Sometimes Less is More: Establishing the Core Symptoms of PTSD

DOI Web Site Web Site 被引用文献2件
  • Jessica L. Walton
    Southeast Louisiana Veterans Health Care System PTSD Clinical Team New Orleans Louisiana United States of America
  • Lisa‐Ann J. Cuccurullo
    Southeast Louisiana Veterans Health Care System PTSD Clinical Team New Orleans Louisiana United States of America
  • Amanda M. Raines
    Southeast Louisiana Veterans Health Care System PTSD Clinical Team New Orleans Louisiana United States of America
  • Desirae N. Vidaurri
    Southeast Louisiana Veterans Health Care System PTSD Clinical Team New Orleans Louisiana United States of America
  • Nicholas P. Allan
    Ralph H. Johnson Veterans Affairs Medical Center Mental Health Department Charleston South Carolina United States of America
  • Kelly P. Maieritsch
    Edward Hines, Jr. VA Hospital PTSD Clinical Team Hines Illinois United States of America
  • C. Laurel Franklin
    South Central VA Healthcare Network Mental Illness Research Education, and Clinical Center (MIRECC) New Orleans Louisiana United States of America

説明

<jats:p>Historically, the symptoms of posttraumatic stress disorder (PTSD) have garnered attention and controversy due to symptom overlap with other disorders. To improve diagnostic specificity, researchers have proposed to reformulate PTSD symptoms into a parsimonious set of core criteria. The core symptoms consisted of recurrent distressing dreams or flashbacks; internal or external avoidance; and hypervigilance or exaggerated startle. The purpose of this study was to examine a previously proposed set of “core” PTSD criteria in identifying cases of PTSD within a veteran sample. Veterans (<jats:italic>N</jats:italic> = 383) presenting to a Veterans Affairs (VA) Medical Center PTSD clinic for psychological services were assessed using the Clinician Administered PTSD Scale for <jats:italic>DSM‐5</jats:italic> (CAPS‐5). A logistic regression analysis revealed that the core criteria accurately identified 79% of veterans with PTSD (<jats:italic>OR</jats:italic> = 11.57). Findings support a parsimonious set of core criteria in the assessment and diagnosis of PTSD. Future studies should replicate these findings in diverse, nonveteran samples.</jats:p>

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