A comparison of ICD10 and DSM‐IV criteria for posttraumatic stress disorder
Abstract
The assumption that participants receiving an ICD10 diagnosis of posttraumatic stress disorder (PTSD) will also receive a DSM‐IV diagnosis of PTSD was tested. Data were gathered for 1,364 participants using the Composite International Diagnostic Interview (CIDI). The 12‐month prevalence of PTSD was 3% for DSM‐IV and 7% for ICD10 Diagnostic Criteria for Research (ICD10‐DCR). The agreement between the two systems was fair (kappa = .50). Forty eight percent of the discrepancies between the systems were accounted for by the additional criterion requiring clinically significant distress or impairment included in DSM‐IV. The inclusion of symptoms of general numbing of responsiveness accounted for 18% of the discrepancies. It is concluded that ICD10‐DCR PTSD cannot be assumed to be identical to DSM‐IV PTSD.
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Prior studies suggest that the threshold for an ICD-10 PTSD diagnosis is relatively low.
“Studies have also suggested that the threshold for an ICD-10 diagnosis of the disorder is relatively low 48,49 .”
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- Authors
- Peters, L., Slade, T., & Andrews, G.
- Affiliations
- UNSW Sydney (AU)
- Corresponding author
- Peters, Lorna
- Venue
- Journal of Traumatic Stress
- Publisher
- Wiley
- Published
- 1999-04
- Volume
- 12
- Issue
- 2
- Pages
- 335-343
- ISSN
- 0894-9867 (ISSN-L)
- 1573-6598
- OpenAlex
- W2073133201
- Cited by
- 77
- References
- 19
- Citations by year
- 2025: 2 · 2023: 1 · 2022: 4 · 2021: 4 · 2020: 1 · 2019: 1 · 2018: 3 · 2017: 2 · 2016: 2 · 2015: 3 · 2014: 4 · 2013: 6 · 2012: 3
- FWCI
- 4.08
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Traumatic Stress (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-10, DSM-IV, diagnostic criteria agreement, Composite International Diagnostic Interview, prevalence, diagnostic discordance, clinical significance
- MeSH terms
- Adolescent, Adult, Aged, Aged, 80 and over, Female, Humans, Male, Middle Aged, Psychiatric Status Rating Scales, Stress Disorders, Post-Traumatic
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