Beyond PTSD: Client presentations of developmental trauma disorder from a national survey of clinicians
| Autor: | Jonathan DePierro, Erin Stafford, Scott McKernan, Julian D. Ford, Glenn N. Saxe, Bessel A. van der Kolk, Wendy D'Andrea, Bradley C. Stolbach, Joseph Spinazzola |
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| Rok vydání: | 2022 |
| Předmět: |
Adult
050103 clinical psychology Adolescent Social Psychology MEDLINE Comorbidity PsycINFO Stress Disorders Post-Traumatic Young Adult 03 medical and health sciences 0302 clinical medicine mental disorders Humans Medicine 0501 psychology and cognitive sciences 030212 general & internal medicine Young adult Medical diagnosis Child Association (psychology) business.industry Data Collection 05 social sciences medicine.disease Diagnostic and Statistical Manual of Mental Disorders Clinical Psychology Posttraumatic stress Child Preschool Existing Treatment business Clinical psychology |
| Zdroj: | Psychological Trauma: Theory, Research, Practice, and Policy. 14:1167-1174 |
| ISSN: | 1942-969X 1942-9681 |
| DOI: | 10.1037/tra0000532 |
| Popis: | Objective The emergence of updated Diagnostic and Statistical Manual of Mental Disorders (5th ed. [DSM-5]; American Psychiatric Association, 2013) criteria for posttraumatic stress disorder (PTSD), which includes modified criteria for young children, raises questions regarding the need for developmentally appropriate standalone psychiatric diagnosis encompassing complex trauma presentations in children. The present study addresses these questions by examining how DSM-5 PTSD and proposed developmental trauma disorder (DTD) diagnoses relate to functional impairment and trauma exposure using clinician-report surveys. Method We surveyed psychotherapists across the United States, and asked them to report on the symptom characteristics, functional impairment, and trauma exposure of children, adolescents, and young adults under their care (n = 210; age range = 2-21). We fit symptom data to the draft criteria for (1) DTD, a proposed trauma diagnosis for children and (2) existing criteria for adult and child/preschool PTSD. Results Results indicated that comorbidity between DTD and PTSD was high (52.4% and 59.9% for adult and child/preschool criteria, respectively). Comorbid DTD/PTSD and DTD-alone groups had more functional domains impacted and greater exposure to some types of trauma relative to the other groups. Conclusions These findings speak to the relationship between trauma complexity and wide-ranging symptom presentations, provide support for research and clinical emphasis on a developmentally informed diagnosis, and may support existing treatment approaches. (PsycInfo Database Record (c) 2020 APA, all rights reserved). |
| Databáze: | OpenAIRE |
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