The Primary Care PTSD Screen for DSM-5 (PC-PTSD-5): Development and Evaluation Within a Veteran Primary Care Sample

Journal of General Internal Medicine, Год журнала: 2016, Номер 31(10), С. 1206 - 1211

Опубликована: Май 11, 2016

Язык: Английский

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Psychometric Evaluation of the Moral Injury Events Scale

Military Medicine, Год журнала: 2013, Номер 178(6), С. 646 - 652

Опубликована: Июнь 1, 2013

Literature describing the phenomenology of stress combat suggests that war-zone experiences may lead to adverse psychological outcomes such as post-traumatic disorder not only because they expose persons life threat and loss but also contradict deeply held moral ethical beliefs expectations. We sought develop validate a measure potentially morally injurious events necessary step toward studying injury possible consequence combat. administered an 11-item, self-report Moral Injury Events Scale active duty Marines 1 week 3 months following deployment. Two items were eliminated low item-total correlations. The remaining 9 subjected exploratory factor analysis, which revealed two latent factors we labeled perceived transgressions betrayals; these confirmed via confirmatory analysis on independent sample. overall its subscales had favorable internal validity, comparisons between 1-week 3-month data suggested good temporal stability. Initial discriminant concurrent validity established. Future research directions discussed.

Язык: Английский

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

Journal of Traumatic Stress, Год журнала: 2013, Номер 26(5), С. 548 - 556

Опубликована: Окт. 1, 2013

The process that resulted in the diagnostic criteria for posttraumatic stress disorder (PTSD) Diagnostic and Statistical Manual of Mental Disorders (5th ed.; DSM-5; American Psychiatric Association; 2013) was empirically based rigorous. There a high threshold any changes DSM-IV criterion. is described this article. rationale presented led to creation new chapter, "Trauma- Stressor-Related Disorders," within DSM-5 metastructure. Specific issues discussed about PTSD themselves include broad versus narrow construct, decisions regarding Criterion A, evidence supporting other symptom clusters specifiers, addition dissociative preschool subtypes, research on from both Internet surveys field trials, noninclusion complex PTSD, comparisons between World Health Association's forthcoming International Classification Diseases (ICD-11) PTSD. construct continues evolve. In DSM-5, it has moved beyond fear-based anxiety dysphoric/anhedonic externalizing phenotypes. subtype may open way fresh approach incorporates important developmental factors affecting expression young children. Finally, very different approaches taken by ICD-11 should have profound effect future practice. 標題:敲定DSM-5中的PTSD:從這裏到那裏,下一步又如何 撮要:敲定精神疾病診斷和統計手冊(DSM-5;美國精神學會;2013)中創傷後壓力症(PTSD)的診斷準則是嚴謹而建基於臨床經驗的。改變任何DSM-Ⅳ診斷準則要求都有高門檻。本文詳述當中過程和理據,因而有新一章,即〝創傷和壓力相關障礙〞在DSM-5的元結構中設立。而DSM-5 PTSD準則中曾討論的特定議題包括:闊或窄的PTSD結構,對準則A的決定,其他PTSD症狀羣和區分符的支持實証,加入解離和學前子類別,在互聯網調查和DSM-5現場測試新準則的研究,加入PTSD子類別,取消複雜PTSD,和比較DSM-5與世界衛生組織即將實行的國際疾病分類(ICD-11)兩者的PTSD準則。PTSD結構不斷演變。DSM-5中,它從一個狹窄地以驚恐為本的焦慮症走到包括煩躁/快感和外在化PTSD等表型。解離子類別可能開展對複雜PTSD的新研究路向。學前子類別包括影響幼兒表現PTSD的重要發展因素。DSM-5和ICD-11在不同的方向發展,對未來研究和臨床工作方面必定有深遠影響。 标题:敲定DSM-5中的PTSD:从这里到那里,下一步又如何 撮要:敲定精神疾病诊断和统计手册(DSM-5;美国精神学会;2013)中创伤后压力症(PTSD)的诊断准则是严谨而建基于临床经验的。改变任何DSM-Ⅳ诊断准则要求都有高门坎。本文详述当中过程和理据,因而有新一章,即〝创伤和压力相关障碍〞在DSM-5的元结构中设立。而DSM-5 PTSD准则中曾讨论的特定议题包括:宽或窄的PTSD结构,对准则A的决定,其他PTSD症状羣和区分符的支持实证,加入解离和学前子类别,在互联网调查和DSM-5现场测试新准则的研究,加入PTSD子类别,取消复杂PTSD,和比较DSM-5与世界卫生组织即将实行的国际疾病分类(ICD-11)两者的PTSD准则。PTSD结构不断演变。DSM-5中,它从一个狭窄地以惊恐为本的焦虑症走到包括烦躁/快感和外在化PTSD等表型。解离子类别可能开展对复杂PTSD的新研究路向。学前子类别包括影响幼儿表现PTSD的重要发展因素。DSM-5和ICD-11在不同的方向发展,对未来研究和临床工作方面必定有深远影响。

Язык: Английский

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Posttraumatic Stress Disorder in the DSM-5: Controversy, Change, and Conceptual Considerations

Behavioral Sciences, Год журнала: 2017, Номер 7(1), С. 7 - 7

Опубликована: Фев. 13, 2017

The criteria for posttraumatic stress disorder PTSD have changed considerably with the newest edition of American Psychiatric Association’s (APA) Diagnostic and Statistical Manual Mental Disorders (DSM-5). Changes to diagnostic from DSM-IV DSM-5 include: relocation anxiety disorders category a new named “Trauma Stressor-related Disorders”, elimination subjective component definition trauma, explication tightening definitions trauma exposure it, increase rearrangement symptoms criteria, changes in additional specifiers. This article will explore nosology current diagnosis by reviewing made discuss how these influence conceptualization PTSD.

Язык: Английский

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Dissociation in Posttraumatic Stress Disorder: Evidence from the World Mental Health Surveys

Biological Psychiatry, Год журнала: 2012, Номер 73(4), С. 302 - 312

Опубликована: Окт. 9, 2012

Язык: Английский

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Current status on behavioral and biological markers of PTSD: A search for clarity in a conflicting literature

Neuroscience & Biobehavioral Reviews, Год журнала: 2013, Номер 37(5), С. 860 - 895

Опубликована: Апрель 5, 2013

Язык: Английский

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Sexual selection and sex differences in the prevalence of childhood externalizing and adolescent internalizing disorders.

Psychological Bulletin, Год журнала: 2013, Номер 139(6), С. 1221 - 1259

Опубликована: Апрель 29, 2013

Despite the well-established sex difference in prevalence of many childhood and adolescent psychopathological conditions, no integrative metatheory differences psychopathology exists. This review attempts to provide a metatheoretical framework guide empirical examination childhood-onset "externalizing" adolescent-onset "internalizing" disorders, based on sexual selection evolutionary theory. Sexual theory suggests important between-sex markers, mechanisms, etiology, developmental timing risk resilience relevant psychopathology. Namely, hypothesizes that disinhibition sensation-seeking may be proximate markers for externalizing disorders males. The these male-biased product their higher exposure prenatal testosterone, which makes them more susceptible stressors with downstream effects dopaminergic neurotransmission, especially those genetic alleles associated lower function. In contrast, negative emotionality, empathy, cognitive rumination internalizing females. are propagated by rapidly rising levels estradiol at puberty interact cortisol oxytocin. These hormones exert serotonergic system such way as increase females' sensitivity interpersonal particularly functional activity. Such can help integrate prior ideas about also generate new predictions common forms

Язык: Английский

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Measuring Moral Injury

Assessment, Год журнала: 2015, Номер 23(5), С. 557 - 570

Опубликована: Июнь 20, 2015

As the construct of moral injury has gained increased conceptual and empirical attention among military personnel veterans, preliminary attempts to operationalize measure have emerged. One such is Moral Injury Event Scale (MIES). The aim current study was further evaluate MIES’s psychometric properties in two samples: a clinical sample Air Force nonclinical Army National Guard personnel. Exploratory confirmatory factor analyses across both samples supported three-factor solution: transgressions by others, self, betrayal. Transgressions-Others most strongly associated with posttraumatic stress; Transgressions-Self hopelessness, pessimism, anger; Betrayal stress anger. Results support validity MIES, although areas for improvement are indicated discussed.

Язык: Английский

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A functional approach to understanding and treating military-related moral injury

Journal of Contextual Behavioral Science, Год журнала: 2017, Номер 6(4), С. 391 - 397

Опубликована: Июль 27, 2017

Язык: Английский

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Psychological trauma as a transdiagnostic risk factor for mental disorder: an umbrella meta-analysis

European Archives of Psychiatry and Clinical Neuroscience, Год журнала: 2022, Номер 273(2), С. 397 - 410

Опубликована: Окт. 8, 2022

Язык: Английский

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