Reformulating PTSD for DSM-V: Life After Criterion A
Reformulating PTSD for DSM-V: Life After Criterion A
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DOI：
10.1002/jts.20443
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发表时间：
2009-10-01
影响因子：
3.3
通讯作者：
Galea, Sandro
中科院分区：
文献类型：
--
作者：
Brewin, Chris R.;Lanius, Ruth A.;Galea, Sandro
创伤后应激障碍的诊断受到了许多批评，但主要有三个原因：（a）正常事件的病理化，（B）标准A的不足，（c）症状与其他疾病重叠。作者回顾了这些问题沿着的论点，为什么诊断仍然值得保留在一个修正的形式。第五版《精神疾病诊断与统计手册》（DSM-V）提出了一项建议，其中包括废除标准A，缩小B标准的范围，以关注闪光灯和噩梦的核心现象，缩小C和D标准的范围，以减少与其他疾病的重叠。这种配方的潜在优点和缺点进行了讨论。
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.