Considering PTSD for DSM-5
Matthew J. Friedman,Matthew J. Friedman,Patricia A. Resick,Patricia A. Resick,Patricia A. Resick,Richard A. Bryant,Chris R. Brewin +6 more
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A new set of diagnostic criteria is proposed for DSM‐5 that attempts to sharpen the A1 criterion, eliminates the A2 criterion, proposes four rather than three symptom clusters, and expands the scope of the B–E criteria beyond a fear‐based context.Abstract:
This is a review of the relevant empirical literature concerning the DSM-IV-TR diagnostic criteria for PTSD. Most of this work has focused on Criteria A1 and A2, the two components of the A (Stressor) Criterion. With regard to A1, the review considers: (a) whether A1 is etiologically or temporally related to the PTSD symptoms; (b) whether it is possible to distinguish "traumatic" from "non-traumatic" stressors; and (c) whether A1 should be eliminated from DSM-5. Empirical literature regarding the utility of the A2 criterion indicates that there is little support for keeping the A2 criterion in DSM-5. The B (reexperiencing), C (avoidance/numbing) and D (hyperarousal) criteria are also reviewed. Confirmatory factor analyses suggest that the latent structure of PTSD appears to consist of four distinct symptom clusters rather than the three-cluster structure found in DSM-IV. It has also been shown that in addition to the fear-based symptoms emphasized in DSM-IV, traumatic exposure is also followed by dysphoric, anhedonic symptoms, aggressive/externalizing symptoms, guilt/shame symptoms, dissociative symptoms, and negative appraisals about oneself and the world. A new set of diagnostic criteria is proposed for DSM-5 that: (a) attempts to sharpen the A1 criterion; (b) eliminates the A2 criterion; (c) proposes four rather than three symptom clusters; and (d) expands the scope of the B-E criteria beyond a fear-based context. The final sections of this review consider: (a) partial/subsyndromal PTSD; (b) disorders of extreme stress not otherwise specified (DESNOS)/complex PTSD; (c) cross- cultural factors; (d) developmental factors; and (e) subtypes of PTSD.read more
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Diagnostic and statistical manual of mental disorders, fifth edition
Attari Abbas,Aminoroaia Mahin +1 more
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Psychometric properties of the PTSD Checklist for Diagnostic and Statistical Manual of Mental Disorders-Fifth Edition (PCL-5) in veterans.
Michelle J. Bovin,Brian P. Marx,Frank W. Weathers,Matthew W. Gallagher,Paola Rodriguez,Paula P. Schnurr,Terence M. Keane +6 more
TL;DR: The findings suggest that the PCL-5 is a psychometrically sound instrument that can be used effectively with veterans and that by determining a valid cutoff score using the CAPS-5, the instrument can now be used to identify veterans with probable PTSD.
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National estimates of exposure to traumatic events and PTSD prevalence using DSM-IV and DSM-5 criteria.
Dean G. Kilpatrick,Heidi S. Resnick,Melissa E. Milanak,Mark W. Miller,Mark W. Miller,Katherine M. Keyes,Matthew J. Friedman +6 more
TL;DR: DSM-5 PTSD prevalence was higher among women than among men, and prevalence increased with greater traumatic event exposure, although only 2 of these differences were statistically significant.
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Canadian clinical practice guidelines for the management of anxiety, posttraumatic stress and obsessive-compulsive disorders
Martin A Katzman,Pierre Bleau,Pierre Blier,Pratap Chokka,Kevin Kjernisted,Michael Van Ameringen +5 more
TL;DR: These guidelines were developed by Canadian experts in anxiety and related disorders through a consensus process based on global impression of efficacy, effectiveness, and side effects, using a modified version of the periodic health examination guidelines.
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The Primary Care PTSD Screen for DSM-5 (PC-PTSD-5): Development and Evaluation Within a Veteran Primary Care Sample
Annabel Prins,Annabel Prins,Michelle J. Bovin,Michelle J. Bovin,Derek J. Smolenski,Brian P. Marx,Brian P. Marx,Rachel Kimerling,Michael A. Jenkins-Guarnieri,Danny G. Kaloupek,Danny G. Kaloupek,Paula P. Schnurr,Paula P. Schnurr,Anica Pless Kaiser,Anica Pless Kaiser,Yani E. Leyva,Quyen Q. Tiet +16 more
TL;DR: The revised Primary Care PTSD screen (PC-PTSD) was revised to reflect the new Diagnostic and Statistical Manual of Mental Disorders (DSM-5) criteria for PTSD and demonstrated strong preliminary results for diagnostic accuracy, and was broadly acceptable to patients.
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