scholarly journals Stress and dementia

2014 ◽  
Vol 26 (8) ◽  
pp. 1235-1236 ◽  
Author(s):  
Colleen Doyle ◽  
David Dunt ◽  
Philip Morris

The causes of dementia continue to be the subject of huge research efforts, and post-traumatic stress disorder (PTSD) has recently gained attention as a possible contributor. PTSD is considered to be present if the sufferer develops persistent re-experiencing, avoidance and emotional numbing and symptoms of increased arousal not present before the sufferer was exposed to a traumatic incident. PTSD is now classified in DSM-5 as a trauma- and stressor-related disorder, unlike DSM-IV where it was previously categorized as an anxiety disorder, lending it more prominence now as a stress-related condition. However, it remains placed near the anxiety, obsessive compulsive and dissociative disorders in recognition of the close relationship with these other diagnoses. The nosology of PTSD is interesting as the symptoms can vary considerably. Some individuals with PTSD exhibit anxious or fear-based symptoms, while others can experience anhedonic, dysphoric, aggressive or dissociative symptoms (American Psychiatric Association, 2013).

2009 ◽  
Vol 194 (6) ◽  
pp. 479-480 ◽  
Author(s):  
Neil Greenberg ◽  
Simon Wessely

SummaryPeople who suffer from post-traumatic stress disorder (PTSD) are likely to find that their quality of life is substantially impaired. However, unlike other diagnoses, in order for clinicians to make a diagnosis of PTSD people have to be able to accurately recall the details of a traumatic incident. Yet recent evidence suggests that recall of such incidents is often unreliable. Clinicians should therefore exercise caution to avoid making inaccurate diagnoses.


2010 ◽  
Vol 44 (4) ◽  
pp. 309-313 ◽  
Author(s):  
Gavin Andrews ◽  
Matthew Sunderland ◽  
Alice Kemp

Objective: DSM-IV diagnostic criteria define thresholds on a continuum of symptoms above which the diagnosis is said to be established. Data from the 1997 Australian Survey of Mental Health and Wellbeing were used for six internalizing disorders, and the levels of distress and disability associated with each diagnosis were investigated. Method: Mean distress (measured by the K-10) and disability (measured by the SF12-MCS) scores were identified for people in the Survey who reported no physical or mental disorders. The distribution of distress and disability showed by people who met criteria for major depressive disorder, dysthymia, generalized anxiety disorder, social phobia, post-traumatic stress disorder and obsessive–compulsive disorder was plotted against the mean for well people, expecting that ≥90% of people with these mental disorders would score as more distressed or disabled than this mean. Results: More than 90% of people with dysthymia, major depressive disorder, generalized anxiety disorder or with post-traumatic stress disorder scored as more distressed or disabled than the mean for well people. A majority were severely distressed or disabled (>2SD above the mean). This remained the case when the clinical significance criteria were removed. In social phobia and in obsessive–compulsive disorders between 9% and 26% scored below the means for well people, that is, as neither distressed nor disabled, a figure that rose to 16–40% when the clinical significance criteria were removed. In neither case did a majority of cases score in the severe range. Conclusions: The diagnostic thresholds for social phobia and for obsessive–compulsive disorder are less stringent than that for the other disorders and require revision in DSM-V.


Biofeedback ◽  
2009 ◽  
Vol 37 (1) ◽  
pp. 32-35 ◽  
Author(s):  
John A. Carmichael

Abstract This article presents the clinical approach developed by a Canadian biofeedback practitioner for the assessment and treatment of police and military clients, especially those with post traumatic stress disorder (PTSD). The author conducted a clinical practice for more than 25 years primarily with male police and military clients. He examines the impact on treatment effectiveness of a number of factors, such as how police and military clients differ from civilian populations, the definition of trauma in this population, Diagnostic and Statistical Manual of Mental Disorders (4th edition; DSM-IV) diagnostic criteria, the assessment of post-traumatic stress disorder, risks and coping factors, consequences of PTSD, DSM-IV conundrums, epidemiology, and other reactions to traumatic events.


1995 ◽  
Vol 84 (04) ◽  
pp. 195-202 ◽  
Author(s):  
Max Woodbury ◽  
Roger Morrison ◽  
Jonathan Shore ◽  
Greg Bedayn Rshom ◽  
Jonathan Davidson

AbstractGrade of Membership Analysis (GoM) is a multivariate statistical technique developed for the purposes of medical classification. It was applied to the drug picture concept of homoeopathy, assessing five common medicines with particular applicability to anxiety. These were Arsenicum album (Ars), Gelsemium (Gels), Argentum nitricum (Arg-n), Lycopodium (Lyc) and Sulphur (Sulph). The patient sample comprised 104 psychiatric outpatients with structured clinical interviewbased primary diagnoses of social phobia, panic disorder, post traumatic stress disorder, obsessive-compulsive disorder, major depression and dysthymia. A homoeopathic screening questionnaire (HSQ) was used to test the integrity of the five drug pictures. Four pure types emerged, providing some evidence to support distinctions between Sulph and Arg-n features, and a pure type with many features of Ars, Arg-n, Lyc and Gels. The fourth pure type contained few of the drug's characteristics. There was some evidence to suggest that psychiatric diagnoses assorted differentially, based on the homoeopathically determined pure types. This study provides qualified support for the drug picture descriptions.


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