Clinical Edge

Summaries of Must-Read Clinical Literature, Guidelines, and FDA Actions

Differentiating PTSD from Anxiety/Depression

Depress Anxiety; ePub 2019 Jan 25; Barbano, et al

Despite excluding depression and anxiety symptom criteria, the International Classification of Diseases (ICD‐11) identified equal or higher proportion of depression and anxiety disorders, suggesting that those are inherently associated with posttraumatic stress disorder (PTSD). This according to a recent study that examined the effect of implementing ICD‐11 criteria on rates of co-diagnosed depression and anxiety in survivors with recent PTSD. Participants were 1,061 survivors of traumatic injury admitted to acute care centers. ICD‐10 and ICD‐11 diagnostic rules were applied to the Clinician‐Administered PTSD Scale for DSM‐IV. Co‐occurring disorders were identified using the Structured Clinical Interview for DSM‐IV (SCID). Researchers found:

  • Participants identified by ICD‐11 PTSD criteria were equally or more likely than those identified by the ICD‐10 alone to meet depression or anxiety disorder diagnostic criteria.
  • ICD‐11 PTSD was associated with higher Beck Depression Inventory‐II (BDI) scores.
  • PTSD symptom severity accounted for the higher levels of depression in ICD‐11 PTSD.

Barbano AC, van der Mei WF, deRoon-Cassini TA, et al. Differentiating PTSD from anxiety and depression: Lessons from the ICD‐11 PTSD diagnostic criteria. [Published online ahead of print January 25, 2019]. Depress Anxiety. doi:10.1002/da.22881.

This Week's Must Reads

Marriage Length at Conception and Schizophrenia Risk, Schizophr Res; ePub 2019 Mar 8; Malaspina, et al

Visual Hallucinations Linked with Illness Morbidity, Schizophr Res; ePub 2019 Mar 3; Chouinard, et al

Avoiding Incorrect Diagnoses of Schizophrenia, J Psychiatr Pract; 2019 Mar; Coulter, Baker, et al

Sleep Disturbances Common in Schizophrenia, Compr Psychiatry; 2019 May; Laskamoen, et al

Social Cognition in the Early Stage Schizophrenia, Psychiatry Res; 2019 Feb; Mike, Guimond, et al

Must Reads in Depression

Early-Life Stress Linked with Cytomegalovirus in MDD , JAMA Psychiatry; ePub 2019 Mar 6; Ford, et al

Collaborative Intervention for Obesity, Depression , JAMA; 2019 Mar 5; Ma, Goldman Rosas, Lv, et al

Body Weight Predicts Risk for Depressive Symptoms , J Affect Disord; ePub 2019 Mar 5; Vittengl

Slow-Wave Activity and Mood Disturbance in MDD, Psychol Med; 2019 Mar; Goldschmied, et al