National Center for PTSD, White River Junction, Vermont, USA; Geisel School of Medicine at Dartmouth, Hanover, New Hampshire, USA.
J Trauma Stress. 2013 Oct;26(5):567-9. doi: 10.1002/jts.21847.
The greater emphasis on scientific evidence and the high threshold for changing any criterion in the Diagnostic and Statistical Manual for Mental Disorders (4th ed., DSM-IV) probably account for many key differences between the DSM-5 and the International Classification of Diseases and Related Health Problems (11th ver.; ICD-11) with regard to diagnostic criteria for posttraumatic stress disorder (PTSD). Important questions about PTSD remain that can only be settled by future research. Additional research is also needed on subthreshold PTSD, a dissociative subtype described in the DSM-5; complex PTSD, included in the ICD-11; bereavement-related disorders; and adjustment disorders. We can all look forward to such scientific advances to inform our ongoing efforts to develop the best diagnostic criteria for trauma- and stressor-related disorders.
对科学证据的高度重视以及在《精神障碍诊断与统计手册（第四版）》（DSM-IV）中更改任何标准的高门槛，可能是 DSM-5 与《国际疾病分类与相关健康问题统计分类（第十一次修订版）》（ICD-11）在创伤后应激障碍（PTSD）诊断标准方面存在诸多关键差异的原因。关于 PTSD，仍有一些重要问题有待未来研究解决。对于 DSM-5 中描述的阈下 PTSD、ICD-11 中包含的复杂 PTSD、丧亲相关障碍以及适应障碍，也需要进一步研究。我们都期待着这些科学进展，为我们不断努力制定创伤和应激相关障碍的最佳诊断标准提供信息。
