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This article was the subject of a Wiki Education Foundation-supported course assignment, between 19 January 2021 and 25 April 2021. Further details are available on the course page. Student editor(s): Red027. Peer reviewers: Sthapa20, VerdantAurum, Will590.

Above undated message substituted from Template:Dashboard.wikiedu.org assignment by PrimeBOT ( talk) 16:51, 17 January 2022 (UTC) reply

This article is or was the subject of a Wiki Education Foundation-supported course assignment. Further details are available on the course page. Student editor(s): Nhose711. Peer reviewers: Lkazmierczak1, Vengeous34.

Above undated message substituted from Template:Dashboard.wikiedu.org assignment by PrimeBOT ( talk) 13:23, 16 January 2022 (UTC) reply

I was thinking should this article involve the phyisical reactions common to ASR? Such as fast, weak heartbeat, shallow breathing, difficulty in moving involving overly stiff or overly limp muscles, fixed pupils (irises won't contract or dilate) of course this is when it gets at it's worst. —Preceding unsigned comment added by 92.3.144.105 ( talk) 14:51, 27 March 2010 (UTC) reply

The Dx Guidelines section needs a citation and some more rigor. I suggest a synopsis of the DSM-IV-TR and/or ICD Dx criteria... —Preceding unsigned comment added by Jdcounselling ( talk • contribs) 14:06, 3 April 2009 (UTC) reply

I have redirected this to the fight or flight page because this was identical to the previous version of that page, which i overhauled to its benift. Thanks. Irayna 12:18, 5 August 2006 (UTC) reply

The common term "shock" to the best of my knowledge refers to this condition, which I mentioned here (see also the top section of Talk:Shock (medical)). I added that and acute stress disorder (a term that's more common on google, but doesn't have an ICD code - is it the official term somewhere, IE the American term, an obsolete name, a variant disorder with a different definition, or simply a layman term?), as alternate names. If anyone with more knowledge on the subject can clarify and add citations, please do. 76.202.59.91 20:22, 11 August 2007 (UTC) reply

I'm not convinced about the move of this article from acute stress reaction to 'shock' as I believe that the internationally recognised ICD10 classification has it as the former. OwainDavies ^{( about)}_{( talk)} edited at 07:03, 2 September 2008 (UTC) reply

Okay. I don't object to leaving it at acute stress reaction. — Lowellian ( reply) 21:45, 3 September 2008 (UTC) reply

This line "When you get in shock, you probably just need to sit down and relax." seems not only badly written but not really in line with the rest of the article. Delete? 80.168.34.2 ( talk) 14:02, 19 February 2009 (UTC) reply

The American Psychiatric Association has not released its Diagnostic and Statistical Manual of Mental Disorders into public domain, but claims copyright. The Wikimedia Foundation has received a letter of complaint ( Ticket:2010030910040817, for those with access) about the use of their diagnostic criteria in this and a number of other articles. Currently, this content is blanked pending investigation, which will last approximately one week. Please feel free to provide input at the copyright problems board listing during that time. Individuals with access to the books would be particularly welcome in helping to conduct the investigation. Assistance developing a plan to prevent misuse of the APA's material on Wikipedia projects would also be welcome. Thank you. Moonriddengirl ^(talk) 14:06, 11 March 2010 (UTC) reply

One or more portions of this article duplicated other source(s). The material was copied from: Diagnostic and Statistical Manual of Mental Disorders. Infringing material has been rewritten or removed and must not be restored, unless it is duly released under a compatible license. (For more information, please see "using copyrighted works from others" if you are not the copyright holder of this material, or "donating copyrighted materials" if you are.) For legal reasons, we cannot accept copyrighted text or images borrowed from other web sites or published material; such additions will be deleted. Contributors may use copyrighted publications as a source of information, but not as a source of sentences or phrases. Accordingly, the material may be rewritten, but only if it does not infringe on the copyright of the original or plagiarize from that source. Please see our guideline on non-free text for how to properly implement limited quotations of copyrighted text. Wikipedia takes copyright violations very seriously, and persistent violators will be blocked from editing. While we appreciate contributions, we must require all contributors to understand and comply with these policies. Thank you. Moonriddengirl ^(talk) 23:38, 12 March 2010 (UTC) reply

After reading this article and realising how little I have understood, i believe that the article should be re-written so that it can be read by a much wider audience than the medical experts and psychologists it is directed to at the moment, please could something be done to address this matter. —Preceding unsigned comment added by 86.150.78.5 ( talk) 16:34, 16 May 2010 (UTC) reply

The section "diagnosis" is a rant and definitely has to be rewritten. It is not to the point and very confusing. Nhose711 ( talk) 04:23, 15 February 2017 (UTC) reply

I was wondering if anyone knew of any related condition to ASR that would not involve a known traumatic event. If so, a link in the See Also section would be in order. -- Joe Sewell ( talk) 20:26, 30 July 2011 (UTC) reply

I don't understand at all the relevance of the text: "After being attacked and stabbed, Austrian empress Elisabeth of Bavaria boarded a ship, unaware of the severity of her condition as a consequence of an acute stress reaction. Bleeding to death from a puncture wound to the heart, Elisabeth's last words were, "What happened to me?" If she died from a wound in her heart, what does that have to do with a stress reaction? I'll remove the image, but please feel free to revert if I am wrong.-- Sasper ( talk) 01:31, 27 August 2012 (UTC) reply

Is each fact referenced with an appropriate, reliable reference?

-There are only 8 references but all of them are peer-reviewed or books published by reputable publishers. The lead is completely unsupported by references, so the definition of ASR needs some support. -The first sentence under “Causes” is an unsupported fact. -the complete middle portion of “Causes” consists of unsupported facts, i.e. no citations - (Thase & Howland, 1995) should be a footnoted reference - (VanPutte Regan Russo 2014) should be a footnoted reference only and not in parenthesis in the text, also it seems like the whole paragraph on “Subsets” was copied from the referenced textbook - “If symptoms last for more than a month, then the patient might be instead diagnosed with PTSD.” Unclear where this information comes from Nhose711 ( talk) 22:38, 31 January 2017 (UTC) reply

Reference 5 is a link to a website that is not a reliable source, it has advertisements all over the place. It has to be deleted and an appropriate replacement has to be found. Nhose711 ( talk) 04:15, 15 February 2017 (UTC) reply

Planned new References that will be added (Tentative Bibliography):

Li, Y., et al. (2017). "Long-Term Effects of Acute Stress on the Prefrontal-Limbic System in the Healthy Adult." PLoS One 12(1).

Milenkovic, T. and A. Jovanovic (2016). "The Impact of Emotional Characteristics in the Chronicity of Posttraumatic Stress Disorder." Psychiatria Danubina 28(2): 164-169.

Peterlik, Daniel, Peter J. Flor, and Nicole Uschold-Schmidt. “The Emerging Role of Metabotropic Glutamate Receptors in the Pathophysiology of Chronic Stress-Related Disorders.” Current Neuropharmacology 14.5 (2016): 514–539. 

Shin, Hyoseung et al. “Acute Stress-Induced Changes in Follicular Dermal Papilla Cells and Mobilization of Mast Cells: Implications for Hair Growth.” Annals of Dermatology 28.5 (2016): 600–606.

Srivastava, Shruti, Manjeet Singh Bhatia, and Priyanka Gautam. “Disseminated Neurocysticercosis Presenting as Acute Stress Reaction.” Industrial Psychiatry Journal 25.1 (2016): 110–112. Nhose711 ( talk) 04:54, 15 February 2017 (UTC) reply

The last sentence is not grammatically correct and has to be rewritten for clarity. Nhose711 ( talk) 04:18, 15 February 2017 (UTC) reply

Also, the heading "subsets" is not appropriate, i.e., it does not fit. This section describes the autonomic nervous system and its role in ASR, but the section should be titled "physiological mechanism" instead. Nhose711 ( talk) 04:21, 15 February 2017 (UTC) reply

The phrase "Mindfulness based stress reduction programs also appear to be effective for stress management." is supported by a reference, but it is unclear whether mindfulness has specifically shown to help with ASR. The phrase "Medication can be used for a short duration (up to four weeks)." needs a citation, if none can be found, it has to be deleted. Nhose711 ( talk) 04:28, 15 February 2017 (UTC) reply

The phrase ""Acute stress response" was first described by Walter Cannon in the 1920s as a theory that animals react to threats with a general discharge of the sympathetic nervous system. The response was later recognized as the first stage of a general adaptation syndrome that regulates stress responses among vertebrates and other organisms" might be better located under the "background" subsection. Lkazmierczak1 ( talk) 07:55, 29 March 2017 (UTC) reply

[(User:Nhose711|Nhose711]) this article is very nicely written, as well as shaped and structured in a way thats easy to follow and make sense. The writing is also neutral which is good. A possible recommendations would be to add maybe a small section talking about acute stress reaction compared to different ages, maybe looking for sources out there that talk about how the brain and memory can be affected by different ages? Other than that potential information, the article is very well made. Nice Job. [(User:Vengeous34|Vengeous34])

This article still refers to DSM-IV. We're on DSM-5 now. –  Muboshgu ( talk) 23:36, 2 March 2018 (UTC) reply

This article cites the DSM and discusses ASD (Acute Stress Disorder). A) Does discussion of ASD belong on this page? B) Is ASD a separate phenomenon to a to ASR? C) A clearer distinction between ASR and ASD should be drawn if these are not the same. "Signs and Symptoms" currently lists the symptoms of ASD, not ASR. — Preceding unsigned comment added by PiggiusMax ( talk • contribs) 21:43, 10 August 2019 (UTC) reply

I changed all instances of ASR to ASD. I've also put in a move request to match. NightlyHelper ( talk) 01:11, 24 September 2019 (UTC) reply

I believe that we are conflating two different terms here, making the single article very confusing. ASR (acute stress reaction) is a short term phenomenon that produces elevated heart and respiratory rates in a patient, or alternatively cause them to pass out. It's pretty harmless, and the patient recovers in a matter of minutes to tens of minutes. It is important understand ASR in a first responder context, and to discern between ASR and true shock, which in a medical sense is the life-threatening inadequate perfusion of the body. (This is the ASR discussed in the reference Wilderness and Rescue Medicine.)

I am not familiar with ASD, however it appears very different. The article discusses diagnois of ASD as involving things like nightmares, sleep disruption, and flashbacks, which all require far more time than ASR lasts. The term disorder also implies an ongoing condition. ASR is very short term.

I suggest these two terms be distinguished from each other, at minimum, or better yet, that this article is split into two. 2601:188:C880:5E00:C97F:318D:A43D:5A2F ( talk) 02:21, 16 October 2022 (UTC) reply

Requested move 18 January 2024

Although ICD treats ASR and ASD as synonyms, additional research showed that DSM defines ASD differently. I tried to clarify it in the article. However, they are so much related that I think that the article should not be split in two. —  Petr Matas 15:14, 7 March 2024 (UTC) reply

I am creating a bibliography page. These are the sources I have right now.

1. Fanai, Mehdi; Khan, Moien AB (2020), "Acute Stress Disorder", StatPearls, Treasure Island (FL): StatPearls Publishing, PMID 32809650

2. Astill Wright, Laurence; Sijbrandij, Marit; Sinnerton, Rob; Lewis, Catrin; Roberts, Neil P.; Bisson, Jonathan I. (12 09, 2019). "Pharmacological prevention and early treatment of post-traumatic stress disorder and acute stress disorder: a systematic review and meta-analysis". Translational Psychiatry. 9 (1): 334. doi:10.1038/s41398-019-0673-5. ISSN 2158-3188. PMC 6901463. PMID 31819037.

If you have suggestions on my bibliography, please let me know. Red027 ( talk) 22:51, 7 February 2021 (UTC) reply

This article was the subject of a Wiki Education Foundation-supported course assignment, between 16 August 2022 and 9 December 2022. Further details are available on the course page. Student editor(s): Lanemarie1234 ( article contribs).

— Assignment last updated by MeadorBriannaM ( talk) 05:23, 1 December 2022 (UTC) reply