PTSD in children and adolescents: toward an empirically based algorithma.
PTSD in children and adolescents: toward an empirically based algorithma.
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DOI：
10.1002/da.20736
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发表时间：
2011-09
影响因子：
7.4
通讯作者：
Cohen JA
中科院分区：
文献类型：
--
作者：
Scheeringa MS;Zeanah CH;Cohen JA
在考虑对《精神疾病诊断和统计手册》第五版(DSM-V)进行可能的修订时，描述发育对症状表达的影响是高度优先的。本审查提出了一些供DSM-V考虑的备选方案和初步建议。回顾了过去15年进行的有关创伤后应激障碍(PTSD)症状在学龄前和学龄儿童以及青少年中的表现的研究。这项研究试图确定DSM-IV标准对儿童和青少年创伤后应激障碍的有用性。基于对学龄前儿童的研究，证据支持两组建议：第一，我们认为发展性表现在创伤后应激障碍的A-D标准中是必要的；第二，我们认为学龄前创伤后应激障碍的发育性亚型是必要的，将C阈值从3个症状降低到1个症状。对于学龄儿童和青少年来说，证据更加有限。然而，也有证据表明，修改创伤后应激障碍标准A-D，包括减少C群症状，可能有助于该年龄段的准确诊断。
In considering potential revisions for the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-V), describing developmental influences on symptomatic expression is a high priority. This review presents a number of options and preliminary recommendations to be considered for DSM-V. Research conducted in the past 15 years is reviewed that pertains to expressions of posttraumatic stress disorder (PTSD) symptoms in preschool and school age children and in adolescents. This research has attempted to determine the usefulness of the DSM-IV criteria for PTSD in children and adolescents. Based on studies of preschool children, evidence supports two sets of suggestions: first, we suggest that developmental manifestations are warranted in A-D criteria of PTSD; and second, we suggest that a developmental pre-school PTSD subtype is warranted that lowers the C threshold from 3 symptoms to 1 symptom. For school age children and young adolescents, the evidence is more limited. Nevertheless, there is also evidence suggesting that modifications in PTSD criteria A-D, including fewer Cluster C symptoms, may facilitate accurate diagnosis in this age group.
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影响因子：
3.3
作者：
Costello, EJ;Erkanli, A;Angold, A
通讯作者：
Angold, A
影响因子：
5.1
作者：
Deblinger, E;Runyon, MK
通讯作者：
Runyon, MK
影响因子：
--
作者：
Copeland, William E.;Keeler, Gordon;Costello, E. Jane
通讯作者：
Costello, E. Jane
影响因子：
4.6
作者：
Anthony, JL;Lonigan, CJ;Hecht, SA
通讯作者：
Hecht, SA
影响因子：
3.3
作者：
Anthony, JL;Lonigan, CJ;Prinstein, MJ
通讯作者：
Prinstein, MJ