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Classification of trauma and stressor-related disorders in DSM-5.

Publication ,  Journal Article
Friedman, MJ; Resick, PA; Bryant, RA; Strain, J; Horowitz, M; Spiegel, D
Published in: Depress Anxiety
September 2011

This review examines the question of whether there should be a cluster of disorders, including the adjustment disorders (ADs), acute stress disorder (ASD), posttraumatic stress disorder (PTSD), and the dissociative disorders (DDs), in a section devoted to abnormal responses to stress and trauma in the DSM-5. Environmental risk factors, including the individual's developmental experience, would thus become a major diagnostic consideration. The relationship of these disorders to one another is examined and also their relationship to other anxiety disorders to determine whether they are better grouped with anxiety disorders or a new specific grouping of trauma and stressor-related disorders. First how stress responses have been classified since DSM-III is reviewed. The major focus is on PTSD because it has received the most attention, regarding its proper placement among the psychiatric diagnoses. It is discussed whether PTSD should be considered an anxiety disorder, a stress-induced fear circuitry disorder, an internalizing disorder, or a trauma and stressor-related disorder. Then, ASD, AD, and DD are considered from a similar perspective. Evidence is examined pro and con, and a conclsion is offered recommending inclusion of this cluster of disorders in a section entitled "Trauma and Stressor-Related Disorders." The recommendation to shift ASD and PTSD out of the anxiety disorders section reflects increased recognition of trauma as a precipitant, emphasizing common etiology over common phenomenology. Similar considerations are addressed with regard to AD and DD.

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Published In

Depress Anxiety

DOI

EISSN

1520-6394

Publication Date

September 2011

Volume

28

Issue

9

Start / End Page

737 / 749

Location

United States

Related Subject Headings

  • Stress Disorders, Traumatic, Acute
  • Stress Disorders, Post-Traumatic
  • Risk Factors
  • Psychiatry
  • Internal-External Control
  • Humans
  • Dissociative Disorders
  • Diagnostic and Statistical Manual of Mental Disorders
  • Diagnosis, Differential
  • Depressive Disorder
 

Citation

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Friedman, M. J., Resick, P. A., Bryant, R. A., Strain, J., Horowitz, M., & Spiegel, D. (2011). Classification of trauma and stressor-related disorders in DSM-5. Depress Anxiety, 28(9), 737–749. https://doi.org/10.1002/da.20845
Friedman, Matthew J., Patricia A. Resick, Richard A. Bryant, James Strain, Mardi Horowitz, and David Spiegel. “Classification of trauma and stressor-related disorders in DSM-5.Depress Anxiety 28, no. 9 (September 2011): 737–49. https://doi.org/10.1002/da.20845.
Friedman MJ, Resick PA, Bryant RA, Strain J, Horowitz M, Spiegel D. Classification of trauma and stressor-related disorders in DSM-5. Depress Anxiety. 2011 Sep;28(9):737–49.
Friedman, Matthew J., et al. “Classification of trauma and stressor-related disorders in DSM-5.Depress Anxiety, vol. 28, no. 9, Sept. 2011, pp. 737–49. Pubmed, doi:10.1002/da.20845.
Friedman MJ, Resick PA, Bryant RA, Strain J, Horowitz M, Spiegel D. Classification of trauma and stressor-related disorders in DSM-5. Depress Anxiety. 2011 Sep;28(9):737–749.
Journal cover image

Published In

Depress Anxiety

DOI

EISSN

1520-6394

Publication Date

September 2011

Volume

28

Issue

9

Start / End Page

737 / 749

Location

United States

Related Subject Headings

  • Stress Disorders, Traumatic, Acute
  • Stress Disorders, Post-Traumatic
  • Risk Factors
  • Psychiatry
  • Internal-External Control
  • Humans
  • Dissociative Disorders
  • Diagnostic and Statistical Manual of Mental Disorders
  • Diagnosis, Differential
  • Depressive Disorder