TY - JOUR
T1 - Is helplessness still helpful in diagnosing posttraumatic stress disorder?
AU - Pivovarova, Ekaterina
AU - Tanaka, Gen
AU - Tang, Michael
AU - Bursztajn, Harold J.
AU - First, Michael B.
N1 - Publisher Copyright:
© Copyright 2015 Wolters Kluwer Health, Inc. All rights reserved.
PY - 2016
Y1 - 2016
N2 - Criteria A2, experience of helplessness, fear, or horror at the time of the traumatic event, was removed from the posttraumatic stress disorder diagnosis in the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition. We argue that there is empirical support for retention of A2, a criterion that has clinical value and may improve diagnostic accuracy. Specifically, we demonstrate that A2 has high negative predictive power, AIDS in the prediction of symptom severity, and can be indispensible to detecting the disorder in children. We examine how augmenting A2 with other peritramautic emotions could improve clinical and diagnostic utility. In our opinion, rather than being eliminated, A2 needs to be reconstructed and included as one criterion of PTSD.
AB - Criteria A2, experience of helplessness, fear, or horror at the time of the traumatic event, was removed from the posttraumatic stress disorder diagnosis in the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition. We argue that there is empirical support for retention of A2, a criterion that has clinical value and may improve diagnostic accuracy. Specifically, we demonstrate that A2 has high negative predictive power, AIDS in the prediction of symptom severity, and can be indispensible to detecting the disorder in children. We examine how augmenting A2 with other peritramautic emotions could improve clinical and diagnostic utility. In our opinion, rather than being eliminated, A2 needs to be reconstructed and included as one criterion of PTSD.
KW - DSM-5
KW - Diagnostic accuracy
KW - Diagnostic utility
KW - PTSD
KW - Trauma
UR - http://www.scopus.com/inward/record.url?scp=84952648416&partnerID=8YFLogxK
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U2 - 10.1097/NMD.0000000000000416
DO - 10.1097/NMD.0000000000000416
M3 - Article
C2 - 26704461
AN - SCOPUS:84952648416
SN - 0022-3018
VL - 204
SP - 3
EP - 8
JO - Journal of Nervous and Mental Disease
JF - Journal of Nervous and Mental Disease
IS - 1
ER -