Are changes to the definition of posttraumatic stress disorder in DSM-5 a step forward?—No.
The 2013 DSM-5, the first major revision of US psychiatric nomenclature since 1994’s DSM-IV, was coordinated by the American Psychiatric Association in a manner to ensure revisions were empirically supported and maintained continuity with previous editions.1,2 Although many important evidence-based changes resulted, core criteria and diagnostic language for most common conditions affecting adults remained unchanged, safeguarding continued use of treatments validated over decades.1,3
Hoge CW, Yehuda R, Castro CA, McFarlane AC, Vermetten E, Jetly R, Koenen KC, Greenberg N, Shalev AY, Rauch SAM, Marmar CR, Rothbaum BO. Unintended Consequences of Changing the Definition of Posttraumatic Stress Disorder in DSM-5Critique and Call for Action. JAMA Psychiatry. 2016;73(7):750-752. doi:10.1001/jamapsychiatry.2016.0647