Clinical implications of the proposed ICD-11 PTSD diagnostic criteria

Abstract

This 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.

Differentiating PTSD from anxiety and depression: Lessons from the ICD‐11 PTSD diagnostic criteria

“…Unfortunately, we do not know to what extent participants experienced intrusive memories in the present, but rather only the reported intensity. At this point, however, items on the CAPS have been largely used and accepted in the approximation of ICD symptom criteria (e.g., Barbano et al, 2018;O'Donnell et al, 2014;Wisco et al, 2016).…”

“…Previous research has also demonstrated that the ICD-11 PTSD criteria identify only a subset of the individuals previously identified as having PTSD by the ICD-10 criteria (Barbano et al, 2018;Gluck et al, 2016;Haravuori, Kiviruusu, Suomalainen, & Marttunen, 2016;Tay et al, 2017), allowing comparisons between participants identified by the ICD-11, the ICD-10, and the ICD-10 only. Previous research has also demonstrated that the ICD-11 PTSD criteria identify only a subset of the individuals previously identified as having PTSD by the ICD-10 criteria (Barbano et al, 2018;Gluck et al, 2016;Haravuori, Kiviruusu, Suomalainen, & Marttunen, 2016;Tay et al, 2017), allowing comparisons between participants identified by the ICD-11, the ICD-10, and the ICD-10 only.…”

“…Finally, because previous research suggests that the ICD-11 criteria identify individuals with more severe PTSD symptoms (Barbano et al, 2018;Gluck et al, 2016;Haravuori et al, 2016), we also examined the contribution of PTSD symptom severity to comorbid disorders' prevalence and depression severity. The sample included emergency department (ED) patients assessed shortly after trauma exposure with follow-up assessments at 3-8 months after exposure.…”

“…All ICD-11 studies to date evaluated patients with chronic PTSD and employed single, cross-section evaluations. Previous research has also demonstrated that the ICD-11 PTSD criteria identify only a subset of the individuals previously identified as having PTSD by the ICD-10 criteria (Barbano et al, 2018;Gluck et al, 2016;Haravuori, Kiviruusu, Suomalainen, & Marttunen, 2016;Tay et al, 2017), allowing comparisons between participants identified by the ICD-11, the ICD-10, and the ICD-10 only.…”

“…The sample included emergency department (ED) patients assessed shortly after trauma exposure with follow-up assessments at 3-8 months after exposure. Finally, because previous research suggests that the ICD-11 criteria identify individuals with more severe PTSD symptoms (Barbano et al, 2018;Gluck et al, 2016;Haravuori et al, 2016), we also examined the contribution of PTSD symptom severity to comorbid disorders' prevalence and depression severity.…”