Posttraumatische Belastungsstörung in ICD 10, ICD 11 und DSM 5: Welche Bedeutung haben unterschiedlichen Kriterien für Diagnostik und gutachtliche Praxis

2021 ◽  
Vol 89 (11) ◽  
pp. 578-592
Author(s):  
Harald Raimund Dreßing ◽  
Klaus Foerster
Keyword(s):  
Case Studies ◽  
Diagnostic Criteria ◽  
Criminal Law ◽  
Posttraumatische Belastungsstörung ◽  
Structured Interview ◽  
Expert Assessment ◽  
Dsm 5 ◽  
Victim Compensation ◽  
Icd 10 ◽  
Compensation Law

Die diagnostischen Kriterien der PTBS unterschieden sich in den Manualen der ICD-10, ICD-11 und DSM 5. Die wesentlichen diagnostischen Kriterien werden dargestellt. Wesentlich für die Diagnose ist der in einem strukturierten Interview erhobene psychopathologische Befund. An Hand von drei Kasuistiken wird die gutachtliche Bewertung im Strafrecht, in der Unfallversicherung und im Opferentschädigungsgesetzt veranschaulicht. Summary The diagnostic criteria of PTSD differ in the ICD-10, ICD-11 and DSM 5 manuals. The main diagnostic criteria are presented. The psychopathological findings obtained in a structured interview are essential for the diagnosis. Three case studies are used to illustrate the expert assessment in criminal law, accident insurance and victim compensation law.

scholarly journals B-49 * Neuropsychologists' Preferences for DSM-5 versus ICD-10, NINDS, or Other Diagnostic Criteria

2014 ◽  
Vol 29 (6) ◽  
pp. 554-554 ◽  
Author(s):  
D. Rogers ◽  
B. Evans ◽  
C. Roberts ◽  
A. Cuc ◽  
W. Mittenberg
Keyword(s):  
Diagnostic Criteria ◽  
Dsm 5 ◽  
Icd 10

scholarly journals Psychometric Evaluation of the NORC Diagnostic Screen for Gambling Problems (NODS) for the Assessment of DSM-5 Gambling Disorder

2021 ◽  
Author(s):  
Brad W. Brazeau ◽  
David C. Hodgins
Keyword(s):  
Diagnostic Criteria ◽  
Gambling Disorder ◽  
Principal Component ◽  
Self Report ◽  
Gambling Problem ◽  
Gambling Problems ◽  
Dsm 5 ◽  
Diagnostic Threshold ◽  
Icd 10 ◽  
Problem Severity

Abstract The National Opinion Research Center (NORC) Diagnostic Screen for Gambling Problems (NODS) is one of the most used outcome measures in gambling intervention trials. However, a screen based on DSM-5 gambling disorder criteria has yet to be developed or validated since the DSM-5 release in 2013. This omission is possibly because the criteria for gambling disorder only underwent minor changes from DSM-IV to DSM-5: the diagnostic threshold was reduced from 5 to 4 criteria, and the illegal activity criterion was removed. Validation of a measure that captures these changes is still warranted. The current study examined the psychometric properties of an online self-report past-year adaptation of the NODS based on DSM-5 diagnostic criteria for gambling disorder. Additionally, the new NODS was evaluated for how well it identifies ICD-10 pathological gambling. A diverse sample of participants (N = 959) was crowdsourced via Amazon’s TurkPrime. Internal consistency and one-week test-retest reliability were good. High correlations (r = .74–.77) with other measures of gambling problem severity were observed in addition to moderate correlations (r = .21–.36) with related but distinct constructs (e.g., gambling expenditures, time spent gambling, other addictive behaviours). All nine of the DSM-5 criteria loaded positively on one principal component, which accounted for 40% of the variance. Classification accuracy (i.e., sensitivity, specificity, predictive power) was generally very good with respect to the PGSI and ICD-10 diagnostic criteria. Future validation studies are encouraged to establish a gold standard measurement of gambling problem severity.

scholarly journals Gender incongruence: a comparative study using ICD-10 and DSM-5 diagnostic criteria

2017 ◽  
Vol 40 (2) ◽  
pp. 174-180 ◽  
Author(s):  
Bianca M. Soll ◽  
Rebeca Robles-García ◽  
Angelo Brandelli-Costa ◽  
Daniel Mori ◽  
Andressa Mueller ◽  
...  
Keyword(s):  
Comparative Study ◽  
Diagnostic Criteria ◽  
Dsm 5 ◽  
Icd 10

Posttraumatische Belastungsstörung in der digitalen Arbeitswelt

2020 ◽  
Vol 59 (05) ◽  
pp. 298-302
Author(s):  
Lili Kreutzer ◽  
Volker Köllner
Keyword(s):  
Social Media ◽  
Posttraumatische Belastungsstörung ◽  
Media Content ◽  
Wird Eine ◽  
Dsm 5 ◽  
Mentale Gesundheit ◽  
Digitale Medien ◽  
Icd 10

ZusammenfassungWir berichten über einen 36-jährigen Patienten, welcher nach einer beruflichen Konfrontation mit Darstellungen von Gewalt an Tieren, sexueller Gewalt sowie körperlicher Gewalt über digitale Medien in seiner Position als social media content moderator die klassischen Symptome einer PTBS entwickelte.Nach 10 monatiger Arbeitsunfähigkeit kam der Patient zur sozialmedizinischen Einschätzung zur Rehabilitation. Obwohl aufgrund der hohen Resilienz und Motivationslage des Patienten von einer Regeneration binnen der kommenden 6 Monate und einer Neuorientierung auf dem Allgemeinen Arbeitsmarkt ausgegangen wurde, wurde seine Leistungsfähigkeit hinsichtlich seiner letzten sozialversicherungspflichtigen Tätigkeit vollständig aufgehoben eingeschätzt.Diese sekundäre, digitale Art der Traumatisierung ist in der aktuell gültigen Version des ICD-10 nicht aufgeführt, wird aber bereits in den A4 Kriterien des DSM-5 beschrieben. Hier wird eine Exposition über elektronische Instrumente, Television, Filme oder Fotografien ausgeschlossen, es sei denn die Exposition ist beruflich bedingt.Anhand dieses Beispiels werden Risiken für die mentale Gesundheit durch digitale Faktoren während der Arbeit, sowie deren sozialmedizinischen und versicherungstechnischen Folgen dargestellt.

Selective Mutism

2018 ◽  
pp. 363-380
Author(s):  
Charu Kriti
Keyword(s):  
Anxiety Disorder ◽  
Case Studies ◽  
Diagnostic Criteria ◽  
Selective Mutism ◽  
Potential Threat ◽  
Dsm 5 ◽  
Social Settings ◽  
The Social ◽  
Long Time ◽  
The Individual

Selective mutism is a disorder that is characterized by a failure to speak in certain social settings, like the school, while speaking normally in other settings, like home. The settings in which the failure to speak occur are those where speech is expected from the individual. It is a disorder that onsets in childhood, and if left untreated, may go well into adolescence. For a very long time, this disorder has been overlooked and understudied. Though rare, the disorder may pose a potential threat to the social and academic development of a child suffering from it. The DSM-5 has classified selective mutism as an anxiety disorder. The present chapter intends to cover the psychosocial approach to the disorder, the diagnostic criteria, the etiology, the treatment of the disorder, and the management by respective caregivers. An analysis of case studies has also been given in the chapter.

Issues in Medicare Billing, Documentation, and Coding

2017 ◽  
Author(s):  
Linda Martins ◽  
Ruby Nicholson ◽  
Robert Kohn
Keyword(s):  
Diagnostic Criteria ◽  
Forensic Psychiatry ◽  
Geriatric Patients ◽  
Neurocognitive Disorders ◽  
Geriatric Psychiatry ◽  
Department Of Justice ◽  
Regulatory Requirements ◽  
Elderly Individuals ◽  
Dsm 5 ◽  
Icd 10

Practitioners working with geriatric patients need to be aware of Center for Medicare and Medicaid Services regulatory requirements, the definitions of fraud and abuse, and rules and criteria for billing and documentation. This chapter discusses these and other issues related Medicare billing, documentation, and coding. Denials for reimbursement and paybacks for audits are usually due to incomplete elements in documentation and incorrect coding. Although psychotherapy is appropriate for many elderly individuals, including those with neurocognitive disorders, it must be clear that the service is medically beneficial. A recent Department of Justice lawsuit qualifies that the patient has to have the capacity to recall what occurred in therapy from one session to the next. The changes created by DSM-5 diagnostic criteria and utilization of ICD-10 codes have had a particular impact on geriatric psychiatry. These changes in DSM-5 also have an implication in geriatric forensic psychiatry practice and are discussed in detail in the chapter.

Criterion-related validity in a sample of migraine outpatients: the diagnostic criteria for psychosomatic research

CNS Spectrums ◽  
2019 ◽  
Vol 25 (4) ◽  
pp. 545-551 ◽  
Author(s):  
Fiammetta Cosci ◽  
Andrea Svicher ◽  
Sara Romanazzo ◽  
Lucia Maggini ◽  
Francesco De Cesaris ◽  
...  
Keyword(s):  
Diagnostic Criteria ◽  
Well Being ◽  
Type A Behavior ◽  
Structured Interview ◽  
Episodic Migraine ◽  
University Hospital ◽  
Psychosomatic Research ◽  
Dsm 5 ◽  
Explained Variance ◽  
Headache Center

AbstractObjective.The Diagnostic Criteria for Psychosomatic Research (DCPR) are those of psychosomatic syndromes that did not find room in the classical taxonomy. More recently, the DCPR were updated, called DCPR-revised (DCPR-R). The present study was conducted to test the criterion-related validity of the DCPR-R.Methods.Two hundred consecutive subjects were enrolled at the Headache Center of Careggi University Hospital (Italy): 100 subjects had a diagnosis of chronic migraine (CM) and 100 had a diagnosis of episodic migraine (EM). Participants received a clinical assessment, which included the DCPR-revised Semi-Structured Interview (DCPR-R SSI), the Structured Clinical Interview for DSM-5 (SCID-5), and the psychosocial index (PSI).Results.Forty-seven subjects (23.5%) had at least one DSM-5 diagnosis: major depressive disorder (8.5%; n = 17) and agoraphobia (7.5%; n = 15) were the most frequent. One hundred and ten subjects (55%) reported a DCPR-R diagnosis: allostatic overload (29%; n = 58) and type A behavior (10.5%; n = 21) were the most frequent. When the incremental validity of the DCPR system over the DSM system was tested using PSI subscales as the criterion variable, the DCPR-R increased up to 0.11–0.24 the amount of explained variance. Subjects with at least one DCPR-R diagnosis showed lower PSI well-being scores (p = .001), higher PSI stress scores (p < .001), and higher PSI psychological distress scores (p = .008) than subjects without a DCPR-R diagnosis.Conclusion. The DCPR-R showed a good criterion-related validity in migraine outpatients. Thus, they might be implemented, together with the DSM-5, in the assessment of migraine subjects.

scholarly journals The reliability and validity of DSM 5 diagnostic criteria for neurocognitive disorder and relationship with plasma neurofilament light in a down syndrome population

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Sarah E. Pape ◽  
Tamara al Janabi ◽  
Nicholas J. Ashton ◽  
Abdul Hye ◽  
Rory Sheehan ◽  
...  
Keyword(s):  
Down Syndrome ◽  
Diagnostic Criteria ◽  
Clinical Judgement ◽  
Neurocognitive Disorder ◽  
Rater Reliability ◽  
Neurofilament Light ◽  
Dsm 5 ◽  
Mild Neurocognitive Disorder ◽  
Icd 10 ◽  
Dsm Iv

AbstractThe validity of dementia diagnostic criteria depends on their ability to distinguish dementia symptoms from pre-existing cognitive impairments. The study aimed to assess inter-rater reliability and concurrent validity of DSM-5 criteria for neurocognitive disorder in Down syndrome. The utility of mild neurocognitive disorder as a distinct diagnostic category, and the association between clinical symptoms and neurodegenerative changes represented by the plasma biomarker neurofilament light were also examined. 165 adults with Down syndrome were included. Two clinicians independently applied clinical judgement, DSM-IV, ICD-10 and DSM-5 criteria for dementia (or neurocognitive disorder) to each case. Inter-rater reliability and concurrent validity were analysed using the kappa statistic. Plasma neurofilament light concentrations were measured for 55 participants as a marker of neurodegeneration and between group comparisons calculated. All diagnostic criteria showed good inter-rater reliability apart from mild neurocognitive disorder which was moderate (k = 0.494). DSM- 5 criteria had substantial concurrence with clinical judgement (k = 0.855). When compared to the no neurocognitive disorder group, average neurofilament light concentrations were higher in both the mild and major neurocognitive disorder groups. DSM-5 neurocognitive disorder criteria can be used reliably in a Down syndrome population and has higher concurrence with clinical judgement than the older DSM-IV and ICD-10 criteria. Whilst the inter-rater reliability of the mild neurocognitive disorder criteria was modest, it does appear to identify people in an early stage of dementia with underlying neurodegenerative changes, represented by higher average NfL levels.

scholarly journals Die einfache und komplexe Posttraumatische Belastungsstörung in der Praxis

2021 ◽  
Vol 30 (3) ◽  
pp. 144-153 ◽  
Author(s):  
Rebekka Eilers ◽  
Rita Rosner
Keyword(s):  
Posttraumatische Belastungsstörung ◽  
Dsm 5 ◽  
Komplexe Posttraumatische Belastungsstörung ◽  
Icd 10 ◽  
Dsm Iv

Zusammenfassung. Theoretischer Hintergrund: Die ICD-11 enthält reformulierte Kriterien für die Posttraumatische Belastungsstörung (PTBS) und die neue Diagnose komplexe PTBS (kPTBS). Fragestellung: Wie wirken sich die Neuerungen auf die Diagnostik und Behandlung von Kindern und Jugendlichen aus? Methode: In dieser Übersichtsarbeit werden die neuen Kriterien vorgestellt und mit früheren Diagnosemanualen verglichen. Bisherige Forschungsergebnisse zu PTBSICD-11 und kPTBS bei Kindern und Jugendlichen werden zusammengefasst und diskutiert. Ergebnisse: Die PTBSICD-11-Kriterien führen eher zu geringeren Prävalenzraten verglichen mit PTBSICD-10, PTBSDSM-IV und PTBSDSM-5. Erste Studien weisen darauf hin, dass evidenzbasierte traumafokussierte Therapiemanuale auch zur Behandlung der kPTBS geeignet sind. Diskussion und Schlussfolgerung: Die Anwendung neuer Kriterien stellt Praktiker_innen und Forscher_innen vor Herausforderungen. Bisherige Ergebnisse deuten an, dass die kPTBS gut behandelbar ist.

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