Naslov
Course and prognosis of Combat stress reaction

Autori
Frančišković Tanja

Vrsta, podvrsta i kategorija rada
Sažeci sa skupova, sažetak, stručni

Izvornik
NATO Advanced Rersearch Workshop / Brenda K.Wiederhold - Brisel : Interactive Media Institute (IMI), 2009, 23-23

Skup
NATO Advanced Research workshop , Wounds of warII:Adressing PTSD in peacekeeping and Combat Troops

Mjesto i datum
Völkermarkt, Austrija, 18.10.2009. - 21.10.2009

Vrsta sudjelovanja
Predavanje

Vrsta recenzije
Nije recenziran

Ključne riječi
acute stress reaction; PTSD; prognosys

Sažetak
Abstract Acute stress reaction (ASR) due to combat stress has allways been unwanted accompanist of war. During the war in Croatia number of soldiers was referred to psychiatrists for ASR on combat stress. The aim of this study was to determinate the clinical presentation and treatment outcomes in soldiers coming for psychological help during the most intensive combat period 1991/92 because of stress reaction. Furthermore, we wanted to ascertain whether ASR is one of predictor of PTSD ten years later, could treatment for ASR be preventive for PTSD and whether we could determine factors influencing the development of posttraumatic disorder. From 350 patient charts of soldiers who visited psychiatrist during 1991 and 1992 due to acute psychical disturbance we analyse the avaliable data on the symptoms and course of treatment . Out of that number, 96 persons took part in research after ten years. This time we applied General demographic questionnaire, Harvard trauma questionnaire, M-PTSD, BDI, STAI, SCL-90 and Cope Questionnare. Soldiers who soak psychiatric service for ASR had on average 112 days of frontline experience, they came mostly once or twice to psychiatrist. 64, 9% of them went back to the front, 16, 5 % were demobilized. 4% of them are still in the psychiatric treatment. Group debriefing seems to be a successful therapeutic technique in ASR in shortening disability period but had no preventive effects on development of PTSD. Ten years after 26% veterans suffered from PTSD. Those with and without PTSD do not differ in age, socioeconomic status, length of military service, treatment of Acute stress reaction and return to the frontline after recovery from Acute stress reaction. Veterans with PTSD had higher level of anxiety, depression and somatisation. In comparison to veterans without PTSD, the most significant indicator of development of PTSD was number of traumatic events and prevalent use of avoidance as a coping strategy.

Izvorni jezik
Engleski

Znanstvena područja
Kliničke medicinske znanosti

POVEZANOST RADA