Fear, helplessness, and horror in posttraumatic stress disorder: Investigating DSM‐IV Criterion A2 in victims of violent crime

CR Brewin, B Andrews, S Rose - Journal of Traumatic Stress …, 2000 - Wiley Online Library
CR Brewin, B Andrews, S Rose
Journal of Traumatic Stress: Official Publication of The …, 2000Wiley Online Library
Abstract A DSM‐IV diagnosis posttraumatic stress disorder (PTSD) required for the first time
that individuals must report experiencing intense fear, helplessness, or horror at the time of
the trauma. In a longitudinal study of 138 victims of violent crime, we investigated whether
reports of intense trauma‐related emotions characterized individuals who, after 6 months,
met criteria for PTSD according to the DSM‐III‐R. We found that intense levels of all 3
emotions strongly predicted later PTSD. However, a small number of those who later met …
Abstract
A DSM‐IV diagnosis posttraumatic stress disorder (PTSD) required for the first time that individuals must report experiencing intense fear, helplessness, or horror at the time of the trauma. In a longitudinal study of 138 victims of violent crime, we investigated whether reports of intense trauma‐related emotions characterized individuals who, after 6 months, met criteria for PTSD according to the DSM‐III‐R. We found that intense levels of all 3 emotions strongly predicted later PTSD. However, a small number of those who later met DSM‐III‐R or ICD criteria for PTSD did not report intense emotions at the time of the trauma. They did, however, report high levels of either anger with others or shame.
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