scholarly journals Clinical implications of the proposed ICD-11 PTSD diagnostic criteria

2018 ◽  
Vol 49 (3) ◽  
pp. 483-490 ◽  
Author(s):  
Anna C. Barbano ◽  
Willem F. van der Mei ◽  
Richard A. Bryant ◽  
Douglas L. Delahanty ◽  
Terri A. deRoon-Cassini ◽  
...  
Keyword(s):  
Diagnostic Criteria ◽  
Traumatic Events ◽  
International Classification Of Diseases ◽  
Post Traumatic Stress ◽  
Case Identification ◽  
Classification Of Diseases ◽  
Icd 10 ◽  
Post Traumatic ◽  
Projected Changes ◽  
Moderate Range

AbstractBackgroundProjected 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.

Classification and descriptive psychopathology of post-traumatic stress disorder and other stressor-related disorders

2020 ◽  
pp. 819-828
Author(s):  
Dean G. Kilpatrick ◽  
Matthew J. Friedman ◽  
Amanda K. Gilmore
Keyword(s):  
Diagnostic Criteria ◽  
International Classification Of Diseases ◽  
Post Traumatic Stress ◽  
Statistical Manual ◽  
Diagnostic And Statistical Manual ◽  
Dsm 5 ◽  
Wide Range ◽  
Classification Of Diseases ◽  
Post Traumatic

This chapter addresses the new section in the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) called ‘Trauma and stressor-related disorders’. All diagnoses within this category have two things in common: (1) a discrete traumatic/adverse event or experience that preceded the onset or aggravation of symptoms; and (2) a wide range of cognitions, emotions, and behaviours embedded within DSM-5 diagnostic criteria for each disorder. The chapter also discusses the comparable proposed diagnostic criteria for the eleventh edition of the International Classification of Diseases (ICD-11). Current considerations and challenges regarding the classification of stressor-related disorders are reviewed.

Field Trials of the 1987 Draft of Chapter V (F) of ICD-10

1988 ◽  
Vol 152 (S1) ◽  
pp. 33-37 ◽  
Author(s):  
Jack D. Burke
Keyword(s):  
Mental Health ◽  
Diagnostic Criteria ◽  
Study Design ◽  
Field Trial ◽  
Developmental Disorders ◽  
International Classification Of Diseases ◽  
Field Trials ◽  
Classification Of Diseases ◽  
Icd 10

IntroductionThis paper will review the major objectives and study design of the Field Trials of the draft chapter on Mental Behavioural and Developmental Disorders in the tenth revision of the International Classification of Diseases (ICD-10), now in preparation. The text used in this Field Trial is the Clinical Descriptions and Diagnostic Guidelines, which is more elaborate than the Short Glossary for this chapter that will be published in the main volume of ICD-10. The text for the former will be published together with the Diagnostic Criteria for Research and other parts of the WHO family of instruments relevant to mental health.

scholarly journals Depressive, anxious and somatization symptoms and quality of life in stress-related disorders

2017 ◽  
Vol 74 (10) ◽  
pp. 927-931
Author(s):  
Olga Colovic ◽  
Dusica Lecic-Tosevski ◽  
Vanja Mandic-Maravic ◽  
Oliver Toskovic
Keyword(s):  
Quality Of Life ◽  
Depressive Symptoms ◽  
International Classification Of Diseases ◽  
Therapeutic Interventions ◽  
Post Traumatic Stress ◽  
Related Disorder ◽  
Quality Of Life Scale ◽  
Classification Of Diseases ◽  
Icd 10

Background/Aim. Recent studies have shown a significant relation of the post-traumatic stress disorder and impairment of quality of life. The research on the relations of other stress-related disorders and quality of life is scarce. The aim of this re-search was to determine which symptoms within the stress-related disorders (depressive, anxious and somatization) have the strongest effect on the quality of life decrease. Methods. The study group comprised 80 subjects who have developed a certain stress-related disorder. The diagnosis was made based on the International Classification of Diseases (ICD-10) criteria. Manchester Short Assessment Quality of Life Scale (MANSA) and Symptom Check List-90 Revised (SCL-90-R) were administered. Results. The presence of all three types of symptoms (depressive, anxious or somatization) was in negative correlation with the quality of life, contributing to the variation of quality of life with 40%. Depressive symptoms had the greatest impact on the quality of life impairment. Conclusion. When it comes to stress-related disorders, the quality of life is mostly impaired by depressive symptoms. Target therapeutic interventions aimed at depressive symptoms might have a significant effect on the quality of life improvement in the person who developed stress-related disorders.

scholarly journals Complex PTSD: Psychotherapy of Prolonged Traumatization

2021 ◽  
Vol 29 (3) ◽  
pp. 69-87
Author(s):  
M.A. Padun
Keyword(s):  
Traumatic Stress ◽  
Complex Trauma ◽  
Diagnostic Category ◽  
International Classification Of Diseases ◽  
Emotional Dysregulation ◽  
Post Traumatic Stress ◽  
Classification Of Diseases ◽  
Post Traumatic ◽  
The Impact

The article considers a new diagnostic category — complex post-traumatic stress disorder (CPTSD), introduced into the International Classification of Diseases (ICD-11). Differences in the mechanism of influence of situational and prolonged trauma are analyzed. CPTSD diagnostic criteria are compared to PTSD and BPD (borderline personality disorder) symptoms. The term “disturbances in self-organi¬zation” is analyzed, which explains the main mechanism of the impact of complex trauma and includes emotional dysregulation, disturbances in self-perception and relationships. Psychotherapeutic approaches developed for PTSD were shown to be insufficient for the treatment of CPTSD. The article reviews an approach to CPSTD therapy based on the consensus of experts in the field of post-traumatic stress and its possible limitations are discussed. “Component based psychotherapy” — another approach to CPTSD therapy — is described. Specific features of psychotherapy for complex trauma are discussed.

scholarly journals Complex post-traumatic stress disorder in participants of the military actions in the operation militarygroups in the view of the eleven edition of the International classification of diseases

2019 ◽  
Keyword(s):  
Post Traumatic Stress Disorder ◽  
Traumatic Stress ◽  
Stress Disorder ◽  
International Classification Of Diseases ◽  
International Classification ◽  
Life Questionnaire ◽  
Post Traumatic Stress ◽  
Classification Of Diseases ◽  
Post Traumatic

The introduction of the new concept of complex post-traumatic stress disorder (cPTSD) in the International Classification of Diseases of the 11th Edition deserves attention in a country where active fighting is taking place. The increase in the number of PTSD sufferers among military personnel and civilians on the territory of hostilities increases the likelihood of PTSD occurring among the contingent. At present, we have no experience in the diagnosis of cPTSD. The objective of our study, along with the diagnosis of PTSD symptoms, is to use a quality of life questionnaire to evaluate the symptoms of cPTSD. The result revealed that the level of community and service support was below average, indicating the need to improve community social support. The self-realization of the combatants has a low average level, which further influences the level of adaptation after the end of the service. Physical and psychological well-being are also low, and this indicator to the need for psychological and physical rehabilitation of demobilized soldiers. At the same time, communication with friends and family, performance were at a high enough level, and these are positive factors that influence the adaptation to civilian life. Summarizing the research, we suggest that in order to organize the help of the combatants more effectively, it is necessary to evaluate, along with a purely psychiatric diagnosis of PTSD, the level of social and physical adaptation of patients with PTSD.

Examining the prevalence of complex PTSD in an inpatient DBT service for females with a primary diagnosis of EUPD

2021 ◽  
Vol 2 (1) ◽  
pp. 79-95
Author(s):  
Deborah Morris ◽  
◽  
Elanor Lucy Webb ◽  
Jessica Holmes ◽  
Katharine Reynolds ◽  
...  
Keyword(s):  
Functional Impairment ◽  
International Classification Of Diseases ◽  
Primary Diagnosis ◽  
Future Research ◽  
Post Traumatic Stress ◽  
Diagnostic Thresholds ◽  
Clinical Presentations ◽  
Classification Of Diseases ◽  
Post Traumatic ◽  
Emotionally Unstable Personality Disorder

In response to differential clinical presentations of survivors of multiple or chronic exposure to trauma, complex post-traumatic stress disorder (CPTSD) has been included in the 11th revision of the International Classification of Diseases (ICD-11). A growing body of research has explored the prevalence of CPTSD in a range of populations, yet its prevalence in adults diagnosed with Emotionally Unstable Personality Disorder (EUPD) has been subject to limited evaluation, including in individuals requiring specialist inpatient care. The International Trauma Questionnaire (ITQ) was administered to 42 females with primary diagnoses of EUPD admitted to a specialist DBT service. Twenty-eight (66.8%) participants met full diagnostic criteria for either PTSD (11.9%, n=5) or CPTSD (54.8%, n=23). Additionally, PTSD and CPTSD symptomatology were highly prevalent in participants who did not meet the functional impairment criteria. Significant differences in the prevalence of CPTSD were found, dependent on whether a measure of functional impairment was included. This is the first study to explore the prevalence of CPTSD in an inpatient EUPD sample, using diagnostic thresholds. The findings highlight the importance of attending to trauma as well as EUPD-related needs. Theoretical, clinical and future research implications are discussed.

scholarly journals PTSD or not PTSD? Comparing the proposed ICD-11 and the DSM-5 PTSD criteria among young survivors of the 2011 Norway attacks and their parents

2017 ◽  
Vol 47 (7) ◽  
pp. 1283-1291 ◽  
Author(s):  
G. S. Hafstad ◽  
S. Thoresen ◽  
T. Wentzel-Larsen ◽  
A. Maercker ◽  
G. Dyb
Keyword(s):  
Diagnostic Criteria ◽  
Specific Treatment ◽  
International Classification Of Diseases ◽  
Prevalence Rates ◽  
Diagnostic Systems ◽  
Post Traumatic Stress ◽  
Dsm 5 ◽  
Reaction Index ◽  
Classification Of Diseases ◽  
Young Survivors

BackgroundThe conceptualization of post-traumatic stress disorder (PTSD) in the upcoming International Classification of Diseases (ICD)-11 differs in many respects from the diagnostic criteria in the Diagnostic and Statistical Manual for Mental Disorders, fifth edition (DSM-5). The consequences of these differences for individuals and for estimation of prevalence rates are largely unknown. This study investigated the concordance of the two diagnostic systems in two separate samples at two separate waves.MethodYoung survivors of the 2011 Norway attacks (n = 325) and their parents (n = 451) were interviewed at 4–6 months (wave 1) and 15–18 months (wave 2) after the shooting. PTSD was assessed with the UCLA PTSD Reaction Index for DSM-IV adapted for DSM-5, and a subset was used as diagnostic criteria for ICD-11.ResultsIn survivors, PTSD prevalence did not differ significantly at any time point, but in parents, the DSM-5 algorithm produced significantly higher prevalence rates than the ICD-11 criteria. The overlap was fair for survivors, but amongst parents a large proportion of individuals met the criteria for only one of the diagnostic systems. No systematic differences were found between ICD-11 and DSM-5 in predictive validity.ConclusionsThe proposed ICD-11 criteria and the DSM-5 criteria performed equally well when identifying individuals in distress. Nevertheless, the overlap between those meeting the PTSD diagnosis for both ICD-11 and DSM-5 was disturbingly low, with the ICD-11 criteria identifying fewer people than the DSM-5. This represents a major challenge in identifying individuals suffering from PTSD worldwide, possibly resulting in overtreatment or unmet needs for trauma-specific treatment, depending on the area of the world in which patients are being diagnosed.

scholarly journals PTSD in paramedics: history, conceptual issues and psychometric measures

2020 ◽  
Vol 12 (12) ◽  
pp. 495-502
Author(s):  
Kamran Baqai
Keyword(s):  
Psychological Trauma ◽  
International Classification Of Diseases ◽  
Stressful Events ◽  
Post Traumatic Stress ◽  
Statistical Manual ◽  
Diagnostic And Statistical Manual ◽  
Psychometric Measures ◽  
Classification Of Diseases ◽  
Post Traumatic

Post-traumatic stress disorder (PTSD) is more common in paramedics than in the general population because of the stressful and distressing nature of their work. Forms of PTSD associated with chronic stress and repeated trauma are scarcely researched among paramedics. This is striking as this workforce is potentially more likely to be affected by these types of PTSD. Diagnostic processes are still largely based on acute rather than chronic psychological trauma. PTSD diagnosis has been influenced by sociological perceptions of mental illness and changes in diagnostic criteria. Criteria for the diagnosis of PTSD in the Diagnostic and Statistical Manual of Mental Disorders and the International Classification of Diseases have changed in the past decade, which may facilitate more appropriate diagnoses of PTSD in paramedics. Paramedics often have a complex aetiology of PTSD resulting from experiences of both chronic and acute events. Questionnaires that cover exposure to both individual and repeated stressful events are required to enable further research in the area of PTSD in paramedics.

scholarly journals The status of prolonged grief disorder in the international classification of diseases (ICD-11)

TIMS Acta ◽  
2020 ◽  
Vol 14 (2) ◽  
pp. 109-116
Author(s):  
Radomir Belopavlović ◽  
Zdenka Novović
Keyword(s):  
International Classification Of Diseases ◽  
Diagnostic Systems ◽  
Post Traumatic Stress ◽  
Significant Group ◽  
Prolonged Grief Disorder ◽  
Prolonged Grief ◽  
Mortality And Morbidity ◽  
The Status ◽  
Classification Of Diseases ◽  
Icd 10

Grief due to loss of a significant other is a universal experience. However, within a small, but a significant group of individuals, this process can last longer than the culturally expected period, and it can be associated with the intense distress, dysfunction, and higher rates of mortality and morbidity. Grief has been observed in the scientific literature as an adaptive reaction to loss, but also as a factor associated with major depressive disorder, generalized anxiety disorder, and post-traumatic stress disorder. Previous versions of diagnostic systems, namely DSM-IV and ICD-10, have allocated the phenomenon of prolonged grief as a condition that requires further research, or the condition that requires care. There is a recommendation not to give a diagnosis of a depressive episode because of the normative nature of the reaction to loss. In the new iterations of classification manuals, the ICD-11, this condition is classified as the Prolonged grief disorder. The rationale for change is found in the studies which suggest that this disorder is phenomenologically different from similar states. It aggregates different risk factors and consequences, as well as different treatment solutions. This paper will focus on the criteria of the disorder in the ICD-11 space, researches which mention diagnosis validity, implications, and a broader frame for conceptual and clinical utility of this disorder.

scholarly journals A cry for help: Dramatherapists can intervene to change the language and environment in mental health care by engaging critically with the new diagnostic category of Complex PTSD

Dramatherapy ◽  
2022 ◽  
pp. 026306722110682
Author(s):  
Lee-Anne Widnall
Keyword(s):  
Mental Health ◽  
Diagnostic Category ◽  
International Classification Of Diseases ◽  
Diagnostic Model ◽  
Post Traumatic Stress ◽  
Healthcare Settings ◽  
Cry For Help ◽  
Classification Of Diseases ◽  
Post Traumatic ◽  
Management Approaches

In funded healthcare settings, access to dramatherapy and other arts therapies is limited. Patients suffering the long-term emotional effects of childhood or prolonged trauma are often not helped by short-term funded therapies. These therapies that engage in the diagnostic model of suffering with disorder specific research speak little to those suffering multiple traumas. This leaves dramatherapists unable to reach those most in need of their skills. At the same time, survivors are left bewildered and shamed again as they ‘fail’ to benefit from the limited symptom management approaches on offer. While the diagnostic model of suffering may be approaching obsolescence, what still seems a long way away is a major overhaul of the mainstream understanding of suffering and mental health that could fuel a reorganisation of how services are delivered and research conducted. In this context, the new diagnostic criteria of Complex Post Traumatic Stress Disorder in the International Classification of Diseases-11 provides an opportunity and perhaps even a rallying cry for dramatherapists to evidence how our skills can provide a framework and method for survivors to re-imagine themselves and understand and claim their place in the world by loosening the chains of fear and shame.

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