title: The impact of endorsing Spitzer's proposed criteria for PTSD in the forthcoming DSM-V on male and female Veterans.
abstract: This study explored differences between Spitzer's proposed model of posttraumatic stress disorder (PTSD) and the current DSM-IV diagnostic classification scheme in 353 Veterans. The majority of Veterans (89%) diagnosed with PTSD as specified in the DSM-IV also met Spitzer's proposed criteria. Veterans who met both DSM-IV and Spitzer's proposed criteria had significantly higher Clinician Administered PTSD Scale severity scores than Veterans only meeting DSM-IV criteria. Logistic regression indicated that being African American and having no comorbid diagnosis of major depressive disorder or history of a substance use disorder were found to predict those Veterans who met current, but not proposed criteria. These findings have important implications regarding proposed changes to the diagnostic classification criteria for PTSD in the forthcoming DSM-V.
authors.affiliation: Department of Mental Health and Substance Abuse, 790 Gov. Carlos G. Camacho Road, Tamuning 96913, Guam. lyndseynmiller@aol.com
authors.forename: Lyndsey N
authors.initials: LN
authors.lastname: Miller
authors.forename: Kathleen M
authors.initials: KM
authors.lastname: Chard
authors.forename: Jeremiah A
authors.initials: JA
authors.lastname: Schumm
authors.forename: Carol
authors.initials: C
authors.lastname: O'Brien
mesh_terms: D003130:Combat Disorders / Q000175:diagnosis* / Q000523:psychology; D039721:Diagnostic and Statistical Manual of Mental Disorders; D005260:Female; D006801:Humans; D016015:Logistic Models; D008297:Male; D016017:Odds Ratio; D012720:Severity of Illness Index; D013313:Stress Disorders, Post-Traumatic / Q000175:diagnosis* / Q000523:psychology; D014728:Veterans / Q000523:psychology*