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1、PsychologicalTrauma:Theory,Research,Practice,andPolicyInthepublicdomain2010,Vol.2,No.2,77–82DOI:10.1037/a0019185IntenseFear,Helplessness,“and”Horror?AnEmpiricalInvestigationofDSM–IVPTSDCriterionA2EdwardS.KubanyandTylerC.RalstonElizabethE.HillNationalCenterforPTSD,Departmento
2、fVeteransAffairs,TriplerArmyMedicalCenter,Honolulu,HawaiiHonolulu,HawaiiIntheDiagnosticandStatisticalManualofMentalDisorders(4thed.,DSM–IV;AmericanPsychiatricAssociation[APA]),anexperientialresponsewasaddedtotheposttraumaticstressdisorder(PTSD)traumaticstressorcriterion(Crit
3、erionA).Inadditiontowitnessingorexperiencinganeventinvolvingseriousthreattoone’slifeorphysicalintegrity(CriterionA1),atraumaticstressormustalsoevokeanintenselynegativeemotionalresponse(CriterionA2),operationalizedas“intensefear,helplessness,orhorror”(emphasisadded,p.428).The
4、rehasbeensomequestionabout,butlittleempiricalinvestigationof,thePTSDpredictivevalueofCriterionA2.Towardthisend,astudywasconductedtoexaminedifferentialratesofPTSDamongindividualswhometCriterionA2byreporting1,2,orall3A2responses.Participantsincluded205militarypersonnel,militar
5、yretirees,andmilitaryfamilymemberswhowerereceivingservicesfrom4treatmentprogramsatanarmymedicalcenter.Forty-threepercentofindividualswhoreportedall3A2responsesmetdiagnosticcriteriaforPTSD;however,only9%ofindividualswhoreportedfewerthan3A2responsesmetcriteriaforPTSD.Theresult
6、ssuggestthatthedefinitionofPTSDCriterionA2maybetoobroad.ArevisionorrefinementofCriterionA2inthenexteditionoftheDSMmaybeindicated.Keywords:PTSD,CriterionA2,diagnosis,traumaresponseTheDiagnosticandStatisticalManualofMentalDisorders(5thsubjectivehostresponsewasaddedtothestresso
7、rcriterion.Ined.,DSM–V),circa2012,presentsamajorresearchagendaforadditiontoexperiencing,witnessing,orconfrontinganeventoreventsacademicpsychiatry.Inthisregard,thestressdisorders—acuteinvolvingactualorthreateneddeathorseriousinjury,orathreattothestressdisorder(ASD)andposttrau
8、maticstressdisorder(PTSD)—physicalintegrityofselforothers(CriterionA1),atra