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Posttraumatic stress disorder according to DSM-5 and DSM-IV diagnostic criteria : a comparison in a sample of Congolese ex-combatants

Posttraumatic stress disorder according to DSM-5 and DSM-IV diagnostic criteria : a comparison in a sample of Congolese ex-combatants

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Prüfsumme: MD5:95f09813691ba17ec2f6f79bea7dcb27

SCHAAL, Susanne, Anke KOEBACH, Harald HINKEL, Thomas ELBERT, 2015. Posttraumatic stress disorder according to DSM-5 and DSM-IV diagnostic criteria : a comparison in a sample of Congolese ex-combatants. In: European Journal of Psychotraumatology. 6, 24981. ISSN 2000-8198. eISSN 2000-8066

@article{Schaal2015Postt-31050, title={Posttraumatic stress disorder according to DSM-5 and DSM-IV diagnostic criteria : a comparison in a sample of Congolese ex-combatants}, year={2015}, doi={10.3402/ejpt.v6.24981}, volume={6}, issn={2000-8198}, journal={European Journal of Psychotraumatology}, author={Schaal, Susanne and Koebach, Anke and Hinkel, Harald and Elbert, Thomas}, note={Article Number: 24981} }

Schaal, Susanne 2015-05-28T11:59:24Z Schaal, Susanne Koebach, Anke Posttraumatic stress disorder according to DSM-5 and DSM-IV diagnostic criteria : a comparison in a sample of Congolese ex-combatants Elbert, Thomas Background: Compared to DSM-IV, the criteria for diagnosing posttraumatic stress disorder (PTSD) have been modified in DSM-5.<br /><br />Objective: The first aim of this study was to examine how these modifications impact rates of PTSD in a sample of Congolese ex-combatants. The second goal of this study was to investigate whether PTSD symptoms were associated with perpetrator-related acts or victim-related traumatic events.<br /><br />Method: Ninety-five male ex-combatants in the eastern Democratic Republic of Congo were interviewed. Both the DSM-IV and the DSM-5 PTSD symptom criteria were assessed.<br /><br />Results: The DSM-5 symptom criteria yielded a PTSD rate of 50% (n=47), whereas the DSM-IV symptom criteria were met by 44% (n=42). If the DSM-5 would be set as the current “gold standard,” then DSM-IV would have produced more false negatives (8%) than false positives (3%). A minority of participants (19%, n=18) indicated an event during which they were involved as a perpetrator as their most stressful event. Results of a regression analysis (R2=0.40) showed that, after accounting for the number of types of traumatic events, perpetrated violent acts were not associated with the symptom severity of PTSD.<br /><br />Conclusions: The findings demonstrate that more diagnostic cases were produced with the DSM-5 diagnostic rules than were dropped resulting in an increase in PTSD rates compared to the DSM-IV system. The missing association between PTSD symptoms and perpetrated violent acts might be explained by a potential fascinating and excited perception of these acts. eng Elbert, Thomas 2015-05-28T11:59:24Z Hinkel, Harald Hinkel, Harald Koebach, Anke 2015

Dateiabrufe seit 28.05.2015 (Informationen über die Zugriffsstatistik)

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