Publications

Background: The development of the Diagnostic and Statistical Manual of Mental Disorders 5th edition (DSM-5) and ICD-11 has led to reconsideration of diagnostic criteria for posttraumatic stress disorder (PTSD). The World Mental Health (WMH) Surveys allow investigation of the implications of the changing criteria compared to DSM-IV and ICD-10. Methods: WMH Surveys in 13 countries asked respondents to enumerate all their lifetime traumatic events (TEs) and randomly selected one TE per respondent for PTSD assessment. DSMIV and ICD-10 PTSD were assessed for the 23,936 respondents who reported lifetime TEs in these surveys with the fully structured Composite International Diagnostic Interview (CIDI). DSM-5 and proposed ICD-11 criteria were approximated. Associations of the different criteria sets with indicators of clinical severity (distress-impairment, suicidality, comorbid fear-distress disorders, PTSD symptom duration) were examined to investigate the implications of using the different systems. Results: A total of 5.6{%} of respondents met criteria for "broadly defined" PTSD (i.e., full criteria in at least one diagnostic system), with prevalence ranging from 3.0{%} with DSM-5 to 4.4{%} with ICD-10. Only one-third of broadly defined cases met criteria in all four systems and another one third in only one system (narrowly defined cases). Between-system differences in indicators of clinical severity suggest that ICD-10 criteria are least strict and DSM-IV criteria most strict. The more striking result, though, is that significantly elevated indicators of clinical significance were found even for narrowly defined cases for each of the four diagnostic systems. Conclusions: These results argue for a broad definition of PTSD defined by any one of the different systems to capture all clinically significant cases of PTSD in future studies. © 2014 Wiley Periodicals, Inc.

Economic values for production traits (milk yield, MY, g; 12-month live weight, yLW, kg; consumable meat percentage, CM, {%}) and functional traits (mature doe live weight, DoLW, kg; mature buck live weight, LWb, kg; kidding frequency, KF; pre-weaning survival rate, PrSR, {%}; post-weaning survival rate, PoSR,{%}; doe survival rate, DoSR, {%}; and residual feed intake, RFI, kg) were estimated using profit functions for the Small East African goat. The scenario evaluated was a fixed flock size, and the resultant economic values (Kes per doe per year) were 34.46 (MY), 62.35 (yLW), 40.69 (CM), 0.15 (DoLW), 2.84 (LWb), 8.69 (KF), 17.38 (PrSR), 16.60 (PoSR), 16.69 (DoSR) and −3.00 (RFI). Similarly, the economic values decreased by −14.7 {%} (MY), −2.7 {%} (yLW), −23.9 {%} (CM), −6.6 {%} (DoLW), −98 {%} (LWb), −8.6 {%} (KF), −8.2 {%} (PrSR), −8.9 {%} (PoSR), −8.1 {%} (DoSR) and 0 {%} (RFI) when they were risk rated. The economic values for production and functional traits, except RFI, were positive, which implies that genetic improvement of these traits would have a positive effect on the profitability in the pastoral production systems. The application of an Arrow-Pratt coefficient of absolute risk aversion ($łambda$) at the level of 0.02 resulted in a decrease on the estimated economic values, implying that livestock keepers who were risk averse were willing to accept lower expected returns. The results indicate that there would be improvement in traits of economic importance, and, therefore, easy-to-manage genetic improvement programmes should be established.