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    A review of current evidence regarding the ICD-11 proposals for diagnosing PTSD and complex PTSD


    Brewin, Chris R and Cloitre, Marylène and Hyland, Philip and Shevlin, Mark and Maercker, Andreas and Bryant, Richard A. and Humayun, Asma and Jones, Lynne M. and Kagee, Ashraf and Rousseau, Cécile and Somasundaram, Daya and Suzuki, Yuriko and Wessely, Simon and van Ommeren, Mark and Reed, Geoffrey M. (2017) A review of current evidence regarding the ICD-11 proposals for diagnosing PTSD and complex PTSD. Clinical Psychology Review, 58. pp. 1-15. ISSN 0272-7358

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    Abstract

    The World Health Organization's proposals for posttraumatic stress disorder (PTSD) in the 11th edition of the International Classification of Diseases, scheduled for release in 2018, involve a very brief set of symptoms and a distinction between two sibling disorders, PTSD and Complex PTSD. This review of studies conducted to test the validity and implications of the diagnostic proposals generally supports the proposed 3-factor structure of PTSD symptoms, the 6-factor structure of Complex PTSD symptoms, and the distinction between PTSD and Complex PTSD. Estimates derived from DSM-based items suggest the likely prevalence of ICD-11 PTSD in adults is lower than ICD-10 PTSD and lower than DSM-IV or DSM-5 PTSD, but this may change with the development of items that directly measure the ICD-11 re-experiencing requirement. Preliminary evidence suggests the prevalence of ICD-11 PTSD in community samples of children and adolescents is similar to DSM-IV and DSM-5. ICD-11 PTSD detects some individuals with significant impairment who would not receive a diagnosis under DSM-IV or DSM-5. ICD-11 CPTSD identifies a distinct group who have more often experienced multiple and sustained traumas and have greater functional impairment than those with PTSD.

    Item Type: Article
    Keywords: Posttraumatic-Stress-Disorder; DSM-IV; Primary-Care; Clinical Utility; Latent Structure; Extreme Stress; Symptom Criteria; Predictive-Validity; Prevalence; Psychology, Clinical; Trauma; Stress Disorders, Post-Traumatic - classification; International Classification of Diseases; Stress Disorders, Post-Traumatic - physiopathology; Humans; Stress Disorders, Post-Traumatic - diagnosis; Stress Disorders, Post-Traumatic - epidemiology; Analysis; Post-traumatic stress disorder; Diagnosis;
    Academic Unit: Faculty of Science and Engineering > Psychology
    Item ID: 11577
    Identification Number: https://doi.org/10.1016/j.cpr.2017.09.001
    Depositing User: Philip Hyland
    Date Deposited: 01 Nov 2019 17:45
    Journal or Publication Title: Clinical Psychology Review
    Publisher: Elsevier
    Refereed: Yes
    URI:

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