Challenges in the Implementation of Manualized Psychotherapy in Combat-related PTSD

CNS Spectrums ◽  
2008 ◽  
Vol 13 (10) ◽  
pp. 872-880 ◽  
Author(s):  
Maria Linden ◽  
Julia Golier
Keyword(s):  
Posttraumatic Stress Disorder ◽  
Posttraumatic Stress ◽  
Major Depressive Episode ◽  
Stress Disorder ◽  
News Coverage ◽  
Supportive Therapy ◽  
Chief Complaint ◽  
Veterans Administration ◽  
Major Depressive ◽  
Sleep Difficulties

Mr. F is a 60-year-old Caucasian, married, unemployed male who presented to the outpatient department of the Veterans Administration (VA) ∼10 months ago with a chief complaint of sleep difficulties. Approximately 12 years ago he had been diagnosed with posttraumatic stress disorder (PTSD) and a major depressive episode (MDE). He received very little treatment, either medication or therapy, at that time. He presented after being followed in a Veteran's Center for weekly to biweekly supportive therapy with a counselor for ∼6 months. He had gone to the Veteran's Center due to the encouragement of his wife. She had noted that he was becoming increasingly irritable and isolative at home and she had asked him to seek help for his anger and irritability. An event occurred in which he broke a chair after watching war-related news coverage and that made her insist that he present for treatment.

Co-Occurrence of Major Depressive Episode and Posttraumatic Stress Disorder Among Survivors of War

2013 ◽  
Vol 74 (03) ◽  
pp. e212-e218 ◽  
Author(s):  
Nexhmedin Morina ◽  
Dean Ajdukovic ◽  
Marija Bogic ◽  
Tanja Franciskovic ◽  
Abdulah Kucukalic ◽  
...  
Keyword(s):  
Posttraumatic Stress Disorder ◽  
Posttraumatic Stress ◽  
Depressive Episode ◽  
Major Depressive Episode ◽  
Stress Disorder ◽  
Major Depressive

scholarly journals Longitudinal study of changing psychological outcomes following the Victorian Black Saturday bushfires

2017 ◽  
Vol 52 (6) ◽  
pp. 542-551 ◽  
Author(s):  
Richard A Bryant ◽  
Lisa Gibbs ◽  
Hugh Colin Gallagher ◽  
Phillipa Pattison ◽  
Dean Lusher ◽  
...  
Keyword(s):  
Mental Health ◽  
Posttraumatic Stress Disorder ◽  
Confidence Interval ◽  
Posttraumatic Stress ◽  
Depressive Episode ◽  
Odds Ratio ◽  
Major Depressive Episode ◽  
Stress Disorder ◽  
Major Depressive ◽  
Over Time

Objectives: To map the changing prevalence and predictors of psychological outcomes in affected communities 5 years following the Black Saturday bushfires in Victoria. Method: Follow-up assessment of longitudinal cohort study in high, medium and non-affected communities in Victoria, Australia. Participants included 1017 respondents (Wave 1) interviewed via telephone and web-based survey between December 2011 and January 2013, and 735 (76.1%) eligible participants were retested between July and November 2014 (Wave 2). The survey included measures of fire-related and subsequent stressful events, probable posttraumatic stress disorder, major depressive episode, alcohol use and severe distress. Results: There were reduced rates of fire-related posttraumatic stress disorder (8.7% vs 12.1%), general posttraumatic stress disorder (14.7% vs 18.2%), major depressive episode (9.0% vs 10.9%) and serious mental illness (5.4% vs 7.8%). Rates of resilience increased over time (81.8% vs 77.1%), and problem alcohol use remained high across Wave 1 (22.1%) and Wave 2 (21.4%). The most robust predictor of later development of fire-related posttraumatic stress disorder (odds ratio: 2.11; 95% confidence interval: [1.22, 3.65]), general posttraumatic stress disorder (odds ratio: 3.15; 95% confidence interval: [1.98, 5.02]), major depressive episode (odds ratio: 2.86; 95% confidence interval: [1.74, 4.70]), serious mental illness (odds ratio: 2.67; 95% confidence interval: [0.57, 1.72]) or diminished resilience (odds ratio: 2.01; 95% confidence interval: [1.32, 3.05]) was extent of recent life stressors. Conclusion: Although rates of mental health problems diminished over time, they remained higher than national levels. Findings suggest that policy-makers need to recognize that the mental health consequences of disasters can persist for many years after the event and need to allocate resources towards those who are most at risk as a result of substantive losses and ongoing life stressors.

Control-Related Beliefs and Sleep Characteristics of Posttraumatic Stress Disorder Patients

1989 ◽  
Vol 65 (2) ◽  
pp. 567-576 ◽  
Author(s):  
Mario Mikulincer ◽  
Hanania Glaubman ◽  
Orna Wasserman ◽  
Anat Porat ◽  
Moshe Birger
Keyword(s):  
Posttraumatic Stress Disorder ◽  
Posttraumatic Stress ◽  
Perceived Control ◽  
Stress Disorder ◽  
Personal Control ◽  
Sleep Patterns ◽  
Control Subjects ◽  
Sleep Difficulties

To examine correlations among chronic Posttraumatic Stress Disorder (PTSD), control-related beliefs, and sleep difficulties 7 PTSD casualties and 7 non-PTSD matched subjects were compared in their laboratory sleep patterns as well as in their beliefs about personal control over external and internal events in general and over sleep-related events in particular. Analyses indicated that PTSD casualties had poorer sleep and reported more doubts regarding their ability to control external and internal events than control subjects. Further, we found a significant association between perceived control and sleep difficulties. Results were discussed in terms of Horowitz's conception of intrapsychic processes related to PTSD.

scholarly journals Hemicrania Continua Headache in a Veteran with Posttraumatic Stress Disorder and Major Depressive Disorder without Traumatic Brain Injury

2012 ◽  
Vol 2012 ◽  
pp. 1-3
Author(s):  
Brandon A. Kohrt ◽  
Erica Duncan
Keyword(s):  
Posttraumatic Stress Disorder ◽  
Major Depressive Disorder ◽  
Depressive Disorder ◽  
Posttraumatic Stress ◽  
Stress Disorder ◽  
Psychiatric Symptoms ◽  
Hemicrania Continua ◽  
Major Depressive ◽  
High Flow Oxygen ◽  
Psychopharmacological Intervention

Hemicrania continua is a headache characterized by chronic unremitting unilateral pain associated with ipsilateral autonomic findings. This type of headache responds to high-flow oxygen and indomethacin. This case report describes a male veteran with posttraumatic stress disorder (PTSD) and major depressive disorder who suffers from comorbid hemicrania continua. The psychiatric symptoms were recalcitrant to psychopharmacological intervention. However, when the patient's hemicrania continua was treated appropriately, the patient's psychiatric symptoms also abated. This case demonstrates the need to address physical comorbidities that may exacerbate psychiatric disorders, such as PTSD.

Incidence and Correlates of Posttrauma Symptoms in Children From Backgrounds of Domestic Violence

2002 ◽  
Vol 17 (5) ◽  
pp. 555-567 ◽  
Author(s):  
Peter Mertin ◽  
Philip B. Mohr
Keyword(s):  
Domestic Violence ◽  
Posttraumatic Stress Disorder ◽  
Posttraumatic Stress ◽  
Stress Disorder ◽  
South Australia ◽  
Women's Shelters ◽  
Women’S Shelters ◽  
Effects On Children ◽  
Anxiety Depression ◽  
Sleep Difficulties

In recent years, evidence has emerged of the presence of posttrauma symptoms in children from backgrounds of domestic violence. The present study examined the incidence and correlates of posttrauma symptoms in 56 children of mothers who had been residents in women’s shelters in Adelaide, South Australia. The most frequently endorsed symptoms among this sample of children were being troubled by distressing thoughts, conscious avoidance, hypervigilance, and sleep difficulties. Twenty percent of children met the criteria for a diagnosis of posttraumatic stress disorder (PTSD). Children meeting full PTSD criteria scored significantly higher on measures of anxiety, depression, and dissociation. Results support the use of a posttrauma framework for understanding the effects on children of living with domestic violence.

scholarly journals Posttraumatic stress disorder: a serious post-earthquake complication

2017 ◽  
Vol 39 (2) ◽  
pp. 135-143 ◽  
Author(s):  
Mudassir Farooqui ◽  
Syed A. Quadri ◽  
Sajid S. Suriya ◽  
Muhammad Adnan Khan ◽  
Muhammad Ovais ◽  
...  
Keyword(s):  
Posttraumatic Stress Disorder ◽  
Major Depressive Disorder ◽  
Depressive Disorder ◽  
Posttraumatic Stress ◽  
Stress Disorder ◽  
Psychological Symptoms ◽  
Relevant Information ◽  
Health Condition ◽  
Major Depressive ◽  
Compulsive Disorder

Abstract Objectives Earthquakes are unpredictable and devastating natural disasters. They can cause massive destruction and loss of life and survivors may suffer psychological symptoms of severe intensity. Our goal in this article is to review studies published in the last 20 years to compile what is known about posttraumatic stress disorder (PTSD) occurring after earthquakes. The review also describes other psychiatric complications that can be associated with earthquakes, to provide readers with better overall understanding, and discusses several sociodemographic factors that can be associated with post-earthquake PTSD Method A search for literature was conducted on major databases such as MEDLINE, PubMed, EMBASE, and PsycINFO and in neurology and psychiatry journals, and many other medical journals. Terms used for electronic searches included, but were not limited to, posttraumatic stress disorder (PTSD), posttraumatic symptoms, anxiety, depression, major depressive disorder, earthquake, and natural disaster. The relevant information was then utilized to determine the relationships between earthquakes and posttraumatic stress symptoms. Results It was found that PTSD is the most commonly occurring mental health condition among earthquake survivors. Major depressive disorder, generalized anxiety disorder, obsessive compulsive disorder, social phobia, and specific phobias were also listed. Conclusion The PTSD prevalence rate varied widely. It was dependent on multiple risk factors in target populations and also on the interval of time that had elapsed between the exposure to the deadly incident and measurement. Females seemed to be the most widely-affected group, while elderly people and young children exhibit considerable psychosocial impact.

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