title: DSM-5 Criteria and Its Implications for Diagnosing PTSD in Military Service Members and Veterans.
abstract: This review addresses how changes in the Diagnostic and Statistical Manual of Mental Disorders (DSM)-5 posttraumatic stress disorder (PTSD) criteria has the potential to affect the care and careers of those who have served in the military, where the diagnosis often determines fitness for duty and veterans' benefits. PTSD criteria changes were intended to integrate new knowledge acquired since previous DSM editions. Many believe the changes will improve diagnosis and treatment, but some worry these could have negative clinical, occupational, and legal consequences. We analyze the changes in classification, trauma definition, symptoms, symptom clusters, and subtypes and possible impacts on the military (e.g., over- and under-diagnosis, "drone" video exposure, subthreshold PTSD, and secondary PTSD). We also discuss critiques and proposals for future changes. Our objectives are to improve the screening, diagnosis, and treatment of those service members who have survived trauma and to improve policies related to the military mental healthcare and disability systems.
authors.affiliation: Mental Health Clinic, Wright-Patterson Medical Center, Wright-Patterson Air Force Base, Dayton, OH, 45433, USA. jeffrey.guina@wright.edu.|Department of Psychiatry, Wright State University Boonshoft School of Medicine, 627 S. Edwin C. Moses Blvd., Dayton, OH, 45417, USA. jeffrey.guina@wright.edu.
authors.forename: Jeffrey
authors.initials: J
authors.lastname: Guina
authors.affiliation: Department of Psychiatry, Wright State University Boonshoft School of Medicine, 627 S. Edwin C. Moses Blvd., Dayton, OH, 45417, USA.
authors.forename: Randon S
authors.initials: RS
authors.lastname: Welton
authors.affiliation: Mental Health Clinic, Wright-Patterson Medical Center, Wright-Patterson Air Force Base, Dayton, OH, 45433, USA.|Department of Psychiatry, Wright State University Boonshoft School of Medicine, 627 S. Edwin C. Moses Blvd., Dayton, OH, 45417, USA.
authors.forename: Pamela J
authors.initials: PJ
authors.lastname: Broderick
authors.affiliation: Department of Psychiatry, Wright State University Boonshoft School of Medicine, 627 S. Edwin C. Moses Blvd., Dayton, OH, 45417, USA.|Aeromedical Consultation Service, US Air Force School of Aerospace Medicine, Wright-Patterson Air Force Base, Dayton, OH, 45433, USA.
authors.forename: Terry L
authors.initials: TL
authors.lastname: Correll
authors.affiliation: Department of Psychiatry, Wright State University Boonshoft School of Medicine, 627 S. Edwin C. Moses Blvd., Dayton, OH, 45417, USA.|Aeromedical Consultation Service, US Air Force School of Aerospace Medicine, Wright-Patterson Air Force Base, Dayton, OH, 45433, USA.
authors.forename: Ryan P
authors.initials: RP
authors.lastname: Peirson
mesh_terms: D039721:Diagnostic and Statistical Manual of Mental Disorders; D006801:Humans; D008889:Military Personnel; D013313:Stress Disorders, Post-Traumatic / Q000175:diagnosis*; D014728:Veterans
keywords: Combat; DSM-5; Military; Occupational psychiatry; PTSD; Stress disorder