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Brewin C.;Cloitre M.;Hyland P.;Shevlin M.;Maercker A.;Bryant R.;Humayun A.;Jones L.;Kagee A.;Rousseau C.;Somasundaram D.;Suzuki Y.;Wessely S.;van Ommeren M.;Reed G.
2017
December
A review of current evidence regarding the ICD-11 proposals for diagnosing PTSD and complex PTSD
Published
1
()
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© 2017 Elsevier Ltd 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.
0272-7358
1
15
10.1016/j.cpr.2017.09.001
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