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The greater emphasis on scientific evidence and the high threshold for changing any criterion in the Diagnostic and Statistical Manual for Mental Disorders (4th ed., DSM-IV) probably account for many key differences between the DSM-5 and the International Classification of Diseases and Related Health Problems (11th ver.; ICD-11) with regard to diagnostic criteria for posttraumatic stress disorder (PTSD). Important questions about PTSD remain that can only be settled by future research. Additional research is also needed on subthreshold PTSD, a dissociative subtype described in the DSM-5; complex PTSD, included in the ICD-11; bereavement-related disorders; and adjustment disorders. We can all look forward to such scientific advances to inform our ongoing efforts to develop the best diagnostic criteria for trauma- and stressor-related disorders.

Traditional and Simplified Chinese Abstracts by AsianSTSS

標題:DSM-5的PTSD:答覆Brewin(2013) ,Kilpatrick(2013) ,及Maercker & Perkonigg(2013)

撮要:對科學實証的高要求,和對更改精神疾病診斷及統計手冊(第四版,DSM-Ⅳ)內DSM-Ⅳ準則的高門檻,這些可能構成DSM-5和國際疾病分類手冊(第十一版)(ICD-11)之間對創傷後壓力症(PTSD)診斷準則的許多重要分歧的原因。但是很多有關PTSD的重要疑問只可在未來研究中解答,而且對亞閾值PTSD,DSM-5的解離類別,ICD-11的複雜PTSD,喪親相連疾病和適應障礙必須研究更多。我們期望科學進步有助發展創傷和壓力相關障礙的最佳診斷準則。

标题:DSM-5的PTSD:答复Brewin(2013) ,Kilpatrick(2013) ,及Maercker & Perkonigg(2013)

撮要:对科学实证的高要求,和对更改精神疾病诊断及统计手册(第四版,DSM-Ⅳ)内DSM-Ⅳ准则的高门坎,这些可能构成DSM-5和国际疾病分类手册(第十一版)(ICD-11)之间对创伤后压力症(PTSD)诊断准则的许多重要分歧的原因。但是很多有关PTSD的重要疑问只可在未来研究中解答,而且对亚阈值PTSD,DSM-5的解离类别,ICD-11的复杂PTSD,丧亲相连疾病和适应障碍必须研究更多。我们期望科学进步有助发展创伤和压力相关障碍的最佳诊断准则。