ArticlePsychological medicine2019
Clinical implications of the proposed ICD-11 PTSD diagnostic criteria.
Article in Psychological medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 2 of them syntheses that pooled it.
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Who cites it
22 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- A systematic review of the prevalence, risk factors, and protective factors of posttraumatic stress disorder among paramedics.Journal of traumatic stress · 2026Pooled it
- The nested hierarchical model of self and its non-relational vs relational posttraumatic manifestation: an fMRI meta-analysis of emotional processing.Molecular psychiatry · 2024Pooled it
- Are DSM-5 and ICD-11 posttraumatic stress disorder measures assessing the same construct? Evidence from a Rasch-based analysis.Journal of traumatic stress · 2026Article
- Post-traumatic stress disorder: outline and updated insights focusing on occupational factors.Journal of occupational medicine and toxicology (London, England) · 2026Review
- Article
- Neural mechanisms underlying implicit emotion regulation deficit in relational and nonrelational trauma PTSD: Insights from the Nested Hierarchical Model of Self.Psychological medicine · 2025Article
- ICD-11 Prolonged Grief Disorder, Physical Health, and Somatic Problems: A Systematic Review.Clinical psychology in Europe · 2025Review
- The Shield of Self-Esteem: Buffering against the Impact of Traumatic Experiences, Fear, Anxiety, and Depression.Behavioral sciences (Basel, Switzerland) · 2024Article
- The impact of trauma core dimensions on anxiety and depression: a latent regression model through the Post-Traumatic Symptom Questionnaire (PTSQ).Scientific reports · 2024Article
- Article
- Prevalence, comorbidities, and factors associated with prolonged grief disorder, posttraumatic stress disorder and complex posttraumatic stress disorder in refugees: a systematic review.Conflict and health · 2024Review
- Intrusive Traumatic Re-Experiencing Domain: Functional Connectivity Feature Classification by the ENIGMA PTSD Consortium.Biological psychiatry global open science · 2024Article
- The Psychometric Properties of the International Trauma Questionnaire in Taiwan.Psychiatry and clinical psychopharmacology · 2023Article
- Matching the Symptom Profile of Adolescent Disaster Survivors with Changing Diagnostic Criteria of Posttraumatic Stress Disorder: Focus on ICD-11.Indian journal of psychological medicine · 2021Article
- Prevalence and treatment implications of ICD-11 complex PTSD in Australian treatment-seeking current and ex-serving military members.European journal of psychotraumatology · 2021Article
- A clinician rating to diagnose CPTSD according to ICD-11 and to evaluate CPTSD symptom severity: Complex PTSD Item Set additional to the CAPS (COPISAC).European journal of psychotraumatology · 2021Article
- Traumatic experiences, ICD-11 PTSD, ICD-11 complex PTSD, and the overlap with ICD-10 diagnoses.Acta psychiatrica Scandinavica · 2020Article
- Changes from ICD-10 to ICD-11 and future directions in psychiatric classification .Dialogues in clinical neuroscience · 2020Review
- Towards trauma-informed legal practice: a review.Psychiatry, psychology, and law : an interdisciplinary journal of the Australian and New Zealand Association of Psychiatry, Psychology and Law · 2020Article
- Genome-wide association study of post-traumatic stress disorder reexperiencing symptoms in >165,000 US veterans.Nature neuroscience · 2019Article
Corrections and comments
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Authors and funding
14 authors.
Funding
Abstract
backgroundProjected changes to post-traumatic stress disorder (PTSD) diagnostic criteria in the upcoming International Classification of Diseases (ICD)-11 may affect the prevalence and severity of identified cases. This study examined differences in rates, severity, and overlap of diagnoses using ICD-10 and ICD-11 PTSD diagnostic criteria during consecutive assessments of recent survivors of traumatic events.
methodsThe study sample comprised 3863 survivors of traumatic events, evaluated in 11 longitudinal studies of PTSD. ICD-10 and ICD-11 diagnostic rules were applied to the Clinician-Administered PTSD Scale (CAPS) to derive ICD-10 and ICD-11 diagnoses at different time intervals between trauma occurrence and 15 months.
resultsThe ICD-11 criteria identified fewer cases than the ICD-10 across assessment intervals (range -47.09% to -57.14%). Over 97% of ICD-11 PTSD cases met concurrent ICD-10 PTSD criteria. PTSD symptom severity of individuals identified by the ICD-11 criteria (CAPS total scores) was 31.38-36.49% higher than those identified by ICD-10 criteria alone. The latter, however, had CAPS scores indicative of moderate PTSD. ICD-11 was associated with similar or higher rates of comorbid mood and anxiety disorders. Individuals identified by either ICD-10 or ICD-11 shortly after traumatic events had similar longitudinal course.
conclusionsThis study indicates that significantly fewer individuals would be diagnosed with PTSD using the proposed ICD-11 criteria. Though ICD-11 criteria identify more severe cases, those meeting ICD-10 but not ICD-11 criteria remain in the moderate range of PTSD symptoms. Use of ICD-11 criteria will have critical implications for case identification in clinical practice, national reporting, and research.
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