Gender differences in DSM-5 versus DSM-IV-TR PTSD prevalence and criteria comparison among 512 survivors to the L׳Aquila earthquake

Carmassi, Claudia; Akiskal, H. S.; Bessonov, D.; Massimetti, Gabriele; Calderani, E.; Stratta, P.; Rossi, A.; Dell׳Osso, L.

doi:10.1016/j.jad.2014.02.028

Background: Post-traumatic StressDisorder(PTSD)hasdemonstratedgender-specific prevalenceand expressionsacrossthedifferentDSMdefinitions, sinceits first introductioninDSM-III.TheDSM-5 recentlyintroducedimportantrevisionstoPTSDsymptomatologicalcriteria.Aimofthepresentstudyis to explorewhethergendermoderatesratesofDSM-5PTSDexpressioninanon-clinicalsampleof survivorstoamassiveearthquakeinItaly. Methods: 512survivorsoftheL'Aquila2009earthquake,previouslyinvestigatedforthepresence DSM-IV-TRPTSD,werereassessedaccordingtoDSM-5criteriainordertoexploregenderdifferences. All subjectscompletedtheTraumaandLossSpectrum-SelfReport(TALS-SR). Results: Femalesshowedsignificantly higherDSM-5PTSDratesandratesofendorsementofalmostall DSM-5 PTSDcriteria.Significant genderdifferencesemergedinalmosthalfofPTSDsymptomatological criteria withwomenreportinghigherratesin8ofthem,whilemeninonlyone(anewsymptominDSM- 5: recklessorself-destructivebehavior). ConsideringtheimpactofthethreenewDSM-5symptomsonthe diagnosis, significant genderdifferencesemergedwiththesebeingcrucialinalmosthalfofthePTSD diagnoses inmalesbutinaboutone-fourthinfemales.ByusingROCcurves,DSM-5criteriaEandD showedthehighestAUCvaluesinmales(.876)andfemales(.837),respectively. Limitations: The useofself-reportinstrument;noinformationoncomorbidity;homogeneityofstudy sample; lackofassessmentonfunctionalimpairment. Conclusions: This studyprovidesacontributiontotheongoingneedforreassessmentonhowgender moderatesratesofexpressionofparticulardisorderssuchasPTSD.

Autori interni:	CARMASSI, CLAUDIA H. S. Akiskal D. Bessonov MASSIMETTI, GABRIELE E. Calderani P. Stratta A. Rossi DELL'OSSO, LILIANA mostra contributor esterni nascondi contributor esterni
Autori:	Carmassi, Claudia; H. S., Akiskal; D., Bessonov; Massimetti, Gabriele; E., Calderani; P., Stratta; A., Rossi; Dell׳osso, L.
Titolo:	Gender differences in DSM-5 versus DSM-IV-TR PTSD prevalence and criteria comparison among 512 survivors to the L׳Aquila earthquake
Anno del prodotto:	2014
Digital Object Identifier (DOI):	10.1016/j.jad.2014.02.028
Appare nelle tipologie:	1.1 Articolo in rivista

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