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

Background Striking differences regarding the diagnosis of PTSD exist between the ICD-11 and DSM-5. This study compared the prevalence and comorbidity of PTSD between the ICD-11 and DSM-5. Methods An epidemiological sample of 1160 Chinese adult earthquake survivors collected nine and a half years fo...

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Main Authors: Chengqi Cao, Li Wang, Jianhui Wu, Yajie Bi, Haibo Yang, Ruojiao Fang, Gen Li, Ping Liu, Shu Luo, Brian J. Hall, Jon D. Elhai
Format: Article
Language:English
Published: Taylor & Francis Group 2020-12-01
Series:European Journal of Psychotraumatology
Subjects:
Online Access:http://dx.doi.org/10.1080/20008198.2020.1760481
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author Chengqi Cao
Li Wang
Jianhui Wu
Yajie Bi
Haibo Yang
Ruojiao Fang
Gen Li
Ping Liu
Shu Luo
Brian J. Hall
Jon D. Elhai
author_facet Chengqi Cao
Li Wang
Jianhui Wu
Yajie Bi
Haibo Yang
Ruojiao Fang
Gen Li
Ping Liu
Shu Luo
Brian J. Hall
Jon D. Elhai
author_sort Chengqi Cao
collection DOAJ
description Background Striking differences regarding the diagnosis of PTSD exist between the ICD-11 and DSM-5. This study compared the prevalence and comorbidity of PTSD between the ICD-11 and DSM-5. Methods An epidemiological sample of 1160 Chinese adult earthquake survivors collected nine and a half years following the Wenchuan earthquake, in Sichuan province. The PTSD Checklist for DSM-5 (PCL-5), the Patient Health Questionnaire (PHQ-9), and the Generalized Anxiety Disorder-7 (GAD-7) were used to measure PTSD, depression, and anxiety symptoms. Results The ICD-11 PTSD criteria yielded higher prevalence estimates than the DSM-5 criteria. There were no significant differences in PTSD’s comorbidity with major depressive disorder (MDD) or generalized anxiety disorder (GAD) between the ICD-11 and DSM-5 criteria. Conclusions Results found that the ICD-11 and DSM-5 performed differently in assessing PTSD prevalence, but showed similar co-occurrence with MDD and GAD. This study adds to knowledge about the similarities and differences of using different PTSD criteria and carries implications for clinical and research utilization of the two widely used PTSD diagnostic criteria.
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spelling doaj.art-3fab2c146e0648bc84881ac287c6a3282023-01-12T15:31:32ZengTaylor & Francis GroupEuropean Journal of Psychotraumatology2000-80662020-12-0111110.1080/20008198.2020.17604811760481A comparison of ICD-11 and DSM-5 criteria for PTSD among a representative sample of Chinese earthquake survivorsChengqi Cao0Li Wang1Jianhui Wu2Yajie Bi3Haibo Yang4Ruojiao Fang5Gen Li6Ping Liu7Shu Luo8Brian J. Hall9Jon D. Elhai10Shenzhen UniversityChinese Academy of SciencesShenzhen UniversityChinese Academy of SciencesTianjin Normal UniversityChinese Academy of SciencesChinese Academy of SciencesPeople’s Hospital of Deyang CityPeople’s Hospital of Deyang CityUniversity of MacauUniversity of ToledoBackground Striking differences regarding the diagnosis of PTSD exist between the ICD-11 and DSM-5. This study compared the prevalence and comorbidity of PTSD between the ICD-11 and DSM-5. Methods An epidemiological sample of 1160 Chinese adult earthquake survivors collected nine and a half years following the Wenchuan earthquake, in Sichuan province. The PTSD Checklist for DSM-5 (PCL-5), the Patient Health Questionnaire (PHQ-9), and the Generalized Anxiety Disorder-7 (GAD-7) were used to measure PTSD, depression, and anxiety symptoms. Results The ICD-11 PTSD criteria yielded higher prevalence estimates than the DSM-5 criteria. There were no significant differences in PTSD’s comorbidity with major depressive disorder (MDD) or generalized anxiety disorder (GAD) between the ICD-11 and DSM-5 criteria. Conclusions Results found that the ICD-11 and DSM-5 performed differently in assessing PTSD prevalence, but showed similar co-occurrence with MDD and GAD. This study adds to knowledge about the similarities and differences of using different PTSD criteria and carries implications for clinical and research utilization of the two widely used PTSD diagnostic criteria.http://dx.doi.org/10.1080/20008198.2020.1760481dsm-5icd-11posttraumatic stress disorderprevalencecomorbidity
spellingShingle Chengqi Cao
Li Wang
Jianhui Wu
Yajie Bi
Haibo Yang
Ruojiao Fang
Gen Li
Ping Liu
Shu Luo
Brian J. Hall
Jon D. Elhai
A comparison of ICD-11 and DSM-5 criteria for PTSD among a representative sample of Chinese earthquake survivors
European Journal of Psychotraumatology
dsm-5
icd-11
posttraumatic stress disorder
prevalence
comorbidity
title A comparison of ICD-11 and DSM-5 criteria for PTSD among a representative sample of Chinese earthquake survivors
title_full A comparison of ICD-11 and DSM-5 criteria for PTSD among a representative sample of Chinese earthquake survivors
title_fullStr A comparison of ICD-11 and DSM-5 criteria for PTSD among a representative sample of Chinese earthquake survivors
title_full_unstemmed A comparison of ICD-11 and DSM-5 criteria for PTSD among a representative sample of Chinese earthquake survivors
title_short A comparison of ICD-11 and DSM-5 criteria for PTSD among a representative sample of Chinese earthquake survivors
title_sort comparison of icd 11 and dsm 5 criteria for ptsd among a representative sample of chinese earthquake survivors
topic dsm-5
icd-11
posttraumatic stress disorder
prevalence
comorbidity
url http://dx.doi.org/10.1080/20008198.2020.1760481
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