中国地震幸存者代表性样本中创伤后应激障碍的国际疾病分类第11版（ICD - 11）与精神疾病诊断与统计手册第5版（DSM - 5）标准比较
A comparison of ICD- 11 and DSM-5 criteria for PTSD among a representative sample of Chinese earthquake survivors.
作者信息
Cao Chengqi, Wang Li, Wu Jianhui, Bi Yajie, Yang Haibo, Fang Ruojiao, Li Gen, Liu Ping, Luo Shu, Hall Brian J, Elhai Jon D
机构信息
Center for Brain Disorder and Cognitive Science, Shenzhen University, Shenzhen, China.
Laboratory for Traumatic Stress Studies, CAS Key Laboratory of Mental Health, Institute of Psychology, Chinese Academy of Sciences, Beijing, China.
出版信息
Eur J Psychotraumatol. 2020 Jun 4;11(1):1760481. doi: 10.1080/20008198.2020.1760481.
BACKGROUND
Striking differences regarding the diagnosis of PTSD exist between the ICD-11 and DSM-5. This study compared the prevalence and comorbidity of PTSD between the ICD-11 and DSM-5.
METHODS
An epidemiological sample of 1160 Chinese adult earthquake survivors collected nine and a half years following the Wenchuan earthquake, in Sichuan province. The PTSD Checklist for DSM-5 (PCL-5), the Patient Health Questionnaire (PHQ-9), and the Generalized Anxiety Disorder-7 (GAD-7) were used to measure PTSD, depression, and anxiety symptoms.
RESULTS
The ICD-11 PTSD criteria yielded higher prevalence estimates than the DSM-5 criteria. There were no significant differences in PTSD's comorbidity with major depressive disorder (MDD) or generalized anxiety disorder (GAD) between the ICD-11 and DSM-5 criteria.
CONCLUSIONS
Results found that the ICD-11 and DSM-5 performed differently in assessing PTSD prevalence, but showed similar co-occurrence with MDD and GAD. This study adds to knowledge about the similarities and differences of using different PTSD criteria and carries implications for clinical and research utilization of the two widely used PTSD diagnostic criteria.
背景
国际疾病分类第11版（ICD - 11）和《精神疾病诊断与统计手册》第5版（DSM - 5）在创伤后应激障碍（PTSD）的诊断方面存在显著差异。本研究比较了ICD - 11和DSM - 5中PTSD的患病率及共病情况。
方法
对四川省汶川地震九年半后收集的1160名中国成年地震幸存者进行了一项流行病学抽样调查。使用DSM - 5的创伤后应激障碍检查表（PCL - 5）、患者健康问卷（PHQ - 9）和广泛性焦虑障碍量表（GAD - 7）来测量PTSD、抑郁和焦虑症状。
结果
ICD - 11的PTSD标准得出的患病率估计值高于DSM - 5标准。在ICD - 11和DSM - 5标准之间，PTSD与重度抑郁症（MDD）或广泛性焦虑障碍（GAD）的共病情况没有显著差异。
结论
结果发现，ICD - 11和DSM - 5在评估PTSD患病率方面表现不同，但在与MDD和GAD的共病情况上显示出相似性。本研究增加了关于使用不同PTSD标准的异同的知识，并对这两种广泛使用的PTSD诊断标准在临床和研究中的应用具有启示意义。
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