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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

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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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
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: 21 Jul 2021 13:13 UTC
Resource URI: https://kar.kent.ac.uk/id/eprint/89273 (The current URI for this page, for reference purposes)
Travers‐Hill, Emma: https://orcid.org/0000-0001-7589-4043
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