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Although there was "very high" overlap (97%) between individuals who were identified as having PTSD on ICD-10 and ICD-11 criteria, ICD-11 identified "only about half as many participants as ICD-10 across assessment intervals," Barbano said. Specifically, 47% to 57% fewer individuals were diagnosed with PTSD under ICD-11 criteria.

In addition, the severity of PTSD symptoms identified by ICD-11 criteria (CAPS total scores) was 31% to 36% higher than those identified by ICD-10 criteria alone. "However, those who were identified only by the ICD-10 still had CAPS scores that were indicative of moderate or threshold PTSD, so pretty symptomatic," Barbano said. On the basis of these findings, she suggested that ICD-11 might miss the moderate cases.

These results suggest clinicians should use caution in strictly applying ICD-11 PTSD criteria, she said.

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