By Richard A. Bryant PhD
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Extra info for Acute Stress Disorder: What It Is and How to Treat It
Exaggerated startle response. C. Duration of symptoms occurs between 3 days and 1 month after trauma. D. Disturbance causes significant distress or impairment. E. , mild traumatic brain injury), nor explained by brief psychotic disorder. Note. Adapted with permission from the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (Copyright © 2013). American Psychiatric Association. All Rights Reserved. ASD in DSM-5 41 personnel may not experience fear at the time of trauma exposure because they are focused on their duties, or those who sustain a mild traumatic brain injury (mTBI) may not have an emotional reaction at the time because of impaired consciousness.
ASD in DSM-5 41 personnel may not experience fear at the time of trauma exposure because they are focused on their duties, or those who sustain a mild traumatic brain injury (mTBI) may not have an emotional reaction at the time because of impaired consciousness. For these reasons, it was decided to delete the subjective feature of the stressor criterion from both PTSD and ASD. Having satisfied the stressor criterion, the person then needs to meet nine of possible 14 symptoms of ASD. Apart from modifying wording of specific items to be consistent with PTSD symptoms in DSM-5, the specific ASD symptoms in DSM-5 are generally comparable to those in DSM-IV with a few modifications.
Instead, it was progressed into DSM-IV rather late in the development of DSM, and accordingly was introduced without adequate testing or review (Bryant & Harvey, 1997). I mention this because it partly explains why there was strong criticism of the diagnosis when it was finally released. We consider these criticisms shortly. ASD was defined in DSM-IV with many similarities, but also with a number of stark differences, from the PTSD criteria. Both disorders required that the person experience or witness a significantly threatening experience, and that he or she respond to this event with fear, horror, or 22 THEORETICAL AND EMPIRICAL ISSUES helplessness.