Disqualified qualifiers: evaluating the utility of the revised DSM-5 definition of potentially traumatic events among area youth following the Boston marathon bombing.
Disqualified qualifiers: evaluating the utility of the revised DSM-5 definition of potentially traumatic events among area youth following the Boston marathon bombing.
复制标题
取消资格：评估修订的DSM-5定义对波士顿马拉松轰炸后地区青年中潜在创伤事件的定义。
DOI：
10.1002/da.22543
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发表时间：
2017-04
影响因子：
7.4
通讯作者：
Comer JS
中科院分区：
文献类型：
--
作者：
Chou T;Carpenter AL;Kerns CE;Elkins RM;Green JG;Comer JS
DSM-5包括了对符合潜在创伤性事件资格的经历的修订定义。修订后的定义现在对什么是创伤性暴露提供了一个更明确、更排他性的定义，但关于修订后的定义是否适用于青年人口，人们知之甚少。本研究在2013年波士顿马拉松爆炸案及相关事件中暴露的青年样本中，评估了修订的DSM创伤暴露定义界限的预测性。照顾者(N=460)在爆炸后2至6个月完成了关于青少年在事件期间的经历和青少年创伤后应激障碍(PTS)症状的调查。经历DSM-5合格创伤事件(DSM-5 QTE)显著预测儿童PTS症状(PTSS)，而非DSM-5非合格应激经历(DSM-5非QSE)在考虑DSM-5 QTE后不能预测儿童PTS症状(PTSS)。重要的是，儿童年龄调节了DSM-5 QTE和PTSS之间的关系，因此经历DSM-5 QTE的7岁及以上儿童在轰炸后表现出更大的PTSS，而6岁及6岁以下的儿童则没有这种关系。数据在很大程度上支持老年青年创伤后应激障碍的修订定义，并强调有必要进一步完善6岁及6岁以下儿童的QTE定义。
The DSM-5 includes a revised definition of the experiences that qualify as potentially traumatic events. This revised definition now offers a clearer and more exclusive definition of what qualifies as a traumatic exposure, but little is known about the revision’s applicability to youth populations. The present study evaluated the predictive utility of the revised DSM definitional boundaries of traumatic exposure in a sample of youth exposed to the 2013 Boston Marathon bombing and related events. Caregivers (N = 460) completed surveys 2 to 6 months post bombing about youth experiences during the events and youth posttraumatic stress (PTS) symptoms. Experiencing DSM-5 qualifying traumatic events (DSM-5 QTEs) significantly predicted child PTS symptoms (PTSS), whereas DSM-5 non-qualifying stressful experiences (DSM-5 Non-QSEs) did not after accounting for DSM-5 QTEs. Importantly, child age moderated the relationship between DSM-5 QTEs and PTSS such that children 7 and older who experienced DSM-5 QTEs showed greater post-bombing PTSS, whereas there was no such relationship in children ages 6 and below. Data largely support the revised PTSD definition of QTEs in older youth, and also highlight the need for further refinement of the QTE definition for children ages 6 and below.