El ajuste del modelo fue similar en ambos conjuntos de criterios. Además, el TEPT definido por los criterios preescolares fue asociado significativamente con más factores de riesgo que TEPT definido por los criterios de adultos. El efecto de incluir el deterioro en los criterios diagnósticos fue más intenso para los criterios preescolares. Aunque los niños que cumplieron ambos criterios reportaron el mayor deterioro funcional, los niños identificados solamente por los criterios preescolares reportaron más deterioro que los niños no diagnosticados. Los criterios preescolares identificaron todos los niños diagnosticados usando los criterios de adultos y muchos más. Resultados: Aproximadamente el doble de niños fueron diagnosticados con TEPT usando los criterios preescolares del DSM-5 comparado a los de adultos. Método: Niños expuestos al huracán Ike ( N = 327) fueron evaluados respecto a los síntomas de TEPT, ocho meses después del desastre. Further research is needed to optimize developmentally-appropriate PTSD criteria for school-age children.Īntecedentes/Objetivo: Examinar el uso los criterios preescolares del DSM-5 para diagnosticar el trastorno de estrés postraumático (TEPT) en niños de edad escolar (7-11 años). Conclusions: The preschool criteria may be advantageous for screening for PTSD risk in school-age children. Model fit was similar for both sets of criteria. Additionally, PTSD defined by the preschool criteria was significantly associated with more PTSD risk factors than PTSD as defined by the adult criteria.

The effect of including impairment in the diagnostic criteria was more marked for the preschool criteria than for the adult criteria. Although children who met both the adult and the preschool criteria reported the most functional impairment, children identified by the preschool criteria only reported greater impairment than children not diagnosed. The preschool criteria identified all children diagnosed by the adult criteria and many additional children. Results: About twice as many children were identified as having PTSD using the DSM-5 preschool criteria compared to the DSM-5 adult criteria. Method: Children exposed to Hurricane Ike ( N = 327) were assessed for symptoms of PTSD and other trauma-related factors eight months post-disaster. The disturbance causes clinically significant distress or impairment in social, occupational, or other important areas of functioning.Background/Objective: To examine the effect of using the DSM-5 preschool criteria to diagnose posttraumatic stress disorder (PTSD) in school-age children (ages 7-11). Duration of the disturbance (symptoms in Criteria B, C, and D) is more than 1 month.į. Persistent symptoms of increased arousal (not present before the trauma), as indicated by two (or more) of the following:Į. Sense of a foreshortened future (e.g., does not expect to have a career, marriage, children, or a normal life span)ĭ. Restricted range of affect (e.g., unable to have loving feelings) Markedly diminished interest or participation in significant activitiesįeeling of detachment or estrangement from others Inability to recall an important aspect of the trauma Persistent avoidance of stimuli associated with the trauma and numbing of general responsiveness (not present before the trauma), as indicated by three (or more) of the following:Įfforts to avoid thoughts, feelings, or conversations associated with the traumaĮfforts to avoid activities, places, or people that arouse recollections of the trauma Physiological reactivity on exposure to internal or external cues that symbolize or resemble an aspect of the traumatic eventĬ. Intense psychological distress at exposure to internal or external cues that symbolize or resemble an aspect of the traumatic event

Recurrent distressing dreams of the eventĪcting or feeling as if the traumatic event were recurring (includes a sense of reliving the experience, illusions, hallucinations, and dissociative flashback episodes, including those that occur on awakening or when intoxicated)

Recurrent and intrusive distressing recollections of the event, including images, thoughts, or perceptions

The traumatic event is persistently reexperienced in one (or more) of the following ways: The person’s response involved intense fear, helplessness, or horror.ī. The person experienced, witnessed, or was confronted with an event or events that involved actual or threatened death or serious injury, or a threat to the physical integrity of self or others. The person has been exposed to a traumatic event in which both of the following were present:

Apa dsm 5 criteria for ptsd