Studies leading up to the DSM-5 revealed that PTSD was underdiagnosed in young children (Scheeringa et al. The introduction of posttraumatic stress disorder for children 6 years and younger (PTSD-6Y) in the Diagnostic and Statistical Manual, Fifth Edition (DSM-5 2013) is an important acknowledgement that stress responses of young children show developmental differences compared to adults. Although a 4-factor Dysphoria model offers a better overall account of clustering patterns (relative to alternate models), alongside acceptable sensitivity and specificity for detecting clinical impairment, it also falls short of being an adequate model in this younger age group. These CFA results do not support the symptom clusters proposed within the DSM-5 for PTSD-6Y. The 1-factor model offered the most compelling balance of sensitivity and specificity, with the 2-factor model and the Dysphoria model following closely behind. These two models also only showed small levels of convergence with CBCL dimensions. The Dysphoria and PTSD-6Y models offered the better accounts of symptom structure, although neither satisfied minimum requirements for a good fitting model. Criterion related validity was established by comparing each model to a categorical rating of impairment. Convergent validity was established against the Child Behavior Checklist (CBCL). The model was compared to DSM-IV, a 4-factor ‘dysphoria’ model that groups symptoms also associated with anxiety and depression, and alternate 1- and 2- factor models. Data for N = 284 (3–6 years) trauma-exposed young children living in New Orleans were recruited following a range of traumas, including medical emergencies, exposure to Hurricane Katrina and repeated exposure to domestic violence. This study utilized confirmatory factor analytic techniques to evaluate the proposed DSM-5 PTSD-6Y factor structure and criterion and convergent validity against competing models. Peer support groups.A subtype of the posttraumatic stress disorder diagnosis for children 6 years and younger (PTSD-6Y) was introduced in the Diagnostic and Statistical Manual, Fifth Edition (DSM-5). PTSD symptom reduction with mindfulness-based stretching and deep breathing exercise: Randomized controlled clinical trial of efficacy. Post-traumatic stress disorder: Theory and treatment update. Cognitive-behavioral therapy for anxiety disorders: An update on the empirical evidence. Pharmacotherapy for post-traumatic stress disorder in combat veterans: Focus on antidepressants and atypical antipsychotic agents. Complex posttraumatic stress disorder: The need to consolidate a distinct clinical syndrome or to reevaluate features of psychiatric disorders following interpersonal trauma?. Giourou E, Skokou M, Andrew SP, Alexopoulou K, Gourzis P, Jelastopulu E. Prior substance abuse and related treatment history reported by recent victims of sexual assault. Resnick HS, Walsh K, Schumacher JA, Kilpatrick DG, Acierno R. PTSD's risky behavior criterion: Relation with DSM-5 PTSD symptom clusters and psychopathology. Posttraumatic stress disorder in adults: Impact, comorbidity, risk factors, and treatment. The dissociative subtype of posttraumatic stress disorder (PTSD) among adolescents: Co-occurring PTSD, depersonalization/derealization, and other dissociation symptoms. Diagnostic and Statistical Manual of Mental Disorders, 5th edition.Ĭhoi KR, Seng JS, Briggs EC, et al. How common is PTSD in adults?.Īmerican Psychiatric Association.
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