Elliott, Rachel, McKinnon, Anna, Dixon, Clare, Boyle, Adrian, Murphy, Fionnuala, Dahm, Theresa, Travers‐Hill, Emma, Mul, Cari‐lène, Archibald, Sarah‐Jane, Smith, Patrick, and others. (2021) Prevalence and predictive value of ICD‐11 post‐traumatic stress disorder and Complex PTSD diagnoses in children and adolescents exposed to a single‐event trauma. Journal of Child Psychology and Psychiatry, 62 (3). pp. 270-276. ISSN 0021-9630. (doi:10.1111/jcpp.13240) (KAR id:89273)
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Official URL: https://doi.org/10.1111/jcpp.13240 |
Abstract
Method: Data were analysed from a prospective cohort study of youth aged 8–17 years who had attended an emergency department following a single trauma. Assessments of PTSD, CPTSD, depressive and anxiety symptoms were performed at two to four weeks (n = 226) and nine weeks (n = 208) post-trauma, allowing us to calculate and compare the prevalence and predictive value of ICD-10 and ICD-11 PTSD criteria, along with CPTSD. Predictive abilities of different diagnostic thresholds were undertaken using positive/negative predictive values, sensitivity/specificity statistics and logistic regressions.
Results: At Week 9, 15 participants (7%) were identified as experiencing ICD-11 PTSD, compared to 23 (11%) experiencing ICD-10 PTSD. There was no significant difference in comorbidity rates between ICD-10 and ICD-11 PTSD diagnoses. Ninety per cent of participants with ICD-11 PTSD also met criteria for at least one CPTSD feature. Five participants met full CPTSD criteria.
Conclusions: Reduced prevalence of PTSD associated with the use of ICD-11 criteria is likely to reduce identification of PTSD relative to using ICD-10 criteria but not relative to DSM-4 and DSM-5 criteria. Diagnosis of CPTSD is likely to be infrequent following single-incident trauma.
Item Type: | Article |
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DOI/Identification number: | 10.1111/jcpp.13240 |
Uncontrolled keywords: | Posttraumatic stress disorder; child; adolescent; trauma; Complex PTSD; International Classification of Diseases |
Subjects: | B Philosophy. Psychology. Religion > BF Psychology |
Divisions: | Divisions > Division of Human and Social Sciences > School of Psychology |
Depositing User: | Emma Travers-Hill |
Date Deposited: | 14 Jul 2021 13:41 UTC |
Last Modified: | 05 Nov 2024 12:55 UTC |
Resource URI: | https://kar.kent.ac.uk/id/eprint/89273 (The current URI for this page, for reference purposes) |
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