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. 2016 Jan 21:7:29700.
doi: 10.3402/ejpt.v7.29700. eCollection 2016.

PTSD in ICD-10 and proposed ICD-11 in elderly with childhood trauma: prevalence, factor structure, and symptom profiles

Tobias M Glück  1 , Matthias Knefel  2 , Ulrich S Tran  1 , Brigitte Lueger-Schuster  1
Affiliations

PTSD in ICD-10 and proposed ICD-11 in elderly with childhood trauma: prevalence, factor structure, and symptom profiles

Tobias M Glück et al. Eur J Psychotraumatol. .

Abstract

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.

Keywords: Latent class analysis; World War II; childhood abuse; institutional abuse; long term consequences; trauma severity.

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Figures

Fig. 1
Fig. 1
Conditional symptom severity means by cluster. Symptoms in boxes are proposed ICD-11 PTSD symptoms. PCL=Posttraumatic Stress Disorder Checklist.
See this image and copyright information in PMC

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References

    1. American Psychiatric Association. Diagnostic and statistical manual of mental disorders DSM-IV-TR Fourth Edition. Washington, DC: Author; 2000.
    1. American Psychiatric Association. Diagnostic and statistical manual of mental disorders: DSM-5. 5th ed. Washington, DC: Author; 2013.
    1. Averill P.M, Beck G.J. Posttraumatic stress disorder in older adults. Journal of Anxiety Disorders. 2000;14:133–156. doi: http://dx.doi.org/10.1016/S0887-6185(99)00045-6. - DOI - PubMed
    1. Beauducel A, Herzberg P.Y. On the performance of maximum likelihood versus means and variance adjusted weighted least squares estimation in CFA. Structural Equation Modeling. 2006;13:186–203. doi: http://dx.doi.org/10.1207/s15328007sem1302_2. - DOI
    1. Bisson J.I. What happened to harmonization of the PTSD diagnosis? The divergence of ICD11 and DSM5. Epidemiology and Psychiatric Sciences. 2013;22:205–207. doi: http://dx.doi.org/10.1017/S2045796013000164. - DOI - PMC - PubMed