A comparison of ICD-11 and DSM criteria for posttraumatic stress disorder in two national samples of U.S. military veterans
Abstract
Background The proposed ICD-11 criteria for posttraumatic stress disorder (PTSD) differ substantially from the DSM-5. ICD-11 eliminated several PTSD symptoms thought to be nonspecific, with the goal of reducing psychiatric comorbidities. However, this change also results in a narrower PTSD definition that may fail to capture individuals with clinically significant PTSD. The purpose of the current study was to compare prevalence and psychiatric comorbidities of DSM (IV/5) and ICD-11 PTSD. Methods We evaluated concordance between DSM (IV/5) and ICD-11 PTSD diagnoses in a web survey of two nationally representative samples of U.S. military veterans (ns = 3517 and 1484). Lifetime and past-month PTSD symptoms were assessed with the DSM-IV-based PTSD Checklist-Specific Stressor version and the DSM-5-based PTSD Checklist-5. Psychiatric comorbidities were assessed using MINI Neuropsychiatric Interview modules. Results A significantly greater proportion of veterans met criteria for lifetime and past-month PTSD under DSM-IV/5 than under ICD-11. 21.8-35.9% of those who met criteria under DSM IV/5 did not meet under ICD-11, whereas only 2.4-7.1% of those who met under ICD-11 did not meet under DSM-IV/5. Psychiatric comorbidities did not significantly differ between DSM-IV/5 and ICD-11. Limitations This study relied upon self-report measures of PTSD, distress/impairment, and psychiatric comorbidities. Conclusions The proposed ICD-11 criteria identify fewer PTSD cases than DSM-IV/5 without…
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Studies comparing ICD-11 and DSM-5 diagnostic requirements have found somewhat lower PTSD prevalence rates using ICD-11, and that the two diagnostic systems do not identify exactly the same groups.
“Studies comparing the ICD-11 and DSM-5 diagnostic requirements have found somewhat lower PTSD prevalence rates using the ICD-11 60,61 , and that the two diagnostic systems do not identify exactly the same groups 25 .”
From An organization‐ and category‐level comparison of diagnostic requirements for mental disorders in <scp>ICD</scp> ‐11 and <scp>DSM</scp> ‐5 (2021) · cites this paper as [61]
Substantial upticks in research activity can already be seen in some areas of ICD-11/DSM-5 divergence, such as PTSD/CPTSD, Personality Disorders, and childhood irritability/anger.
“Indeed, substantial upticks in research activity can already be seen in some areas of ICD-11/DSM-5 divergence, such as PTSD/ CPTSD 59-61 , Personality Disorders 96-99 , and childhood irritability/anger 31,83 .”
From An organization‐ and category‐level comparison of diagnostic requirements for mental disorders in <scp>ICD</scp> ‐11 and <scp>DSM</scp> ‐5 (2021) · cites this paper as [61]
No citation lists for this paper
No citation lists for this paper yet — checked again daily.
References 12 · Cited by 30
- Authors
- Wisco, B. E., Marx, B. P., Miller, M. W., Wolf, E. J., Krystal, J. H., Southwick, S. M., & Pietrzak, R. H.
- Affiliations
- University of North Carolina at Greensboro (US)
- Boston University (US)
- Yale University (US)
- Corresponding author
- Wisco, Blair E.
- ORCID
- Venue
- Journal of Affective Disorders
- Publisher
- Elsevier BV
- Published
- 2017-12
- Volume
- 223
- Pages
- 17-19
- ISSN
- 0165-0327 (ISSN-L)
- OpenAlex
- W2729195130
- Cited by
- 30
- References
- 12
- Citations by year
- 2026: 1 · 2025: 2 · 2024: 3 · 2023: 3 · 2022: 4 · 2021: 5 · 2020: 8 · 2019: 4
- FWCI
- 4.06
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Affective Disorders (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
- Social Sciences › Psychology › Clinical Psychology › Migration, Health and Trauma
- Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
- Keywords
- post-traumatic stress disorder, ICD-11, DSM-5, diagnostic criteria comparison, military veterans, psychiatric comorbidity, PTSD prevalence, diagnostic agreement, disability eligibility, MINI
- MeSH terms
- Adult, Female, Humans, Male, Middle Aged, Military Personnel, Surveys and Questionnaires, Stress Disorders, Post-Traumatic, United States, Veterans, Comorbidity, Prevalence, Diagnostic and Statistical Manual of Mental Disorders, Young Adult
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
