Testing a DSM‐5 reformulation of posttraumatic stress disorder: Impact on prevalence and comorbidity among treatment‐seeking civilian trauma survivors
Abstract
The authors investigated a recent reformulation (Brewin, Lanius, Novac, Schnyder, & Galea, 2009) of posttraumatic stress disorder (PTSD) in treatment‐seeking civilian trauma survivors. Diagnostic data from a randomized controlled trial (N = 170) were subjected to the criteria according to the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM‐IV; American Psychiatric Association, 1994) and the Brewin criteria for PTSD. Results revealed no change in PTSD prevalence, though substantial but equal (13%) proportions of participants lost or gained a PTSD diagnosis under the Brewin criteria. Rates of comorbid depression and other anxiety disorders were consistently marginally lower under the Brewin criteria, but these differences did not reach significance in the authors' sample. It was concluded that the 8‐item Brewin criteria for PTSD altered the diagnostic status of a substantial number of participants without influencing overall PTSD prevalence or comorbidity.
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The MPSS-SR provided the reduced PTSD symptom set as they are specified for ICD-11.
“The MPSS-SR provided the reduced PTSD symptom set as they are specified for ICD-11 (see Van Emmerik & Kamphuis, 2011).”
From Evidence for proposed ICD-11 PTSD and complex PTSD: a latent profile analysis (2013) · cites this paper as Van Emmerik & Kamphuis, 2011
Cites
Reformulating PTSD for<i>DSM‐V</i>: Life after Criterion A
Brewin, C. R., Lanius, R. A., Novac, A., Schnyder, U., & Galea, S. (2009) · Journal of Traumatic Stress · doi:10.1002/jts.20443 · Cited by 370 · see citing works
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Evidence for proposed ICD-11 PTSD and complex PTSD: a latent profile analysis
Cloitre, M., Garvert, D. W., Brewin, C. R., Bryant, R. A., & Maercker, A. (2013) · European Journal of Psychotraumatology · doi:10.3402/ejpt.v4i0.20706 · Cited by 751 · see citing works
“This conceptualization of complex PTSD was operationalized under the name Disorders of Extreme Stress Not Otherwise Specified (DESNOS) for the DSM-IV field trials (see Roth, Newman, Pelcovitz, Van der Kolk, & Mandel, 1997).”
MethodA review of current evidence regarding the ICD-11 proposals for diagnosing PTSD and complex PTSD
Brewin, C. R., Cloitre, M., Hyland, P., Shevlin, M., Maercker, A., Bryant, R. A., Humayun, A., Jones, L. M., Kagee, A., Rousseau, C., et al. (2017) · Clinical Psychology Review · doi:10.1016/j.cpr.2017.09.001 · Cited by 678 · see citing works
Stein, D. J., McLaughlin, K. A., Koenen, K. C., Atwoli, L., Friedman, M. J., Hill, E. D., Maercker, A., Petukhova, M., Shahly, V., van Ommeren, M., et al. (2014) · Depression and Anxiety · doi:10.1002/da.22279 · Cited by 221 · see citing works
Brewin, C. R. (2015) · European Journal of Psychotraumatology · doi:10.3402/ejpt.v6.27180 · Cited by 181 · see citing works
DSM-5: a collection of psychiatrist views on the changes, controversies, and future directions
Nemeroff, C. B., Weinberger, D., Rutter, M., MacMillan, H. L., Bryant, R. A., Wessely, S., Stein, D. J., Pariante, C. M., Seemüller, F., Berk, M., et al. (2013) · BMC Medicine · doi:10.1186/1741-7015-11-202 · Cited by 128 · see citing works
Symptoms of posttraumatic stress disorder in patients with functional neurological symptom disorder
Gray, C., Calderbank, A., Adewusi, J., Hughes, R., & Reuber, M. (2020) · Journal of Psychosomatic Research · doi:10.1016/j.jpsychores.2019.109907 · Cited by 57 · see citing works
- Authors
- van Emmerik, A. A. P., & Kamphuis, J. H.
- Affiliations
- University of Amsterdam (NL)
- ORCID
- Kamphuis, Jan H.
- Venue
- Journal of Traumatic Stress
- Publisher
- Wiley
- Published
- 2011-03-24
- Volume
- 24
- Issue
- 2
- Pages
- 213-217
- ISSN
- 0894-9867 (ISSN-L)
- 1573-6598
- OpenAlex
- W2123345990
- Cited by
- 28
- References
- 1
- Citations by year
- 2025: 2 · 2024: 1 · 2020: 1 · 2019: 1 · 2018: 4 · 2017: 3 · 2016: 1 · 2015: 4 · 2014: 4 · 2013: 6 · 2012: 1
- FWCI
- 3.79
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Traumatic Stress (publishedVersion)
- PubMed (publishedVersion)
- UvA-DARE (University of Amsterdam) (publishedVersion)
- UvA-DARE (University of Amsterdam) (submittedVersion)
- Data Archiving and Networked Services (DANS) (submittedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
- Social Sciences › Psychology › Clinical Psychology › Migration, Health and Trauma
- Keywords
- post-traumatic stress disorder, DSM-5, PTSD diagnostic criteria, PTSD prevalence, PTSD comorbidity, depression, anxiety disorders, treatment-seeking patients, diagnostic reclassification
- MeSH terms
- Adult, Female, Humans, Male, Middle Aged, Stress Disorders, Post-Traumatic, Comorbidity, Survivors, Diagnostic Techniques and Procedures, Diagnostic and Statistical Manual of Mental Disorders
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