This work was supported by the Substance Abuse and Mental Health Services Administration (SAMSHA), US Department of Health and Human Services (DHHS). The views, opinions, and content are those of the authors, and do not necessarily reflect those of SAMHSA or DHHS.
Regular Article/Highlights of the ISTSS 2008 Annual Meeting
DSM-V PTSD diagnostic criteria for children and adolescents: A developmental perspective and recommendations†
Article first published online: 24 SEP 2009
Copyright © 2009 International Society for Traumatic Stress Studies
Journal of Traumatic Stress
Special Issue: Highlights of the ISTSS 2008 Annual Meeting
Volume 22, Issue 5, pages 391–398, October 2009
How to Cite
Pynoos, R. S., Steinberg, A. M., Layne, C. M., Briggs, E. C., Ostrowski, S. A. and Fairbank, J. A. (2009), DSM-V PTSD diagnostic criteria for children and adolescents: A developmental perspective and recommendations. J. Traum. Stress, 22: 391–398. doi: 10.1002/jts.20450
Appendix A contributors: Alicia F. Lieberman, University of California San Francisco, Department of Psychiatry; Frank W. Putnam, Cincinnati Children's Hospital Medical Center; Bradley C. Stolbach, LaRabida Children's Hospital, Chicago Child Trauma Center; Douglas F. Zatzick, University of Washington at Harborview, Department of Psychiatry and Behavioral Sciences. Preston Finley assisted with manuscript preparation. Reprinted with permission from the Proposed DSM-5 Draft, American Psychiatric Association (Copyright © 2009). Proposed DSM-5 Diagnostic Criteria and any DSM-5 draft materials are not final. (The online version of this article was amended on February 5, 2013, to include the preceding acknowledgment of copyright and permission.)
- Issue published online: 19 OCT 2009
- Article first published online: 24 SEP 2009
Vol. 26, Issue 1, 173, Article first published online: 5 FEB 2013
The Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-V) should ensure systematic attention to age-specific manifestations and selective modifications of the diagnostic criteria for posttraumatic stress disorder (PTSD) among children and adolescents. The authors propose developmental refinements to the conceptual framework for PTSD based on an appreciation of the different neurosignatures of danger and safety, and maturational processes that underlie symptom presentation. This includes preliminary evidence for the developmental salience of additional dimensions for PTSD (e.g., recklessness and thrill-seeking). The authors provide conservative recommendations for DSM-V diagnostic criteria that primarily highlight age-related developmental manifestations that, if included in the accompanying text, would bring a richer appreciation of developmentally linked symptom presentations.