scholarly journals Complex post-traumatic stress disorder in participants of the military actions in the operation militarygroups in the view of the eleven edition of the International classification of diseases

2019 ◽  
Keyword(s):  
Post Traumatic Stress Disorder ◽  
Traumatic Stress ◽  
Stress Disorder ◽  
International Classification Of Diseases ◽  
International Classification ◽  
Life Questionnaire ◽  
Post Traumatic Stress ◽  
Classification Of Diseases ◽  
Post Traumatic

The introduction of the new concept of complex post-traumatic stress disorder (cPTSD) in the International Classification of Diseases of the 11th Edition deserves attention in a country where active fighting is taking place. The increase in the number of PTSD sufferers among military personnel and civilians on the territory of hostilities increases the likelihood of PTSD occurring among the contingent. At present, we have no experience in the diagnosis of cPTSD. The objective of our study, along with the diagnosis of PTSD symptoms, is to use a quality of life questionnaire to evaluate the symptoms of cPTSD. The result revealed that the level of community and service support was below average, indicating the need to improve community social support. The self-realization of the combatants has a low average level, which further influences the level of adaptation after the end of the service. Physical and psychological well-being are also low, and this indicator to the need for psychological and physical rehabilitation of demobilized soldiers. At the same time, communication with friends and family, performance were at a high enough level, and these are positive factors that influence the adaptation to civilian life. Summarizing the research, we suggest that in order to organize the help of the combatants more effectively, it is necessary to evaluate, along with a purely psychiatric diagnosis of PTSD, the level of social and physical adaptation of patients with PTSD.

scholarly journals Development of the new CPTSD diagnosis for ICD-11

2021 ◽  
Vol 8 (1) ◽  
Author(s):  
Andreas Maercker
Keyword(s):  
Post Traumatic Stress Disorder ◽  
Traumatic Stress ◽  
Stress Disorder ◽  
International Classification Of Diseases ◽  
Personality Change ◽  
World Health ◽  
Post Traumatic Stress ◽  
Multi Stage ◽  
Post Traumatic ◽  
Health Organization

Abstract Background The diagnosis of complex post-traumatic stress disorder (CPTSD) was proposed several decades ago by scientist-practitioners, almost parallel to the first description of the diagnosis of post-traumatic stress disorder (PTSD). In the previous International Classification of Diseases, version 10 (ICD-10) issued by the World Health Organization (WHO), this symptom constellation was termed ‘enduring personality change after catastrophic experience’. This diagnosis has not been clinically influential, nor has it been subjected to much research. Thus, in a multi-stage process of ICD-11 development, the diagnosis of CPTSD was developed. Methods This paper provides a review of the historical lines of development that led to the CPTSD diagnosis, as well as the results since the ICD-11 publication in 2018. Results The CPTSD diagnosis comprises the core symptoms of the – newly, narrowly defined – PTSD diagnosis, the three symptom groups of affective, relationship, and self-concept changes. The diagnosis is clinically easy to use in accordance with the WHO development goals for the ICD-11 and has shown good psychodiagnostic properties in various studies, including good discrimination from personality disorder with borderline pattern. Conclusion The scholarly use of the new diagnosis has resulted in an increasing number of published studies on this topic in the diagnostic and therapeutic fields.

scholarly journals ‘Military Munchausen's’: assessment of factitious claims of military service in psychiatric patients

1998 ◽  
Vol 22 (3) ◽  
pp. 153-154 ◽  
Author(s):  
Martin Baggaley
Keyword(s):  
Post Traumatic Stress Disorder ◽  
Traumatic Stress ◽  
Military Service ◽  
Stress Disorder ◽  
Psychiatric Patients ◽  
Post Traumatic Stress ◽  
Military Experience ◽  
Simple Classification ◽  
Post Traumatic

Thirteen per cent of referrals of ex-servicemen to a military psychiatric centre for the treatment of combat-related post-traumatic stress disorder (PTSD) in a 12-month period have proved to be factitious. A simple classification of factitious combat-related PTSD into those with no military service and those with military service but with false claims of combat is described. The possible causes of this behaviour are discussed and a guide to the detection of factitious claims for psychiatrists without military experience is given.

scholarly journals Complex PTSD: Psychotherapy of Prolonged Traumatization

2021 ◽  
Vol 29 (3) ◽  
pp. 69-87
Author(s):  
M.A. Padun
Keyword(s):  
Traumatic Stress ◽  
Complex Trauma ◽  
Diagnostic Category ◽  
International Classification Of Diseases ◽  
Emotional Dysregulation ◽  
Post Traumatic Stress ◽  
Classification Of Diseases ◽  
Post Traumatic ◽  
The Impact

The article considers a new diagnostic category — complex post-traumatic stress disorder (CPTSD), introduced into the International Classification of Diseases (ICD-11). Differences in the mechanism of influence of situational and prolonged trauma are analyzed. CPTSD diagnostic criteria are compared to PTSD and BPD (borderline personality disorder) symptoms. The term “disturbances in self-organi¬zation” is analyzed, which explains the main mechanism of the impact of complex trauma and includes emotional dysregulation, disturbances in self-perception and relationships. Psychotherapeutic approaches developed for PTSD were shown to be insufficient for the treatment of CPTSD. The article reviews an approach to CPSTD therapy based on the consensus of experts in the field of post-traumatic stress and its possible limitations are discussed. “Component based psychotherapy” — another approach to CPTSD therapy — is described. Specific features of psychotherapy for complex trauma are discussed.

scholarly journals The Impact of Spiritual Care Skills on Quality of Life in Spouses of Veterans with Post-traumatic Stress Disorder: A Randomized Controlled Trial

2019 ◽  
Vol 9 (4) ◽  
pp. 220-224
Author(s):  
Abass Heydari ◽  
MohammadReza Fayyazi Bordbar ◽  
Mahdi Ebrahimi ◽  
Ali Meshkinyazd
Keyword(s):  
Quality Of Life ◽  
Post Traumatic Stress Disorder ◽  
Traumatic Stress ◽  
Spiritual Care ◽  
Stress Disorder ◽  
Life Questionnaire ◽  
Post Traumatic Stress ◽  
Care Education ◽  
Post Traumatic

Introduction: The wives of veterans are under great pressure because of their husbands ’physical and mental problems, and this can affect their mental health and quality of life. It seems that the training of some skills can have a significant impact on improving quality of life and reducing their mental burden. This study was conducted to determine the effect of spiritual care education in quality of life in wives of veterans with post-traumatic stress disorder (PTSD) that plays a major role in caring for them. Methods: This study was a quasi-experimental study in which 60 wives of PTSD-affected veterans in Ibn Sina hospital were selected and assigned randomly in two experimental and control groups. Spiritual care education was conducted in five sessions of two hours. Quality of life Questionnaire (SF-36) was used in this study. The questionnaire was implemented on participants of both groups in three stages: before, after and one months after the intervention (follow-up). Data were analysis using SPSS version 19. Results: The results of this study showed that spiritual care education could increase quality of life in the Wives of Veterans with Post Traumatic Stress Disorder and the subjects participating in the post-test had significantly higher quality of life. Conclusion: According to results of this, study that represent effect of spiritual care education on quality of life, so it is recommended spiritual care education can be used to improve the quality of life of people especially the families of veterans.

Overdiagnosis in Psychiatry

2015 ◽  
Author(s):  
Joel Paris
Keyword(s):  
Mental Disorders ◽  
Post Traumatic Stress Disorder ◽  
Traumatic Stress ◽  
Best Practice ◽  
Stress Disorder ◽  
Post Traumatic Stress ◽  
Critical Problem ◽  
Hyperactivity Disorder ◽  
Post Traumatic

As one of the few resources to thoroughly examine the critical problem of over-diagnosis in psychiatry today, this title covers how over-diagnosis in psychiatric practice may lead to over-treatment. It considers the complications of the DSM-5 classification system, with particular reference to major depression, bipolar disorder, Post-traumatic Stress Disorder (PTSD), and Attention-Deficit Hyperactivity Disorder (ADHD). While each of these conditions have given rise to diagnostic fads and epidemics, the classification of mental disorders remains provisional without any biomarkers for mental disorders. It then covers the importance of conservative diagnoses, recognizing that normal variants are not necessarily disorder, and that in many cases, under-, rather than over-diagnosing may be best practice.

scholarly journals Post-traumatic stress disorder (PTSD) after terrorist attacks on the example of events on the Utoya island

2019 ◽  
Vol 194 (4) ◽  
pp. 633-645
Author(s):  
Izabela Habrajska ◽  
Artur Golebiowski
Keyword(s):  
Post Traumatic Stress Disorder ◽  
Traumatic Stress ◽  
Stress Disorder ◽  
Terrorist Attack ◽  
Terrorist Attacks ◽  
Stressful Situation ◽  
Post Traumatic Stress ◽  
Historical Outline ◽  
Post Traumatic

The article addresses the issue of post-traumatic stress disorder in psychological and historical terms, with particular emphasis on the analysis of reactions to the stressful situation, that is a terrorist attack. The first part of the text is devoted to the theory of post-traumatic stress. The authors explain the physiology, mechanisms and genesis of post-traumatic stress, its short historical outline and contemporary classification of criteria determining the PTSD diagnosis, both according to the DSM-IV-TR manual and changes introduced by DSM 5. After acquainting the reader with the basic terminology related to post-traumatic stress disorder, the authors analyze the case of the stressful situation – the attack on the Norwegian island of Utoya. The article describes the events of July 22, 2011, and focuses on the analysis of posttraumatic reactions that followed the attack among its direct participants, as well as among their relatives. Not only does this analysis cover strictly statistical issues, but also psychological or medical phenomena of post-traumatic stress among the victims of Anders Brevik. Based on actions taken by the Norwegian services, the authors attempt to draw and systematize conclusions on the general principles of dealing with victims of potential terrorist attacks.

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