Subthreshold Post-Traumatic Stress Disorder

Abstract

Post-traumatic stress disorder is a very broad category among mental disorders. Since its inclusion in DSM-III, the diagnostic criteria of post-traumatic stress disorder has undergone a number of changes. The diagnosis and treatment of people who have some symptoms of post-traumatic stress disorder without meeting full criteria still remains controversial. Although subthreshold post-traumatic stress disorder has been debated since it was first defined, the presence of subthreshold post-traumatic stress disorder symptoms has found to raise the risk for suicidal ideation significantly. This article overviews the definitions of trauma related disorders in history of psychiatry and highlights the need to define subthreshold post-traumatic stress disorder symptoms that were reported to be associated with impairment, comorbidity, and suicidal ideation. Clinical differences between subthreshold and full post-traumatic stress disorder will also be discussed.

 

Keywords

• Diagnosis, post-traumatic stress disorder, subthreshold

Eşik Altı Travma Sonrası Stres Bozukluğu

Öz

Travma sonrası stres bozukluğu ruhsal hastalıklar içinde geniş bir kategoridir. DSM-III’e dahil olduğundan beri travma sonrası stres bozukluğu, tanı ölçütlerii açısından değişikliğe uğramıştır. Tanı ölçütlerini tam karşılamayan bazı travma sonrası stres bozukluğu belirtileri olan kişilerde tanının var olup olmadığı hala tartışmalıdır. Eşik altı travma sonrası stres bozukluğu ilk tanımlandığından beri tartışmalı olmasına rağmen eşik altı travma sonrası stres bozukluğu belirtilerinin varlığı ile intihar düşüncesinin önemli ölçüde arttığı bulunmuştur. Bu gözden geçirmede psikiyatri tarihinde, travma ile ilişkili hastalıkların tanımlanması ve intihar düşüncesi, komorbidite ve işlevsellikteki bozulma ile ilişkisi belirtilen eşik altı travma sonrası stres bozukluğu belirtilerinin tanımlanmasına olan ihtiyaç vurgulanmış ve eşik altı travma sonrası stres bozukluğu ile tam travma sonrası stres bozukluğu arasındaki klinik farklılıklar ele alınmıştır.

 

Anahtar Kelimeler

• Tanı, travma sonrası stres bozukluğu, eşik altı

Kaynakça

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