Clinical, Educational, and Health Psychology, University College London, London, United Kingdom.
J Trauma Stress. 2013 Oct;26(5):557-9. doi: 10.1002/jts.21843.
This commentary briefly summarizes some of the criticism directed at the diagnosis of posttraumatic stress disorder (PTSD) according to the Diagnostic and Statistical Manual of Mental Disorders (5th ed.) including the issues of complexity and comorbidity, and offers a rationale for attempting a simpler approach to diagnosis that can be used in minimally resourced, non-English-speaking countries. Rather than describe comprehensively the features of PTSD, the World Health Organization in its upcoming edition of the International Classification of Diseases has opted to define a much smaller number of symptoms that will effectively discriminate PTSD from other related conditions. Parallel research on the two approaches to diagnosis promises to add greatly to our understanding of the condition.
这篇评论简要总结了一些针对根据《精神障碍诊断与统计手册》(第五版)诊断创伤后应激障碍(PTSD)的批评,包括复杂性和共病性问题,并为尝试更简单的诊断方法提供了理由,这种方法可用于资源有限、非英语国家。世界卫生组织在即将出版的《国际疾病分类》中,选择定义更少的症状来有效地区分 PTSD 与其他相关疾病,而不是全面描述 PTSD 的特征。对这两种诊断方法的平行研究有望极大地增进我们对这种疾病的理解。