DSM-V PTSD diagnostic criteria for children and adolescents: a developmental perspective and recommendations.

Journal Article (Journal Article)

The Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-V) should ensure systematic attention to age-specific manifestations and selective modifications of the diagnostic criteria for posttraumatic stress disorder (PTSD) among children and adolescents. The authors propose developmental refinements to the conceptual framework for PTSD based on an appreciation of the different neurosignatures of danger and safety, and maturational processes that underlie symptom presentation. This includes preliminary evidence for the developmental salience of additional dimensions for PTSD (e.g., recklessness and thrill-seeking). The authors provide conservative recommendations for DSM-V diagnostic criteria that primarily highlight age-related developmental manifestations that, if included in the accompanying text, would bring a richer appreciation of developmentally linked symptom presentations.

Full Text

Duke Authors

Cited Authors

  • Pynoos, RS; Steinberg, AM; Layne, CM; Briggs, EC; Ostrowski, SA; Fairbank, JA

Published Date

  • October 2009

Published In

Volume / Issue

  • 22 / 5

Start / End Page

  • 391 - 398

PubMed ID

  • 19780125

Electronic International Standard Serial Number (EISSN)

  • 1573-6598

Digital Object Identifier (DOI)

  • 10.1002/jts.20450


  • eng

Conference Location

  • United States