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https://hdl.handle.net/2440/60645
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dc.contributor.author | O'Donnell, M. | - |
dc.contributor.author | Creamer, M. | - |
dc.contributor.author | McFarlane, A. | - |
dc.contributor.author | Silove, D. | - |
dc.contributor.author | Bryant, R. | - |
dc.date.issued | 2010 | - |
dc.identifier.citation | Psychiatry Research, 2010; 176(2-3):257-260 | - |
dc.identifier.issn | 0165-1781 | - |
dc.identifier.issn | 1872-7123 | - |
dc.identifier.uri | http://hdl.handle.net/2440/60645 | - |
dc.description.abstract | The requirement that trauma survivors experience fear, helplessness or horror (Criterion A2) as a part of their posttraumatic stress disorder (PTSD) diagnosis was introduced into DSM-IV. The imminent re-definition of PTSD in DSM-V highlights the need for empirical studies to validate the utility of the A2 requirement. We aimed to identify (i) how often A2 was associated with PTSD (B-F criteria) at 3 months after trauma and (ii) what was the peritraumatic emotional experience for those who met PTSD criteria but were A2 negative. In a prospective design cohort study we assessed the peritraumatic emotional experience of 535 injury patients in four Australian hospitals. These patients were followed up 3 months later and assessed for PTSD using a structured clinical interview. The majority of those who developed PTSD (B-F criterion) at 3 months met A2 criteria. A substantial minority, however (23%), did not meet A2 criteria. Those PTSD patients who were A2 negative fell into three groups: (i) those who experienced subthreshold levels of A2; (ii) those who experienced intense peritrauma emotional responses other than fear, helplessness or horror; and (iii) those who were amnesic to their peritrauma emotional experience. These findings do not support the inclusion of A2 as diagnostic requirement for DSM-V. | - |
dc.description.statementofresponsibility | Meaghan L. O'Donnell, Mark Creamer, Alexander C. McFarlane, Derrick Silove and Richard A. Bryant | - |
dc.description.uri | http://www.elsevier.com/wps/find/journaldescription.cws_home/522773/description#description | - |
dc.language.iso | en | - |
dc.publisher | Elsevier Sci Ireland Ltd | - |
dc.rights | Copyright © 2010 Elsevier Ireland Ltd All rights reserved. | - |
dc.source.uri | http://dx.doi.org/10.1016/j.psychres.2009.05.012 | - |
dc.subject | Traumatic injury | - |
dc.subject | Criterion A | - |
dc.title | Should A2 be a diagnostic requirement for posttraumatic stress disorder in DSM-V? | - |
dc.type | Journal article | - |
dc.identifier.doi | 10.1016/j.psychres.2009.05.012 | - |
dc.relation.grant | http://purl.org/au-research/grants/nhmrc/300403 | - |
dc.relation.grant | http://purl.org/au-research/grants/nhmrc/359284 | - |
pubs.publication-status | Published | - |
dc.identifier.orcid | McFarlane, A. [0000-0002-3829-9509] | - |
Appears in Collections: | Aurora harvest Psychiatry publications |
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