DSM-5 Criteria and Its Implications for Diagnosing PTSD in Military Service Members and Veterans

被引：0
作者：
Jeffrey Guina
Randon S. Welton
Pamela J. Broderick
Terry L. Correll
Ryan P. Peirson
机构：
[1] Wright-Patterson Medical Center,Mental Health Clinic
[2] Wright-Patterson Air Force Base,Aeromedical Consultation Service
[3] Department of Psychiatry,undefined
[4] Wright State University Boonshoft School of Medicine,undefined
[5] US Air Force School of Aerospace Medicine,undefined
[6] Wright-Patterson Air Force Base,undefined
来源：
Current Psychiatry Reports | 2016年 / 18卷
关键词：
PTSD; Stress disorder; DSM-5; Military; Combat; Occupational psychiatry;
D O I：
暂无
中图分类号：
学科分类号：
摘要：
This review addresses how changes in the Diagnostic and Statistical Manual of Mental Disorders (DSM)-5 posttraumatic stress disorder (PTSD) criteria has the potential to affect the care and careers of those who have served in the military, where the diagnosis often determines fitness for duty and veterans’ benefits. PTSD criteria changes were intended to integrate new knowledge acquired since previous DSM editions. Many believe the changes will improve diagnosis and treatment, but some worry these could have negative clinical, occupational, and legal consequences. We analyze the changes in classification, trauma definition, symptoms, symptom clusters, and subtypes and possible impacts on the military (e.g., over- and under-diagnosis, “drone” video exposure, subthreshold PTSD, and secondary PTSD). We also discuss critiques and proposals for future changes. Our objectives are to improve the screening, diagnosis, and treatment of those service members who have survived trauma and to improve policies related to the military mental healthcare and disability systems.
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