Appropriateness of DSM-III-R criteria for posttraumatic stress disorder.
Appropriateness of DSM-III-R criteria for posttraumatic stress disorder.
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DSM-III-R 标准对于创伤后应激障碍的适当性。
DOI：
10.1016/0010-440x(90)90006-e
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发表时间：
1990
影响因子：
7.3
通讯作者：
Canino,GJ
中科院分区：
文献类型：
--
作者：
Solomon,SD;Canino,GJ
本研究探讨了DSM-IIIR创伤后应激障碍（PTSD）的标准。这项研究质疑暴露于特别创伤事件（压力源标准A）所导致的精神后遗症是否确实与暴露于更常见但压力更大的生活经历所导致的后遗症不同。研究还探讨了PTSD后遗症（标准B-D）是否准确描述了受害者的反应，甚至极端事件符合DSM-III-R的压力源定义。该研究包括来自圣刘易斯受害者暴露于洪水和/或不安全的二恶英水平，以及波多黎各泥石流/洪水受害者的数据。结果表明，一些常见的压力事件与PTSD症状的关系比非常事件更密切。此外，灾害暴露与重新经历的症状（标准B）关系最密切;与避免有关的症状（标准C）尤其没有报告。结果进行了讨论，其影响修订的创伤后应激障碍标准的DSM-IV，和旨在评估创伤后应激障碍病理学的仪器。
This research examines the DSM-IIIR criteria for posttraumatic stress disorder (PTSD). The study questions whether the psychiatric sequelae resulting from exposure to extraordinary traumatic events (stressor criterion A) do in fact differ from the sequelae resulting from exposure to more common yet stressful life experiences. The study also examines whether PTSD sequelae (criteria B-D) accurately describe the responses of victims even of extreme events fitting the DSM-III-R definition of stressor. The study included data from both St Louis victims exposed to floods and/or unsafe dioxin levels, and Puerto Rico victims of mudslides/flooding. Results showed that some of the common stressful events related more closely to PTSD symptoms than did the extraordinary events. Further, disaster exposure most strongly related to symptoms of reexperiencing (criterion B); symptoms relating to avoidance (criterion C) were particularly unreported. Results are discussed in terms of their implications for revision both of the PTSD criteria for DSM-IV, and of instruments designed to assess PTSD symptomatology.