD-11 in 1,075 Cambodian and 453 Colombian civilians exposed to civil war and genocide were compared to those according to the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV).ResultsResults indicated significantly lower prevalence rates under the ICD-11 proposal (8.1% Cambodian sample and 44.4% Colombian sample) compared to the DSM-IV (11.2% Cambodian sample and 55.0% Colombian sample). Participants meeting a PTSD diagnosis only under the ICD-11 proposal had significantly lower rates of concurrent depression and a lower concurrent total score (depression and anxiety) compared to participants meeting only DSM-IV diagnostic criteria. There were no significant differences in socio-demographic characteristics and indicators of clinical severity between these two groups.ConclusionsThe lower prevalence of PTSD according to the ICD-11 proposal in our samples of persons exposed to a high number of traumatic events may counter criticism of previous PTSD classifications to overuse the PTSD diagnosis in populations exposed to extreme stressors. Also another goal, to better distinguish PTSD from comorbid disorders could be supported with our data. |
| File Format | PDF HTM / HTML |
| ISSN | 20008066 |
| DOI | 10.3402/ejpt.v6.27070 |
| Journal | European Journal of Psychotraumatology |
| Volume Number | 6 |
| Issue Number | 1 |
| Language | English |
| Publisher | Taylor & Francis |
| Publisher Date | 2015-05-18 |
| Access Restriction | Open |
| Subject Keyword | PTSD Trauma Psychiatric diagnosis DSM ICD Prevalence Comorbidity |
| Content Type | Text |
| Resource Type | Article |
| Subject | Psychiatry and Mental Health |
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