Finally, we believe that the National Stressful Events Survey findings, along with other recent reports, may assuage concerns that changes in PTSD would be problematic. Revisions had minimal effect on PTSD prevalence among the general population of U.S. adults. A previous publication using symptom data from the National Stressful Events Survey and a convenience sample of veterans conducted confirmatory factor and item-response-theory analyses and found support for the new DSM-5 symptom clusters (Miller et al., 2012). Further support for the reliability of the PTSD construct as revised in the DSM-5 was provided by DSM-5 field trial results, which found PTSD to have one of the highest test-retest reliabilities of any diagnosis (κ = .67) based on clinician interviews (Freedman et al., 2013). Based on these results, the authors concluded that “ … PTSD is now a reliable diagnosis … ” (p. 3). Therefore, evidence is consistent with a DSM-5 PTSD diagnosis that is reliable, has evidence of construct validity, is not substantially different in terms of prevalence based on the DSM-IV criteria, but that includes changes in Criterion A, in
