Proposed changes in 11th edition of global diagnostic tool can affect identification of PTSD, cautions study

Proposed changes in 11th edition of global diagnostic tool can affect identification of PTSD

On evaluating the revisions introduced in the upcoming 11th edition of the International Classification of Diseases (ICD), a study led by the New York University (NYU) School of Medicine has identified that the proposed changes are against the interest of patients suffering from post-traumatic stress disorder (PTSD). According to the study, the revisions, if implemented, would lead to a decline in the number of individuals coming under the ambit of post-traumatic stress disorder (PTSD). As a result, the reduction in diagnosis of moderate or early stage PTSD may reduce by up to 57 per cent.

The ICD is the most sought-after global diagnostic and health management tool under the aegis of World Health Organization (WHO). The proposed changes to it could potentially leave many people with treatable PTSD disorders in a state of quandary as they would be out of the purview of early-stage diagnosis.

“These changes could adversely impact successful treatment since research has shown that early intervention leads to the most successful outcome for people with PTSD,” highlighted senior author of the study Arieh Shalev, M.D., the Barbara Wilson Professor in the Department of Psychiatry at the NYU School of Medicine

Meanwhile, the inference was drawn after examining close to 4,000 individuals from six countries. The participants were mostly road traffic accident survivors who were subjected to the Clinically Administered PTSD Scale (CAPS). The CAPS score obtained were compared against both the existing diagnostic criteria for PTSD in ICD-10 and the revised criteria in ICD-11. The results pointed out that while the cases of severe PTSD were 36 per cent higher under ICD-11, the number of moderate cases decreased by more than half. The study also brought to light that the proposed changes replicate the revision that was made in 2013 to the classification criteria for PTSD in the fifth edition of the Diagnostic and Statistical Manual for Mental Disorders (DSM). The changes back then discarded nearly 50 per cent of those who were earlier diagnosed with PTSD under DSM-4.

“If the new criteria are used to define treatment eligibility, fewer individuals are going to be able to access appropriate care for PTSD because they may not receive a proper PTSD diagnosis,” said lead author of the study Anna C. Barbano, a research associate in the Department of Psychiatry at the NYU School of Medicine.

Early diagnosis can leads to speedy recovery

PSTD is a serious mental disorder characterized by recurrent flashback and nightmares, constant fear and apprehensions, and hearing of sounds by patients who have experienced or witnessed a traumatic, life-threatening event, such as war or combat, road accidents, physical or sexual assault.

More often than not, people suffering from PTSD prefer to live in isolation as they want to stay away from situations, places and people that may bring back haunting memories of the past. However, such a disassociation only increases the risk of developing other mental disorders like depression, bipolar disorder, and anxiety disorders.

Hence, it is imperative to treat PTSD immediately with the onset of the symptoms. The treatment regimen in most cases includes medications, therapies or a combination of both, depending on the duration and severity of the condition. Among all, cognitive behavioral therapy (CBT) is the most widely used method to treat the condition as it helps in reframing the negative thoughts of trauma and alters repulsive behaviors that may have developed due to it. .

If you are looking for a mental health rehab center that offers a holistic treatment and recovery program for PTSD, get in touch with 24/7 mental health helpline. Call at our 24/7 helpline number (855) 653-8178 or chat online with our experts to learn about the best PTSD recovery option available in your vicinity.