ArticleThe Journal of clinical psychiatry2012
The stressor criterion for posttraumatic stress disorder: does it matter?
Article in The Journal of clinical psychiatry, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.
What it found
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Who cites it
23 citing papers in PubMed.
- I can't believe you don't have a box for this: 'other' events and posttraumatic stress symptoms among women.European journal of psychotraumatology · 2025Article
- PTSD Symptoms After Traumatic Versus Stressful Life Events in People With Mild Intellectual Disabilities: Proving the Null.Journal of intellectual disability research : JIDR · 2025Article
- Predictors of Postpartum Post-Traumatic Stress Disorder Following Traumatic Birth: The Influence of Lifetime Trauma, Violence, and Coping Strategies-A Prospective Study.Nursing reports (Pavia, Italy) · 2025Article
- Understanding the Role of Loneliness in the Relationships Between Post-Traumatic Stress Symptoms and Both Anxiety and Depressive Symptoms Among University Students: A Mediation Analysis.Brain sciences · 2025Article
- Post-traumatic stress disorder: evolving conceptualization and evidence, and future research directions.World psychiatry : official journal of the World Psychiatric Association (WPA) · 2025Article
- Qualitative Study on Emotional Experiences and Coping Strategies in Patients With COVID-19 During the Early Stage of Wuhan Crisis.Depression and anxiety · 2024Article
- An Evidence-Based Approach for Treating Stress and Trauma due to Racism.Cognitive and behavioral practice · 2023Article
- Appraisals of Social Trauma and Their Role in the Development of Post-Traumatic Stress Disorder and Social Anxiety Disorder.Behavioral sciences (Basel, Switzerland) · 2023Article
- Posttraumatic Stress Disorder, Depression, and Accelerated Aging: Leukocyte Telomere Length in the Nurses' Health Study II.Biological psychiatry global open science · 2023Article
- Anxiety-Related Disorders in the Context of Racism.Current psychiatry reports · 2023Review
- Posttraumatic stress disorder in time of COVID-19: Trauma or not trauma, is that the question?Acta psychiatrica Scandinavica · 2021Article
- The Need for Psychedelic-Assisted Therapy in the Black Community and the Burdens of Its Provision.Frontiers in psychiatry · 2021Article
- Religious Service Attendance, Religious Coping, and Risk of Hypertension in Women Participating in the Nurses' Health Study II.American journal of epidemiology · 2020Article
- Cross-Sectional and Longitudinal Associations of Chronic Posttraumatic Stress Disorder With Inflammatory and Endothelial Function Markers in Women.Biological psychiatry · 2017Article
- Posttraumatic stress disorder and accelerated aging: PTSD and leukocyte telomere length in a sample of civilian women.Depression and anxiety · 2017Article
- A new perspective on PTSD symptoms after traumatic vs stressful life events and the role of gender.European journal of psychotraumatology · 2017Article
- Psychiatric, Psychological, and Social Determinants of Health in the Nurses' Health Study Cohorts.American journal of public health · 2016Review
- Maternal exposure to intimate partner abuse before birth is associated with autism spectrum disorder in offspring.Autism : the international journal of research and practice · 2016Article
- No association between RORA polymorphisms and PTSD in two independent samples.Molecular psychiatry · 2014Article
- Genetic association analysis of 300 genes identifies a risk haplotype in SLC18A2 for post-traumatic stress disorder in two independent samples.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2014Article
Corrections and comments
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Authors and funding
7 authors.
Funding
Abstract
objectiveThe definition of the stressor criterion (DSM criterion A1) for posttraumatic stress disorder (PTSD) is hotly debated with major revisions being considered for DSM-5. We examine whether symptoms, course, and consequences of PTSD vary predictably with the type of stressful event that precipitates symptoms.
methodWe used data from the 2009 PTSD diagnostic subsample (N = 3,013) of women from the Nurses' Health Study II. We asked respondents about exposure to stressful events that qualified under DSM-III or DSM-IV or did not qualify under DSM criterion A1. Respondents selected the event they considered worst and reported subsequent PTSD symptoms. Among participants who met all other DSM-IV PTSD criteria, we compared distress, symptom severity, duration, impairment, receipt of professional help, and 9 physical, behavioral, and psychiatric sequelae (eg, physical functioning, unemployment, depression) by precipitating event group. Various assessment tools were used to determine fulfillment of PTSD criteria B through F and to assess these 14 outcomes.
resultsParticipants with PTSD from DSM-III events reported, on average, 1 more symptom (DSM-III, mean = 11.8 symptoms; DSM-IV, mean = 10.7 [P < .001]; non-DSM, mean = 10.9 [P < .01]) and more often reported that symptoms lasted 1 year or longer compared to participants with PTSD from other groups (DSM-III vs DSM-IV, P < .01; DSM-III vs non-DSM, P < .001). However, sequelae of PTSD did not vary systematically with precipitating event type.
conclusionsResults indicate the stressor criterion as defined by the DSM may not be informative in characterizing PTSD symptoms and sequelae. In the context of ongoing DSM-5 revision, these results suggest that criterion A1 could be expanded in DSM-5 without much consequence for our understanding of PTSD phenomenology. Events not considered qualifying stressors under the DSM produced PTSD as consequential as PTSD following DSM-III events, suggesting PTSD may be an aberrantly severe but nonspecific stress response syndrome.
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