Acute stress disorder diagnostic criteria

Jump to navigation Jump to search

Acute stress disorder Microchapters

Home

Patient Information

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Acute stress disorder from other Diseases

Epidemiology and Demographics

Risk Factors

Screening

Natural History, Complications and Prognosis

Diagnosis

Diagnostic Criteria

History and Symptoms

Physical Examination

Laboratory Findings

Other Imaging Findings

Other Diagnostic Studies

Treatment

Medical Therapy

Psychotherapy

Brain Stimulation Therapy

Cost-Effectiveness of Therapy

Future or Investigational Therapies

Case Studies

Case #1

Acute stress disorder diagnostic criteria On the Web

Most recent articles

Most cited articles

Review articles

CME Programs

Powerpoint slides

Images

American Roentgen Ray Society Images of Acute stress disorder diagnostic criteria

All Images
X-rays
Echo & Ultrasound
CT Images
MRI

Ongoing Trials at Clinical Trials.gov

US National Guidelines Clearinghouse

NICE Guidance

FDA on Acute stress disorder diagnostic criteria

CDC on Acute stress disorder diagnostic criteria

Acute stress disorder diagnostic criteria in the news

Blogs on Acute stress disorder diagnostic criteria

Directions to Hospitals Treating Acute stress disorder

Risk calculators and risk factors for Acute stress disorder diagnostic criteria

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Simrat Sarai, M.D. [2]

Overview

The diagnosis of acute stress disorder is based on the DSM-5 diagnostic criteria, which include criterion A i.e the exposure to actual or threatened death, serious injury, or sexual violation in one (or more) of the following ways such as directly experiencing the traumatic event(s), witnessing, in person, the event(s) as it occured to others, learning that the event(s) occured toa close family member or close friend, and experiencing repeated or extreme exposure to aversive details of the traumatic event(s), criterion B i.e presence of nine (or more) of the symptoms from any of the five categories of intrusion, negative mood, dissociation, avoidance, and arousal, beginning or worsening after the traumatic event(s) occurred, criterion C i.e duration of the disturbance (symptoms in Criterion B) is 3 days to 1 month after trauma exposure, criterion D i.e the disturbance causes clinically significant distress or impairment in social, occupational,or other important areas of functioning, and criterion E i.e the disturbance is not attributable to the physiological effects of a substance (e.g., medication or alcohol) or another medical condition (e.g., mild traumatic brain injury])and is not better explained by brief psychotic disorder.[1]

Diagnostic Criteria

DSM-5 diagnostic criteria for delusional disorder are as follows:

DSM-V Diagnostic Criteria for Acute Stress Disorder[1]

  • A. Exposure to actual or threatened death, serious injury, or sexual violation in one (or more) of the following ways:
  • 1. Directly experiencing the traumatic event(s).
  • 2. Witnessing, in person, the event(s) as it occurred to others.
  • 3. Learning that the event(s) occurred to a close family member or close friend.

Note:In cases of actual or threatened death of a family member or friend, the event(s) must have been violent or accidental .

  • 4. Experiencing repeated or extreme exposure to aversive details of the traumatic event(s) (e.g., first responders collecting human remains, police officers repeatedly

exposed to details of child abuse).

Note:This does not apply to exposure through electronic media, television, movies, or pictures, unless this exposure is work related .

  • B. Presence of nine (or more) of the following symptoms from any of the five categories of intrusion, negative mood, dissociation, avoidance, and arousal, beginning or worsening after the traumatic event(s) occurred:

Intrusion Symptoms

  • 1. Recurrent, involuntary, and intrusive distressing memories of the traumatic event(s).

Note: In children, repetitive play may occur in which themes or aspects of the traumatic event(s) are expressed.

  • 2. Recurrent distressing dreams in which the content and/or affect of the dream are related to the event(s).

Note: In children, there may be frightening dreams without recognizable content.

  • 3. Dissociative reactions (e.g., flashbacks) in which the individual feels or acts as if the traumatic event(s) were recurring. (Such reactions may occur on a continuum, with the most extreme expression being a complete loss of awareness of present surroundings.)

Note: In children, trauma-specific reenactment may occur in play .

  • 4. Intense or prolonged psychological distress or marked physiological reactions in response to internal or external cues that symbolize or resemble an aspect of the traumatic event(s).

Negative Mood

  • 5. Persistent inability to experience positive emotions (e.g., inability to experience happiness, satisfaction, or loving feelings).

Dissociative Symptoms

  • 6. An altered sense of the reality of one’s surroundings or oneself (e.g., seeing oneself from another’s perspective, being in a daze, time slowing).
  • 7. Inability to remember an important aspect of the traumatic event(s) (typically due to dissociative amnesia and not to other factors such as head injury, alcohol, or drugs).

Avoidance Symptoms

  • 8. Efforts to avoid distressing memories, thoughts, or feelings about or closely associated with the traumatic event(s).
  • 9. Efforts to avoid external reminders (people, places, conversations, activities, objects, situations) that arouse distressing memories, thoughts, or feelings about or closely associated with the traumatic event(s).

Arousal Symptoms

  • 10. Sleep disturbance (e.g., difficulty falling or staying asleep, restless sleep).
  • 11. Irritable behavior and angry outbursts (with little or no provocation), typically expressed as verbal or physical aggression toward people or objects.
  • 12. Hypervigilance.
  • 13. Problems with concentration.
  • 14. Exaggerated startle response.
  • C. Duration of the disturbance (symptoms in Criterion B) is 3 days to 1 month after trauma exposure.

Note: Symptoms typically begin immediately after the trauma, but persistence for at least 3 days and up to a month is needed to meet disorder criteria .

  • D. The disturbance causes clinically significant distress or impairment in social, occupational,or other important areas of functioning.

References

  1. 1.0 1.1 Diagnostic and statistical manual of mental disorders : DSM-5. Washington, D.C: American Psychiatric Association. 2013. ISBN 0890425558.

Template:WikiDoc Sources