आईएसएसएन: 1522-4821

आपातकालीन मानसिक स्वास्थ्य और मानव लचीलापन के अंतर्राष्ट्रीय जर्नल

खुला एक्सेस

हमारा समूह 1000 से अधिक वैज्ञानिक सोसायटी के सहयोग से हर साल संयुक्त राज्य अमेरिका, यूरोप और एशिया में 3000+ वैश्विक सम्मेलन श्रृंखला कार्यक्रम आयोजित करता है और 700+ ओपन एक्सेस जर्नल प्रकाशित करता है जिसमें 50000 से अधिक प्रतिष्ठित व्यक्तित्व, प्रतिष्ठित वैज्ञानिक संपादकीय बोर्ड के सदस्यों के रूप में शामिल होते हैं।

ओपन एक्सेस जर्नल्स को अधिक पाठक और उद्धरण मिल रहे हैं
700 जर्नल और 15,000,000 पाठक प्रत्येक जर्नल को 25,000+ पाठक मिल रहे हैं

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  • आईसीएमजेई
इस पृष्ठ को साझा करें


Estimates of Prevalence and Criteria Comparison in DSM-5 versus DSM-IV-TR Post-Traumatic Stress Disorder in 111 Survivors to the 2009 Railway Accident in Viareggio-Italy

Mauro Mauri, Alberto Petracca, Mario Miniati, Sara Fratta, Erika Fui, Ilenia Giunti, Giulia Macchia, Michela Giorgi Mariani, Enrico Calderani, Camilla Gesi, Claudia Carmassi and Liliana Dell’Osso

The fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) introduced noteworthy revisions to Post-Traumatic Stress Disorder (PTSD) criteria, including a four-factor model and some new symptomatic criteria. To date, only a limited number of studies investigated the impact of such changes on the prevalence rates of the disorder. On 29 June 2009, in the railway station of Viareggio (Italy), a freight train carrying liquefied petroleum gas derailed with a subsequent fire leading to a large area of the town being damaged: 32 people died and 26 were severely injured. A total sample of 111 subjects who survived to the railway accident were assessed for PTSD according to either DSM-5 or DSM-IV-TR criteria by means of a spectrum assessment instrument: the Trauma and Loss Spectrum-Self Report (TALS-SR). A DSM-5 PTSD diagnosis emerged in 50.4% with respect to 54.7% according to DSM-IV-TR criteria. Most of the subjects fulfilling DSM-IV-TR but not DSM-5 criteria did not endorse new Criterion C (active avoidance). For what concern new DSM-5 PTSD symptoms: 1 (2.6%) survivor endorsed symptom D3; 29 (76.32%) D4; 6 (15.79%) both D3 and D4; 8 (27.59%) E2. This is the first study to report PTSD prevalence rates among survivors to the Viareggio 2009 railway accident. Our results corroborate the substantial equivalence between the DSM-5 and DSM-IV-TR algorithms for PTSD diagnosis and further suggest that avoidance and/or negative alterations in cognition and mood should alert the clinician for possible PTSD development.