Evidence map›Paper›PMID 30643956›Full record

ArticleDer Nervenarzt2019

[Diagnostics of posttraumatic stress disorder according to DSM-5 and ICD-11].

Julia Schellong, Franz Hanschmidt, Thomas Ehring, Christine Knaevelsrud, Ingo Schäfer, Heinrich Rau, Anne Dyer, Antje Krüger-Gottschalk

Abstract readMulticenter Study
PubMed Publisher
In one paragraph

Article in Der Nervenarzt, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Julia SchellongKlinik und Poliklinik für Psychotherapie und Psychosomatik, Universitätsklinikum Carl Gustav Carus an der Medizinischen Fakultät, Technische Universität Dresden, Fetscherstraße 74, 01307, Dresden, Deutschland. Julia.Schellong@uniklinikum-dresden.de.
Franz HanschmidtKlinik und Poliklinik für Psychosomatische Medizin und Psychotherapie, Universitätsklinikum Leipzig AöR, Leipzig, Deutschland.
Thomas EhringKlinische Psychologie und Psychotherapie, Ludwig-Maximilians-Universität München, München, Deutschland.
Christine KnaevelsrudKlinisch-Psychologische Intervention, Freie Universität Berlin, Berlin, Deutschland.
Ingo SchäferKlinik für Psychiatrie und Psychotherapie, Universitätsklinikum Hamburg Eppendorf, Hamburg, Deutschland.
Heinrich RauPsychotraumazentrum, Bundeswehrkrankenhaus Berlin, Berlin, Deutschland.
Anne DyerKlinische und Biologische Psychologie und Psychotherapie, Universität Mannheim, Mannheim, Deutschland.
Antje Krüger-GottschalkInstitut für Psychologie, Westfälische Wilhelms-Universität Münster, Münster, Deutschland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe Diagnostic and Statistical Manual of Mental Disorders (DSM-5) and the International Statistical Classification of Diseases and Related Health Problems (ICD-11, Version 2018) differ with respect to the diagnostic criteria of posttraumatic stress disorder (PTSD). The present study investigated the implications of these differences for the classification of PTSD within a sample of German survivors of various traumatic events. PATIENTS AND

methodsA total of 341 trauma survivors who participated in a multicenter study were classified according to DSM-5 and ICD-11 and the results were compared. The PTSD checklist for DSM-5 (PCL-5) was used to diagnose PTSD. The ICD-11 PTSD cases were identified using a "restrictive" and a "wide" operationalization of re-experiencing symptoms (i. e. with and without intrusive memories). Depression and the level of trauma-related impairment were also assessed.

resultsThe diagnosis rate using ICD-11 was significantly lower than under DSM-5 (DSM-5 64.5%, ICD-11 54.0%, p < 0.001) using a restrictive operationalization of re-experiencing symptoms but differences disappeared when using a wide operationalization. Rates of comorbidity with depression were reduced under ICD-11. Individuals with high and low levels of trauma-related impairment were equally likely to receive a PTSD diagnosis under ICD-11. DISCUSSION: Differences in the diagnosis rates between ICD-11 and DSM-5 depend on the operationalization of the specific ICD-11 re-experiencing requirements. Precise diagnostic guidelines are necessary to avoid inconsistent diagnoses.

Indexed as

Diagnostic and Statistical Manual of Mental DisordersInternational Classification of DiseasesStress Disorders, Post-TraumaticComorbidityDepressionGermanyHumansSurvivorsComorbidityDiagnostic systemDSM‑5ICD-11Posttraumatic stress disorderPrevalenceRe-experiencing

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.