1. PTSD May Be Barrier to Stroke Recovery
2. Prevalence of PTSD in Survivors of Stroke and Transient Ischemic Attack: A Meta-Analytic Review
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1. Screening for Posttraumatic Stress Disorder (PTSD)
2. POST-TRAUMATIC STRESS DISORDER SELF-TEST
636,120 Ways to Have Posttraumatic Stress Disorder
- 1New York University School of Medicine
- 2University of New South Wales, Kensington, New South Wales, Australia
- Isaac R. Galatzer-Levy, New York University School of Medicine, 1 Park Ave, New York, NY 10016 E-mail: isaac.gl@gmail.com
Abstract
In an attempt to capture the variety of symptoms that emerge following traumatic stress, the revision of posttraumatic stress
disorder (PTSD) criteria in the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM–5)
has expanded to include additional symptom presentations. One
consequence of this expansion is that it increases the amorphous
nature of the classification. Using a binomial
equation to elucidate possible symptom combinations, we demonstrate that
the
DSM–IV criteria listed for PTSD have a high level of symptom profile heterogeneity (79,794 combinations); the changes result in
an eightfold expansion in the DSM–5, to 636,120 combinations. In this article, we use the example of PTSD to discuss the limitations of DSM-based diagnostic entities for classification in research by elucidating inherent flaws that are either specific artifacts
from the history of the DSM or intrinsic to the underlying logic of the DSM’s
method of classification. We discuss new directions in research that
can provide better information regarding both clinical
and nonclinical behavioral heterogeneity in
response to potentially traumatic and common stressful life events.
These empirical
alternatives to an a priori classification system
hold promise for answering questions about why diversity occurs in
response
to stressors.
The psychological component to all of this is very significant. Even though I was never depressed, I sought out therapy at about 6months. She thought I had PTSD and treated me for it. I think it was really helpful and could have been a barrier to further recovery had I just "ignored" it. I think mental health has a huge impact on phyisical recovery, and treating the mind, body, spirit, is one of the keys to improved recovery!
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