Nature and prevalence of PTSD as per DSM-5 and ICD-11 after natural and unnatural deaths
The death of a loved one may lead to posttraumatic stress disorder (PTSD). Although it is conceivable that unnatural losses (caused by e.g., accidents, homicide, or suicide) render people more vulnerable to PTSD than natural losses (e.g., caused by illnesses) this is an understudied issue. The curre...
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| Format: | Article |
| Language: | English |
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Elsevier
2023-12-01
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| Series: | Journal of Affective Disorders Reports |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2666915323002020 |
| _version_ | 1797526190016167936 |
|---|---|
| author | Paul A. Boelen |
| author_facet | Paul A. Boelen |
| author_sort | Paul A. Boelen |
| collection | DOAJ |
| description | The death of a loved one may lead to posttraumatic stress disorder (PTSD). Although it is conceivable that unnatural losses (caused by e.g., accidents, homicide, or suicide) render people more vulnerable to PTSD than natural losses (e.g., caused by illnesses) this is an understudied issue. The current study sought to enhance knowledge about the presentation and prevalence of PTSD symptoms, in people confronted with natural, non-sudden and unnatural, sudden losses. Considering that PTSD is defined differently in DSM-5 and ICD-11, we compared PTSD severity and prevalence rates between these diagnostic systems. Self-reported data were available from a heterogeneous sample of 1064 bereaved people (Mage = 52.13 years, 86 % female). Confirmatory factor analyses supported the DSM-5-based and ICD-11-based symptom clustering. DSM-5 yielded higher prevalence rates of probable PTSD than ICD-11 criteria. PTSD cluster and total scores were significantly higher for participants confronted with unnatural losses than participants confronted with natural losses. Rates of probable PTSD (based on DSM-5 and ICD-11) were also higher in the former group. Confrontation with an unnatural loss was not associated with PTSD scores beyond other sociodemographic and loss-related variables considered. Results show that bereavement-related PTSD is assessed differently in DSM-5 and ICD-11. Cause of death affected PTSD but less strongly than anticipated. |
| first_indexed | 2024-03-10T09:25:42Z |
| format | Article |
| id | doaj.art-726640073f04423f995603bc8f7e5540 |
| institution | Directory Open Access Journal |
| issn | 2666-9153 |
| language | English |
| last_indexed | 2024-03-10T09:25:42Z |
| publishDate | 2023-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of Affective Disorders Reports |
| spelling | doaj.art-726640073f04423f995603bc8f7e55402023-11-22T04:49:09ZengElsevierJournal of Affective Disorders Reports2666-91532023-12-0114100664Nature and prevalence of PTSD as per DSM-5 and ICD-11 after natural and unnatural deathsPaul A. Boelen0Department of Clinical Psychology, Faculty of Social Sciences, Utrecht University, PO Box 80140, 3508 TC Utrecht, The Netherland; ARQ National Psychotrauma Centre, Nienoord 5, NL-1112 XE Diemen, The NetherlandThe death of a loved one may lead to posttraumatic stress disorder (PTSD). Although it is conceivable that unnatural losses (caused by e.g., accidents, homicide, or suicide) render people more vulnerable to PTSD than natural losses (e.g., caused by illnesses) this is an understudied issue. The current study sought to enhance knowledge about the presentation and prevalence of PTSD symptoms, in people confronted with natural, non-sudden and unnatural, sudden losses. Considering that PTSD is defined differently in DSM-5 and ICD-11, we compared PTSD severity and prevalence rates between these diagnostic systems. Self-reported data were available from a heterogeneous sample of 1064 bereaved people (Mage = 52.13 years, 86 % female). Confirmatory factor analyses supported the DSM-5-based and ICD-11-based symptom clustering. DSM-5 yielded higher prevalence rates of probable PTSD than ICD-11 criteria. PTSD cluster and total scores were significantly higher for participants confronted with unnatural losses than participants confronted with natural losses. Rates of probable PTSD (based on DSM-5 and ICD-11) were also higher in the former group. Confrontation with an unnatural loss was not associated with PTSD scores beyond other sociodemographic and loss-related variables considered. Results show that bereavement-related PTSD is assessed differently in DSM-5 and ICD-11. Cause of death affected PTSD but less strongly than anticipated.http://www.sciencedirect.com/science/article/pii/S2666915323002020Posttraumatic stress disorderBereavementDSM-5ICD-11Unnatural deathPrevalence |
| spellingShingle | Paul A. Boelen Nature and prevalence of PTSD as per DSM-5 and ICD-11 after natural and unnatural deaths Journal of Affective Disorders Reports Posttraumatic stress disorder Bereavement DSM-5 ICD-11 Unnatural death Prevalence |
| title | Nature and prevalence of PTSD as per DSM-5 and ICD-11 after natural and unnatural deaths |
| title_full | Nature and prevalence of PTSD as per DSM-5 and ICD-11 after natural and unnatural deaths |
| title_fullStr | Nature and prevalence of PTSD as per DSM-5 and ICD-11 after natural and unnatural deaths |
| title_full_unstemmed | Nature and prevalence of PTSD as per DSM-5 and ICD-11 after natural and unnatural deaths |
| title_short | Nature and prevalence of PTSD as per DSM-5 and ICD-11 after natural and unnatural deaths |
| title_sort | nature and prevalence of ptsd as per dsm 5 and icd 11 after natural and unnatural deaths |
| topic | Posttraumatic stress disorder Bereavement DSM-5 ICD-11 Unnatural death Prevalence |
| url | http://www.sciencedirect.com/science/article/pii/S2666915323002020 |
| work_keys_str_mv | AT paulaboelen natureandprevalenceofptsdasperdsm5andicd11afternaturalandunnaturaldeaths |