4/7/2024 0 Comments Dsm 5 ptsd criteria children![]() Second, in a prospective design, Meiser-Stedman et al. ![]() A mean of 10.0 symptoms is higher than in most adults diagnosed with PTSD (5), and as prior studies have concluded, it seems implausible that children who have so many PTSD symptoms and impairment are unable to receive a DSM-IV diagnosis. The mean number of DSM-IV symptoms in children diagnosed with the alternative criteria was 10.0, indicating that these children were severely symptomatic even though fewer criteria were necessary to make a diagnosis using the alternative criteria. The rate of PTSD diagnosis by the alternative criteria was 10.0%, compared with 1.7% by the DSM-IV criteria. At least six contributions of this study are worth highlighting.įirst, this is one of the larger studies to date on this issue. (4) assessed 60 children 2–6 years old and 49 children 7–10 years old 2–4 weeks after traumatic motor vehicle accidents and again 6 months later on both the DSM-IV criteria and the alternative criteria. Note that lowering the threshold for criterion C has been suggested even for adults, because highly symptomatic and impaired adults could not be given the diagnosis if they had only two criterion C symptoms (3). Criterion C includes either symptoms that are highly internalized and difficult to detect if they are present in young children with emerging verbal capacities (e.g., avoidance of internal thoughts or feelings) or symptoms that are developmentally implausible at this age (e.g., sense of a foreshortened future). Consensus was reached among experts to modify wording and to lower the requirement for criterion C (numbing and avoidance items) from three of seven symptoms to just one (2). The proposed alternative criteria include modifications in wording for four symptoms to make them developmentally sensitive to young children without changing the essence of the symptoms ( Table 1 ). However, an empirically derived alternative set of criteria for preschool children appears valid for reliably diagnosing PTSD. Can preschool children develop posttraumatic stress disorder (PTSD)? If so, are the DSM-IV criteria developmentally sensitive enough to diagnose the disorder in this group? Nine studies have addressed these questions, finding consistently that the answer to the former question is yes, and to the latter, no (1).
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