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Research suggests that Criterion A2 did not improve diagnostic accuracy (2).

Criterion A2, requiring that the response to a traumatic event involved intense fear, hopelessness, or horror, was removed from DSM-5.

The revision of Criterion A1 in DSM-5 narrowed qualifying traumatic events such that the unexpected death of family or a close friend due to natural causes is no longer included.

Overall, the symptoms of PTSD are generally comparable between DSM-5 and DSM-IV. Note: DSM-5 introduced a preschool subtype of PTSD for children ages six years and younger.īack to Top How Do the DSM-5 PTSD Symptoms Compare to DSM-IV Symptoms?

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Full diagnostic criteria are not met until at least six months after the trauma(s), although onset of symptoms may occur immediately. Experience of unreality, distance, or distortion (e.g., "things are not real"). Experience of being an outside observer of or detached from oneself (e.g., feeling as if "this is not happening to me" or one were in a dream). In addition to meeting criteria for diagnosis, an individual experiences high levels of either of the following in reaction to trauma-related stimuli:

Difficulty experiencing positive affectĬriterion E (two required): Trauma-related arousal and reactivity that began or worsened after the trauma, in the following way(s):Ĭriterion F (required): Symptoms last for more than 1 month.Ĭriterion G (required): Symptoms create distress or functional impairment (e.g., social, occupational).Ĭriterion H (required): Symptoms are not due to medication, substance use, or other illness.

Exaggerated blame of self or others for causing the trauma.

Overly negative thoughts and assumptions about oneself or the world.

Inability to recall key features of the trauma.Physical reactivity after exposure to traumatic remindersĬriterion C (one required): Avoidance of trauma-related stimuli after the trauma, in the following way(s):Ĭriterion D (two required): Negative thoughts or feelings that began or worsened after the trauma, in the following way(s):.Emotional distress after exposure to traumatic reminders.

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Indirect exposure to aversive details of the trauma, usually in the course of professional duties (e.g., first responders, medics)Ĭriterion B (one required): The traumatic event is persistently re-experienced, in the following way(s):.Learning that a relative or close friend was exposed to a trauma.The following text summarizes the diagnostic criteria:Ĭriterion A (one required): The person was exposed to: death, threatened death, actual or threatened serious injury, or actual or threatened sexual violence, in the following way(s): All of the criteria are required for the diagnosis of PTSD.

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VA Software Documentation Library (VDL)Ĭriteria for PTSD How Do the DSM-5 PTSD Symptoms Compare to DSM-IV Symptoms? What Are the Implications of the DSM-5 Revisions on PTSD Prevalence? References DSM-5 Criteria for PTSDįull copyrighted criteria are available from the American Psychiatric Association (1).Clinical Trainees (Academic Affiliations).War Related Illness & Injury Study Center.