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April 1, 1999Journal of Traumatic Stress

A comparison of ICD10 and DSM‐IV criteria for posttraumatic stress disorder

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Authors

LPLorna PetersMacquarie UniversityTSTim SladeThe University of SydneyGAGavin J. AndrewsMcMaster University

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Implication

Comparative study finds fair diagnostic agreement for posttraumatic stress disorder between ICD-10 and DSM-IV criteria, indicating that the two classification systems cannot be used interchangeably.

Key Points

  • To test whether individuals diagnosed with posttraumatic stress disorder using ICD-10 criteria also meet diagnostic criteria under DSM-IV.
  • Administered the Composite International Diagnostic Interview to evaluate 12-month posttraumatic stress disorder criteria in a sample of participants (N=1,364).
  • Calculated diagnostic concordance between ICD-10 Diagnostic Criteria for Research and DSM-IV systems and quantified sources of discrepancy.
  • Observed a 12-month posttraumatic stress disorder prevalence of 3% using DSM-IV criteria versus 7% using ICD-10-DCR criteria, reflecting fair agreement (kappa = .50).
  • Found that the DSM-IV requirement for clinically significant distress or impairment accounted for 48% of the diagnostic discrepancies, while general numbing of responsiveness criteria accounted for 18%.

Cite This Study

Peters et al. (1999) studied this question.

synapsesocial.com/papers/6a0f900d92676d5461fcd294https://doi.org/10.1023/a:1024732727414
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Also Consider

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  1. 1Depression, dysthymia and substance use disorders: sources of dissonance between ICD‐10 and DSM‐IV1998 · 11 citations
  2. 2Arousal, numbing, and intrusion: symptom structure of PTSD following assault1995 · 458 citations