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A critical evaluation of the complex PTSD literature: Implications for DSM‐5
Author(s) -
Resick Patricia A.,
Bovin Michelle J.,
Calloway Amber L.,
Dick Alexandra M.,
King Matthew W.,
Mitchell Karen S.,
Suvak Michael K.,
Wells Stephanie Y.,
Stirman Shan Wiltsey,
Wolf Erika J.
Publication year - 2012
Publication title -
journal of traumatic stress
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.259
H-Index - 134
eISSN - 1573-6598
pISSN - 0894-9867
DOI - 10.1002/jts.21699
Subject(s) - discriminant validity , extant taxon , psychology , construct (python library) , construct validity , nosology , dsm 5 , external validity , clinical psychology , incremental validity , psychotherapist , psychometrics , psychiatry , social psychology , computer science , evolutionary biology , internal consistency , biology , programming language
Complex posttraumatic stress disorder (CPTSD) has been proposed as a diagnosis for capturing the diverse clusters of symptoms observed in survivors of prolonged trauma that are outside the current definition of PTSD. Introducing a new diagnosis requires a high standard of evidence, including a clear definition of the disorder, reliable and valid assessment measures, support for convergent and discriminant validity, and incremental validity with respect to implications for treatment planning and outcome. In this article, the extant literature on CPTSD is reviewed within the framework of construct validity to evaluate the proposed diagnosis on these criteria. Although the efforts in support of CPTSD have brought much needed attention to limitations in the trauma literature, we conclude that available evidence does not support a new diagnostic category at this time. Some directions for future research are suggested.