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English Channel with jockey John R. Velazquez (R) drives past the field en route to winning the 2007 Breeders' Cup Turf race at Monmouth Park in Oceanport, New Jersey. Photo by Lucas Jackson/Reuters
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The stress and anxiety left by the storms still plagues young people who have seen their homes destroyed, families uprooted and futures shaken. 
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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.