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Disorders of extreme stress: The empirical foundation of a complex adaptation to trauma.

Publication ,  Journal Article
van der Kolk, BA; Roth, S; Pelcovitz, D; Sunday, S; Spinazzola, J
Published in: Journal of traumatic stress
October 2005

Children and adults exposed to chronic interpersonal trauma consistently demonstrate psychological disturbances that are not captured in the posttraumatic stress disorder (PTSD) diagnosis. The DSM-IV (American Psychiatric Association, 1994) Field Trial studied 400 treatment-seeking traumatized individuals and 128 community residents and found that victims of prolonged interpersonal trauma, particularly trauma early in the life cycle, had a high incidence of problems with (a) regulation of affect and impulses, (b) memory and attention, (c) self-perception, (d) interpersonal relations, (e) somatization, and (f) systems of meaning. This raises important issues about the categorical versus the dimensional nature of posttraumatic stress, as well as the issue of comorbidity in PTSD. These data invite further exploration of what constitutes effective treatment of the full spectrum of posttraumatic psychopathology.

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Published In

Journal of traumatic stress

DOI

EISSN

1573-6598

ISSN

0894-9867

Publication Date

October 2005

Volume

18

Issue

5

Start / End Page

389 / 399

Related Subject Headings

  • Surveys and Questionnaires
  • Stress, Psychological
  • Stress Disorders, Post-Traumatic
  • Severity of Illness Index
  • Psychiatry
  • Personality Disorders
  • Male
  • Life Change Events
  • Interview, Psychological
  • Interpersonal Relations
 

Citation

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van der Kolk, B. A., Roth, S., Pelcovitz, D., Sunday, S., & Spinazzola, J. (2005). Disorders of extreme stress: The empirical foundation of a complex adaptation to trauma. Journal of Traumatic Stress, 18(5), 389–399. https://doi.org/10.1002/jts.20047
Kolk, Bessel A. van der, Susan Roth, David Pelcovitz, Susanne Sunday, and Joseph Spinazzola. “Disorders of extreme stress: The empirical foundation of a complex adaptation to trauma.Journal of Traumatic Stress 18, no. 5 (October 2005): 389–99. https://doi.org/10.1002/jts.20047.
van der Kolk BA, Roth S, Pelcovitz D, Sunday S, Spinazzola J. Disorders of extreme stress: The empirical foundation of a complex adaptation to trauma. Journal of traumatic stress. 2005 Oct;18(5):389–99.
van der Kolk, Bessel A., et al. “Disorders of extreme stress: The empirical foundation of a complex adaptation to trauma.Journal of Traumatic Stress, vol. 18, no. 5, Oct. 2005, pp. 389–99. Epmc, doi:10.1002/jts.20047.
van der Kolk BA, Roth S, Pelcovitz D, Sunday S, Spinazzola J. Disorders of extreme stress: The empirical foundation of a complex adaptation to trauma. Journal of traumatic stress. 2005 Oct;18(5):389–399.
Journal cover image

Published In

Journal of traumatic stress

DOI

EISSN

1573-6598

ISSN

0894-9867

Publication Date

October 2005

Volume

18

Issue

5

Start / End Page

389 / 399

Related Subject Headings

  • Surveys and Questionnaires
  • Stress, Psychological
  • Stress Disorders, Post-Traumatic
  • Severity of Illness Index
  • Psychiatry
  • Personality Disorders
  • Male
  • Life Change Events
  • Interview, Psychological
  • Interpersonal Relations