Naslov
Croatian observations on PTSD with psychotic symptoms in war veterans

Autori
Mimica, Ninoslav ; Štrkalj-Ivezić, Slađana

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

Izvornik
Proceedings of the Luton/Cambridge International Conference on Mental Health 2005 / Agius, Mark - Cambridge : University of Cambridge ; Bedfordshire and Luton NHS, 2005, 26-26

Skup
Luton/Cambridge International Conference on Mental Health 2005

Mjesto i datum
Cambridge, Ujedinjeno Kraljevstvo, 01.12.2005. - 03.12.2005

Vrsta sudjelovanja
Predavanje

Vrsta recenzije
Međunarodna recenzija

Ključne riječi
PTSD; psychotic symptoms; Croatian veterans

Sažetak
Aim ; To investigate the prevalence rate of co- morbid psychiatric disorders in post¬traumatic stress disorder [PTSD] and to explore psychotic symptoms in patients with combat- related current PTSD. Method ; The sample included Croatian war veterans [N=41] who were hospitalised at the University Department of Psychiatry of the Vrapce Psychiatric Hospital during the 1995-1996 period and fulfilled the DSM-IV criteria for current and chronic PTSD. The Schedule for Affective Disorder and Schizophrenia [SADS-L] was applied for. the assessment of current and lifetime psychiatric disorders. Only three subjects had a prewar Axis I psychiatric disorder. One third of the patients met the criteria for personality disorder. Results ; After severe combat trauma, the majority of PTSD patients [33/41] had at least one comorbid psychiatric diagnosis on Axis I. In those with personality disorders the most frequent was alcohol dependence, whereas in those without personality disorders it was major depressive disorder. Psychotic symptoms occurred in 8 out of 41 PTSD patients. None of them had a primary psychotic disorder or a personality disorder. In all the patients, psychotic symptoms were different from flashbacks. They were symbolically related to the trauma and resistant to antipsychotic treatment. Psychotic symptoms were associated with depression in 5 out of 8 patients with psychotic symptoms. Conclusion: Severe and prolonged combat trauma may be followed by the co¬occurrence of PTSD and psychotic symptoms, forming the atypical clinical picture of PTSD.

Izvorni jezik
Engleski

Znanstvena područja
Kliničke medicinske znanosti

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