Contents
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Introduction Introduction
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Diagnostic Criteria Diagnostic Criteria
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Changes in Diagnostic Classification Changes in Diagnostic Classification
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Changes in Criteria Changes in Criteria
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Changes in Specifiers and Prevalence Changes in Specifiers and Prevalence
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Symptom Specificity Symptom Specificity
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PTSD and Major Depressive Disorder PTSD and Major Depressive Disorder
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Chronic and Complex PTSD Chronic and Complex PTSD
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Boundaries of PTSD Boundaries of PTSD
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Borderline Personality Disorder Borderline Personality Disorder
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Generalized Anxiety Disorder Generalized Anxiety Disorder
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Persistent Complex Grief Persistent Complex Grief
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Predictors of PTSD and Risk Factors Predictors of PTSD and Risk Factors
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Prolonged Childhood Trauma Prolonged Childhood Trauma
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Subthreshold PTSD Subthreshold PTSD
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Acute Stress Disorder Acute Stress Disorder
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Cross-Cultural Factors Cross-Cultural Factors
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Conclusion Conclusion
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Future Directions Future Directions
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References References
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Cite
4 Classification of Posttraumatic Stress Disorder
Get accessDepartment of Psychological Sciences, Case Western Reserve University
Department of Psychological Sciences, Case Western Reserve University
Department of Psychological Sciences, Case Western Reserve University
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Published:14 February 2022
Cite
Abstract
This chapter reviews current diagnostic criteria of posttraumatic stress disorder (PTSD) in the fifth edition of Diagnostic and Statistical Manual of Mental Disorders (DSM-5), including changes to the criteria from DSM-IV. PTSD frequently co-occurs and shares symptoms with other conditions, such as major depressive disorder (MDD) and generalized anxiety disorder (GAD). Research suggests that syndromally indistinct symptoms are not sufficient to explain comorbidity and may be central to the PTSD diagnosis. The diagnostic utility and specificity of individual symptoms is discussed as is the latent structure of PTSD, MDD, and GAD. The chapter then discusses boundaries between PTSD and other commonly comorbid conditions, with an emphasis on borderline personality disorder, complicated grief, and a discussion of childhood trauma and complex PTSD. Recent evidence regarding the construct of complex PTSD is also discussed. Finally, the cross-cultural validity of the PTSD diagnosis is reviewed.
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Recommended
- Future of Classification in Posttraumatic Stress DisorderTerence M. Keane, MIT Press, 2012
- DSM-5 Diagnostic Criteria for PTSDFrank W. Weathers, Oxford Academic Books, 2018
- Phenomenology of Posttraumatic Stress Disorder and Acute Stress DisorderMatthew J. Friedman, MIT Press, 2008
- Common and divergent neuroimaging features in major depression, posttraumatic stress disorder and their comorbidity
Jing Jiang, Psychoradiology, 2024
- Regional superficial amygdala resting-state functional connectivity in adults infers childhood maltreatment severity
Qi Liu, Psychoradiology, 2023
- Astrocytic gamma-aminobutyric acid dysregulation as a therapeutic target for posttraumatic stress disorder
Sujung Yoon, Signal Transduction and Targeted Therapy, 2025
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