scholarly journals Posttraumatic Stress Disorder Postpartum of a Woman Recovered from Drug Addiction: A Case Report

Reports ◽  
2020 ◽  
Vol 3 (2) ◽  
pp. 14
Author(s):  
Evangelia Antoniou ◽  
Eirini Orovou ◽  
Vasileios Stavropoulos ◽  
Ermioni Palaska ◽  
Angeliki Sarella ◽  
...  

There is high degree of prevalence and variety of risk factors of postpartum Posttraumatic Stress Disorder (PTSD). However, some postpartum women seem to struggle with their past traumatic life events and previous PTSD can result in them sinking deeper into a new PTSD, a postpartum PTSD. The person who has undergone detoxification has endured a very painful process and there is a strong association between drug addiction and mortality. The aim of this case report study is to raise the understanding of health professionals regarding the impact that these two factors might have on ex-drug addicted women. Data were collected from the Maternity unit of the University Hospital of Larisa in Greece. A mother on day 2 after elective cesarean section confirmed her participation and filled in a Life Events Checklist (LEC-5), Posttraumatic Checklist (PCL-5), Criteria A, and a socio-demographic questionnaire. After the sixth postpartum week, the woman answered via telephone, adapted for postpartum PCL-5. This case study describes vividly and painfully the impact of past drug addiction not only on her cesarean section but also how it affected her postpartum period. Eight past traumatic life events led to the creation of a chronic PTSD, i.e., trauma re-experiencing, avoidance, negative thoughts and feelings, agitation, and reactivity. Unfortunately, in cases of traumatic childbirth, especially cesarean section, when there are past traumatic experiences, such as addiction or sexual abuse, postpartum PTSD is an unbearable experience.

Author(s):  
Ricardo Orozco ◽  
Guilherme Borges ◽  
Corina Benjet ◽  
María Elena Medina-Mora ◽  
Lizbeth López-Carrillo

2009 ◽  
Vol 24 (S1) ◽  
pp. 1-1
Author(s):  
M.J. Alvarez ◽  
A. Osés ◽  
Q. Foguet ◽  
J.M. Santos ◽  
P. Roura ◽  
...  

Aims:In some different studies, a high prevalence of interpersonal trauma especially childhood abuse as well as posttraumatic stress disorder (PTSD) has been found in patients with several mental illness (SMI): schizophrenia, schizoaffective and bipolar disorder.The aim of this study was to determine the prevalence of the traumatic life events and PTSD in a sample with SMI.Methods:We enrolled adults patients with schizophrenia, schizoaffective disorder or bipolar I disorder. We excluded patients who score 3 or more in conceptual disorganization, hallucinations and/or unusual contents of the Brief Psychiatric Rating Scale (BPRS) and 4 or more in another item of this scale. Interventions: sociodemographic date and Traumatic Life Events Questionnaire and Distressing Event Questionnaire.Results:78 patients (52.6% men) with a mean age of 40 years. Diagnostic of the sample: 47.5% schizophrenia, 41% bipolar disorder and 11.5% schizoaffective disorder. Traumatic life events in the childhood: physical abuse, 22.1% (22.5% males and 21.8% females); psychological abuse, 26.9% (14.6% males and 40.5% females, p< 0.05); sexual abuse, 28.2% (21.9% males and 35.1% females).Some abuse in childhood, 48.0% (38.1% males and 62.2% women, p< 0.05).Sexual abuse in adulthood: 25.6% (43.24% females and 9.7% men, p=0'05).PTSD, 12.9% (8.3% males and 20.7% females).Conclusions:Almost the half of the patients have biographical history of traumatic life events in the childhood. These traumatic events are significantly more prevalent in females. in adulthood, almost half of women had suffered sexual abuse.A fifth part of the women with SMI have comorbidity with PTSD.


2006 ◽  
Vol 22 (4) ◽  
pp. 259-267 ◽  
Author(s):  
Eelco Olde ◽  
Rolf J. Kleber ◽  
Onno van der Hart ◽  
Victor J.M. Pop

Childbirth has been identified as a possible traumatic experience, leading to traumatic stress responses and even to the development of posttraumatic stress disorder (PTSD). The current study investigated the psychometric properties of the Dutch version of the Impact of Event Scale-Revised (IES-R) in a group of women who recently gave birth (N = 435). In addition, a comparison was made between the original IES and the IES-R. The scale showed high internal consistency (α = 0.88). Using confirmatory factor analysis no support was found for a three-factor structure of an intrusion, an avoidance, and a hyperarousal factor. Goodness of fit was only reasonable, even after fitting one intrusion item on the hyperarousal scale. The IES-R correlated significantly with scores on depression and anxiety self-rating scales, as well as with scores on a self-rating scale of posttraumatic stress disorder. Although the IES-R can be used for studying posttraumatic stress reactions in women who recently gave birth, the original IES proved to be a better instrument compared to the IES-R. It is concluded that adding the hyperarousal scale to the IES-R did not make the scale stronger.


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