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Examining various subthreshold definitions of PTSD using the Clinician Administered PTSD Scale for DSM-5.
Franklin, C Laurel; Raines, Amanda M; Chambliss, Jessica L; Walton, Jessica L; Maieritsch, Kelly P.
Afiliación
  • Franklin CL; Southeast Louisiana Veterans Health Care System, 2400 Canal Street, New Orleans, LA 70119, USA; South Central Mental Illness Research, Education & Clinical Center (MIRECC), New Orleans, LA 70119, USA; Tulane University School of Medicine, Department of Psychiatry and Behavioral Sciences, New Orl
  • Raines AM; Southeast Louisiana Veterans Health Care System, 2400 Canal Street, New Orleans, LA 70119, USA; South Central Mental Illness Research, Education & Clinical Center (MIRECC), New Orleans, LA 70119, USA.
  • Chambliss JL; Southeast Louisiana Veterans Health Care System, 2400 Canal Street, New Orleans, LA 70119, USA.
  • Walton JL; Southeast Louisiana Veterans Health Care System, 2400 Canal Street, New Orleans, LA 70119, USA; South Central Mental Illness Research, Education & Clinical Center (MIRECC), New Orleans, LA 70119, USA; Tulane University School of Medicine, Department of Psychiatry and Behavioral Sciences, New Orl
  • Maieritsch KP; Edward Hines Jr. VA Hospital, Hines, IL 60141, USA.
J Affect Disord ; 234: 256-260, 2018 07.
Article en En | MEDLINE | ID: mdl-29550742
BACKGROUND: The Diagnostic and Statistical Manual of Mental Disorders, fifth edition (DSM-5; American Psychiatric Association [APA], 2013) includes Other- and Unspecified- Trauma and Stressor-Related Disorders to capture subthreshold Posttraumatic Stress Disorder (PTSD) symptoms. However, the DSM-5 does not specify the number or type of symptoms needed to assign them. The purpose of the current study was to extend our understanding of subthreshold PTSD by comparing four commonly used definitions adapted to the DSM-5 PTSD criteria in an outpatient treatment-seeking sample. METHODS: Veterans (N = 193) presenting to PTSD clinics were assessed using the Clinician Administered PTSD Scale for DSM-5 (CAPS-5). Participants reported a criterion A traumatic event, but did not meet criteria for threshold-PTSD. We hypothesized that the number of veterans captured would be highest when fewer specific criterion sets were required by the subthreshold definition. RESULTS: Our hypothesis was upheld in that the more criteria required by the subthreshold PTSD definition, the lower the number of veterans counted within the group. LIMITATIONS: The study consisted primarily of trauma treatment-seeking male veterans, with chronic PTSD symptoms. In addition, the sample size was small and was collected as part of routine clinical care. CONCLUSIONS: These results support previous contentions around careful decision making when defining what constitutes subthreshold PTSD in research and clinical work. It also points to the need for continued research to better understand the diagnostic and treatment implications of subthreshold PTSD.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Trastornos por Estrés Postraumático / Veteranos / Salud Mental / Manual Diagnóstico y Estadístico de los Trastornos Mentales Tipo de estudio: Guideline / Prognostic_studies Límite: Adult / Humans / Male / Middle aged Idioma: En Revista: J Affect Disord Año: 2018 Tipo del documento: Article Pais de publicación: Países Bajos
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Trastornos por Estrés Postraumático / Veteranos / Salud Mental / Manual Diagnóstico y Estadístico de los Trastornos Mentales Tipo de estudio: Guideline / Prognostic_studies Límite: Adult / Humans / Male / Middle aged Idioma: En Revista: J Affect Disord Año: 2018 Tipo del documento: Article Pais de publicación: Países Bajos