A comparison of ICD-11 and DSM-5 criteria for PTSD among a representative sample of Chinese earthquake survivors

Cao, Chengqi; Wang, Li; Wu, Jianhui; Bi, Yajie; Yang, Haibo; Fang, Ruochen; Li, Gen; Liu, Ping; Luo, Shu; Hall, Brian J.; Elhai, Jon D.

doi:10.1080/20008198.2020.1760481

Cited by 7 publications

(3 citation statements)

References 40 publications

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“…For example, expressing psychological distress is considered a dilemma in Chinese culture. People who experience psychological problems tend to attribute these problems to physical or external origins [ 44 , 59 ]. This might be the reason that psychological problems were often expressed in the form of physical illness in Asian populations.…”

Section: Discussionmentioning

confidence: 99%

The factor structure of major depressive symptoms in a sample of Chinese earthquake survivors

Wang

Cao

et al. 2021

BMC Psychiatry

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Background Experiencing natural disasters is associated with common mental disorders including major depressive disorder (MDD). However, the latent structure of MDD is widely debated, and few studies tested the MDD factor structure in Chinese natural disaster survivors. Therefore, the aim of the current study was to evaluate the factorial validity of the Patient Health Questionnaire-9 (PHQ-9) for DSM-5 major depressive disorder (MDD) symptoms in Chinese earthquake survivors. Method Participants were 1058 Chinese earthquake survivors. Self-reported measures included the PHQ-9 and the Short-Form Health Survey (SF-36). Confirmatory factor analysis (CFA) and structural equation modelling (SEM) was used to examine the latent structure of MDD and the associations between latent factors of MDD and different domains of health-related quality of life (HRQoL), respectively. Results In the current sample, the model consisted of somatic and cognitive/affective (non-somatic) factors demonstrated significantly better fit than the other competing MDD models (χ2 = 173.89, df = 26, CFI = 0.986, TLI = 0.981, RMSEA = 0.073, BIC = 18,091.13). Further SEM analyses indicated that the non-somatic factor was significantly related to both physical (β = − 0.362, p < .01) and psychosocial HRQoL (β = − 0.773, p < .01), while the somatic factor was a uniquely predictor of physical HRQoL (β = − 0.336, p < .01). Furthermore, we found the somatic factor partially mediated the relationship between the cognitive/affective factor and physical HRQoL (all ps < .05). Conclusions The MDD symptoms was best captured by a two-factor model comprised of somatic and cognitive/affective factors in Chinese natural disaster survivors. The two MDD factors were differentially associated with physical and psychosocial HRQoL, and the cognitive/affective factor associated physical HRQoL partially through the somatic factor. The current findings increase our understanding of latent structure of MDD symptoms, and carry implications for assessment and intervention of post-disaster mental health problems.

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Section: Discussionmentioning

confidence: 99%

The factor structure of major depressive symptoms in a sample of Chinese earthquake survivors

Wang

Cao

et al. 2021

BMC Psychiatry

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“…симптомов, составляющих основу для выделения в отдельную таксономическую единицу так называемого «осложненного ПТСР». Неудивительно в связи с этим, что диагнозы ПТСР, устанавливавшиеся в одной и той же выборке, но по разным диагностическим критериям (МКБ-11 и DSM-5), совпадают менее чем в 50% случаев [8,9].…”

Section: динамика представлений о диагностических критериях птсрunclassified

Post-Traumatic Stress Disorder: Evolution of Views

Kryukov,

Shamrey,

Marchenko

et al. 2023

Psychiatry

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Background: among the psychological and psychiatric consequences of life-threatening situations, the problem of post-traumatic stress disorder (PTSD) is invariably of leading importance. At the same time, diagnostic and therapeutic approaches to solving this problem have undergone significant changes over the past decades.The aim of review is the analysis of scientific materials on the problems of PTSD with the use search systems, to highlight the evolution of views on the clinic, pathogenesis, approaches to the treatment of this disorder and to formulate promising directions for further research in this area.Material and methods: a review of more than 60 scientific papers containing scientifically based information on the diagnostic and therapeutic and preventive aspects of PTSD was conducted using the resources of search engines, including PubMed and eLibrary, for the keywords “post-traumatic stress disorder”, “PTSD”. Results: at present, relatively weak progress in the field of clinical diagnostics is being noted, noticeably lagging behind the results of research in the field of neurophysiology of PTSD, primarily the molecular biology of operant conditioning and extinction of fear reactions, as a result of which this disease is still a diagnostic puzzle.Conclusion: it is expedient to search for clearer, non-overlapping with other taxonomic units, clinical symptoms and signs with “PTSD pathognomonicity” on the basis of phenomenological and network approaches that allow to eliminate the limitations of polythetical categorization, whereas in genetic studies, on the contrary, the rejection of the methodology looks more promising “case/control” and the transition to the “binding” of the detected polymorphisms to the transnosological characteristics. It is necessary to develop effective methods for the prevention of stress-associated disorders in military personnel, in general, including programs to increase stress resistance, as well as domestic multimodal software and hardware complexes to optimize the treatment and prevention of PTSD.

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“…In a sample of trauma survivors from China ( n = 1060), Cao et al. 33 found that the disagreement rate of diagnosis of probable PTSD between ICD-11 and DSM-5 was relatively high (ICD-11 vs. DSM-5: 43.6% (102/234 participants), but there was no significant difference on PTSD's comorbidity of major depressive disorder or generalized anxiety disorder. Six-factor models (the Anhedonia model, 34 the Externalizing Behavior model 35 ) have also been proposed.…”

Section: Present Of Ptsdmentioning

confidence: 99%

PTSD: Past, present and future implications for China

Zhou¹,

Shang²,

Zhang³

et al. 2021

Chinese Journal of Traumatology

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There has been a long history since human beings began to realize the existence of post-traumatic symptoms. Posttraumatic stress disorder (PTSD), a diagnostic category adopted in 1980 in the Diagnostic and Statistical Manual of Mental Disorders-Ⅲ, described typical clusters of psychiatric symptoms occurring after traumatic events. Abundant researches have helped deepen the understanding of PTSD in terms of epidemiological features, biological mechanisms, and treatment options. The prevalence of PTSD in general population ranged from 6.4% to 7.8% and was significantly higher among groups who underwent major public traumatic events. There has been a long way in the studies of animal models and genetic characteristics of PTSD. However, the high comorbidity with other stress-related psychiatric disorders and complexity in the pathogenesis of PTSD hindered the effort to find specific biological targets for PTSD. Neuroimage was widely used to elucidate the underlying neurophysiological mechanisms of PTSD. Functional MRI studies have showed that PTSD was linked to medial prefrontal cortex, anterior cingulate cortex and sub-cortical structures like amygdala and hippocampus, and to explore the functional connectivity among these brain areas which might reveal the possible neurobiological mechanism related to PTSD symptoms. For now, cognitive behavior therapy-based psychotherapy, including combination with adjunctive medication, showed evident treatment effects on PTSD. The emergence of more effective PTSD pharmacotherapies awaits novel biomarkers from further fundamental research. Several natural disasters and emergencies have inevitably increased the possibility of suffering from PTSD in the last two decades, making it critical to strengthen PTSD research in China. To boost PTSD study in China, the following suggestions might be helpful: (1) establishing a national psychological trauma recover project, and (2) exploring the mechanisms of PTSD with joint effort and strengthening the indigenized treatment of PTSD.

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A comparison of ICD-11 and DSM-5 criteria for PTSD among a representative sample of Chinese earthquake survivors

Cited by 7 publications

References 40 publications

The factor structure of major depressive symptoms in a sample of Chinese earthquake survivors

The factor structure of major depressive symptoms in a sample of Chinese earthquake survivors

Post-Traumatic Stress Disorder: Evolution of Views

PTSD: Past, present and future implications for China

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