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Psicothema was founded in Asturias (northern Spain) in 1989, and is published jointly by the Psychology Faculty of the University of Oviedo and the Psychological Association of the Principality of Asturias (Colegio Oficial de Psicólogos del Principado de Asturias).
We currently publish four issues per year, which accounts for some 100 articles annually. We admit work from both the basic and applied research fields, and from all areas of Psychology, all manuscripts being anonymously reviewed prior to publication.

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Diagnostic concordance of DSM-IV and DSM-5 Posttraumatic Stress Disorder (PTSD) in a clinical sample

María Crespo and M. Mar Gómez

Universidad Complutense de Madrid

Background: The present study aims to analyze diagnostic concordance between the DSM-IV and the DSM-5 for posttraumatic stress disorder (PTSD) diagnostic criteria and their different groups of symptoms. Furthermore, analyses are conducted to establish the features of participants with no concordant diagnoses. Method: The study assessed 166 people over 18 who had experienced at least one traumatic event. PTSD diagnosis was established using the Global Scale for Posttraumatic Stress (EGEP), a self-report measure to assess PTSD. Results: The presence of cognitive avoidance was a determinant in the PTSD DSM-5 diagnosis (86% positive predictive value). The analysis of the non-concordant individuals revealed that individuals who were diagnosed according to the DSM-IV criteria but not the DSM-5 criteria were primarily indirect victims. Conversely, individuals who were diagnosed with the DSM-5 criteria and not with the DSM-IV criteria presented cognitive avoidance and alterations in cognition not included in the DSM-IV criteria. Conclusions: A within-subjects concordance analysis showed high agreement for PTSD diagnosis between the two classifications. Differences between the diagnoses are due to the new definition of C (avoidance) and D (negative alterations in cognitions and mood) in the DSM-5.

Concordancia diagnóstica entre DSM-IV y DSM-5 para el Trastorno de Estrés Postraumático (TEPT) en una muestra clínica. Antecedentes: el presente estudio tiene como objetivo analizar la concordancia diagnóstica entre la clasificación DSM-IV y DSM-5 para el Trastorno de Estrés Postraumático (TEPT), en relación al diagnóstico y a la presencia de los diferentes grupos de síntomas. Además, se analizan las características de los participantes que no obtienen concordancia diagnóstica entre las dos clasificaciones. Método: 166 participantes, mayores de 18 años, fueron evaluados utilizando la Escala Global de Estrés Postraumático (EGEP), instrumento autoaplicado para evaluar la presencia de sintomatología postraumática y diagnóstico de TEPT. Resultados: el análisis de la no concordancia entre los diagnósticos reveló que los participantes diagnosticados de TEPT, según DSM-IV pero no diagnosticados según DSM-5, eran principalmente víctimas indirectas, mientras que los participantes diagnosticados de TEPT según DSM-5 pero no según DSM-IV presentaban síntomas de evitación cognitiva y alteraciones en cognición y ánimo, ambos síntomas no recogidos en la clasificación DSM-IV. Conclusiones: existe una alta concordancia entre las clasificaciones para el diagnóstico de TEPT. Las diferencias en el diagnóstico son debidas fundamentalmente a la nueva conceptualización de criterio C (evitación) y del criterio D (alteraciones negativas cognitivas y del estado del ánimo) en el DSM-5.

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Impact factor 2022:  JCR WOS 2022:  FI = 3.6 (Q2);  JCI = 1.21 (Q1) / SCOPUS 2022:  SJR = 1.097;  CiteScore = 6.4 (Q1)