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Exploring differences between the ICD-11 and DSM-5 models of PTSD: Does it matter which model is used?

Hyland, Philip, Shevlin, Mark, McNally, Sinéad, Murphy, Jamie, Hansen, Maj and Elklit, Ask (2016) Exploring differences between the ICD-11 and DSM-5 models of PTSD: Does it matter which model is used? Journal of Anxiety Disorders, 37. pp. 48-53. ISSN 0887-6185

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Official URL: http://dx.doi.org/10.1016/j.janxdis.2015.11.002

Abstract

Alternative symptom profiles for posttraumatic stress disorder (PTSD) are presented in the DSM-5 and ICD-11. This study compared DSM-5 PTSD symptom profiles with ICD-11 PTSD symptom profiles among a large group of trauma-exposed individuals from Denmark. Covariates, and rates of co-occurrence with other psychiatric disorders were also investigated. A sample of treatment-seeking adult survivors of childhood sexual abuse (n = 434) were assessed using self-report measures of PTSD and other psychiatric disorders. A significantly larger proportion of individuals met caseness for DSM-5 PTSD (60.0%) compared to ICD-11 PTSD (49.1%). This difference was largely attributable to low endorsement of the ICD-11 re-experiencing criteria. Replacement of the ‘recurrent nightmares’ symptom with the ‘recurrent thoughts/memories’ symptom seemed to balance the proportion of individuals meeting caseness for both taxonomies. Levels of co-occurrence with anxiety and thought disorder were higher for the DSM-5 model of PTSD compared to the ICD-11 model. Current results merit careful consideration in the selection of symptom indicators for the new ICD model of PTSD, particularly with respect to the re-experiencing symptom category.

Item Type: Article
Subjects: B Philosophy. Psychology. Religion > Psychology > Stress (Psychology) > Post-traumatic stress disorder
Divisions: School of Business > Staff Research and Publications
Depositing User: Caoimhe Ní Mhaicín
Date Deposited: 07 Oct 2015 14:34
Last Modified: 15 May 2018 11:41
URI: https://norma.ncirl.ie/id/eprint/2003

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