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创伤后应激障碍不同诊断标准的影响支持了部分创伤后应激障碍的概念。

Effects of varying diagnostic criteria for posttraumatic stress disorder are endorsing the concept of partial PTSD.

作者信息

Schützwohl M, Maercker A

机构信息

Dresden University of Technology, Germany.

出版信息

J Trauma Stress. 1999 Jan;12(1):155-65. doi: 10.1023/A:1024706702133.

Abstract

The purpose of the present study was to investigate the appropriateness of different diagnostic criteria sets for posttraumatic stress disorder (PTSD). This was done by varying diagnostic criteria on the diagnosis of PTSD in a study group of N = 146 former political prisoners, and comparing the resulting diagnostic groups with a study group of N = 75 nontraumatized controls with regard to mean scores on measures of subjective distress (i.e., IES-R, BDI, BAI, SCL-90-R). The findings did not support the diagnostic boundaries as defined by the DSM-IV or the lowering of the avoidance criterion from three to two symptoms. The concept of partial PTSD appeared to be the most appropriate way to provide diagnostic coverage for those who did not meet full DSM IV criteria.

摘要

本研究的目的是调查不同创伤后应激障碍(PTSD)诊断标准集的适用性。在一个由N = 146名前政治犯组成的研究组中,通过改变PTSD诊断的标准,并将所得诊断组与一个由N = 75名未受创伤的对照组在主观痛苦测量指标(即IES-R、BDI、BAI、SCL-90-R)的平均得分方面进行比较来实现这一目的。研究结果不支持《精神疾病诊断与统计手册》第四版(DSM-IV)所定义的诊断界限,也不支持将回避标准从三条症状降低到两条症状。部分PTSD的概念似乎是为那些未达到完整DSM-IV标准的人提供诊断覆盖的最合适方式。

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