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

dc.creatorStein, Dan J.
dc.creatorMcLaughlin, Katie A.
dc.creatorKoenen, Karestan C.
dc.creatorAtwoli, Lukoye
dc.creatorFriedman, Matthew J.
dc.creatorHill, Eric D.
dc.creatorMaercker, Andreas
dc.creatorPetukhova, Maria
dc.creatorShahly, Victoria
dc.creatorVan Ommeren, Mark
dc.creatorAlonso, Jordi
dc.creatorBorges, Guilherme
dc.creatorDe Girolamo,  Giovanni
dc.creatorDe Jonge, Peter
dc.creatorDemyttenaere, Koen
dc.creatorFlorescu, Silvia
dc.creatorKaram, Elie G.
dc.creatorKawakami, Norito
dc.creatorMatschinger, Herbert
dc.creatorOkoliyski, Michail
dc.creatorPosada-Villa, Jose
dc.creatorScott, Kate M.
dc.creatorViana, Maria Carmen
dc.creatorKessler, Ronald C.
dc.date.accessioned2017-06-29T03:45:53Z
dc.date.available2017-06-29T03:45:53Z
dc.date.issued2014es_ES
dc.identifier2651es_ES
dc.identifier.issn1091-4269es_ES
dc.identifier.urihttp://repositorio.inprf.gob.mx/handle/123456789/4500
dc.identifier.urihttps://doi.org/10.1002/da.22279es_ES
dc.identifier.urihttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4211431/es_ES
dc.description.abstractes_ES
dc.language.isoenges_ES
dc.publisheres_ES
dc.relation31(6) 494-505p.es_ES
dc.relationversión del editores_ES
dc.rightsacceso cerradoes_ES
dc.subject.meshAmericas/epidemiologyes_ES
dc.subject.meshDiagnostic and Statistical Manual of Mental Disorderses_ES
dc.subject.meshEurope/epidemiologyes_ES
dc.subject.meshGlobal Healthes_ES
dc.subject.meshHumanses_ES
dc.subject.meshInternational Classification of Diseaseses_ES
dc.subject.meshJapan/epidemiologyes_ES
dc.subject.meshLife Change Eventses_ES
dc.subject.meshNew Zealand/epidemiologyes_ES
dc.subject.meshStress Disorders, Post-Traumatic/diagnosises_ES
dc.subject.meshStress Disorders, Post-Traumatic/epidemiologyes_ES
dc.subject.meshDSM-IVes_ES
dc.subject.meshDSM-5es_ES
dc.subject.meshICD-10es_ES
dc.subject.meshICD-11es_ES
dc.subject.meshPosttraumatic Stress Disorderes_ES
dc.subject.meshWorld Mental Health Surveyses_ES
dc.subject.meshEpidemiologyes_ES
dc.subject.meshNosologyes_ES
dc.titleDSM-5 and ICD-11 definitions of posttraumatic stress disorder: investigating "narrow" and "broad" approacheses_ES
dc.title.alternativees_ES
dc.typeartículoes_ES
dc.contributor.affiliationDepartment of Psychiatry and Mental Health, University of Cape Town, Cape Town, South Africaes_ES
dc.contributor.emaildan.stein@uct.ac.zaes_ES
dc.relation.jnabreviadoDEPRESS ANXIETYes_ES
dc.relation.journalDepression and anxietyes_ES
dc.identifier.placeEstados Unidoses_ES
dc.date.published2014es_ES
dc.identifier.organizacionInstituto Nacional de Psiquiatría Ramón de la Fuente Muñizes_ES
dc.identifier.eissn1520-6394es_ES
dc.identifier.doi10.1002/da.22279es_ES
dc.description.monthJunes_ES
dc.description.abstractotrodiomaBACKGROUND: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.es_ES
dc.subject.meshmes_ES
dc.subject.kwes_ES
dc.subject.koPosttraumatic stress disorderes_ES
dc.subject.koWorld Mental Health Surveyses_ES
dc.subject.koEpidemiologyes_ES
dc.subject.koNosologyes_ES
dc.subject.koDSM-IVes_ES
dc.subject.koDSM-5es_ES
dc.subject.koICD-10es_ES
dc.subject.koICD-11es_ES


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