Litlhaloso tsa Tlhahlobo ea PTSD ea DSM-5

Se fetotsoeng ho tloha DSM-IV

Mekhoa ea ho hlahloba lefu la khatello ea kelello ka morao-rao (PTSD) khatisong ea bohlano ea Diagnostic le Statistical Manual ea Mental Disorders (DSM-5) e batla e fapane ho feta kamoo e hlahang kateng khatisong ea bone. Mona ke matšoao a matšoao a DSM-5:

Criterion A

U ile ua pepeseha ketsahalo e le 'ngoe kapa tse ling tse amang lefu kapa tsa senya lefu, tsa hlile kapa tsa senya kotsi e tebileng, kapa tsa sokela tlhekefetso ea thobalano.

Ho phaella moo, liketsahalo tsena li bile le phihlelo ka tsela e le 'ngoe kapa ho feta:

1. U bone ketsahalo eo
2. U bone ketsahalo eo joalokaha e etsahetse ho motho e mong
3. U ithutile ka ketsahalo eo mong ka eena kapa motsoalle ea haufi a ileng a ba le lefu la pefo kapa la tšohanyetso
4. U kile ua hlaheloa ke lipolelo tse sithabetsang tsa ketsahalo e kang ea mapolesa ka makhetlo a mangata a utloa lintlha tse mabapi le tlhekefetso ea bana ba thobalano

Criterion B

U utloa bonyane e 'ngoe ea matšoao a latelang a ts'ebetsong a amanang le ketsahalo e sithabetsang:

1. Mehopolo e sa lebelloang kapa e lebelloang e sa tloaelehang, e sa ikemetseng, le e tsosang takatso ea ketsahalo e sithabetsang
2. Ho pheta-pheta litoro tsa moo litoro tsa litoro li amanang le ketsahalo e sithabetsang
3. Phihlelo ea mofuta o itseng oa ho khetholla (mohlala, ho fokotseha) moo u ikutloang eka eka ketsahalo e sithabetsang e etsahala hape
4. Matšoenyeho a matla le a tsitsitseng ha ho pepeseha lipolelo tse ka hare kapa ka ntle ho 'mele oa hau tse amanang le ketsahalo ea hao e sithabetsang

1. Liketso tse matla tsa 'mele (mohlala, ho eketseha ha sekhahla sa pelo) ha ho pepesehetse khopotso ea ketsahalo e sithabetsang

Criterion C

Ho qoba khafetsa likhopotso tse amanang le ketsahalo e sithabetsang, joalokaha ho bontšoa ke e 'ngoe ea tse latelang:

1. Qoba mehopolo, maikutlo, kapa mehopolo ea 'mele e hopolang ketsahalo e sithabetsang

1. Ho qoba batho, libaka, lipuisano, mesebetsi, lintho, kapa maemo a hlahisang mehopolo ea ketsahalo e sithabetsang

Criterion D

Bonyane liphetoho tse latelang tse mpe tse latelang mehopolong le mehopolong e ileng ea etsahala kapa ea mpefala ho latela phihlelo ea ketsahalo e bohloko:

1. Ho se khone ho hopola karolo ea bohlokoa ea ketsahalo e sithabetsang
2. Litlhahlobo tse mpe tse tsitsitseng le tse phahameng ka uena, tse ling, kapa lefats'e (mohlala, "Ha ke rate," kapa "Lefats'e ke sebaka se sebe")
3. Ho iketsetsa molato kapa ho beha molato oa ba bang ka lebaka la sesosa kapa liphello tsa ketsahalo e sithabetsang
4. Boemo ba maikutlo bo sithabetsang (ka mohlala, lihlong, bohale kapa tšabo) e atileng haholo
5. Ho lahleheloa ke thahasello mesebetsing eo u neng u e thabela
6. Ho ikutloa eka ke ba bang
7. Ho se khone ho ba le maikutlo a matle (mohlala, thabo, lerato, thabo)

Criterion E

Bonyane liphetoho tse tharo tse latelang tse tsositseng kapa tse mpe ho latela phihlelo ea ketsahalo e sithabetsang :

1. Ho halefa kapa boitšoaro bo mabifi
2. Boits'oaro kapa boitšoaro bo kotsi
3. Ho ikutloa kamehla "ho itebela" kapa joaloka kotsi e lutse ho pota-pota ka hohle (kapa hypervigilance)
4. O phahamisitse karabo ea potlako
5. Ho thata ho tsepamisa maikutlo
6. Mathata a robetseng

Criterion F

Matšoao a ka holimo a nka nako e fetang khoeli.

Criterion G

Matšoao a tlisa mahlomola a maholo le / kapa a kena-kenana haholo le likarolo tse sa tšoaneng tsa bophelo ba hau .

Criterion H

Matšoao ha a bakoe ke boemo ba bongaka kapa mofuta o mong oa tšebeliso ea lithethefatsi.

Tlhahlobo ea PTSD ea DSM-5

E le hore u fumanoe u e-na le PTSD ho ea ka DSM-5, u lokela ho finyella se latelang:

• Criterion A
• Letšoao le le leng (kapa ho feta) ho tloha Criterion B
• Letšoao le le leng (kapa ho feta) ho tloha Criterion C
• Matšoao a mararo (kapa ho feta) ho tloha Criterion D
• Matšoao a mararo (kapa ho feta) ho tloha Criterion E
• Litlhahiso F ka H

Kamoo DSM-5 e fetotsoeng kateng

Phetoho e kholo ka DSM-5 e tlosa PTSD ho tsoa sehlopheng sa matšoenyeho a ho tšoenyeha le ho e beha ka tatellano e bitsoang "Trauma le khatello ea kelello e amanang le khatello ea kelello."

Liphetoho tse ling tsa bohlokoa li akarelletsa:

• Ho hlalosa ka ho hlaka hore na ke liketsahalo life tse nkoang li utloisa bohloko ho Criterion A
• Ho eketsa mofuta oa bone oa ho pepeseha ka Criterion A
• Ho eketsa palo ea lihlopha tsa matšoao ho tloha ho tse tharo ho isa ho tse 'nè ka ho arola matšoao a ho qoba sehlopheng sa bona (Criterion C)
• Ho eketsa palo ea matšoao a 17 ho ea ho a 20
• Ho fetola mantsoe a mang a matšoao a DSM-IV
• Ho eketsa seteishene se secha sa bana ba lilemo li 6 kapa ba banyenyane
• Ho felisa li-specifiers "tse hlollang" le "tse sa foleng"
• Ho hlahisa boitsebiso bo bocha bo bitsoang "likarolo tsa dissociative"

U ka hlahloba moelelo oa liphetoho tsena, hammoho le ho sheba liphetoho tse ling DSM-5, mocheng oa marang-rang oa American Psychiatric Association (APA).

> Mehloli:

> Mokhatlo oa American Psychiatric Association (APA). Buka ea ho hlahloba le ea Statistical ea Mathata a kelello. 5th ed. Washington, DC: 2013.

> Friedman MJ, Resick PA, Bryant RA, Brewin CR. Ho nahana ka PTSD bakeng sa DSM-5. Ho tepella maikutlo le ho tšoenyeha. September 2011; 28 (9): 750-769. doi: 10.1002 / da.20767.

> Pai A, Suris AM, North CS. Posttraumatic Stress Disorder ho DSM-5 : Khang, Phetoho le Maikutlo a Maikutlo. Hunter SJ, ed. Scientific Behavioral Sciences . 2017; 7 (1): 7. doi: 10.3390 / bs7010007.