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[Posttraumatic stress disorder: meaningful changes in DSM-5]
1Centro Descartes. elyeyati@intramed.net.
Vertex (Buenos Aires, Argentina)
|June 3, 2014
Summary
Posttraumatic stress disorder (PTSD) criteria have evolved, with DSM-5 revisions emphasizing dissociation and trauma. Despite artificiality, the "traumatic" criterion remains essential for defining PTSD.
Area of Science:
- Psychiatry
- Psychology
- Public Health
Context:
- Posttraumatic stress disorder (PTSD) is a significant public health concern in the USA.
- Diagnostic criteria for PTSD have undergone revisions, influenced by shifts away from Freudian theory and a re-evaluation of dissociation.
Purpose:
- To critically review the evolution of PTSD diagnostic criteria from DSM-IV to DSM-5.
- To examine changes in the definition of "traumatic" and the inclusion of dissociative symptoms.
Summary:
- The definition of "traumatic" remains an artificial but necessary criterion for PTSD.
- Dissociative symptoms have gained prominence in PTSD diagnosis, notably in DSM-5.
- DSM-5 introduced a new chapter on Trauma and Stressor Disorders, broadening the clinical perspective on trauma.
Impact:
- The revisions in DSM-5 reflect an enlarged clinical view of trauma and its impact.
- Inconsistencies in DSM-5 criteria suggest a fragmented approach to defining PTSD by different workgroups.
- Understanding these diagnostic shifts is crucial for accurate PTSD assessment and treatment.
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