Evidence map›Paper›PMID 34469042›Full record

ArticleDepression and anxiety2021

Does COVID-19 count?: Defining Criterion A trauma for diagnosing PTSD during a global crisis.

Seth D Norrholm, Alyson Zalta, Lori Zoellner, Abigail Powers, Matthew T Tull, Christopher Reist, Paula P Schnurr, Frank Weathers, Matthew J Friedman

Abstract read
In one paragraph

Article in Depression and anxiety, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

32 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Seth D NorrholmNeuroscience Center for Anxiety, Stress, and Trauma, Department of Psychiatry and Behavioral Neurosciences, Wayne State University School of Medicine, Detroit, Michigan, USA.ORCID 0000-0002-5658-7096
Alyson ZaltaDepartment of Psychological Science, University of California, Irvine, California, USA.ORCID 0000-0002-5159-8431
Lori ZoellnerDepartment of Psychology, University of Washington, Seattle, Washington, USA.
Abigail PowersDepartment of Psychiatry and Behavioral Sciences, Emory University School of Medicine, Atlanta, Georgia, USA.
Matthew T TullDepartment of Psychology, University of Toledo, Toledo, Ohio, USA.
Christopher ReistLong Beach VA Healthcare System, Long Beach, California, USA.
Paula P SchnurrNational Center for PTSD, U.S. Department of Veterans Affairs, White River Junction, USA.ORCID 0000-0002-6195-716X
Frank WeathersDepartment of Psychological Sciences, Auburn University, Auburn, Alabama, USA.
Matthew J FriedmanNational Center for PTSD, U.S. Department of Veterans Affairs, White River Junction, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe ongoing coronavirus disease 2019 (COVID-19) pandemic is a globally significant crisis with a rapid spread worldwide, high rates of illness and mortality, a high degree of uncertainty, and a disruption of daily life across the sociodemographic spectrum. The clinically relevant psychological consequences of this catastrophe will be long-lasting and far-reaching. There is an emerging body of empirical literature related to the mental health aspects of this pandemic and this body will likely expand exponentially. The COVID-19 pandemic is an example of a historic catastrophe from which we can learn much and from which the field will need to archive, interpret, and synthesize a multitude of clinical and research observations.

methodsIn this commentary, we discuss situations and contexts in which a diagnosis of posttraumatic stress disorder (PTSD) may or may not apply within the context of diagnostic and statistical manual of mental disorders, fifth edition (DSM-5) criteria.

resultsOur consensus is that a COVID-related event cannot be considered traumatic unless key aspects of DSM-5's PTSD Criterion A have been established for a specific type of COVID-19 event (e.g., acute, life-threatening, and catastrophic).

conclusionThe application of a more liberal interpretation of Criterion A will dilute the PTSD diagnosis, increase heterogeneity, confound case-control research, and create an overall sample pool with varying degrees of risk and vulnerability factors.

Indexed as

COVID-19Stress Disorders, Post-TraumaticDiagnostic and Statistical Manual of Mental DisordersHumansPandemicsSARS-CoV-2anxietydiagnosisDSMetiologyperitraumatic reactionsPTSD phenomenology

Identifiers

PMID34469042
PMCPMC8652625

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.