The PTSD Criterion A debate: A brief history, current status, and recommendations for moving forward

IF 2.4 3区 医学 Q2 PSYCHIATRY Journal of traumatic stress Pub Date : 2023-12-20 DOI:10.1002/jts.23007
Brian P. Marx, Brittany Hall-Clark, Matthew J. Friedman, Paul Holtzheimer, Paula P. Schnurr
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Abstract

Posttraumatic stress disorder (PTSD) Criterion A, also known as the “stressor criterion,” has been a major source of debate ever since PTSD was added to the third edition of the Diagnostic and Statistical Manual for Mental Disorders (DSM) in 1980. Since then, the traumatic stress field has held an ongoing debate about how to best define Criterion A and the events that it covers. Because of the COVID-19 pandemic and recent race-based incidents, the Criterion A debate has been reinvigorated. In this paper, we review briefly the history of Criterion A and changes in its language across different editions of the DSM. We then describe the four main positions held by scholars involved in the Criterion A debate and carefully examine the support for those positions. We conclude by offering recommendations for moving forward.

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创伤后应激障碍标准 A 辩论:简史、现状及下一步建议。
创伤后应激障碍(PTSD)标准 A 也被称为 "应激源标准",自 1980 年《精神疾病诊断与统计手册》(DSM)第三版加入创伤后应激障碍标准 A 以来,该标准一直是争论的焦点。从那时起,创伤应激领域就一直在争论如何最好地定义标准 A 及其涵盖的事件。由于 COVID-19 大流行和最近发生的种族事件,标准 A 的争论重新活跃起来。在本文中,我们将简要回顾标准 A 的历史及其在不同版本 DSM 中的用语变化。然后,我们描述了参与 "标准 A "辩论的学者所持的四个主要立场,并仔细研究了这些立场的支持情况。最后,我们提出了前进的建议。
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来源期刊
CiteScore
5.80
自引率
6.10%
发文量
125
期刊介绍: Journal of Traumatic Stress (JTS) is published for the International Society for Traumatic Stress Studies. Journal of Traumatic Stress , the official publication for the International Society for Traumatic Stress Studies, is an interdisciplinary forum for the publication of peer-reviewed original papers on biopsychosocial aspects of trauma. Papers focus on theoretical formulations, research, treatment, prevention education/training, and legal and policy concerns. Journal of Traumatic Stress serves as a primary reference for professionals who study and treat people exposed to highly stressful and traumatic events (directly or through their occupational roles), such as war, disaster, accident, violence or abuse (criminal or familial), hostage-taking, or life-threatening illness. The journal publishes original articles, brief reports, review papers, commentaries, and, from time to time, special issues devoted to a single topic.
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