Posttraumatic Stress Disorder in patients with traumatic brain injury
<p>Abstract</p> <p>Background</p> <p>Severe traumatic stressors such as war, rape, or life-threatening accidents can result in a debilitating psychopathological development conceptualised as Posttraumatic Stress Disorder (PTSD). Pathological memory formation during an a...
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doaj-2341ddc11e744c6fbd767e83f21935ec2020-11-24T20:59:04ZengBMCBMC Psychiatry1471-244X2004-03-0141510.1186/1471-244X-4-5Posttraumatic Stress Disorder in patients with traumatic brain injurySchmidt RogerLütgehetmann RalphNeuner FrankGlaesser JudithElbert Thomas<p>Abstract</p> <p>Background</p> <p>Severe traumatic stressors such as war, rape, or life-threatening accidents can result in a debilitating psychopathological development conceptualised as Posttraumatic Stress Disorder (PTSD). Pathological memory formation during an alarm response may set the precondition for PTSD to occur. If true, a lack of memory formation by extended unconsciousness in the course of the traumatic experience should preclude PTSD.</p> <p>Methods</p> <p>46 patients from a neurological rehabilitation clinic were examined by means of questionnaires and structured clinical interviews. All patients had suffered a TBI due to an accident, but varied with respect to falling unconscious during the traumatic event.</p> <p>Results</p> <p>27% of the sub-sample who were not unconscious for an extended period but only 3% (1 of 31 patients) who were unconscious for more than 12 hours as a result of the accident were diagnosed as having current PTSD (P < .02). Furthermore, intrusive memories proved to be far more frequent in patients who had not been unconscious. This was also the case for other re-experiencing symptoms and for psychological distress and physiological reactivity to reminders of the traumatic event.</p> <p>Conclusion</p> <p>TBI and PTSD are not mutually exclusive. However, victims of accidents are unlikely to develop a PTSD if the impact to the head had resulted in an extended period of unconsciousness.</p> http://www.biomedcentral.com/1471-244X/4/5 |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Schmidt Roger Lütgehetmann Ralph Neuner Frank Glaesser Judith Elbert Thomas |
spellingShingle |
Schmidt Roger Lütgehetmann Ralph Neuner Frank Glaesser Judith Elbert Thomas Posttraumatic Stress Disorder in patients with traumatic brain injury BMC Psychiatry |
author_facet |
Schmidt Roger Lütgehetmann Ralph Neuner Frank Glaesser Judith Elbert Thomas |
author_sort |
Schmidt Roger |
title |
Posttraumatic Stress Disorder in patients with traumatic brain injury |
title_short |
Posttraumatic Stress Disorder in patients with traumatic brain injury |
title_full |
Posttraumatic Stress Disorder in patients with traumatic brain injury |
title_fullStr |
Posttraumatic Stress Disorder in patients with traumatic brain injury |
title_full_unstemmed |
Posttraumatic Stress Disorder in patients with traumatic brain injury |
title_sort |
posttraumatic stress disorder in patients with traumatic brain injury |
publisher |
BMC |
series |
BMC Psychiatry |
issn |
1471-244X |
publishDate |
2004-03-01 |
description |
<p>Abstract</p> <p>Background</p> <p>Severe traumatic stressors such as war, rape, or life-threatening accidents can result in a debilitating psychopathological development conceptualised as Posttraumatic Stress Disorder (PTSD). Pathological memory formation during an alarm response may set the precondition for PTSD to occur. If true, a lack of memory formation by extended unconsciousness in the course of the traumatic experience should preclude PTSD.</p> <p>Methods</p> <p>46 patients from a neurological rehabilitation clinic were examined by means of questionnaires and structured clinical interviews. All patients had suffered a TBI due to an accident, but varied with respect to falling unconscious during the traumatic event.</p> <p>Results</p> <p>27% of the sub-sample who were not unconscious for an extended period but only 3% (1 of 31 patients) who were unconscious for more than 12 hours as a result of the accident were diagnosed as having current PTSD (P < .02). Furthermore, intrusive memories proved to be far more frequent in patients who had not been unconscious. This was also the case for other re-experiencing symptoms and for psychological distress and physiological reactivity to reminders of the traumatic event.</p> <p>Conclusion</p> <p>TBI and PTSD are not mutually exclusive. However, victims of accidents are unlikely to develop a PTSD if the impact to the head had resulted in an extended period of unconsciousness.</p> |
url |
http://www.biomedcentral.com/1471-244X/4/5 |
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