State of the Art: What is the relationship between traumatic experiences and other DSM-IV diagnoses?
There is ample evidence that many traumatized individuals have a wide range of symptoms and meet criteria for a range of psychiatric disorders, particularly when traumatization was interpersonal, began early in childhood, involved threat to life and limb, and was severe and prolonged. For example, trauma-related disorders have very high rates of comorbidity with major depression (e.g., Brady, Killeen, Brewerton, & Lucerini , 2000; Perry, 1985; Sar et al., 2000); anxiety disorders (Allen, Coyne, & Huntoon, 1998; Brady, 1997; Lipschitz et al., 1999; Stein et al., 1996); substance abuse disorders (e.g., Brady, 1997; McClellan, Adams, Douglas, McCurry, & Storck , 1995; McDowell, Levon, & Nunes, 1999), and eating disorders (Brady et al., 2000; Darves-Bornoz, Delmotte, Benhamou, Degiovanni, & Gaillard, 1996; Lipschitz et al., 1999; Vanderlinden, 1993). For the clinician, making accurate diagnoses in traumatized individuals can thus be confusing because they typically struggle with so many sy
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