A review of acute stress disorder in DSM‐5

  title={A review of acute stress disorder in DSM‐5},
  author={Richard A. Bryant and Matthew J. Friedman and David Spiegel and Robert J. Ursano and J. J. Strain},
  journal={Depression and Anxiety},
Acute stress disorder (ASD) was introduced into DSM‐IV to describe acute stress reactions (ASRs) that occur in the initial month after exposure to a traumatic event and before the possibility of diagnosing posttraumatic stress disorder (PTSD), and to identify trauma survivors in the acute phase who are high risk for PTSD. This review considers ASD in relation to other diagnostic approaches to acute stress responses, critiques the evidence of the predictive power of ASD, and discusses ASD in… 

Acute stress disorder.

  • R. Bryant
  • Psychology
    Current opinion in psychology
  • 2017

Considering adjustment disorders as stress response syndromes for DSM‐5

A theoretical context for AD as a stress response syndrome is presented and the rationale for these suggested revisions, especially with respect to the newly proposed ASD/PTSD subtype are presented.

The Current Evidence for Acute Stress Disorder

  • R. Bryant
  • Psychology
    Current Psychiatry Reports
  • 2018
Although the ASD diagnosis does not accurately predict chronic PTSD, it describes recently trauma-exposed people with severe distress, and provision of CBT in the acute phase is the best available strategy to limit subsequent PTSD.

Post-traumatic stress disorder: a psychiatric disorder requiring urgent attention

A combination of both psychotherapy and pharmacotherapy is used to treat PTSD, but has limited efficacy in patients with refractory PTSD and draw attention to its prevention.

Predicting the Transition From Acute Stress Disorder to Posttraumatic Stress Disorder in Children With Severe Injuries.

  • Ruth C BrownN. Nugent G. Saxe
  • Psychology, Medicine
    Journal of pediatric health care : official publication of National Association of Pediatric Nurse Associates & Practitioners
  • 2016

Acute stress disorder as a predictor of posttraumatic stress: A longitudinal study of Chinese children exposed to the Lushan earthquake.

The results demonstrated that 28.4% of the children suffered from ASD, but only a small percentage of the population went on to develop PTSD, and the severity of ASD symptoms correlated with later PTSD symptoms.

Strategies for Acute Stress Reactions and Acute Stress Disorder (ASD)

This chapter deals entirely with acute posttraumatic responses. It begins by describing acute stress reactions, normal reactions to traumatic events both in civilian and military contexts. Issues

Assessing a dysphoric arousal model of acute stress disorder symptoms in a clinical sample of rape and bank robbery victims

The results of the present study suggest that the dimensionality of ASD may be best characterized as a five factor structure which separates dysphoric and anxious arousal items into two separate factors, akin to recent research on PTSD's latent structure.

Acute stress disorder and defense mechanisms: a study of physical trauma patients admitted to an emergency hospital.

Patients with ASD employed different defense mechanisms such as undoing and devaluation when compared to patients not diagnosed with ASD, marking the importance of early detection of ASD symptoms at a preventative level.



Acute stress disorder: a synthesis and critique.

There is little justification for the ASD diagnosis in its present form, and the available evidence indicates that alternative means of conceptualizing acute trauma reactions and identifying acutely traumatized people who are at risk of developing PTSD need to be considered.

Acute stress disorder: a critical review of diagnostic issues.

The relationship between acute stress disorder and posttraumatic stress disorder in severely injured trauma survivors.

The relationship between acute stress disorder and posttraumatic stress disorder: a prospective evaluation of motor vehicle accident survivors.

The strong predictive power of acute numbing, depersonalization, a sense of relieving the trauma, and motor restlessness indicates that only a subset of ASD symptoms is strongly related to the development of chronic PTSD.

The relationship between acute stress disorder and posttraumatic stress disorder: a 2-year prospective evaluation.

The present study reassessed that original sample 2 years following the trauma to establish the longer term relationship between ASD and PTSD, and found the importance of considering multiple pathways to the development of PTSD.

The relationship between acute stress disorder and posttraumatic stress disorder in injured children.

The findings suggest that the current ASD diagnosis is not optimal in identifying younger children who are high risk for PTSD development.

Dissociative Symptoms in Acute Stress Disorder

A significant overlap between dissociative symptoms questions the discriminatory power and conceptual independence of the dissociation criteria and suggests the need for a more refined conceptual and operational understanding of dissociatives symptoms in the acute trauma stage.

A multisite study of the capacity of acute stress disorder diagnosis to predict posttraumatic stress disorder.

The proposition that the ASD diagnosis is an adequate tool to predict chronic PTSD is challenged, as the majority of people who develop PTSD do not initially meet criteria for ASD.

The relationship between acute stress disorder and posttraumatic stress disorder following cancer.

The authors question the use of the ASD diagnosis to identify recently diagnosed patients at risk of PTSD.