High burden of subthreshold DSM‐5 post‐traumatic stress disorder in U.S. military veterans

Feasibility, qualitative findings and satisfaction of a brief Tai Chi mind–body programme for veterans with post-traumatic stress symptoms

“…Individuals with subthreshold PTSD symptomatology frequently experience significant impairment in functioning 6. Thus, we included both veterans with subthreshold symptomatology as well as veterans with diagnosed PTSD in order to represent the full range of veterans with postdeployment trauma-related distress.…”

Evaluating the stability of DSM-5 PTSD symptom network structure in a national sample of U.S. military veterans

“…Probable PTSD was operationalized as a score ≥ 31 (Bovin et al, 2015). Sub-threshold was defined as endorsement of 2 or 3 B-E symptom criteria, or all 4 B-E symptom criteria but not 1-month symptom duration and/or functional impairment (Mota et al, 2016). The PCL-5 demonstrated excellent internal consistency at both baseline and 3-year assessments (Cronbach α = 0.95 and 0.96, respectively).…”

Subthreshold PTSD and PTSD in a prospective‐longitudinal cohort of military personnel: Potential targets for preventive interventions

“…While symptoms will be mild to moderate for the majority of people, followed by a return to pre-trauma health shortly thereafter, an estimated 1.3% to 8.8% of trauma exposed persons will experience severe distress and impairment that is consistent with posttraumatic stress disorder (PTSD) (Atwoli, Stein, Koenen, & McLaughlin, 2015). Further, another 3.6% to 25.6% of persons experience clinically significant posttraumatic stress symptoms that, despite failure to meet full diagnostic criteria for PTSD, might cause distress and impairment and warrant treatment (Jakupcak et al, 2011; Mota et al, 2016; Pietrzak, Goldstein, Malley, Johnson, & Southwick, 2009). The dominant lens through which we consider psychiatric disorders is binary, i.e., we consider whether individuals have a diagnosis or not.…”

“…Further, another 3.6 to 25.6% of persons experience clinically significant posttraumatic stress symptoms that, despite failure to meet full diagnostic criteria for PTSD, might cause distress and impairment and warrant treatment (Jakupcak et al, 2011;Mota et al, 2016;Pietrzak, Goldstein, Malley, Johnson, & Southwick, 2009). The dominant lens through which we consider psychiatric disorders is binary, that is, we consider whether individuals have a diagnosis or not.…”