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Review
. 2017 Feb 13;7(1):7.
doi: 10.3390/bs7010007.

Posttraumatic Stress Disorder in the DSM-5: Controversy, Change, and Conceptual Considerations

Anushka Pai  1   2 , Alina M Suris  3   4 , Carol S North  5   6
Affiliations
Review

Posttraumatic Stress Disorder in the DSM-5: Controversy, Change, and Conceptual Considerations

Anushka Pai et al. Behav Sci (Basel). .

Abstract

The criteria for posttraumatic stress disorder PTSD have changed considerably with the newest edition of the American Psychiatric Association's (APA) Diagnostic and Statistical Manual of Mental Disorders (DSM-5). Changes to the diagnostic criteria from the DSM-IV to DSM-5 include: the relocation of PTSD from the anxiety disorders category to a new diagnostic category named "Trauma and Stressor-related Disorders", the elimination of the subjective component to the definition of trauma, the explication and tightening of the definitions of trauma and exposure to it, the increase and rearrangement of the symptoms criteria, and changes in additional criteria and specifiers. This article will explore the nosology of the current diagnosis of PTSD by reviewing the changes made to the diagnostic criteria for PTSD in the DSM-5 and discuss how these changes influence the conceptualization of PTSD.

Keywords: DSM-5; diagnostic criteria; nosology; posttraumatic stress disorder; psychiatric diagnosis; trauma.

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Conflict of interest statement

The authors declare no conflict of interest.

References

    1. American Psychiatric Association . Diagnostic and Statistical Manual of Mental Disorders. 3rd ed. American Psychiatric Association; Washington, DC, USA: 1980.
    1. North C.S., Surís A.M., Smith R.P., King R.V. The evolution of PTSD criteria across editions of DSM. Ann. Clin. Psychiatry. 2016;28:197–208. - PubMed
    1. American Psychiatric Association . Diagnostic and Statistical Manual of Mental Disorders. 4th ed. American Psychiatric Association; Washington, DC, USA: 1994.
    1. North C.S., Suris A.M., Davis M., Smith R.P. Toward Validation of the Diagnosis of Posttraumatic Stress Disorder. Am. J. Psychiatry. 2009;166:34–41. doi: 10.1176/appi.ajp.2008.08050644. - DOI - PubMed
    1. McNally R.J. Can we fix PTSD in DSM-V? Depress. Anxiety. 2009;26:597–600. doi: 10.1002/da.20586. - DOI - PubMed

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