Posttraumatic stress disorder in DSM‐5: New criteria and controversies.

Wolf, Erika J.; Keane, Terence M.

doi:10.1111/cpsp.12070

Cited by 34 publications

(24 citation statements)

References 85 publications

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“…ICD-11 has proposed a substantially different approach to diagnosing PTSD, primarily simplifying the conceptualization of disorder but also distinguishing between basic and complex forms of the condition (Maercker et al, 2013). The dissemination of these proposals has led to important discussions in the field (Miller, Wolf, & Keane, 2014). ICD-11 is scheduled for release in 2018, and in this article we review emerging evidence about the new formulation of PTSD and CPTSD that speaks to whether the proposals are useful in principle and whether revisions of this formulation may be necessary.…”

Section: Introductionmentioning

confidence: 99%

A review of current evidence regarding the ICD-11 proposals for diagnosing PTSD and complex PTSD

Brewin

Cloitre

Hyland

et al. 2017

Clinical Psychology Review

503

417

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The World Health Organization's proposals for posttraumatic stress disorder (PTSD) in the 11th edition of the International Classification of Diseases, scheduled for release in 2018, involve a very brief set of symptoms and a distinction between two sibling disorders, PTSD and Complex PTSD. This review of studies conducted to test the validity and implications of the diagnostic proposals generally supports the proposed 3-factor structure of PTSD symptoms, the 6-factor structure of Complex PTSD symptoms, and the distinction between PTSD and Complex PTSD. Estimates derived from DSM-based items suggest the likely prevalence of ICD-11 PTSD in adults is lower than ICD-10 PTSD and lower than DSM-IV or DSM-5 PTSD, but this may change with the development of items that directly measure the ICD-11 re-experiencing requirement. Preliminary evidence suggests the prevalence of ICD-11 PTSD in community samples of children and adolescents is similar to DSM-IV and DSM-5. ICD-11 PTSD detects some individuals with significant impairment who would not receive a diagnosis under DSM-IV or DSM-5. ICD-11 CPTSD identifies a distinct group who have more often experienced multiple and sustained traumas and have greater functional impairment than those with PTSD.

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Section: Introductionmentioning

confidence: 99%

A review of current evidence regarding the ICD-11 proposals for diagnosing PTSD and complex PTSD

Brewin

Cloitre

Hyland

et al. 2017

Clinical Psychology Review

503

417

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“…Comprehensive literature reviews of the dissociative subtype of PTSD can be found elsewhere [7–9]. Here, we discuss two prominent models of dissociation in PTSD and implications for treatment.…”

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confidence: 99%

Perspectives on the conceptualization of the dissociative subtype of PTSD and implications for treatment

Dutra

Wolf

2017

Current Opinion in Psychology

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A dissociative subtype of PTSD was added to the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) to denote a distinct presentation of PTSD marked by symptoms of derealization and depersonalization. The subtype has brought renewed interest in the conceptualization of dissociation in PTSD, and raised questions about its treatment. We review the evidence for two models of PTSD-related dissociative symptoms and the treatment approaches that align with each. We find support for the contributions of biologically-based trait-level factors to dissociation, and suggest that empirically supported treatments for PTSD demonstrate efficacy for patients with the subtype.

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“…Post‐traumatic stress disorder (PTSD) is the most prevalent mental health diagnosis among Veterans enrolled in healthcare at the Department of Veterans Affairs [5]. PTSD is characterized by exposure to a traumatic event followed by a constellation of symptoms, including intrusion symptoms (e.g., memories of the traumatic event), avoidance symptoms (e.g., avoidance of situations that are reminiscent of the traumatic event), negative alterations in cognitions and mood (e.g., persistent emotional negative state), and alterations in arousal and reactivity (e.g., exaggerated startle response) [6]. The negative impact of PTSD on physical and emotional health and interpersonal and occupational functioning has been well documented [7–9].…”

mentioning

confidence: 99%

Sexual Dysfunction in Veterans with Post-Traumatic Stress Disorder

Tran

Dunckel

Teng

2015

The Journal of Sexual Medicine

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Introduction Veterans with post-traumatic stress disorder (PTSD) experience high rates of sexual dysfunction. However, the topic of sexual dysfunction is often overlooked clinically and underexamined in the PTSD research literature. Clinician assessment and treatment of sexual dysfunction are particularly important for Veterans, who are at increased risk of exposure to trauma. Aim Review the literature regarding sexual dysfunction among Veterans with PTSD. Method Review of the literature. Results Sexual dysfunction, including erectile difficulties in males and vaginal pain in females, is common among Veterans with PTSD. Several underlying mechanisms may account for the overlap between PTSD and sexual dysfunction. Certain barriers may contribute to the reluctance of providers in addressing problems of sexual dysfunction in Veterans with PTSD. Conclusions With the high likelihood of sexual dysfunction among Veterans with PTSD, it is important to consider the integration of treatment strategies. Efforts to further the research on this important topic are needed.

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Posttraumatic stress disorder in DSM‐5: New criteria and controversies.

Cited by 34 publications

References 85 publications

A review of current evidence regarding the ICD-11 proposals for diagnosing PTSD and complex PTSD

A review of current evidence regarding the ICD-11 proposals for diagnosing PTSD and complex PTSD

Perspectives on the conceptualization of the dissociative subtype of PTSD and implications for treatment

Sexual Dysfunction in Veterans with Post-Traumatic Stress Disorder

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