Looking Beyond Post-Traumatic Stress Disorder. Mental Disorder Comorbidities and Treatment Needs of Victimized Women

2012 ◽  
Author(s):  
Courtenay Cavanaugh ◽  
Hanno Petras ◽  
Silvia Martins
2020 ◽  
Vol 15 (4) ◽  
pp. 290-296
Author(s):  
Phillip J. Tully ◽  
Suzanne M. Cosh

Background: Post-traumatic stress disorder (PTSD) is prevalent in approximately 12% of patients with cardiovascular disease (CVD) and such patients are at risk of further CVD morbidity and mortality. It is unknown whether CVD patients with cardiac and non-cardiac traumatic events leading to PTSD differ in medical comorbidities and psychiatric vulnerabilities. Our objective was to compare heart failure (HF) patients with cardiac and non-cardiac PTSD. Method: A population of HF patients from 3 hospitals underwent a two-step depression and anxiety screening process to identify potential mental health treatment needs. The post-traumatic stress disorder module of the Structured Clinical Interview for DSM-IV Axis-I disorders was used to classify trauma(s) exposure, and other disorders. The patients with PTSD were sub-divided by cardiac related traumas (e.g. myocardial infarction, sudden cardiac arrest) and non-cardiac related traumas (e.g. sexual abuse, interpersonal violence). Results: 10 patients met criteria for non-cardiac trauma and 18 patients met criteria for cardiacinduced trauma. There were no significant differences in HF aetiology or severity nor cardiac comorbidities. Time since PTSD, onset was significantly longer for those with non-cardiac PTSD. Among psychiatric comorbidities, alcohol and substance abuse disorders, as well as depression were more prevalent in patients with non-cardiac PTSD. Conclusion: Cardiac related PTSD was associated with less alcohol and substance abuse disorders, and depression by comparison to their non-cardiac induced PTSD counterparts. Ongoing research is required to establish if cardiac-induced PTSD truly reflects a unique subtype of PTSD, and whether there are different treatment needs and therapeutic approaches for this subtype.


BJPsych Open ◽  
2021 ◽  
Vol 7 (6) ◽  
Author(s):  
Sally Jowett ◽  
Angeliki Argyriou ◽  
Odile Scherrer ◽  
Thanos Karatzias ◽  
Cornelius Katona

Asylum-seekers experience high levels of traumatic events pre-, post- and during migration. Poly-traumatisation is associated with complex post-traumatic stress disorder (CPTSD), which has not yet been extensively explored in this population. CPTSD is a prevalent and highly disabling disorder in the present population requiring culturally sensitive diagnostic and treatment approaches. In this service evaluation, we evidence the high prevalence of CPTSD in an asylum-seeking sample and its association with greater distress compared with PTSD. We outline the treatment needs of asylum seekers with CPTSD.


Author(s):  
Joel Paris

Post-traumatic stress disorder (PTSD) is a diagnostic epidemic affecting contemporary mental health practice. Overdiagnosis can lead to inappropriate treatment It does not lead to pharmacological treatment, but can be associated with misdirected psychotherapy. It is not widely understood that most psychological traumas, even severe ones, do not produce lasting symptoms. Patients who develop PTSD have previous vulnerability to mental disorder, and should not be seen as reacting simply to external évents.


2017 ◽  
Vol 34 ◽  
Author(s):  
Antonio E. Puente

This study aims at re-conceptualizing PTSD as a neuropsychological construct and reconsidering the understanding of both the perpetrator and victim of the trauma from a neuropsychological perspective. Post Traumatic Stress Disorder (PTSD) is considered a modern mental disorder secondary to an individual's experience of emotional trauma. Further such trauma should disappear or be adjusted to as a function of the passage of time and as a function of psychotherapeutic interventions. The findings of this study reveal that PTSD produces changes that are neurocognitive in nature. Furthermore, significant neuropsychological deficits arise as a function of PTSD or at least some forms of PTSD via acute or chronic traumatic exposure.


1983 ◽  
Vol 143 (1) ◽  
pp. 64-68 ◽  
Author(s):  
R. J. Daly

SummarySamuel Pepys's diary allows us an opportunity to see how a man of acknowledged ability and stability coped with the severe psychological trauma of being involved in the Great Fire of London in 1666. His self-monitoring provides an excellent record of the development of post-traumatic stress disorder and an account of his coping behaviour. Despite being one of the newest categories of mental disorder in the official nomenclature, posttraumatic stress disorder has obviously had a long existence.


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