21 Additional changes to the diagnostic criteria are threefold. Consistent with widespread recognition that fear and anxiety represent only one phenotypic expression of the disorder, PTSD is now placed in a new Trauma- and Stressor-Related Disorders category. In 2013, the fifth edition of the Diagnostic and Statistical Manual (DSM-5) 20 introduced significant revisions to the PTSD diagnosis based on research suggesting that these changes better reflect the PTSD latent construct. The PC-PTSD-5 demonstrated strong preliminary results for diagnostic accuracy, and was broadly acceptable to patients. Patients found the screen acceptable and indicated a preference for administration by their primary care providers as opposed to by other providers or via self-report. The PC-PTSD-5 was used as the screening measure, a modified version of the PTSD module of the MINI-International Neuropsychiatric Interview was used to diagnose DSM-5 PTSD, and five brief survey items were used to assess acceptability and preferences. Most of the participants were male, in their 60s, and the majority identified as non-Hispanic White. PARTICIPANTSĪ convenience sample of 398 Veterans participated in the study (response rate = 41 %). Participants also rated screening preferences and acceptability of the PC-PTSD-5. We compared the PC-PTSD-5 results with those from a brief psychiatric interview for PTSD. The objective of this study was to revise the Primary Care PTSD screen (PC-PTSD) to reflect the new Diagnostic and Statistical Manual of Mental Disorders (DSM-5) criteria for PTSD (PC-PTSD-5) and to examine both the diagnostic accuracy and the patient acceptability of the revised measure. Consequently, screening for PTSD has become increasingly common in primary care clinics, especially in Veteran healthcare settings where trauma exposure among patients is common. Peer support groups.Posttraumatic Stress Disorder (PTSD) is associated with increased health care utilization, medical morbidity, and tobacco and alcohol use. PTSD symptom reduction with mindfulness-based stretching and deep breathing exercise: Randomized controlled clinical trial of efficacy. Post-traumatic stress disorder: Theory and treatment update. Cognitive-behavioral therapy for anxiety disorders: An update on the empirical evidence. Pharmacotherapy for post-traumatic stress disorder in combat veterans: Focus on antidepressants and atypical antipsychotic agents. Complex posttraumatic stress disorder: The need to consolidate a distinct clinical syndrome or to reevaluate features of psychiatric disorders following interpersonal trauma?. Giourou E, Skokou M, Andrew SP, Alexopoulou K, Gourzis P, Jelastopulu E. Prior substance abuse and related treatment history reported by recent victims of sexual assault. Resnick HS, Walsh K, Schumacher JA, Kilpatrick DG, Acierno R. PTSD's risky behavior criterion: Relation with DSM-5 PTSD symptom clusters and psychopathology. Posttraumatic stress disorder in adults: Impact, comorbidity, risk factors, and treatment. The dissociative subtype of posttraumatic stress disorder (PTSD) among adolescents: Co-occurring PTSD, depersonalization/derealization, and other dissociation symptoms. Diagnostic and Statistical Manual of Mental Disorders, 5th edition.Ĭhoi KR, Seng JS, Briggs EC, et al. How common is PTSD in adults?.Īmerican Psychiatric Association.
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |