DSM-V PTSD diagnostic criteria for children and adolescents: A developmental perspective and recommendations

The Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM‐V) should ensure systematic attention to age‐specific manifestations and selective modifications of the diagnostic criteria for posttraumatic stress disorder (PTSD) among children and adolescents. The authors propose devel...

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Bibliographic Details
Published in:Journal of traumatic stress 2009-10, Vol.22 (5), p.391-398
Main Authors: Pynoos, Robert S., Steinberg, Alan M., Layne, Christopher M., Briggs, Ernestine C., Ostrowski, Sarah A., Fairbank, John A.
Format: Article
Language:English
Subjects:
Adolescent
Adolescent Development
Adult and adolescent clinical studies
Anxiety disorders
Anxiety disorders. Neuroses
Biological and medical sciences
Child
Child clinical studies
Child Development
Diagnostic and Statistical Manual of Mental Disorders
Humans
Medical sciences
Nosology. Terminology. Diagnostic criteria
Post-traumatic stress disorder
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Stress Disorders, Post-Traumatic - diagnosis
Stress Disorders, Post-Traumatic - psychology
Techniques and methods
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Summary:The Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM‐V) should ensure systematic attention to age‐specific manifestations and selective modifications of the diagnostic criteria for posttraumatic stress disorder (PTSD) among children and adolescents. The authors propose developmental refinements to the conceptual framework for PTSD based on an appreciation of the different neurosignatures of danger and safety, and maturational processes that underlie symptom presentation. This includes preliminary evidence for the developmental salience of additional dimensions for PTSD (e.g., recklessness and thrill‐seeking). The authors provide conservative recommendations for DSM‐V diagnostic criteria that primarily highlight age‐related developmental manifestations that, if included in the accompanying text, would bring a richer appreciation of developmentally linked symptom presentations.
ISSN:0894-9867
1573-6598
DOI:10.1002/jts.20450