Etiology of Posttraumatic Stress Disorder and Comorbidity During 1992-1998
DOI:
https://doi.org/10.5644/Radovi.363Keywords:
PTSD, comorbidity,, etiology, tortureAbstract
Posttraumatic Stress Disorder (PTSD) represents a delayed response to a stress event, particularly of menacing and catastrophic nature, which most likely causes pervasive distress to almost everyone. This disorder is frequently associated with another psychiatric disorder.
As can be seen from the name, PTSD does not have to be caused by the events of war, but by other traumatic events, as well.
The aim of this research is to show the main factors that cause PTSD and the ones that cause PTSD comorbidity.
This research was conducted in the period from April 1998 till October 1999. The participants were divided in two groups of 30: the first group consisted of 30 participants with symptoms of PTSD only and the second group included 30 participants with symptoms of PTSD and another psychiatric disorder. Both groups were quite similar with regard their gender and age. Research tools included: Standard Psychiatric Interview, Harvard Trauma Questionnaire (HTQ), Hamilton Anxiety Rating Scale (HAMA), Hamilton Depression Rating Scale (HAD), and Drug and Alcohol Abuse Checklist (1, 2, 3). The evaluation showed that PTSD was most common among the male, aged 25-45 in both of the groups. Participants from both groups were exposed to traumatic events at least once, but the most frequent was the case of exposure to etiologic factors. This is the case with the participants of the second group because they had greater exposure to multiple traumatic events. In that group, the most common disorders associated with PTSD were as following: personality disorders (46.6%); depression (29.9%); drug abuse (13%); alcohol abuse (6.7%) and dissociative disorder (3.3%).
References
Mollica, R.F., Caspi-Yavin Y, Bollini, P., Troung, T., Tor, S. & Lavelle, J.: Harvard Trauma Questionnaire: Validating a Cross-Cultural Instrument for Measuring Torture and PTSD in Indochina Refugees. Journal of Nervous and Mental Disease 1992; 180:111-116.
Hamilton, M. (1959): The assessment of Anxiety States by Rating. British Journal of Medical Psychology, 32, 50-55
Hamilton, M. (1960): A Rating Scale for Depression. Journal of Neurology, Neurosurgery and Psychiatry, 23, 56-62
International Classification of Diseases, X edition. Geneva: World Health Organization, 1994.
American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders, third edition revised (DSM-III-R). Washington, D. C.: A. P. A., 1987.
American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders, third edition (DSM-III). Washington, D. C.: A. P. A., 1980.
Weine, S. M., Vojvoda, D., Becker, D. F., McGlashan, T. H., Hodžic, E., Laub, D., Hyman, I., Sawyer, M., Lazrove, S. (1998): PTSD Symptoms in Bosnian Refugees 1 Year After Resettlement in the United States. Am. J. Psychiatry 155 (4): 562-4
Guerin, E. J. (1999): Air Disaster and Posttraumatic Stress Disorder. Am. J. Psychiatry. Aug; 156 (8): 1290-1
Macklin, M. L., Metzger, L. J., Litz, B. T. et al., (1998): Lower Precombat Intelligence is a Risk Factor for Posttraumatic Stress Disorder. J. Consult. Clin. Psycholo. Apr; 66 (2): 323-6
Breslau, N., Daviš, G. C., Andreski, P. (1998): Risk Factors for PTSD-Related Traumatic Events: a Prospective Analysis. Am. J. Psychiatry Apr; 152(4): 152 (4):529-35
Yehuda, R. (1999): Biological Factors Associated With Susceptibility to Posttraumatic Stress Disorder. Can. J. Psychiatry, Feb.; 44 (1): 34-9
American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders, fourth edition (DSM-IV). Washington, D.C.: A. P. A., 1994.
Maes, M., Delmeire, L., Schotte, C. (1998): Epidemiologic and Phenomenological Aspects of Posttraumatic Stress Disorder: DSM-III-R Diagnosis and Diagnostic Criteria not Validated
Thulesius, H., Hakansson, A. (1999): Screening for Posttraumatic Stress Disorder Symptoms Among Bosnian Refugees. J. Trauma Stress. Jan; 12 (1):167-74
Robin, R. W. et al., (1997): Prevalence and Characteristics of Trauma and Posttraumatic Stress Disorder in a Southwestern American Indian Community. Am. J. Psychiatry. Nov.; 154 (11): 1582-8
Regehr, C. et al., (1999): Response to Sexual Assault: a Relational Perspective. J. Nerv. Ment. Dis. Oct.; 187 (10): 618-23
Friedman, M. J. (1997): Posttraumatic Stress Disorder. J. Clin. Psychiatry, 58 Suppl. 9:33-6. Review
Wilson, A. E. et al., (1999): Risk Recognition and Trauma-related Symptoms Among Sexually Revictimized Women. J. Consult. Clin. Psychol. Oct; 67 (5):705-10
Matsunga, H. et al., (1999): Psychopathological Characteristics of Recovered Bulimics Who Have a History of Physical or Sexual Abuse. J. Nerv. Ment. Dis. Aug; 187 (8): 472-7
McMillan, T. et al., (1999): Traumatic Brain Injury and Posttraumatic Stress Disorder. Br. J. Psychiatry. Mar; 174: 274-5
Gibson, L. E., Holt, J. C., Fondacaro, K. M., Tang, T. S., Powell, T. A., Turbitt, E. L. (1999): An Examination of Antecedent Traumas and Psychiatric Comorbidity Among Male Inmates with PTSD. J. Trauma Stress. Jul; 12 (3):473-84
Wolfe, J. et al., (1999): Course and Predictors of Posttraumatic Stress Disorder Among Gulf War Veterans: a Prospective Analysis. J. Consult. Clin. Psychol. Aug; 67 (4):520-8
McFall, M. et al., (1999): Analysis of Violent Behavior in Vietnam Combat Veteran Psychiatric Inpatients with Posttraumatic Stress Disorder. J. Trauma Stress. Jul; 12(3): 501-17
Michultka, D. et al., (1998): Responses to Civilian War Experiences: Predictors of Psychological Functioning and Coping. J. Trauma Stress. Jul; 11(3): 571-7
Weine, S. M. et al., (1998): PTSD Symptoms in Bosnian Refugees 1 Year After Resettlement in the United States. Am. J. Psychiatry. Apr; 155 (4): 562-4
Becker, D. F. et al., (1999): Case Series: PTSD Symptoms in Adolescents Survivors of ‘'Ethnic Cleansing”. Results from a 1-Year Follow-Up Study. J. Am. Acad. Child. Adolesc. Psychiatry. Jun; 38 (6): 775-81
Weine, S. M. et al., (1998): Psychiatric Consequences of "Ethnic Cleansing”: Clinical Assessment and Trauma Testimonies of newly Resettled Bosnian Refugees. Am. J. Psychiatry. Apr; 152 (4): 536-42
Urlic, I. (1999): Aftermath of War Experience: Impact of Anxiety and Aggressive Feelings on the Group and the Therapist. Croat. Med. J. Dcc. 15; 40 (4): 486-492
Allen, J. G. et al., (1999): A Self-Report Measure to Screen for Trauma History and its Application to Women in In patienet Treatment for Trauma-Related Disorders. Buli. Mcnninger Clin. summer; 63 (3): 429-42
Zimmerman, M., Mattia, J. I. (1999): Axis I Diagnostic Comorbidity and Borderline Personality Disorder. Compr. Psychiatry. Jul-Aug; 40 (4): 245-52
Bleich, A., Koslovvsky, M., Dolev, A., Lerer, B. (1997): Post-traumatic Stress Disorder and Depression. An Analysis of Comorbidity. Br. J. Psychiatry. May; 170:479-82
Mollica, R. F., Mcinnes, K., Poole, C., Tor, S., (1998): Dose-Effect Relationships of Trauma to Symptoms of Depression and Posttraumatic Stress Disorder Among Cambodian Survivors of Mass Violence. Br. J. Psychiatry. Dec; 173:482-8
Shalev, A. Y., et al., (1998): Prospective Study of Posttraumatic Stress Disorder and Depression Folowing Trauma. Am. J. Psychiatry. May; 155 (5):630-7
Brown, P. J., Stout, R. L., Gannon-Rowley, J. (1998): Substance Use Disorder-PTSD Comorbidity. Patients' Perceptions of Symptom Interplay and Treatment Issues. J. Subst. Abuse Treat. Sept-Oct; 15 (5): 445-8
Dow, B., Kline, N., et al., (1997): Antidepressants Treatment of Posttraumatic Stress Disorder and Major Depression in Veterans. Ann. Clin. Psychiatry. Mar; 9 (1): 1-5
Quimette, P. C. et al., (1998): During Treatment Changes in Substance Abuse Patients with Posttraumatic Stress Disorder. The Influence of
Dansky, B. S. et al., (1998): Untreated Symptoms of PTSD Among Cocaine-Dependent Individuals. Chages Over Time. J. Subst. Abuse Treat. Nov-Dec; 15(6): 499-504.
Zimmcrman; M., Mattia, J. I. (1999): Axis I Diagnostic Comorbidity and Borderline Personality Disorder. Compr. Psychiatry. Jul-Aug; 40.
Coffey, S. F., et al., (1998): Screening for PTSD in a Substance Abuse Sample: Psychometric Properties of a Modified Version of the PTSD Symptom Scale Self-Report. Posttraumatic Stress Disorder. J. Trauma Stress. Apr; 11.
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