{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,24]],"date-time":"2026-08-24T21:13:21Z","timestamp":1787606001813,"version":"build-2736575974"},"reference-count":36,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2024,4,2]],"date-time":"2024-04-02T00:00:00Z","timestamp":1712016000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Traumatic Stress"],"published-print":{"date-parts":[[2024,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Divergent conceptualization of posttraumatic stress disorder (PTSD) within the <jats:italic>Diagnostic and Statistical Manual of Mental Disorders<\/jats:italic> (5th ed.; <jats:italic>DSM\u2010<\/jats:italic>5) and <jats:italic>International Statistical Classification of Diseases and Related Health Problems<\/jats:italic> (11th ed..; <jats:italic>ICD\u201011<\/jats:italic>) significantly confounds both research and practice. Using a diverse sample of trauma\u2010exposed youth (<jats:italic>N<\/jats:italic> = 1,542, age range: 8\u201320 years), we compared these two diagnostic approaches along with an expanded version of the <jats:italic>ICD\u201011<\/jats:italic> PTSD criteria that included three additional reexperiencing symptoms (<jats:italic>ICD\u201011<\/jats:italic>+). Within the sample, PTSD was more prevalent using the <jats:italic>DSM\u20105<\/jats:italic> criteria (25.7%) compared to the <jats:italic>ICD\u201011<\/jats:italic> criteria (16.0%), with moderate agreement between these diagnostic systems, \u03ba =\u00a0.57. The inclusion of additional reexperiencing symptoms (i.e., <jats:italic>ICD\u201011<\/jats:italic>+) reduced this discrepancy in prevalence (24.7%) and increased concordance with <jats:italic>DSM\u20105<\/jats:italic> criteria, \u03ba =\u00a0.73. All three PTSD classification systems exhibited similar comorbidity rates with major depressive episode (MDE) or generalized anxiety disorder (GAD; 78.0%\u201383.6%). Most youths who met the <jats:italic>DSM\u20105<\/jats:italic> PTSD criteria also met the criteria for <jats:italic>ICD\u201011<\/jats:italic> PTSD, MDE, or GAD (88.4%), and this proportion increased when applying the <jats:italic>ICD\u201011<\/jats:italic>+ criteria (95.5%). Symptom\u2010level analyses identified reexperiencing\/intrusions and negative alterations in cognition and mood symptoms as primary sources of discrepancy between the <jats:italic>DSM\u20105<\/jats:italic> and <jats:italic>ICD\u201011<\/jats:italic> PTSD diagnostic systems. Overall, these results challenge assertions that nonspecific distress and diagnostically overlapping symptoms within <jats:italic>DSM\u20105<\/jats:italic> PTSD inflate comorbidity with depressive and anxiety disorders. Further, they support the argument that the <jats:italic>DSM\u20105<\/jats:italic> PTSD criteria can be refined and simplified without reducing the overall prevalence of psychiatric diagnoses in youth.<\/jats:p>","DOI":"10.1002\/jts.23037","type":"journal-article","created":{"date-parts":[[2024,4,3]],"date-time":"2024-04-03T03:04:35Z","timestamp":1712113475000},"page":"606-616","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Comparing diagnostic criteria for posttraumatic stress disorder in a diverse sample of trauma\u2010exposed youth"],"prefix":"10.1002","volume":"37","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3620-0069","authenticated-orcid":false,"given":"Cody G.","family":"Dodd","sequence":"first","affiliation":[{"name":"Department of Psychiatry and Behavioral Sciences University of Texas Medical Branch  Galveston Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Claire L.","family":"Kirk","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Behavioral Sciences University of Texas Medical Branch  Galveston Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paul J.","family":"Rathouz","sequence":"additional","affiliation":[{"name":"Department of Population Health University of Texas at Austin Dell Medical School  Austin Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"James","family":"Custer","sequence":"additional","affiliation":[{"name":"Department of Population Health University of Texas at Austin Dell Medical School  Austin Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amy S.","family":"Garrett","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Behavioral Sciences University of Texas Health Science Center at San Antonio  San Antonio Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leslie","family":"Taylor","sequence":"additional","affiliation":[{"name":"Faillace Department of Psychiatry and Behavioral Sciences University of Texas Health Science Center at Houston  Houston Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Justin F.","family":"Rousseau","sequence":"additional","affiliation":[{"name":"Department of Neurology University of Texas Southwestern Medical Center  Dallas Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cynthia","family":"Claasen","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Behavioral Health Services University of North Texas Health Sciences Center  Fort Worth Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Myesha M.","family":"Morgan","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Behavioral Sciences University of Texas Medical Branch  Galveston Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"D. 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