scholarly journals Treatment of Post-Traumatic Stress Disorder Nightmares at a Veterans Affairs Medical Center

2016 ◽  
Vol 5 (12) ◽  
pp. 117 ◽  
Author(s):  
Mark Detweiler ◽  
Bhuvaneshwar Pagadala ◽  
Joseph Candelario ◽  
Jennifer Boyle ◽  
Jonna Detweiler ◽  
...  
Keyword(s):  
Post Traumatic Stress Disorder ◽  
Traumatic Stress ◽  
Stress Disorder ◽  
Medical Center ◽  
Veterans Affairs ◽  
Post Traumatic Stress ◽  
Post Traumatic

scholarly journals The use of second generation antipsychotics for post-traumatic stress disorder in a US Veterans Health Administration Medical Center

2013 ◽  
Vol 23 (3) ◽  
pp. 281-288 ◽  
Author(s):  
E. Hermes ◽  
M. Sernyak ◽  
R. Rosenheck
Keyword(s):  
Post Traumatic Stress Disorder ◽  
Traumatic Stress ◽  
Second Generation ◽  
Stress Disorder ◽  
Medical Center ◽  
Veterans Health ◽  
Health Administration ◽  
Post Traumatic Stress ◽  
Chi Square ◽  
Post Traumatic

Background.Prior studies of antipsychotic use in individuals with post-traumatic stress disorder (PTSD) are limited because administrative data lacks information on why providers choose particular medications.Methods.This study examined 2613 provider surveys completed at the time any second generation antipsychotic (SGA) was prescribed over a 20-month period at a single Veterans Affairs medical center. Clinical correlates and reasons for SGA selection among individuals with PTSD compared to those with other psychiatric disorders were identified using chi-square.Results.PTSD was the sole diagnosis in n = 339 (13%) and one of several psychiatric diagnoses in n = 236 (9%) surveys. ‘Efficacy’ was the most common reason given for the prescriptions of SGAs in all surveys (51%) and among individuals with PTSD (46%). ‘Sleep/sedation’ was the only reason cited, significantly more frequently among those with PTSD (39% with PTSD only, 35% with PTSD plus another diagnosis, and 31% without PTSD [χ2 = 12.86, p < 0.0016)]. The proportion identifying ‘efficacy’ as a reason for SGA use was smaller in patients with PTSD (44% with PTSD only, 49% with PTSD and another diagnosis, and 53% without PTSD [χ2 = 8.78, p < 0.0125)]. Quetiapine was the most frequently prescribed SGA in the entire sample and among veterans with PTSD (47%).Conclusions.Clinician use of SGAs is often driven by efficacy, for which there is limited evidence, and distinctly driven by the goal of sedation among patients with PTSD.

Post-traumatic stress disorder symptom severity in service members returning from Iraq and Afghanistan with different types of injuries

CNS Spectrums ◽  
2012 ◽  
Vol 17 (1) ◽  
pp. 11-15 ◽  
Author(s):  
Robert N. McLay ◽  
Jennifer Webb-Murphy ◽  
Paul Hammer ◽  
Stacy Volkert ◽  
Warren Klam
Keyword(s):  
World War I ◽  
Post Traumatic Stress Disorder ◽  
Traumatic Stress ◽  
Stress Disorder ◽  
Traumatic Event ◽  
Medical Center ◽  
Service Members ◽  
Post Traumatic Stress ◽  
Severity Scores ◽  
Post Traumatic

IntroductionRisk for post-traumatic stress disorder (PTSD) varies in part due to the nature of the traumatic event involved. Both injury and return from combat pose high risk of PTSD symptoms. How different injuries may predispose towards PTSD is less well understood.MethodsA retrospective record review was conducted from 1402 service members who had returned to Naval Medical Center San Diego from Iraq or Afghanistan and who had completed the PTSD Checklist as part of their post-deployment screening. Rates of PTSD were examined in relation to mechanism of injury.ResultsOf those without injury, 8% met Diagnostic and Statistical Manual criteria for PTSD. Thirteen percent of those with a penetrating injury, 29% with blunt trauma, and 33% with combination injuries met criteria for PTSD. PTSD severity scores varied significantly according to type of injury.DiscussionThe World War I concept of “shell shock” implied that blast-related injuries were more likely to result in psychological symptoms than were other injuries. These data may support that idea. Circumstance of injury, population differences, and reporting bias could also have influenced the results.ConclusionThese results suggest that service members with blunt or combination injuries merit particular attention when screening for PTSD.

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