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DSM-5 and ICD-11 Resources

Toward Informing a Developmentally Sensitive DSM-5: Empirical Validations of the Diagnostic Criteria for PTSD and ASD Among Preschool, School-Age, and Adolescent Samples

Chair Kerig

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Slides include the following titles:

Making PTSD Criteria Developmentally Appropriate (Scheeringa)

PTSD as a "Gateway" Disorder in Children (Kenardy, De Young, Charlton)

Child Acute Stress Symptoms: Evidence and Implications for Diagnostic Criteria (Nancy Kassam-Adams, Palmieri, Kohser, Marsac

Is the Dysphoric Versus Anxious Arousal Distinction Relevant to Youth? Structural Equation Modeling of PTSD Symptom Structure Among Traumatized Adolescents (Diana Bennett, Kerig, Chaplo)

NO CE Available

The developers of the DSM-5 only recently have begun turning their attention to the question of whether there is a need for developmentally-sensitive criteria for diagnosing disorders in the stress response spectrum, including Post-Traumatic Stress Disorder (PTSD) and Acute Stress Disorder (ASD). Increasing the accuracy and specificity of these diagnoses among young people is essential for ensuring that children in need of services are identified and referred for appropriate interventions. Although various alternative diagnostic algorithms have been proposed for young persons, there is a need for carefully designed research including ethnically diverse and culturally representative samples to help inform these decisions in the most empirically sound way. To that end, this international symposium brings together researchers from four independent laboratories who assess the associations between various proposed diagnostic criteria for PTSD and ASD and to investigate the clinical presentations and longitudinal outcomes associated with these diagnoses among preschool-age, school-age, and teenaged youth drawn from samples in Australia, Switzerland, the UK, and the US. The findings of these studies suggest both evidence for validity as well as the need for greater developmental specificity of the proposed DSM-5 diagnostic criteria for disorders in the stress response spectrum.

Learning Objectives

  • Critique the limitations of the existing criteria set in DSM-IV for PTSD for children.
  • Describe the links between PTSD and later disorders in children and explain the significance these relationships have for intervention.
  • Describe the prevalence of acute stress symptoms symptoms in a large international sample of children and teenagers and explain the association of acute traumatic stress reactions and functional impairment in children.
  • Demonstrate the link between types of trauma exposure and symptom clusters, and how symptom clusters relate to internalizing and externalizing symptoms.

 

Trauma and Stress Related Disorders in DSM-5

Matthew J. Friedman, MD, PhD

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Click here to view the slides

NO CE Available

This recorded webinar will present the new "Trauma- and Stressor-Related Disorders" Category within DSM-5. In particular it reviews the diagnostic criteria for PTSD and its Dissociative and Pre-School Subtypes. In addition it discusses diagnostic criteria for Acute Stress Disorder, Adjustment Disorders, and other diagnoses within this DSM-5 chapter. Finally, briefly reviews Dissociative Disorders and Persistent Complex Bereavement Disorder.

 

World Health Organization Preparation of ICD-11: Clinical Utility of Diagnostic Criteria for Trauma Related Disorders, Part 1

Chair Andreas Maercker

Discussant Matthew Friedman

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Click here to view the slides for the following title:

Overview of ICD-11 Revision of Mental Disorders (Michael First)

Click here to view the slides for the following titles:

Attachment Disorders Across Cultures and Contexts (Cécile Rousseau)

Diagnosing PTSD From Three Core Elements (Chris Brewin)

The Clinical Utility of a Complex PTSD Diagnosis (Marylène Cloitre)

NO CE Available

Stress-related disorders (such as PTSD, acute stress reaction)must be differentiated from other mental disorders and from normal, self-limited stress responses. WHO is aware of concern about an overuse of certain stress-related diagnoses, especially among populations that have been exposed to a natural or human-made disaster. A tendency to focus on stress-related diagnoses may be related to the appeal of the simple, external explanation for symptoms, which is suggested by names such as PTSD. There is also significant controversy in the field about some existing or proposed categories that are seen as ‘milder’,such as adjustment disorder or prolonged grief disorder. Some have challenged the validity and utility of these categories. At the same time, there is evidence that some clinical phenomena that have up to now been considered sub-threshold for diagnosis are associated with poor adjustment and a variety of negative mental health outcomes over time. In general, to help countries to reduce disease burden associated with mental disorders, the classification system must be usable and useful for health care workers around the world. With ICD-11, there appears to be a unique opportunity to produce such a system.

Learning Objectives

  • Describe ICD-11 attachment-related categories and explain the relation between category cultural validity and cliniical usefulness.
  • Describe the approach to diagnosing PTSD in ICD-10, and differentiate the approaches of DSM-V and ICD-11.
  • Distinguish the symptoms of PTSD from Complex PTSD and give examples of emotion regulation problems of complex PTSD.

 

World Health Organization Preparation of ICD-11: Clinical Utility of Diagnostic Criteria for Trauma-Related Disorders, Part 2

Chair Andreas Maercker

Disscussant Mark van Ommeren

Click here to listen to the recording

Click here to view the slides

The slides include the following titles:

Overview of Philosophy for Trauma and Stress-Related Disorders (Andreas Maercker)

Major Conceptual Change of Acute Stress Reaction (Yuriko Suzuki)

Prolonged Grief Disorder: A New Diagnostic Category (Ashraf Kagee)

Redefining Adjustment Disorder (Asma Humayun)

NO CE Available

Stress-related disorders (such as PTSD, acute stress reaction)must be differentiated from other mental disorders and from normal, self-limited stress responses. WHO is aware of concern about an overuse of certain stress-related diagnoses, especially among populations that have been exposed to a natural or human-made disaster. A tendency to focus on stress-related diagnoses may be related to the appeal of the simple, external explanation for symptoms, which is suggested by names such as PTSD. There is also significant controversy in the field about some existing or proposed categories that are seen as ‘milder’,such as adjustment disorder or prolonged grief disorder. Some have challenged the validity and utility of these categories. At the same time, there is evidence that some clinical phenomena that have up to now been considered sub-threshold for diagnosis are associated with poor adjustment and a variety of negative mental health outcomes over time. In general, to help countries to reduce disease burden associated with mental disorders, the classification system must be usable and useful for health care workers around the world. With ICD-11, there appears to be a unique opportunity to produce such a system.

Learning Objectives

  • Cite current literature on the overview of philosophy for trauma and stress-related disorders.
  • Cite current literature on major conceptual change of acute stress reaction.
  • Differentiate adjustment disorder from other stress realted disorders.