PTSD in ICD-10 and proposed ICD-11 in elderly with childhood trauma: prevalence, factor structure, and symptom profiles
- Autor(en)
- Tobias Glück, Matthias Knefel, Ulrich Tran, Brigitte Lueger-Schuster
- Abstrakt
Background: The proposal for ICD-11 postulates major changes for posttraumatic stress disorder (PTSD) diagnosis, which needs investigation in different samples.
Aims: To investigate differences of PTSD prevalence and diagnostic agreement between ICD-10 and ICD-11, factor structure of proposed ICD-11 PTSD, and diagnostic value of PTSD symptom severity classes.
Method: Confirmatory factor analysis and latent profile analysis were used on data of elderly survivors of childhood trauma (>60 years, N = 399).
Results: PTSD rates differed significantly between ICD-10 (15.0%) and ICD-11 (10.3%, z = 2.02, p = 0.04). Unlike previous research, a one-factor solution of ICD-11 PTSD had the best fit in this sample. High symptom profiles were associated with PTSD in ICD-11.
Conclusions: ICD-11 concentrates on PTSD's core symptoms and furthers clinical utility. Questions remain regarding the tendency of ICD-11 to diagnose mainly cases with severe symptoms and the influence of trauma type and participant age on the factor structure.
- Organisation(en)
- Institut für Klinische und Gesundheitspsychologie, Institut für Psychologie der Kognition, Emotion und Methoden
- Journal
- European Journal of Psychotraumatology
- Band
- 7
- Anzahl der Seiten
- 9
- ISSN
- 2000-8066
- DOI
- https://doi.org/10.3402/ejpt.v7.29700
- Publikationsdatum
- 11-2015
- Peer-reviewed
- Ja
- ÖFOS 2012
- 501010 Klinische Psychologie
- Schlagwörter
- ASJC Scopus Sachgebiete
- Psychiatry and Mental health
- Link zum Portal
- https://ucrisportal.univie.ac.at/de/publications/0edf238c-a14d-413c-8117-39c6fc131d6a