TITLE

Błędy popełniane w diagnostyce zaburzenia stresowego pourazowego - problem nakładania się objawów tego zaburzenia i depresji

AUTHOR(S)
Bossini, Letizia; Casolaro, Ilaria; Caterini, Claudia; Koukouna, Despoina; Fortini, Valentina; Cecchini, Federica; Fagiolini, Andrea
PUB. DATE
November 2013
SOURCE
Psychiatria Polska;2013, Vol. 47 Issue 6, p1051
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Objectives. The overlap between symptoms of PTSD and MDD is substantial. PTSD symptoms arise after a traumatic experience and the trauma is present in all of the diagnostic clusters. In individuals who have experienced a trauma a long time before, it is difficult to establish the exact moment of onset of their symptoms in relation to the trauma suffered. We proposed to raise awareness among operators who may encounter this problem, with the aim of providing them with valuable help in order to achieve a correct differential diagnosis. Methods. A sample of subjects suffering from PTSD without comorbidity was assessed to confirm the diagnosis and the severity of post-traumatic symptoms. The Kruskal-Wallis test was used to compare any modifications in the parameters analyzed through the Davidson Trauma Scale with the presence and severity of depressive symptoms as evaluated by the Hamilton-D scale. Results. Half of the PSTD patients recruited showed values of HAM-D > 18, although an active Major Depressive Episode was clinically excluded. Symptom of "numbing", despite being different from the apathy experienced in depression, is identified as a depressive symptom by the HAM-D. Conclusions. Giving prevalence to depressive symptoms may be misleading for diagnosis and may ultimately result in inappropriate treatment.
ACCESSION #
93436361

 

Related Articles

  • Procena kliničke depresije udružene sa posttraumatskim stresnim poremećajem. Simonović, Maja; Grbeša, Grozdanko; Milenković, Tatjana; Radisavljević, Miša // Vojnosanitetski Pregled: Military Medical & Pharmaceutical Journ;Mar2008, Vol. 65 Issue 3, p199 

    Background/Aim. Comorbidity of the posttraumatic stress disorder (PTSD) and depression is often recognized in the clinical practice. The aim of the paper was to determine the severity of depression and the group of symptoms which are the most prominent in clinical depression comorbid with PTSD....

  • Prevalence of Depression-PTSD Comorbidity: Implications for Clinical Practice Guidelines and Primary Care-based Interventions. Campbell, Duncan G.; Felker, Bradford L.; Chuan-Fen Liu; Yano, Elizabeth M.; Kirchner, Joann E.; Chan, Domin; Rubenstein, Lisa V.; Chaney, Edmund F. // JGIM: Journal of General Internal Medicine;Jun2007, Vol. 22 Issue 6, p711 

    BACKGROUND: Compared to those with depression alone, depressed patients with posttraumatic stress disorder (PTSD) experience more severe psychiatric symptomatology and factors that complicate treatment. OBJECTIVE: To estimate PTSD prevalence among depressed military veteran primary care patients...

  • The Underlying Role of Negative Affect in the Association between PTSD, Major Depressive Disorder, and Generalized Anxiety Disorder. Byllesby, Brianna; Charak, Ruby; Durham, Tory; Wang, Xin; Elhai, Jon // Journal of Psychopathology & Behavioral Assessment;Dec2016, Vol. 38 Issue 4, p655 

    The article presents a study which aims to address the challenges in conducting differential diagnosis on distress disorders. It examines the comorbidity of three kinds of distress disorders which includes posttraumatic stress disorder (PTSD), major depressive disorder (MDD), and generalized...

  • Efficacy of Paroxetine and Amitriptyline in Posttraumatic Stress Disorder: An Open-label Comparative Study. Celik, Cemil; Ozdemir, Barbaros; Ozmenler, Kamil Nahit; Yelboga, Zekeriya; Balikci, Adem; Oznur, Taner; Doruk, Ali; Bozkurt, Ali // Klinik Psikofarmakoloji Bulteni;Sep2011, Vol. 21 Issue 3, p179 

    Objective: To evaluate the efficacy of amitriptyline and paroxetine in soldiers with combat-related post traumatic stress disorder (PTSD). Method: Fifty patients who were admitted to Gülhane Military Medical Academy Psychiatry Inpatient Clinic and who were diagnosed as chronic PTSD were...

  • Prevalence of Psychotic Comorbidity in Combat-Related Post-Traumatic Stress Disorder. Kozaric-Kovacic, Dragica; Borovecki, Andreja // Military Medicine;Mar2005, Vol. 170 Issue 3, p223 

    Objective: We explored the prevalence of comorbidity of psychotic symptoms among Croatian war veterans with combat-related post-traumatic stress disorder (PTSD) and the psychotic features among these patients, as well as the association between psychotic symptoms and personality disorders....

  • Posttraumatic Stress Disorder Among Mothers of Pediatric Cancer Survivors: Diagnosis, Comorbidity, and Utility of the PTSD Checklist as a Screening Instrument. Manne, Sharon L.; Du Hamel, Katherine; Gallelli, Kim; Sorgen, Karen; Redd, William H. // Journal of Pediatric Psychology;1998, Vol. 23 Issue 6, p357 

    Objective: To examine posttraumatic stress disorder (PTSD) in mothers of survivors of childhood cancer. Comorbidity of anxiety and depressive disorders, prevalence of subclinical PTSD, and the utility of a self report measure as a screening instrument for PTSD were also investigated.Method:...

  • PTSD, Depressive Symptoms, and Suicidal Ideation in African American Women: A Mediated Model. Carr, Erika; Woods, Amanda; Vahabzadeh, Arshya; Sutton, Carla; Wittenauer, Justine; Kaslow, Nadine // Journal of Clinical Psychology in Medical Settings;Mar2013, Vol. 20 Issue 1, p37 

    Although research has shown positive associations among post-traumatic stress disorder (PTSD), depressive symptoms, and suicidal ideation, the nature of these relations is unclear, especially in African American women. This study examined the associations among these comorbid psychological...

  • Influences of Comorbid Disorders on Personality Assessment Inventory Profiles in Women with Posttraumatic Stress Disorder. Drury, Pamela; Calhoun, Patrick S.; Boggs, Christina; Araujo, Gustavo; Dennis, Michelle F.; Beckham, Jean C. // Journal of Psychopathology & Behavioral Assessment;Jun2009, Vol. 31 Issue 2, p119 

    The present study describes Personality Assessment Inventory (PAI) profiles for women with posttraumatic stress disorder (PTSD). Four groups of women were sampled: single Axis I diagnosis of PTSD; PTSD and major depressive disorder (MDD); PTSD, MDD, at least one other Axis I disorder; and...

  • Post-traumatic stress disorder and depression. Bleich, Avi; Koslowsky, Meni; Dolev, Aliza; Lerer, Bernard // British Journal of Psychiatry;May97, Vol. 170, p479 

    Background We examined psychiatric morbidity following war-related psychic trauma, with a special focus on the depressive comorbidity of post-traumatic stress disorder (PTSD). Method Subjects consisted of 60 Israeli veterans who sought psychiatric treatment 4-6 years after having been exposed to...

Share

Read the Article

Courtesy of THE LIBRARY OF VIRGINIA

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics