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    Is Helplessness Still Helpful in Diagnosing Posttraumatic Stress Disorder

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    Authors
    Pivovarova, Ekaterina
    Tanaka, Gen
    Tang, Michael
    Bursztajn, Harold J.
    First, Michael B.
    UMass Chan Affiliations
    Systems and Psychosocial Advances Research Center
    Division of Law and Psychiatry, Department of Psychiatry
    Document Type
    Journal Article
    Publication Date
    2016-01-01
    Keywords
    PTSD
    DSM-5
    diagnostic utility
    trauma
    diagnostic accuracy
    Diagnosis
    Mental and Social Health
    Mental Disorders
    Pediatrics
    Psychiatry
    Psychiatry and Psychology
    Trauma
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    Link to Full Text
    https://doi.org/10.1097/NMD.0000000000000416
    Abstract
    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.
    Source

    J Nerv Ment Dis. 2016 Jan;204(1):3-8. doi: 10.1097/NMD.0000000000000416. Link to article on publisher's site

    DOI
    10.1097/NMD.0000000000000416
    Permanent Link to this Item
    http://hdl.handle.net/20.500.14038/28956
    PubMed ID
    26704461
    Related Resources

    Link to Article in PubMed

    ae974a485f413a2113503eed53cd6c53
    10.1097/NMD.0000000000000416
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