Finalizing PTSD in DSM-5: Getting Here From There and Where to Go Next

The process that resulted in the diagnostic criteria for posttraumatic stress disorder (PTSD) in the Diagnostic and Statistical Manual of Mental Disorders (5th ed., DSM-5, American Psychiatric Association, 2013) was empirically based and rigorous. There was a high threshold for any changes in any DSM-IV diagnostic criterion. The process is described in this article. The rationale is presented...

The PTSD Checklist for DSM-5 (PCL-5)

The PCL-5 is a 20-item self-report measure that assesses the 20 DSM-5 symptoms of PTSD. The PCL-5 has a variety of purposes, including:•Monitoring symptom change during and after treatment•Screening individuals for PTSD•Making a provisional PTSD diagnosis The gold standard for diagnosing PTSD is a structured clinical interview such as the Clinician-Administered PTSD Scale (CAPS-5). When necessary, the PCL-5 can be scored to provide a provisional PTSD diagnosis.

The Life Events Checklist for DSM-5 (LEC-5)

The Life Events Checklist for DSM-5 (LEC-5) is a self-report measure designed to screen for potentially traumatic events in a respondent's lifetime. The LEC-5 assesses exposure to 16 events known to potentially result in PTSD or distress and includes one additional item assessing any other extraordinarily stressful event not captured in the first 16 items.

The Clinician-Administered PTSD Scale for DSM-5 (CAPS-5)

The CAPS is the gold standard in PTSD assessment. The CAPS-5 is a 30-item structured interview that can be used to:•Make current (past month) diagnosis of PTSD•Make lifetime diagnosis of PTSD•Assess PTSD symptoms over the past week

PTSD in the DSM-5: Reply to Brewin (2013), Kilpatrick (2013), and Maercker and Perkonigg (2013)

The greater emphasis on scientific evidence and the high threshold for changing any criterion in the Diagnostic and Statistical Manual for Mental Disorders (4th ed., DSM-IV) probably account for many key differences between the DSM-5 and the International Classification of Diseases and Related Health Problems (11th ver., ICD-11) with regard to diagnostic criteria for posttraumatic stress disorder (PTSD). Important questions about PTSD remain that can only be settled by future research.

Psychometrics and Validity of the Dutch Experiences in Close Relationships–Revised (ECR–r) in an Outpatient Mental Health Sample

The Experiences in Close Relationships-Revised (ECR-r) is a self-report instrument to assess adult attachment style that seems to have appropriate psychometric qualities. The ECR-r has been most widely studied in student and community samples. In this study we report factor structure, reliability, and construct validity of the Dutch translation of the ECR-r in an outpatient mental health sample (N = 262). The original factor structure could satisfactorily be replicated, the reliability of the ECR-r was also stable over time, and there was good evidence for its construct validity

Dissociative disorders in DSM-5

The rationale, research literature, and proposed changes to the dissociative disorders and conversion disorder in the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) are presented. Dissociative identity disorder will include reference to possession as well as identity fragmentation, to make the disorder more applicable to culturally diverse situations. Dissociative amnesia will include dissociative fugue as a subtype, since fugue is a rare disorder that always involves amnesia but does not always include confused wandering or loss of personality identity.

'I Wouldn't Start From Here'—An Alternative Perspective on PTSD From the ICD-11: Comment on Friedman

This commentary briefly summarizes some of the criticism directed at the diagnosis of posttraumatic stress disorder (PTSD) according to the Diagnostic and Statistical Manual of Mental Disorders (5th ed.) including the issues of complexity and comorbidity, and offers a rationale for attempting a simpler approach to diagnosis that can be used in minimally resourced, non-English-speaking countries.

Police officers : a high-risk group for the development of mental health disturbances? A cohort study.

Abstract

Objectives Policing is generally considered a high-risk profession for the development of mental health problems, but this assumption lacks empirical evidence. Research question of the present study is to what extent mental health disturbances, such as (very) severe symptoms of anxiety, depression and hostility are more prevalent among police officers than among other occupational groups.

Design Multicomparative cross-sectional study using the data of several cross-sectional and longitudinal studies in the Netherlands.

Efficacy of group treatment for posttraumatic stress disorder symptoms : A meta-analysis

This study conducted a meta-analysis of published randomized clinical group trials for adult survivors of trauma to examine the efficacy of the group format. Effect sizes for posttraumatic stress disorder (PTSD) severity outcome were examined. Sixteen studies were included, with a total of 1686 participants.

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