PTSD symptoms and dominant emotional response to a traumatic event: an examination of DSM-IV Criterion A2
PTSD symptoms and dominant emotional response to a traumatic event: an examination of DSM-IV Criterion A2
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DOI：
10.1080/10615800902818771
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发表时间：
2010-01-01
影响因子：
3.7
通讯作者：
Banks, Jonathan B.
中科院分区：
文献类型：
--
作者：
Hathaway, Lisa M.;Boals, Adriel;Banks, Jonathan B.
为了有资格被诊断为创伤后应激障碍（PTSD），《精神疾病诊断与统计手册》第四版（DSM-IV）要求个体报告在创伤期间经历的主要情绪是恐惧、无助和恐怖（标准A2）。尽管有这样的规定，创伤性事件可以引发除恐惧之外的无数情绪，如愤怒、内疚或羞耻、悲伤和麻木。目前的研究调查了大学生样本中对压力事件的哪种情绪反应与最高水平的创伤后应激障碍症状有关。我们的结果表明对DSM-IV标准的支持褒贬不一。虽然，经历过主导情绪恐惧的参与者报告了相对较高的PTSD症状，但经历过愤怒、厌恶相关情绪和悲伤的参与者报告了同等严重程度的PTSD症状。此外，参与者报告的主要情绪是悲伤和其他情绪（包括厌恶、内疚和羞耻），而不是恐惧。这些结果对诊断标准A2的细节提出了质疑，并可能具有诊断和治疗意义。
To qualify for a diagnosis of posttraumatic stress disorder (PTSD), the Diagnostic and Statistical Manual of Mental Disorders, fourth edition (DSM-IV) requires that individuals report experiencing dominant emotions of fear, helplessness, and horror during the trauma (Criterion A2). Despite this stipulation, traumatic events can elicit a myriad of emotions other than fear, such as anger, guilt or shame, sadness, and numbing. The present study examined which emotional reactions to a stressful event in a college student sample are associated with the highest levels of PTSD symptoms. Our results suggest mixed support for the DSM-IV criteria. Although, participants who experienced a dominant emotion of fear reported relatively high PTSD symptomatology, participants who experienced anger, disgust-related emotions, and sadness reported PTSD symptoms of equivalent severity. Additionally, participants reported dominant emotions of sadness and other emotions (including disgust, guilt, and shame) more frequently than they reported fear. These results question the specifics of diagnostic Criterion A2 and may have diagnostic and treatment implications.