Abstract
Background: The proposal for ICD-11 postulates major changes for posttraumatic stress disorder (PTSD) diagnosis, which needs investigation in different samples.
Aims: To investigate differences of PTSD prevalence and diagnostic agreement between ICD-10 and ICD-11, factor structure of proposed ICD-11 PTSD, and diagnostic value of PTSD symptom severity classes.
Method: Confirmatory factor analysis and latent profile analysis were used on data of elderly survivors of childhood trauma (>60 years, N = 399).
Results: PTSD rates differed significantly between ICD-10 (15.0%) and ICD-11 (10.3%, z = 2.02, p = 0.04). Unlike previous research, a one-factor solution of ICD-11 PTSD had the best fit in this sample. High symptom profiles were associated with PTSD in ICD-11.
Conclusions: ICD-11 concentrates on PTSD's core symptoms and furthers clinical utility. Questions remain regarding the tendency of ICD-11 to diagnose mainly cases with severe symptoms and the influence of trauma type and participant age on the factor structure.
| Original language | English |
|---|---|
| Number of pages | 9 |
| Journal | European Journal of Psychotraumatology |
| Volume | 7 |
| DOIs | |
| Publication status | Published - 21 Jan 2016 |
Austrian Fields of Science 2012
- 501010 Clinical psychology
Keywords
- CLASSIFICATION
- DIAGNOSIS
- DSM-5
- EXPERIENCES
- INDEXES
- Latent class analysis
- OLDER-ADULTS
- PATTERNS
- POSTTRAUMATIC-STRESS-DISORDER
- TRAUMATIZATION
- World War II
- childhood abuse
- institutional abuse
- long term consequences
- trauma severity
- Trauma severity
- Childhood abuse
- Institutional abuse
- Long term consequences
- World war II