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PTSD was classified as an anxiety disorder in the DSM-IV, but has since been reclassified as a "trauma- and stressor-related disorder" in the DSM-5. [1] The DSM-5 diagnostic criteria for PTSD include four symptom clusters: re-experiencing, avoidance, negative alterations in cognition/mood, and alterations in arousal and reactivity. [1] [4]
The categorizations and the diagnostic criteria were largely unchanged. No new disorders or conditions were introduced, although a small number of subtypes were added and removed. ICD-9-CM codes that were changed since the release of IV were updated. [4] The DSM-IV and the DSM-IV-TR both contain a total of 297 mental disorders. [5]
The PTSD diagnostic clusters were reorganized and expanded from a total of three clusters to four based on the results of confirmatory factor analytic research conducted since the publication of DSM-IV. [22] Separate criteria were added for children six years old or younger. [11] For the diagnosis of acute stress disorder and PTSD, the stressor ...
A revision of DSM-5, titled DSM-5-TR, was published in March 2022, updating diagnostic criteria and ICD-10-CM codes. [91] The diagnostic criteria for avoidant/restrictive food intake disorder was changed, [92] along with adding entries for prolonged grief disorder, unspecified mood disorder and stimulant-induced mild neurocognitive disorder.
Over the years, the definition of CPTSD has shifted (including a proposal for DESNOS in DSM-IV and a diagnosis of EPCACE in ICD-10), with a different definition in the ICD-11 than per Dr. Herman's initial conceptualization. [74] The ICD-11 definition of CPTSD overlaps more with DSM-5 PTSD than earlier definitions of PTSD. [11]
Both criterion F and G must be met as well for a PTSD diagnosis. [10] To meet criteria for a symptom, a patient must meet criteria in both frequency and intensity score for each item. Frequency and intensity and then combined to form a single severity score. Severity scores range from 0-4, with 0 being absent to 4 being extreme/incapacitating. [10]
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