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Post-Traumatic Stress Disorders: HELP
Articles by Richard V. King
Based on 3 articles published since 2010
(Why 3 articles?)

Between 2010 and 2020, Richard V. King wrote the following 3 articles about Stress Disorders, Post-Traumatic.
+ Citations + Abstracts
1 Article The evolution of PTSD criteria across editions of DSM. 2016

North, Carol S / Surís, Alina M / Smith, Rebecca P / King, Richard V. ·The Altshuler Center for Education and Research, Metrocare Services, The University of Texas Southwestern Medical Center, Department of Psychiatry, Dallas, TX USA. E-mail: carol.north@southwestern.edu. ·Ann Clin Psychiatry · Pubmed #27490836.

ABSTRACT: BACKGROUND: The diagnosis of posttraumatic stress disorder (PTSD) has remained controversial from the time of its first inclusion in DSM-III. No reviews have fully documented the shifting PTSD definitions across editions of the criteria. This article chronicles the evolution of PTSD across editions of the DSM. METHODS: Diagnostic precursors to PTSD in DSM-I and DSM-II were briefly described, followed by systematic review of PTSD in subsequent editions of the DSM. Sections of the criteria and accompanying text were sorted into tables permitting visual comparisons across the editions. Research findings related to specific changes in the editions were provided from available research literature identified through specific PubMed searches using keywords relevant to each specific change. RESULTS: Fundamental topics of debate identified in this review are validity of the diagnosis, the trauma criterion, the role of symptoms in defining its psychopathology, differentiation from other disorders, and specifiers such as delayed onset. CONCLUSIONS: DSM-5 has corrected several major ambiguities and errors of the former editions that are fundamental to the construct of PTSD as a disorder that is defined conditionally in relation to exposure to trauma, but problems remain in DSM-5 trauma criteria, especially inconsistencies between exposure criteria and the definition of trauma. Discerning the critical distinctions required to understand PTSD depends on underlying clarity in terminology and precision in application of the diagnosis by academicians and clinicians. Trauma must be differentiated from other kinds of stressful events and conceptualized as an incident defined by physical injury rather than by emotional response.

2 Article Needs Assessment of Hurricane Katrina Evacuees Residing Temporarily in Dallas. 2016

King, Richard V / Polatin, Peter B / Hogan, David / Downs, Dana L / North, Carol S. ·Department of Health Care Sciences/Emergency Medicine Education, The University of Texas Southwestern Medical Center, 5323 Harry Hines Boulevard, MC8890, Dallas, TX, 75390, USA. richard.king@utsouthwestern.edu. · Global Mental Health, Department of Psychiatry and Behavioral Health, George Washington University, Washington, DC, USA. · Crisis Intervention Unit, Dallas Police Department, Dallas, TX, USA. · Department of Psychiatry, University of Texas Southwestern Medical Center, Dallas, TX, USA. · Program in Trauma and Disaster, VA North Texas Health Care System, Dallas, TX, USA. · Psychiatry and Emergency Medicine, The University of Texas Southwestern Medical Center, Dallas, TX, USA. ·Community Ment Health J · Pubmed #26507550.

ABSTRACT: This study assessed the psychosocial needs of Hurricane Katrina evacuees temporarily residing in Dallas, TX, after sheltering but prior to their permanent resettlement. Common trauma exposures were physical exposure to flood water, seeing corpses, witnessing death, and loss of family, friends, or home. Fewer than 10 % met symptom criteria for disaster-related posttraumatic stress disorder (PTSD). More than one-fourth met major depressive disorder (MDD) symptom criteria post-disaster but only 15 % had a new (incident) MDD episode after the disaster. Specific trauma exposures and some hurricane-related stressors contributed to risk for both Katrina-related PTSD symptom criteria and incident MDD, but other hurricane-related stressors were uniquely associated with incident MDD. Referral to mental health services was associated with meeting symptom criteria for PTSD and with incident MDD, but only about one-third of these individuals received a referral. Understanding the needs of disaster-exposed population requires assessing trauma exposures and identifying pre-disaster and post-disaster psychopathology.

3 Article Trauma exposure and posttraumatic stress disorder among employees of New York City companies affected by the September 11, 2001 attacks on the World Trade Center. 2011

North, Carol S / Pollio, David E / Smith, Rebecca P / King, Richard V / Pandya, Anand / Surís, Alina M / Hong, Barry A / Dean, Denis J / Wallace, Nancy E / Herman, Daniel B / Conover, Sarah / Susser, Ezra / Pfefferbaum, Betty. ·VA North Texas Health Care System and Department of Psychiatry, University of Texas Southwestern Medical Center, Dallas, TX 75390-8828, USA. Carol.North@UTSouthwestern.edu ·Disaster Med Public Health Prep · Pubmed #21900416.

ABSTRACT: OBJECTIVE: Several studies have provided prevalence estimates of posttraumatic stress disorder (PTSD) related to the September 11, 2001 (9/11) attacks in broadly affected populations, although without sufficiently addressing qualifying exposures required for assessing PTSD and estimating its prevalence. A premise that people throughout the New York City area were exposed to the attacks on the World Trade Center (WTC) towers and are thus at risk for developing PTSD has important implications for both prevalence estimates and service provision. This premise has not, however, been tested with respect to DSM-IV-TR criteria for PTSD. This study examined associations between geographic distance from the 9/11 attacks on the WTC and reported 9/11 trauma exposures, and the role of specific trauma exposures in the development of PTSD. METHODS: Approximately 3 years after the attacks, 379 surviving employees (102 with direct exposures, including 65 in the towers, and 277 with varied exposures) recruited from 8 affected organizations were interviewed using the Diagnostic Interview Schedule/Disaster Supplement and reassessed at 6 years. The estimated closest geographic distance from the WTC towers during the attacks and specific disaster exposures were compared with the development of 9/11-related PTSD as defined by the Diagnostic and Statistical Manual, Fourth Edition, Text Revision. RESULTS: The direct exposure zone was largely concentrated within a radius of 0.1 mi and completely contained within 0.75 mi of the towers. PTSD symptom criteria at any time after the disaster were met by 35% of people directly exposed to danger, 20% of those exposed only through witnessed experiences, and 35% of those exposed only through a close associate's direct exposure. Outside these exposure groups, few possible sources of exposure were evident among the few who were symptomatic, most of whom had preexisting psychiatric illness. CONCLUSIONS: Exposures deserve careful consideration among widely affected populations after large terrorist attacks when conducting clinical assessments, estimating the magnitude of population PTSD burdens, and projecting needs for specific mental health interventions.