An empirical investigation of definitions of subthreshold posttraumatic stress disorder.

التفاصيل البيبلوغرافية
العنوان:	An empirical investigation of definitions of subthreshold posttraumatic stress disorder.
المؤلفون:	Klein AB; Mental Health Service, VA San Diego Healthcare System, San Diego, California, USA.; Department of Psychiatry, University of California San Diego School of Medicine, San Diego, California, USA., Schnurr PP; Executive Division, National Center for PTSD, White River Junction, Vermont, USA.; Geisel School of Medicine at Dartmouth, Hanover, New Hampshire, USA., Bovin MJ; Behavioral Sciences Division, National Center for PTSD, Boston, Massachusetts, USA.; VA Boston Healthcare System, Boston, Massachusetts, USA.; Department of Psychiatry, Boston University Chobanian & Avedisian School of Medicine, Boston, Massachusetts, USA., Friedman MJ; Executive Division, National Center for PTSD, White River Junction, Vermont, USA.; Geisel School of Medicine at Dartmouth, Hanover, New Hampshire, USA., Keane TM; Behavioral Sciences Division, National Center for PTSD, Boston, Massachusetts, USA.; VA Boston Healthcare System, Boston, Massachusetts, USA.; Department of Psychiatry, Boston University Chobanian & Avedisian School of Medicine, Boston, Massachusetts, USA., Marx BP; Behavioral Sciences Division, National Center for PTSD, Boston, Massachusetts, USA.; VA Boston Healthcare System, Boston, Massachusetts, USA.; Department of Psychiatry, Boston University Chobanian & Avedisian School of Medicine, Boston, Massachusetts, USA.
المصدر:	Journal of traumatic stress [J Trauma Stress] 2024 Feb; Vol. 37 (1), pp. 113-125. Date of Electronic Publication: 2023 Nov 08.
نوع المنشور:	Journal Article; Research Support, U.S. Gov't, Non-P.H.S.
اللغة:	English
بيانات الدورية:	Publisher: Wiley Country of Publication: United States NLM ID: 8809259 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1573-6598 (Electronic) Linking ISSN: 08949867 NLM ISO Abbreviation: J Trauma Stress Subsets: MEDLINE
أسماء مطبوعة:	Publication: 2005- : Hoboken, NJ : Wiley Original Publication: New York ; London : Plenum Press, c1988-
مواضيع طبية MeSH:	Stress Disorders, Post-Traumatic/epidemiology , Veterans, Humans ; Diagnostic and Statistical Manual of Mental Disorders ; Prevalence ; Self Report
مستخلص:	Subthreshold posttraumatic stress disorder (PTSD) has long been recognized as an important construct that identifies a subgroup of individuals who report significant PTSD symptoms and associated disability but do not endorse enough symptoms to meet the criteria for a full PTSD diagnosis. Different investigators have defined subthreshold PTSD in various ways, making it difficult to interpret findings across studies. To address this problem, we systematically compared individuals who met criteria for nine different subthreshold PTSD definitions with individuals diagnosed with either full PTSD or no PTSD (i.e., failed to meet the criteria for a subthreshold definition) with respect to prevalence and associated clinical outcomes of interest. Participants were 1,082 veterans enrolled in the Veterans After Discharge Longitudinal Registry. PTSD and subthreshold PTSD diagnostic status were determined using the Structured Clinical Interview for DSM-5 (SCID-5) and validated self-report instruments were used to assess clinical outcomes. Across outcomes, subthreshold definitions generally identified a group of participants that was distinguishable from participants in both the PTSD and no PTSD groups, rs = .02-.47. We discuss the benefits and drawbacks of various subthreshold definitions and highlight the need for additional work evaluating these definitions across additional outcomes and samples. In the interim, we propose a working case definition of subthreshold PTSD as meeting any three of the four DSM-5 symptom criteria (i.e., Criteria B, C, D, and E) along with Criterion A and Criteria F-H. The results suggest subthreshold PTSD is a clinically meaningful construct. (Published 2023. This article is a U.S. Government work and is in the public domain in the USA.)
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معلومات مُعتمدة:	W81XWH-08-2-0100 U.S. Department of Defense; W81XWH-08-2-0102 U.S. Department of Defense
تواريخ الأحداث:	Date Created: 20231108 Date Completed: 20240214 Latest Revision: 20240610
رمز التحديث:	20240610
DOI:	10.1002/jts.22987
PMID:	37937636
قاعدة البيانات:	MEDLINE

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تدمد:	1573-6598
DOI:	10.1002/jts.22987