Reclassification of PTSD Diagnosis in the DSM-5

The Posttraumatic Stress Disorder (PTSD) criteria changed substantially from the DSM-IV-TR to the DSM-5. In light of the change, some researchers and clinicians have expressed concern regarding the influence of the criteria changes on men and women in the armed services. With regard to the changes, research conducted at the Walter Reed Army Institute for Research found some issues of concern. Dr. Charles Hoge of Walter Reed conducted one of the first studies to directly compare the original DSM-IV and DSM-5 criteria checklists in a sample of infantry soldiers.

http://www.sciencedaily.com/releases/2014/08/140814000819.htm

After reading “Reclassification of PTSD Diagnosis Potentially Excludes Soldiers Diagnosed under Previous Criteria”, consider the question(s) below. Then “submit” your response.

Question 1

XCprdj5FYXUHPzNc6RqdkzQRB4Fr68q5eSm065TUP9EBwVONXgPe9f45dlGM9R12WaHhjmkLyJNQMWA6k0/nbNAWH6tihK2P7VF1AG3ZOn028XytSM/evBd9doWfklNa2uF1RV4bhkt7/iFgTkoRHcMcr3nWjHnsVoWYRR4t/CM9o8RBXe7o1OWzXC9Zn8VoZBAaWNcEeql6dCMv2+mY9YO6/pLbKTUYPKV1H3aNtEMM4lcYClLxkPvvUxgT09/0BzImhD0mQoiLt6OTUUF0wbGZw4Rsv2oWUoaOIBmUw6w=

Question 2

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
According to the article, what percentage of soldiers who met diagnostic criteria for PTSD under the DSM-IV-TR would not meet the DSM-5 criteria?

Question 3

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
According to the article, what percentage of soldiers meeting DSM-5 PTSD criteria would not have met the criteria in the DSM-IV-TR?

Question 4

ZUGBcjO6Xk6exZihxItCdpfC0w7Qm6UM85cyFPvHJ/6fV+s6LEjfwKN/YbJ6Znc64zZOD7Y/9zRswPPkx96600NaUOlMzHeDtyTRjyE7hQJKohco+P+4Aar0or7n7IHQ7GVBIC+6JUq2BYacx7V6S5j0kRzhSMcVRQuP/B6i4IeZeENgd90hu5GbbQsqAFKb/CvmZ39VA2fwGQvl/ZEcJQW/SXw1lOLU9e4FqaD2tfKxCCuNJmmgro9HlCBcwU15OrC2vpCyKRc6M7wMwbBlIJblTqXmn6lGaiAXoiCqzZcOhwyO
What could be an unintended consequence for our military men and women if they do not meet the current DSM-5 PTSD criteria but are instead diagnosed with an adjustment disorder?
One possible answer might be that under military regulations those soldiers might not be entitled to benefits and therefore would not have as many opportunities for treatment or might be put on unpaid administrative leave.

Question 5

E8RFGv0fVEzR1HZscXqnl+NRrayW3CLs/BO+FNjHtG/ctiPQkvGf8lod1gE4fUXl5esNmUNFpq3TLFHvRsMAix76nrBU6jGo/jHgkyHjKk7O1pLdqEHtLSof17JwzNmA
One possible answer might be that PTSD is now considered under Trauma and other Stress-Related Disorder rather than as an anxiety disorder. The DSM-5 screening tool does not appear to yield any greater clinical utility than the DSM-IV-TR screening tool.