Faculty Opinions recommendation of Diagnostic accuracy and acceptability of the primary care posttraumatic stress disorder screen for the diagnostic and statistical manual of mental disorders (fifth edition) among US veterans.

2021 ◽  
Author(s):  
Jaimie Gradus
Keyword(s):  
Primary Care ◽  
Posttraumatic Stress Disorder ◽  
Mental Disorders ◽  
Diagnostic Accuracy ◽  
Posttraumatic Stress ◽  
Stress Disorder ◽  
Statistical Manual ◽  
Diagnostic And Statistical Manual ◽  
Us Veterans

The Clenching-Grinding Spectrum and Fear Circuitry Disorders: Clinical Insights from the Neuroscience/Paleoanthropology Interface

CNS Spectrums ◽  
2005 ◽  
Vol 10 (4) ◽  
pp. 311-318 ◽  
Author(s):  
H. Stefan Bracha ◽  
Tyler C. Ralston ◽  
Andrew E. Williams ◽  
Jennifer M. Yamashita ◽  
Adam S. Bracha
Keyword(s):  
Posttraumatic Stress Disorder ◽  
Mental Disorders ◽  
Posttraumatic Stress ◽  
Stress Disorder ◽  
Homo Sapiens ◽  
Chronic Fatigue ◽  
Self Report ◽  
Statistical Manual ◽  
Diagnostic And Statistical Manual ◽  
Spectrum Disorders

AbstractThis review discusses the clenching-grinding spectrum from the neuropsychiatric/neuroevolutionary perspective. In neuropsychiatry, signs of jaw clenching may be a useful objective marker for detecting or substantiating a self-report of current subjective emotional distress. Similarly, accelerated tooth wear may be an objective clinical sign for detecting, or substantiating, long-lasting anxiety. Clenching-grinding behaviors affect at least 8% of the population. We argue that during the early paleolithic environment of evolutionary adaptedness, jaw clenching was an adaptive trait because it rapidly strengthened the masseter and temporalis muscles, enabling a stronger, deeper and therefore more lethal bite in expectation of conflict(warfare)with conspecifics. Similarly, sharper incisors produced by teeth grinding may have served as weaponry during early human combat. We posit that alleles predisposing to fear-induced clenching-grinding were evolutionarily conserved in the human clade (lineage) since they remained adaptive for anatomically and mitochondrially modern humans (Homo sapiens) well into the mid-paleolithic. Clenching-grinding, sleep bruxism, myofacial pain, craniomaxillofacial musculoskeletal pain, temporomandibular disorders, oro-facial pain, and the fibromyalgia/chronic fatigue spectrum disorders are linked. A 2003 Cochrane meta-analysis concluded that dental procedures for the above spectrum disorders are not evidence based. There is a need for early detection of clenching-grinding in anxiety disorder clinics and for research into science-based interventions. Finally, research needs to examine the possible utility of incorporating physical signs intoDiagnostic and Statistical Manual of Mental Disorders, Fifth Editionposttraumatic stress disorder diagnostic criteria. One of the diagnostic criterion that may need to undergo a revision inDiagnostic and Statistical Manual of Mental Disorders, Fifth Editionis Criterion D (persistent fear-circuitry activation not present before the trauma). Grinding-induced incisor wear, and clenching-induced palpable masseter tenderness may be examples of such objective physical signs of persistent fear-circuitry activation (posttraumatic stress disorder Criterion D).

scholarly journals Beyond PTSD

2021 ◽  
pp. 83-111
Author(s):  
Gail Theisen-Womersley
Keyword(s):  
Posttraumatic Stress Disorder ◽  
Mental Disorders ◽  
Mass Media ◽  
Posttraumatic Stress ◽  
American Psychiatric Association ◽  
Stress Disorder ◽  
Clinical Applications ◽  
Statistical Manual ◽  
Diagnostic And Statistical Manual

AbstractPTSD as a disorder was first introduced as a diagnosis by the American Psychiatric Association (American Psychiatric Association (APA), Diagnostic and statistical manual of mental disorders 1980) in the DSM III in 1980, with interest in it booming to such an extent thereafter that it was referred to in mass media as “the disorder of the 1990s” (Marsella et al., Ethnocultural aspects of posttraumatic stress disorder: Issues, research, and clinical applications, 1996).

Image and Trauma

2006 ◽  
Vol 19 (1) ◽  
pp. 137-149 ◽  
Author(s):  
Ruth Leys
Keyword(s):  
Posttraumatic Stress Disorder ◽  
Mental Disorders ◽  
Posttraumatic Stress ◽  
Stress Disorder ◽  
Survivor Guilt ◽  
Statistical Manual ◽  
Diagnostic And Statistical Manual ◽  
The Holocaust ◽  
The Status ◽  
Symptom Criteria

ArgumentIn 1980, when the diagnosis of Posttraumatic Stress Disorder (PTSD) was introduced into the American Psychiatric Association's Diagnostic and Statistical Manual of Mental Disorders (DSM-III), survivor guilt – a symptom long associated with trauma of the Holocaust and other extreme experiences – was included in the list of symptom criteria. But in the revised edition of the manual of 1987 (DSM-IIIR), survivor guilt was demoted to the status of merely an “associated feature” of the condition. Now that survivor guilt has disappeared from the official lexicon of trauma, shame has come to take its place as the emotion that most defines the traumatic state. This paper examines the rationale for the shift from survivor guilt to shame in the context of the American Psychiatric Association's revisions. It argues that the shift can be understood as yet another manifestation of the oscillation between mimetic and antimimetic theories of trauma that, I have argued in my book Trauma: A Genealogy (2000), has structured the understanding of trauma from the start.

scholarly journals Utility of the Posttraumatic Stress Scale–Self-report version in screening for posttraumatic stress disorder among persons seeking HIV testing

2018 ◽  
Vol 49 (1) ◽  
pp. 136-147 ◽  
Author(s):  
Ashraf Kagee ◽  
Jason Bantjes ◽  
Wylene Saal ◽  
Mpho Sefatsa
Keyword(s):  
Posttraumatic Stress Disorder ◽  
Mental Disorders ◽  
Hiv Testing ◽  
Posttraumatic Stress ◽  
Stress Disorder ◽  
Clinical Interview ◽  
Self Report ◽  
Statistical Manual ◽  
Stress Scale ◽  
Diagnostic And Statistical Manual

The literature on the utility of self-report instruments in determining caseness for posttraumatic stress disorder in South Africa is sparse. We administered the Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders–Research Version and the Posttraumatic Stress Scale–Self-report version to a sample of 500 South African community members seeking HIV testing. Of our original sample of 500, 306 (61.2%) reported an index event for posttraumatic stress disorder and 25 (5.0%) met the criteria for this diagnosis. The Posttraumatic Stress Scale–Self-report displayed internal consistency of .95 as measured by Cronbach’s alpha. Using the Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders as a gold standard, we conducted receiver operating curve analysis among the 306 participants who reported an index traumatic event to determine the extent to which the Posttraumatic Stress Scale–Self-report as a screening instrument successfully discriminated between participants who did and did not meet the diagnostic criteria for posttraumatic stress disorder. The Posttraumatic Stress Scale–Self-report yielded sensitivity of .76 and specificity of .78, with an area under the curve of .837. Positive and negative predictive values were .24 and .97, respectively. Our findings suggest that the Posttraumatic Stress Scale–Self-report may be effectively used to screen for posttraumatic stress disorder among community samples, including persons seeking HIV testing.

PTSD treatment in light of DSM-5 and the “golden hours” concept

CNS Spectrums ◽  
2016 ◽  
Vol 21 (4) ◽  
pp. 279-282 ◽  
Author(s):  
Lior Carmi ◽  
Leah Fostick ◽  
Shimon Burshtein ◽  
Shlomit Cwikel-Hamzany ◽  
Joseph Zohar
Keyword(s):  
Posttraumatic Stress Disorder ◽  
Mental Disorders ◽  
Posttraumatic Stress ◽  
Stress Disorder ◽  
Traumatic Event ◽  
Neural Mechanisms ◽  
Window Of Opportunity ◽  
Statistical Manual ◽  
Diagnostic And Statistical Manual ◽  
Dsm 5

One of the main changes in the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) was the separation of Stress Related Disorders from the Anxiety chapter. This separation paves the way to examine the unique characteristics of posttraumatic stress disorder (PTSD) (ie, identifiable onset, memory processes, etc) and related neural mechanisms. The time that elapses between the traumatic event and the manifestation of the disorder may also be addressed as the “golden hours,” or the window of opportunity in which critical processes take place and relevant interventions may be administrated.

Overview of Posttraumatic Stress Disorder

2018 ◽  
Author(s):  
Dana Downs ◽  
Carol North
Keyword(s):  
Posttraumatic Stress Disorder ◽  
Deep Brain Stimulation ◽  
Transcranial Magnetic Stimulation ◽  
Posttraumatic Stress ◽  
Magnetic Stimulation ◽  
Stress Disorder ◽  
Statistical Manual ◽  
Diagnostic And Statistical Manual ◽  
Exposure To Trauma ◽  
Deep Brain

Posttraumatic stress disorder (PTSD) is a psychiatric disorder that may follow exposure to trauma. The experience of trauma has potential personal implications. Some individuals develop PTSD after trauma; others may be more resilient, experiencing distress but not succumbing to psychopathology; and yet others may emerge from the experience with new strength and direction. This review contains 1 figure, 5 tables, and 46 references Keyword: Posttraumatic stress disorder, transcranial magnetic stimulation (TMS), deep brain stimulation, vagal nerve stimulation, transcranial direct current stimulation, Diagnostic and Statistical Manual of Mental Disorders, hypothalamic-pituitary-adrenal (HPA) axis

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