Examining various subthreshold definitions of PTSD using the Clinician Administered PTSD Scale for DSM-5
Examining various subthreshold definitions of PTSD using the Clinician Administered PTSD Scale for DSM-5
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DOI：
10.1016/j.jad.2018.03.001
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发表时间：
2018-07-01
影响因子：
6.6
通讯作者：
Maieritsch, Kelly P.
中科院分区：
文献类型：
--
作者：
Franklin, C. Laurel;Raines, Amanda M.;Maieritsch, Kelly P.
背景资料：精神障碍诊断和统计手册，第五版（DSM-5;美国精神病学协会[阿帕]，2013）包括创伤和未指明的创伤和应激相关障碍，以捕获亚阈值创伤后应激障碍（PTSD）症状。然而，DSM-5并没有指定指定它们所需的症状数量或类型。当前研究的目的是通过在门诊寻求治疗的样本中比较适应DSM-5创伤后应激障碍标准的四种常用定义，扩展我们对阈下创伤后应激障碍的理解。方法：使用临床医生管理的创伤后应激障碍量表DSM-5（CAPS-5）对到创伤后应激障碍诊所就诊的退伍军人（N = 193）进行评估。参与者报告了标准A创伤事件，但不符合阈值PTSD的标准。我们假设，捕获的退伍军人的数量将是最高的时候，更少的具体标准集所需的阈下definition.Results：我们的假设得到了支持，在阈下PTSD定义所需的更多的标准，较低的退伍军人数group.Limitations：该研究主要包括创伤寻求治疗的男性退伍军人，慢性PTSD症状。此外，样本量小，收集作为常规临床care.Conclusions的一部分：这些结果支持以前的争论，在定义什么是阈下PTSD的研究和临床工作时，仔细的决策。它还指出，需要继续研究，以更好地了解阈下创伤后应激障碍的诊断和治疗意义。
Background: The Diagnostic and Statistical Manual of Mental Disorders, fifth edition (DSM-5; American Psychiatric Association [APA], 2013) includes Other-and Unspecified-Trauma and Stressor-Related Disorders to capture subthreshold Posttraumatic Stress Disorder (PTSD) symptoms. However, the DSM-5 does not specify the number or type of symptoms needed to assign them. The purpose of the current study was to extend our understanding of subthreshold PTSD by comparing four commonly used definitions adapted to the DSM-5 PTSD criteria in an outpatient treatment-seeking sample.Methods: Veterans (N = 193) presenting to PTSD clinics were assessed using the Clinician Administered PTSD Scale for DSM-5 (CAPS-5). Participants reported a criterion A traumatic event, but did not meet criteria for threshold-PTSD. We hypothesized that the number of veterans captured would be highest when fewer specific criterion sets were required by the subthreshold definition.Results: Our hypothesis was upheld in that the more criteria required by the subthreshold PTSD definition, the lower the number of veterans counted within the group.Limitations: The study consisted primarily of trauma treatment-seeking male veterans, with chronic PTSD symptoms. In addition, the sample size was small and was collected as part of routine clinical care.Conclusions: These results support previous contentions around careful decision making when defining what constitutes subthreshold PTSD in research and clinical work. It also points to the need for continued research to better understand the diagnostic and treatment implications of subthreshold PTSD.