This study contributes to the current understanding of the similarities and differences using different PTSD criteria and informs the organization and application of these two globally applied PTSD criteria.Įxposure to traumatic events is widespread among adolescents. The results revealed that the ICD-11 and DSM-5 provided similar prevalence of PTSD and comorbidity rates with MDD and GAD in Chinese trauma-exposed adolescent samples. The differences regarding comorbidities between ICD-11 and DSM-5 definitions were not significant among these two samples.
No significant PTSD prevalence differences between ICD-11 and DSM-5 were found across the two samples. The MDD and GAD subscales of the Revised Children’s Anxiety and Depression Scale were used to measure major depression disorder (MDD) and generalized anxiety disorder (GAD) symptoms. The PTSD Checklist for DSM-5 was used to measure PTSD symptoms. A total of 1,201 students exposed to earthquake and 559 students from vocational schools exposed to potentially traumatic events were included in this study. This study aimed at comparing the prevalence and comorbidity differences of PTSD according to ICD-11 and DSM-5 definitions across two Chinese adolescent trauma-exposed samples. 2Department of Psychology, University of Chinese Academy of Sciences, Beijing, China.1Laboratory for Traumatic Stress Studies, CAS Key Laboratory of Mental Health, Institute of Psychology, Chinese Academy of Sciences, Beijing, China.We are based in London Paddington and Hertfordshire.Li Wang 1,2 Ruojiao Fang 1,2 Chen Chen 1,2 Chengqi Cao 1,2 * The symptoms are not attributable to medication, substance use or illnessįor a PTSD assessment please contact us.The symptoms impair social function, occupation and other areas in everyday living.Acute distress disorder symptoms are experienced for longer than one month.Exaggerated startle response - being startled easily.Feeling in a hypervigilant state – feeling as if you are constantly on guard.Self-destructive, impulsive or reckless behaviour.The inability to experience positive emotions – for example happiness and loveĬriterion E – Alterations in arousal and reactivityĪt least two of the following changes in arousal and reactivity.Feelings of detachment or estrangement from others.Loss of interest in activities or interests once enjoyed.Negative trauma related emotions – for example: shame, anger, guilt or fear.Persistent or cognitive distortions in relation to blaming self or others for causing or consequences of the traumatic incident.
'I am a bad person, or the world is an unsafe place'. Persistent and negative beliefs or cognitions about self, other people or the world.Dissociative amnesia – not being able to remember important aspects of the traumatic event.Avoiding external reminders of the traumatic event which can include: people, places and activitiesĬriterion D – Negative Alterations in Cognitions and Moods.Avoiding thoughts, feelings and physical symptoms which trigger memories of the traumatic event.Strong physiological reaction to reminders of the traumatic event.Psychological distress caused by cues that serve as reminders of the traumatic event.Dissociation symptoms which include flashbacks (feeling as if the traumatic event is happening again in the present moment).Traumatic dreams in relation to the traumatic event.Recurrent memories of the traumatic incident.Repeated or extreme indirect exposure to a traumatic eventĮxperience of at least one of the following symptoms.Recognition of direct or indirect exposure The categories are: Exposure to stressor, intrusion symptoms, persistent avoidance, negative alterations in cognitions and mood, alterations in arousal and reactivity, duration, functional significance or exclusion. Symptoms might be experienced in one or more category and severity of symptoms can vary in different categories. Criterion are separated into a number of different categories. The following information is based on the DSM-5 PTSD criteria. It is important to get a professional opinion regarding a PTSD diagnosis.