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The underlying dimensionality of PTSD in the diagnostic and statistical manual of mental disorders: where are we going?

Armour, Cherie (2015) The underlying dimensionality of PTSD in the diagnostic and statistical manual of mental disorders: where are we going? European Journal of Psychotraumatology, 6 . [Journal article]

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URL: http://dx.doi.org/10.3402/ejpt.v6.28074

DOI: doi:10.3402/ejpt.v6.28074

Abstract

There has been a substantial body of literature devoted to answering one question: Which latent model of posttraumatic stress disorder (PTSD) best represents PTSD’s underlying dimensionality? This research summary will, therefore, focus on the literature pertaining to PTSD’s latent structure as represented in the fourth (DSM-IV, 1994) to the fifth (DSM-5, 2013) edition of the DSM. This article will begin by providing a clear rationale as to why this is a pertinent research area, then the body of literature pertaining to the DSM-IV and DSM-IV-TR will be summarised, and this will be followed by a summary of the literature pertaining to the recently published DSM-5. To conclude, there will be a discussion with recommendations for future research directions, namely that researchers must investigate the applicability of the new DSM-5 criteria and the newly created DSM-5 symptom sets to trauma survivors. In addition, researchers must continue to endeavour to identify the “correct” constellations of symptoms within symptom sets to ensure that diagnostic algorithms are appropriate and aid in the development of targeted treatment approaches and interventions. In particular, the newly proposed DSM-5 anhedonia model, externalising behaviours model, and hybrid models must be further investigated. It is also important that researchers follow up on the idea that a more parsimonious latent structure of PTSD may exist.

Item Type:Journal article
Keywords:PTSD; CFA; DSM-IV; DSM-5
Faculties and Schools:Faculty of Life and Health Sciences
Faculty of Life and Health Sciences > School of Psychology
Research Institutes and Groups:Psychology Research Institute > Population Health Sciences and Mental Health Services
Psychology Research Institute
ID Code:33138
Deposited By: Prof Cherie Armour
Deposited On:08 Mar 2016 16:30
Last Modified:17 Oct 2017 16:21

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