A comparison of ICD10 and DSM-IV criteria for posttraumatic stress disorder
A comparison of ICD10 and DSM-IV criteria for posttraumatic stress disorder
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DOI：
10.1023/a:1024732727414
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发表时间：
1999-04-01
影响因子：
3.3
通讯作者：
Andrews, G
中科院分区：
文献类型：
--
作者：
Peters, L;Slade, T;Andrews, G
接受创伤后应激障碍(PTSD)Mt ICD10诊断的参与者也将接受创伤后应激障碍(PTSD)的DSM-IV诊断，这一假设得到了测试。使用综合国际诊断访谈(CIDI)收集了1364名参与者的数据。根据DSM-IV和ICD10研究诊断标准(ICD10-DCR)，PTSD的12个月患病率分别为3%和7%。两个系统之间的协议是公平的(kappa=.50)。在这两个系统之间的差异中，48%是由DSM-IV中包括的要求临床重大痛苦或损害的额外标准解释的。包括全身麻木反应的症状解释了18%的差异。结论：ICD10-DCR创伤后应激障碍不能假设为与DSM-IV创伤后应激障碍相同。
The assumption that participants receiving mt ICD10 diagnosis of posttraumatic stress disorder (PTSD) will also receive a DSM-IV diagnosis of PTSD was tested. Data were gathered for 1,364 participants using the Composite International Diagnostic Interview (CIDI). The 12-month prevalence of PTSD was 3% for DSM-IV and 7% for ICD10 Diagnostic Criteria for Research (ICD10-DCR). The agree ment between the two systems was fair (kappa =.50). Forty eight percent of the discrepancies between the systems were accounted for by the additional criterion requiring clinically significant distress or impairment included in DSM-IV. The inclusion of symptoms of general numbing of responsiveness accounted for 18% of the discrepancies. It is concluded that ICD10-DCR PTSD cannot be assumed to be identical to DSM-IV PTSD.