Conclusiones: existe una alta concordancia entre las clasifi caciones para el diagnóstico de TEPT. Resultados: el análisis de la no concordancia entre los diagnósticos reveló que los participantes diagnosticados de TEPT, según DSM-IV pero no diagnosticados según DSM-5, eran principalmente víctimas indirectas, mientras que los participantes diagnosticados de TEPT según DSM-5 pero no según DSM-IV presentaban síntomas de evitación cognitiva y alteraciones en cognición y ánimo, ambos síntomas no recogidos en la clasifi cación DSM-IV. Método: 166 participantes, mayores de 18 años, fueron evaluados utilizando la Escala Global de Estrés Postraumático (EGEP), instrumento autoaplicado para evaluar la presencia de sintomatología postraumática y diagnóstico de TEPT. Además, se analizan las características de los participantes que no obtienen concordancia diagnóstica entre las dos clasifi caciones. Antecedentes: el presente estudio tiene como objetivo analizar la concordancia diagnóstica entre la clasifi cación DSM-IV y DSM-5 para el Trastorno de Estrés Postraumático (TEPT), en relación al diagnóstico y a la presencia de los diferentes grupos de síntomas. Keywords: PTSD, posttraumatic stress, DSM-IV, DSM-5, diagnostic concordance.Ĭoncordancia diagnóstica entre DSM-IV y DSM-5 para el Trastorno de Estrés Postraumático (TEPT) en una muestra clínica. Differences between the diagnoses are due to the new defi nition of C (avoidance) and D (negative alterations in cognitions and mood) in the DSM-5. Conclusions: A withinsubjects concordance analysis showed high agreement for PTSD diagnosis between the two classifi cations. Conversely, individuals who were diagnosed with the DSM-5 criteria and not with the DSM-IV criteria presented cognitive avoidance and alterations in cognition not included in the DSM-IV criteria. The analysis of the non-concordant individuals revealed that individuals who were diagnosed according to the DSM-IV criteria but not the DSM-5 criteria were primarily indirect victims. Results: The presence of cognitive avoidance was a determinant in the PTSD DSM-5 diagnosis (86% positive predictive value). PTSD diagnosis was established using the Global Scale for Posttraumatic Stress (EGEP), a self-report measure to assess PTSD. Method: The study assessed 166 people over 18 who had experienced at least one traumatic event. Furthermore, analyses are conducted to establish the features of participants with no concordant diagnoses. If the individual is age 18 years or older, criteria are not met for Antisocial Personality Disorder.Background: The present study aims to analyze diagnostic concordance between the DSM-IV and the DSM-5 for posttraumatic stress disorder (PTSD) diagnostic criteria and their different groups of symptoms. ![]() The disturbance in behavior causes clinically significant impairment in social, academic, or occupational functioning.Ĭ. ![]() is often truant from school, beginning before age 13 yearsī. has run away from home overnight at least twice while living in parental or parental surrogate home (or once without returning for a lengthy period)ġ5. often stays out at night despite parental prohibitions, beginning before age 13 yearsġ4. has stolen items of nontrivial value without confronting a victim (e.g., shoplifting, but without breaking and entering forgery)ġ3. often lies to obtain goods or favors or to avoid obligations (i.e., “cons” others)ġ2. has broken into someone else’s house, building, or carġ1. ![]() has deliberately destroyed others’ property (other than by fire setting)ġ0. has forced someone into sexual activityĨ has deliberately engaged in fire setting with the intention of causing serious damageĩ. has stolen while confronting a victim (e.g., mugging, purse snatching, extortion, armed robbery)ħ. has used a weapon that can cause serious physical harm to others (e.g., a bat, brick, broken bottle, knife, gun)Ħ. often bullies, threatens, or intimidates othersģ. A repetitive and persistent pattern of behavior in which the basic rights of others or major age-appropriate societal norms or rules are violated, as manifested by the presence of three (or more) of the following 15 criteria in the past 12 months from any of the categories below, with at least one criterion present in the past 6 months:ġ. ![]() A repetitive and persistent pattern of behavior in which the basic rights of others or major age-appropriate societal norms or rules are violated, as manifested by the presence of three (or more) of the following criteria in the past 12 months, with at least one criterion present in the past 6 months:Ī. Disorder Class: Attention deficit and disruptive behavior disordersĭisorder Class: Disruptive, Impulse-Control, and Conduct DisordersĪ.
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