Posttraumatic Stress Disorder in DSM-5: New Criteria and Controversies

被引:28
|
作者
Miller, Mark W. [1 ]
Wolf, Erika J. [1 ]
Keane, Terence M. [1 ]
机构
[1] Boston Univ, Sch Med, VA Boston Healthcare Syst, Natl Ctr PTSD, Boston, MA 02215 USA
关键词
dissociative subtype; DSM-5; ICD-11; posttraumatic stress disorder; CONFIRMATORY FACTOR-ANALYSES; COMPLEX PTSD; PSYCHOPHYSIOLOGICAL ASSESSMENT; INTERNATIONAL CLASSIFICATION; DISSOCIATIVE SUBTYPE; NONCLINICAL SAMPLE; MENTAL-DISORDERS; TRAUMA EXPOSURE; FIELD TRIALS; IV;
D O I
10.1111/cpsp.12070
中图分类号
B849 [应用心理学];
学科分类号
040203 ;
摘要
The fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5; American Psychiatric Association, 2013) featured extensive changes to the posttraumatic stress disorder (PTSD) diagnosis. PTSD was moved out of the anxiety disorders into a new class of "trauma-and stressor-related disorders," and the definition of what constitutes a traumatic experience was revised. Three new symptoms were added, existing ones were modified, and a new four-cluster organization and diagnostic algorithm were introduced. Finally, a new dissociative subtype was added to the diagnosis. We review these changes, discuss some of the controversies surrounding them, and then introduce a new debate involving a radically different conceptualization of PTSD proposed for International Classification of Diseases, 11th edition.
引用
收藏
页码:208 / 220
页数:13
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