A comparison of DSM‐5 and ICD‐11 PTSD prevalence, comorbidity and disability: an analysis of the Ukrainian Internally Displaced Person's Mental Health Survey

Shevlin, M.; Hyland, P.; Vallières, F.; Bisson, J.; Makhashvili, N.; Javakhishvili, J.; Shpiker, M.; Roberts, B.

doi:10.1111/acps.12840

Cited by 115Posttraumatic Stress Disorder ResearchMigration, Health and TraumaCOVID-19 and Mental Health

A comparison of DSM‐5 and ICD‐11 PTSD prevalence, comorbidity and disability: an analysis of the Ukrainian Internally Displaced Person's Mental Health Survey

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Shevlin, M., Hyland, P., Vallières, F., Bisson, J., Makhashvili, N., Javakhishvili, J., Shpiker, M., Roberts, B.·2018·Acta Psychiatrica Scandinavica

DOI 10.1111/acps.12840

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Abstract

Objective: Recently, the American Psychiatric Association ( DSM ‐5) and the World Health Organization ( ICD ‐11) have both revised their formulation of post‐traumatic stress disorder ( PTSD ). The primary aim of this study was to compare DSM ‐5 and ICD ‐11 PTSD prevalence and comorbidity rates, as well as the level of disability associated with each diagnosis. Method: This study was based on a representative sample of adult Ukrainian internally displaced persons ( IDP s: N = 2203). Post‐traumatic stress disorder prevalence was assessed using the PTSD Checklist for DSM ‐5 and the International Trauma Questionnaire ( ICD ‐11). Anxiety and depression were measured using the Generalized Anxiety Disorder Scale and the Patient Health Questionnaire‐Depression. Disability was measured using the WHO Disability Assessment Schedule 2.0. Results: The prevalence of DSM ‐5 PTSD (27.4%) was significantly higher than ICD ‐11 PTSD (21.0%), and PTSD rates for females were significantly higher using both criteria. ICD ‐11 PTSD was associated with significantly higher levels of disability and comorbidity. Conclusion: The ICD ‐11 diagnosis of PTSD appears to be particularly well suited to identifying those with clinically relevant levels of disability.

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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 [60]
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 [60]

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DSM-5 and ICD-11 PTSD: A Study of Internally Displaced Person's in Ukraine
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Authors: Shevlin, M., Hyland, P., Vallières, F., Bisson, J., Makhashvili, N., Javakhishvili, J., Shpiker, M., & Roberts, B.
Affiliations: University of Ulster (GB)
National College of Ireland (IE)
Trinity College Dublin (IE)
Cardiff University (GB)
Ilia State University (GE)
Kyiv International Institute of Sociology (Ukraine) (UA)
London School of Hygiene & Tropical Medicine (GB)
Corresponding author: Shevlin, M.
ORCID: Shevlin, M.
Hyland, P.
Vallières, F.
Bisson, J.
Makhashvili, N.
Javakhishvili, J.
Roberts, B.
Venue: Acta Psychiatrica Scandinavica
Publisher: Wiley
Published: 2017-12-05
Volume: 137
Issue: 2
Pages: 138-147
ISSN: 0001-690X (ISSN-L)
1600-0447
DOI: 10.1111/acps.12840
OpenAlex: W2773957325
Cited by: 115
References: 37
Citations by year: 2026: 11 · 2025: 14 · 2024: 18 · 2023: 22 · 2022: 10 · 2021: 8 · 2020: 19 · 2019: 8 · 2018: 5
FWCI: 10.85
Type: journal article
Language: en
Open access: green
pure.ulster.ac.uk
Licence: other-oa
onlinelibrary.wiley.com/termsAndConditions#vor (vor)
Locations: Acta Psychiatrica Scandinavica (publishedVersion)
PubMed (publishedVersion)
Ulster University Research Portal (Ulster University) (publishedVersion, other-oa)
ORCA Online Research @Cardiff (Cardiff University) (acceptedVersion)
Maynooth University ePrints and eTheses Archive (Maynooth University) (acceptedVersion)
NORMA (acceptedVersion)
LSHTM Research Online (London School of Hygiene and Tropical Medicine) (acceptedVersion)
ORCA Online Research @Cardiff (Cardiff University) (submittedVersion)
Topics: Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
Social Sciences › Psychology › Clinical Psychology › Migration, Health and Trauma
Social Sciences › Psychology › Clinical Psychology › COVID-19 and Mental Health
Keywords: post-traumatic stress disorder, DSM-5, ICD-11, diagnostic criteria comparison, PTSD prevalence, PTSD comorbidity, disability, internally displaced persons, war trauma, anxiety, depression, WHODAS 2.0, gender differences
MeSH terms: Psychological Trauma, Adult, Anxiety Disorders, Depressive Disorder, Female, Persons with Disabilities, Disabled Persons, Health Surveys, Humans, Life Change Events, Male, Middle Aged, Sex Factors, Stress Disorders, Post-Traumatic, Ukraine, Comorbidity, Prevalence, International Classification of Diseases, Diagnostic and Statistical Manual of Mental Disorders, Self Report

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A comparison of DSM‐5 and ICD‐11 PTSD prevalence, comorbidity and disability: an analysis of the Ukrainian Internally Displaced Person's Mental Health Survey

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