Is DSM-IV criterion A2 associated with PTSD diagnosis and symptom severity?
Is DSM-IV criterion A2 associated with PTSD diagnosis and symptom severity?
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DSM-IV 标准 A2 与 PTSD 诊断和症状严重程度相关吗？
作者：
Princess E. Osei;A. Spiro;Mark R Schultz;K. Ryabchenko;Eric G. Smith;L. Herz;S. Eisen
创伤后应激障碍（PTSD）的诊断标准已经得到了重要的审查。一些研究调查了标准A2的效用，即对创伤事件的主观情绪反应。美国精神病学协会（阿帕）建议从DSM-5的PTSD诊断标准中删除A2;然而，对这一建议的支持意见不一，很少有研究在PTSD高风险样本（如退伍军人）中检查A2。在目前对908名创伤事件筛查呈阳性的退伍军人进行的研究中，A2与医生告诉退伍军人患有创伤后应激障碍没有显着相关性。然而，那些支持A2的人在3个DSM-IV症状群中报告了更严重的PTSD症状，（d = 0.45），回避（d = 0.61）和过度觉醒（d = 0.44），A2与所有3个聚类的PTSD症状严重程度显著相关（R（2）= 0.25，0.25和0.27，即使在模型中有创伤暴露。因此，尽管A2可能不是PTSD诊断的必要标准，但其与PTSD症状严重程度的相关性值得进一步探索其实用性。
The diagnostic criteria for posttraumatic stress disorder (PTSD) have received significant scrutiny. Several studies have investigated the utility of Criterion A2, the subjective emotional response to a traumatic event. The American Psychiatric Association (APA) has proposed elimination of A2 from the PTSD diagnostic criteria for DSM-5; however, there is mixed support for this recommendation and few studies have examined A2 in samples at high risk for PTSD such as veterans. In the current study of 908 veterans who screened positive for a traumatic event, A2 was not significantly associated with having been told by a doctor that the veteran had PTSD. Those who endorsed A2, however, reported greater PTSD symptom severity in the 3 DSM-IV symptom clusters of reexperiencing (d = 0.45), avoidance (d = 0.61), and hyperarousal (d = 0.44), and A2 was significantly associated with PTSD symptom severity for all 3 clusters (R(2) = .25, .25, and .27, respectively) even with trauma exposure in the model. Thus, although A2 may not be a necessary criterion for PTSD diagnosis, its association with PTSD symptom severity warrants further exploration of its utility.
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影响因子：
--
作者：
KESSLER, RC;SONNEGA, A;NELSON, CB
通讯作者：
NELSON, CB
潜在创伤事件发生时的情绪反应和 PTSD 症状：DSM-IV 标准 A-2 的初步回顾性分析。
DOI：
10.1016/s0005-7916(98)00007-x
发表时间：
1998
影响因子：
1.8
作者：
Roemer,L;Orsillo,SM;Borkovec,TD;Litz,BT
通讯作者：
Litz,BT
影响因子：
--
作者：
Kessler, RC;Chiu, WT;Walters, EE
通讯作者：
Walters, EE
影响因子：
3.3
作者：
Dohrenwend, Bruce P.;Turner, J. Blake;Marshall, Randall
通讯作者：
Marshall, Randall
影响因子：
10.3
作者：
Anders, Samantha L.;Frazier, Patricia A.;Frankfurt, Sheila B.
通讯作者：
Frankfurt, Sheila B.