Are the dissociative criteria in ASD useful?
Abstract
Acute stress disorder (ASD) is a new DSM-IV diagnostic category, characterized by dissociative, intrusive, avoidance, and hyperarousal symptoms in the first month after a traumatic experience. The goal of the present study was to examine the utility of this diagnosis. In a prospective study, 79 mixed trauma victims who met DSM-IV symptom criteria for PTSD within 1 month following a traumatic event were followed through three months post-event. Dissociative symptoms in ASD only partially captured distress and dysfunction during the first month. Participants with and without ASD showed similar patterns of recovery, with only small differences that disappeared at three months post-event. Interestingly, initial PTSD avoidance but not ASD dissociative symptoms predicted PTSD severity at 3 months.
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Acute stress disorder has poor specificity for predicting PTSD.
“it does not exhibit good specificity for predicting PTSD (see Bryant, 2003; Harvey & Bryant, 1998; 1999; Zoellner, Jaycox, Watlington, Foa, 2003).”
From Dissociation and memory fragmentation in post-traumatic stress disorder: An evaluation of the dissociative encoding hypothesis (2012) · cites this paper as Zoellner, Jaycox, Watlington, Foa, 2003
Cites
Foa, E. B., Rothbaum, B. O., Riggs, D. S., & Murdock, T. B. (1991) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.59.5.715 · Cited by 1,444 · cited 1× · see citing works
“An earlier version of the interview has adequate interrater agreement ( Foa, Rothbaum, Riggs, & Murdock, 1991 ).”
BackgroundSelf-citationDissociation and posttraumatic stress disorder in Vietnam combat veterans
(1992) · American Journal of Psychiatry · doi:10.1176/ajp.149.3.328 · Cited by 381 · see citing works
Harvey, A. G., & Bryant, R. A. (1999) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.67.6.985 · Cited by 191 · see citing works
Posttraumatic stress disorder following an air disaster: a prospective study
Epstein, R. S., Fullerton, C. S., & Ursano, R. J. (1998) · American Journal of Psychiatry · doi:10.1176/ajp.155.7.934 · Cited by 170 · see citing works
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Bedard-Gilligan, M., & Zoellner, L. A. (2012) · Memory · doi:10.1080/09658211.2012.655747 · Cited by 116 · see citing works
“Consistent with these later findings, although acute stress disorder (ASD), a disorder characterised by dissociative symptoms during or immediately following a traumatic event, is associated with PTSD (eg, Creamer, O'Donnell, & Pattison, 2004 ; Harvey & Bryant, 2000 ; Murray et al, 2002 ), it does not exhibit good spe…”
Self-citation
- Authors
- Zoellner, L. A., Jaycox, L. H., Watlington, C. G., & Foa, E. B.
- Affiliations
- University of Washington (US)
- University of Pennsylvania (US)
- Corresponding author
- Zoellner, Lori A.
- Venue
- Journal of Traumatic Stress
- Publisher
- Wiley
- Published
- 2003-08
- Volume
- 16
- Issue
- 4
- Pages
- 341-350
- ISSN
- 0894-9867 (ISSN-L)
- 1573-6598
- OpenAlex
- W2022719086
- Cited by
- 18
- References
- 4
- Citations by year
- 2020: 1 · 2019: 1 · 2017: 1 · 2012: 2
- FWCI
- 2.45
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Traumatic Stress (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institutes of Health (5r01mh042173-03)
- National Institute of Mental Health (R01MH042178, MH42173)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
- Health Sciences › Medicine › Psychiatry and Mental health › Psychosomatic Disorders and Their Treatments
- Social Sciences › Psychology › Clinical Psychology › Psychoanalysis and Psychopathology Research
- Keywords
- acute stress disorder, dissociative symptoms, post-traumatic stress disorder, trauma patients, DSM-IV diagnostic criteria, PTSD symptom severity, diagnostic value
- MeSH terms
- Adult, Dissociative Disorders, Female, Forecasting, Humans, Prospective Studies, Psychiatric Status Rating Scales, Stress Disorders, Post-Traumatic, Time Factors, Reproducibility of Results, Diagnostic and Statistical Manual of Mental Disorders, Stress Disorders, Traumatic, Acute
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