Postpartum-onset PTSD: a DSM-6 nosologic priority
摘要
Childbirth-related PTSD is a population-level postpartum mental health concern that remains under-recognized due to limited routine PTSD screening and symptom overlap with postpartum depression and anxiety. The condition is associated with impaired mother–infant bonding and is supported by converging biological evidence consistent with PTSD in other trauma-exposed populations. We propose that DSM-6 add a PTSD timing specifier, “with postpartum onset”, defined as the onset of PTSD symptoms within 4 weeks after delivery following a childbirth event that satisfies DSM Criterion A. A full PTSD diagnosis would still require that symptoms persist for more than 1 month, as required by DSM criteria. This targeted update could improve recognition, coding, screening pathways, and research harmonization for childbirth-related PTSD.