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Does size really matter? A multisite study assessing the latent structure of the proposed ICD-11 and DSM-5 diagnostic criteria for PTSD.

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第一作者： Maj,Hansen

第一单位： ThRIVE, Department of Psychology, University of Southern Denmark, Odense M, Denmark.

作者： Maj,Hansen ^[1] ; Philip,Hyland ^[2] ; Karen-Inge,Karstoft ^[3] ; Henrik B,Vaegter ^[4] ; Rikke H,Bramsen ^[1] ; Anni B S,Nielsen ^[3] ; Cherie,Armour ^[5] ; Søren B,Andersen ^[3] ; Mette Terp,Høybye ^[6] ; Simone Kongshøj,Larsen ^[7] ; Tonny E,Andersen ^[1]

作者单位： ThRIVE, Department of Psychology, University of Southern Denmark, Odense M, Denmark. ^[1] School of Business, National College of Ireland, IFSC, Dublin 1, Ireland.;Centre for Global Health, Trinity College Dublin, Dublin 2, Ireland. ^[2] Research and Knowledge Centre, The Danish Veteran Center, Ringsted, Denmark. ^[3] Pain Research Group, Pain Center South, Odense University Hospital, Odense C, Denmark. ^[4] Psychology Research Institute, Ulster University, Coleraine, Northern Ireland. ^[5] Interdisciplinary Research Unit, Elective Surgery Center, Silkeborg Regional Hospital, Silkeborg, Denmark. ^[6] Multidisciplinary Pain Center, Department of Anaesthesia and Intensive Care Medicine, Aalborg University Hospital, Aalborg, Denmark. ^[7]

关键词 CFA DSM-5 ICD-11 PTSD diagnosis ? What is the impact of using a large description of PTSD (i.e. the DSM-5) compared to a small description of PTSD (i.e. the ICD-11 proposal)? In other words, does the size of PTSD really matter? ? The present multisite study compares diagnostic rates and model fit of competing DSM-5 and ICD-11 models of PTSD across pain patients, military personnel, and trauma-exposed university students (N = 4213). ? The results show that the choice of diagnostic system may influence the estimated PTSD rates both qualitatively and quantitatively. Thus, the size of PTSD does matter. ? The proposed ICD-11 three-factor model provided the best fit of the tested ICD-11 models across all samples. ? The DSM-5 seven-factor Hybrid model and the DSM-5 six-factor Anhedonia model provided the best fit of the tested DSM-5 models.

DOI 10.1080/20008198.2017.1398002

PMID 29201287

发布时间 2023-11-04

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