Post-traumatic stress disorder in different types of stress (clinical features and treatment)

2008 ◽  
Vol 38 (1) ◽  
pp. 55-61 ◽  
Author(s):  
G. M. Rumyantseva ◽  
A. L. Stepanov
Keyword(s):  
Clinical Features ◽  
Post Traumatic Stress Disorder ◽  
Traumatic Stress ◽  
Stress Disorder ◽  
Post Traumatic Stress ◽  
Different Types ◽  
Post Traumatic

scholarly journals Review of Clinical Features and Treatment of Post-Traumatic Stress Disorder in Children

2022 ◽  
Vol 12 (01) ◽  
pp. 1-9
Author(s):  
Lufei Lin ◽  
Tian Liu ◽  
Yu Zheng ◽  
Yuebiao Wu ◽  
Dingsheng Liang ◽  
...  
Keyword(s):  
Clinical Features ◽  
Post Traumatic Stress Disorder ◽  
Traumatic Stress ◽  
Stress Disorder ◽  
Post Traumatic Stress ◽  
Post Traumatic

Different clinical phenotypes of persistent post-traumatic headache exhibit distinct sensory profiles

Cephalalgia ◽  
2019 ◽  
Vol 40 (7) ◽  
pp. 675-688 ◽  
Author(s):  
Dan Levy ◽  
Hila Gruener ◽  
Miri Riabinin ◽  
Yelena Feingold ◽  
Shaul Schreiber ◽  
...  
Keyword(s):  
Clinical Features ◽  
Post Traumatic Stress Disorder ◽  
Traumatic Stress ◽  
Quantitative Sensory Testing ◽  
Stress Disorder ◽  
Tension Type Headache ◽  
Sensory Testing ◽  
Post Traumatic Stress ◽  
Post Traumatic ◽  
Type Headache

Introduction Persistent post-traumatic headache remains a poorly understood clinical entity. Although there are currently no accepted therapies for persistent post-traumatic headache, its clinical symptoms, which primarily resemble those of migraine or tension-type headache, often serve to guide treatment. However, evidence-based justification for this treatment approach remains lacking given the paucity of knowledge regarding the characteristics of these two major persistent post-traumatic headache phenotypes and their etiology. Methods We compared clinical features and quantitative sensory testing profiles between two distinct cohorts of persistent post-traumatic headache subjects that exhibited symptoms resembling either migraine (n = 15) or tension-type headache (n = 13), as well as to headache-free subjects that had suffered traumatic brain injury (n = 19), and to healthy controls (n = 10). We aimed to determine whether the two persistent post-traumatic headache subgroups could be discriminated based on additional clinical features, distinct quantitative sensory testing profiles, or the interaction of pain severity with the level of post-traumatic stress disorder. Results Persistent post-traumatic headache subjects with migraine-like symptoms reported that bright light and focused attention aggravated their pain, while stress and nervousness were reported to aggravate the headache in subjects with tension-type headache-like symptoms. Quietness was better in alleviating migraine-like persistent post-traumatic headache, while anti-inflammatory medications provided better relief in tension-type headache-like persistent post-traumatic headache. The two persistent post-traumatic headache subgroups exhibited distinct quantitative sensory testing profiles with subjects exhibiting tension-type headache-like persistent post-traumatic headache displaying a more pronounced cephalic and extracephalic thermal hypoalgesia that was accompanied by cephalic mechanical hyperalgesia. While both persistent post-traumatic headache subgroups had high levels of post-traumatic stress disorder, there was a positive correlation with pain severity in subjects with tension-type headache-like symptoms, but a negative correlation in subjects with migraine-like symptoms. Conclusions Distinct persistent post-traumatic headache symptoms and quantitative sensory testing profiles may be linked to different etiologies, potentially involving various levels of neuropathic and inflammatory pain, and if confirmed in a larger cohort, could be used to further characterize and differentiate between persistent post-traumatic headache subgroups in studies aimed to improve treatment.

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