The underlying dimensionality of PTSD in the diagnostic and statistical manual of mental disorders: where are we going?
The underlying dimensionality of PTSD in the diagnostic and statistical manual of mental disorders: where are we going?
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DOI：
10.3402/ejpt.v6.28074
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发表时间：
2015
影响因子：
5
通讯作者：
Armour C
中科院分区：
文献类型：
--
作者：
Armour C
有大量文献致力于回答一个问题：创伤后应激障碍 (PTSD) 的哪种潜在模型最能代表 PTSD 的潜在维度？因此，本研究摘要将重点关注与 PTSD 潜在结构有关的文献，如 DSM 第四版（DSM-IV，1994 年）至第五版（DSM-5，2013 年）所示。本文将首先提供一个明确的理由说明为什么这是一个相关的研究领域，然后总结与 DSM-IV 和 DSM-IV-TR 相关的文献，最后总结与最近发表的 DSM-5 相关的文献。最后，将讨论未来研究方向的建议，即研究人员必须调查新的 DSM-5 标准和新创建的 DSM-5 症状集对创伤幸存者的适用性。此外，研究人员必须继续努力识别症状集中的“正确”症状群，以确保诊断算法适当，并有助于制定有针对性的治疗方法和干预措施。特别是新提出的DSM-5快感缺乏模型、外化行为模型和混合模型必须进一步研究。同样重要的是，研究人员应该跟进这一观点，即可能存在一种更简约的 PTSD 潜在结构。
There has been a substantial body of literature devoted to answering one question: Which latent model of posttraumatic stress disorder (PTSD) best represents PTSD's underlying dimensionality? This research summary will, therefore, focus on the literature pertaining to PTSD's latent structure as represented in the fourth (DSM-IV, 1994) to the fifth (DSM-5, 2013) edition of the DSM. This article will begin by providing a clear rationale as to why this is a pertinent research area, then the body of literature pertaining to the DSM-IV and DSM-IV-TR will be summarised, and this will be followed by a summary of the literature pertaining to the recently published DSM-5. To conclude, there will be a discussion with recommendations for future research directions, namely that researchers must investigate the applicability of the new DSM-5 criteria and the newly created DSM-5 symptom sets to trauma survivors. In addition, researchers must continue to endeavour to identify the “correct” constellations of symptoms within symptom sets to ensure that diagnostic algorithms are appropriate and aid in the development of targeted treatment approaches and interventions. In particular, the newly proposed DSM-5 anhedonia model, externalising behaviours model, and hybrid models must be further investigated. It is also important that researchers follow up on the idea that a more parsimonious latent structure of PTSD may exist.
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影响因子：
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作者：
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