Reformulating PTSD for DSM-V: Life After Criterion A

被引：240

作者：

Brewin, Chris R. ^{[1
]}

Lanius, Ruth A. ^{[2
]}

Novac, Andrei ^{[3
]}

Schnyder, Ulrich ^{[4
]}

Galea, Sandro ^{[5
]}

机构：

[1] UCL, London WC1E 6BT, England

[2] Univ Western Ontario, Dept Psychiat, London, ON N6A 3K7, Canada

[3] Univ Calif Irvine, Dept Psychiat, Irvine, CA 92717 USA

[4] Univ Zurich, Dept Psychiat, Zurich, Switzerland

[5] Univ Michigan, Dept Epidemiol, Ann Arbor, MI 48109 USA

来源：

JOURNAL OF TRAUMATIC STRESS | 2009年 / 22卷 / 05期

关键词：

POSTTRAUMATIC-STRESS-DISORDER; SEROTONIN TRANSPORTER; MAJOR DEPRESSION; TRAUMA; VICTIMS; SLEEP; RISK; A2; METAANALYSIS; SPECIFICITY;

D O I：

10.1002/jts.20443

中图分类号：

B849 [应用心理学];

学科分类号：

040203 ;

摘要：

The diagnosis of posttraumatic stress disorder has been criticized on numerous grounds, but principally for three reasons (a) the alleged pathologizing of normal events, (b) the inadequacy of Criterion A, and (c) symptom overlap with other disorders. The authors review these problems along with arguments why the diagnosis is nevertheless worth retaining in an amended form. A proposal for the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-V) is put forward that involves abolishing Criterion A, narrowing the B criteria to focus on the core phenomena of flashhacks and nightmares, and narrowing the C and D criteria to reduce overlap with other disorders. The potential advantages and disadvantages of this formulation are discussed.

引用

页码：366 / 373

页数：8

共 65 条

[1] A2 diagnostic criterion for combat-related posttraumatic stress disorder [J].

Adler, Amy B. ;

Wright, Kathleen M. ;

Bliese, Paul D. ;

Eckford, Rachel ;

Hoge, Charles W. .

JOURNAL OF TRAUMATIC STRESS, 2008, 21 (03) :301-308

[2]

Association AP, 1980, Diagnostic and statistical manual of mental disorders, V3rd, DOI [DOI 10.1176/APPI.BOOKS.9780890425596.DSM04, DOI 10.1176/APPI.BOOKS.9780890425596]

[3] The utility of the A1 and A2 criteria in the diagnosis of PTSD [J].