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Comparing the Diagnosis of PTSD When Assessing Worst Versus Multiple Traumatic Events in a Chronically Mentally Ill Sample
Comparing the Diagnosis of PTSD When Assessing Worst Versus Multiple Traumatic Events in a Chronically Mentally Ill Sample JOURNAL OF TRAUMATIC STRESS Simpson, T. L., Comtois, K., Moore, S. A., Kaysen, D. 2011; 24 (3): 361–64Abstract
Despite interest in the nature of the traumatic event required to meet Criterion A for posttraumatic stress disorder (PTSD) as defined in the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV; American Psychiatric Association, 1994), little attention has been paid to the diagnostic ramifications of linking PTSD symptoms to a single traumatic event in the context of multiple trauma exposures. In this study, 67 dually diagnosed clients with at least 2 potential Criterion A traumatic events completed the Posttraumatic Stress Diagnostic Scale twice, in counterbalanced order: once regarding their worst event and once regarding all events. When responding regarding their worst trauma, 53.7% met probable PTSD criteria. This rose to 67.2% when considering all traumas. Although preliminary, these results suggest that linking PTSD symptoms to a single traumatic event excludes a meaningful number of cases who are otherwise indistinguishable based on symptom profile.
View details for DOI 10.1002/jts.20647
View details for Web of Science ID 000291350300017
View details for PubMedID 21594901