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Stress is a multifaceted response to events perceived as challenging or threatening, highlighting physical, emotional, cognitive, and behavioral reactions. Physically, stress can lead to fatigue, sleep disruptions, and various health issues such as frequent colds, chest pains, and nausea. Emotionally, it can manifest as anxiety, depression, irritability, and anger triggered by both minor and major life events. Cognitively, it may result in difficulty in concentration, memory, and...
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Acute stress disorder (ASD) describes initial trauma reactions but does not predict PTSD. Trauma-focused therapy is the recommended treatment for ASD, outperforming medication.

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Area of Science:

  • Psychiatry
  • Trauma Psychology
  • Clinical Psychology

Background:

  • Acute stress disorder (ASD) was initially defined in DSM-IV as a predictor of posttraumatic stress disorder (PTSD).
  • Subsequent longitudinal research indicated that most individuals developing PTSD did not meet initial ASD criteria.
  • This led to a revised definition in DSM-5, focusing ASD on acute stress reactions without predictive value.

Purpose of the Study:

  • To review the evolution of the ASD diagnosis from DSM-IV to DSM-5.
  • To summarize current evidence regarding the treatment of ASD.
  • To discuss recent findings on the long-term trajectories of posttraumatic stress.

Main Methods:

  • Literature review of diagnostic criteria changes (DSM-IV to DSM-5).
  • Synthesis of findings from controlled treatment trials for ASD.
  • Analysis of recent longitudinal studies on posttraumatic stress adaptation.

Main Results:

  • The DSM-5 reclassified ASD, removing its predictive function for PTSD.
  • Trauma-focused cognitive behavior therapy (TF-CBT) is identified as the primary treatment for ASD, demonstrating superiority over pharmacological approaches.
  • Posttraumatic stress trajectories are diverse and influenced by post-trauma events, challenging earlier linear models.

Conclusions:

  • The conceptualization and diagnostic criteria for ASD have evolved significantly.
  • TF-CBT is the evidence-based treatment of choice for acute stress disorder.
  • Understanding diverse posttraumatic adaptation pathways is crucial for managing trauma-related conditions.