Journal of IMAB - Annual Proceeding (Scientific Papers)
Publisher: Peytchinski, Gospodin Iliev
ISSN: 1312 773X (Online)
Issue: 2015, vol. 21, issue 4
Subject Area: Medicine
Pages: 987-990
DOI: 10.5272/jimab.2015214.987
Published online: 09 December 2015

J of IMAB 2015 Oct-Dec;21(4):987-990
Mariana Arnaudova 1Corresponding Autor, Ivan Aleksandrov1, Valery Stoyanov2, Veronika Ivanova1, Petar Y. Petrov1
1) Medical University, Varna, University hospital “St. Marina”, Varna, Bulgaria
2) Varna Free University “Chernorizets Hrabar”, Bulgaria.

Post-traumatic stress disorder (PTSD) is one of those psychiatric disorders that are still away from our attention, understanding, assessment and proper management. What could be the reason as by its name and diagnostic criteria an etiological fact is specified, namely a specific traumatic event.
In our paper we aim to share and elicit some difficulties that we have met in consulting, diagnostic and management of people, who have suffered a traumatic event.
On the base of a review of current psychiatric classifications and ongoing discussions we briefly summarize and discuss important key points.
The definition of the event, associated with PTSD is different in DSM-III (introduced for the fist time in a classification of mental disorders), DSM-IV and ICD-10. DSM-IV is less restrictive and includes events that occur more frequently. In DSM-5, PTSD is placed in chapter “Trauma and Stressor-related disorders” and the accent is on the variable clinical characteristics of psychological distress. Emotional reactions to the traumatic event are no longer part of Criterion A. The clinical presentation varies and a number of intrusive psychological and physiological reactions of distress are described.  Here comes a problem- the assessment of the trauma itself and the determination of the basic symptoms, when such an event happens. So, the skills to assess the trauma, to determine and competently attribute these symptoms to the specific event and cluster are of great importance. We conclude that a number of risk and prognostic factors should be considered in the process of assessment, diagnosis and management.

Key words: post-traumatic stress disorder, classification, ICD, DSM,

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Please cite this article in PubMed Style or AMA (American Medical Association) Style:
Arnaudova M, Aleksandrov I, Valery Stoyanov V, Veronika Ivanova V, Petrov PY. Diagnostic challenges in assessing post-traumatic stress disorder. J of IMAB. 2015 Oct-Dec;21(4):987-990. doi:

Correspondence to: Mariana Arnaudova-Jekova, MD, PhD, Third Psychiatric Clinic, MHAT “St. Marina”; 1, Hristo Smirnenski str, 9010 Varna, Bulgaria; E-mail:

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Received: 14 September 2015
Published online: 09 December 2015

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