بایگانی برچسب برای: PTSD

Clinical Features of PTSD[taliem.ir]

Clinical Features of PTSD

John was driving his three young children to the park when they were struck head-on by a driver attempting to overtake a truck on a sharp bend. John’s car was wrecked and he developed posttraumatic stress disorder (PTSD), with the most severe symptoms being persistent nightmares of the accident, profound fear and avoidance of driving, and chronic tension, irritability, and guilt about not being able to swerve out of the path of the oncoming vehicle. His children received minor cuts and bruises, from which they quickly recovered. They had more diffculty overcoming the psychological impact of the crash. In the weeks afterward, the youngest, a 4-year-old girl, frequently complained of stomachaches and refused to be out of sight of her father for fear that something bad would happen. The two older boys, ages 7 and 8, had recurrent nightmares. During the day, the boys often engaged in stereotypical play, in which they pretended to be driving cars. They would crash into one other and both fall to the ground. The boys would then get up and run around pretending to shoot one another, shouting, “You’re the bad man!” “No, you’re the bad man!” Sometimes this escalated to the point that they physically fought with one another.
The role of major depression in neurocognitive[taliem.ir]

The role of major depression in neurocognitive functioning in patients with posttraumatic stress disorder

Background: Posttraumatic stress disorder (PTSD) and major depressive disorder (MDD) frequently co-occur after traumatic experiences and share neurocognitive disturbances in verbal memory and executive functioning. However, few attempts have been made to systematically assess the role of a comorbid MDD diagnosis in neuropsychological studies in PTSD .Objective: The purpose of the current study is to investigate neurocognitive deficits in PTSD patients with and without MDD. We hypothesized that PTSD patients with comorbid MDD (PTSDMDD) would have significantly lower performance on measures of verbal memory and executive functioning than PTSD patients without MDD (PTSDMDD). Method: Participants included in this study were 140 treatment-seeking outpatients who had a diagnosis of PTSD after various single traumatic events and participated in a randomized controlled trial comparing different treatment types. Baseline neuropsychological data were compared between patients with PTSD MDD (n84) and patients with PTSDMDD (n56). Results: The PTSDMDD patients had more severe verbal memory deficits in learning and retrieving words than patients with PTSD alone. There were no differences between the groups in recall of a coherent paragraph, recognition, shifting of attention, and cognitive interference. Conclusions: The results of this study suggest that a more impaired neurocognitive profile may be associated with the presence of comorbid MDD, with medium-sized group differences for verbal memory but not for executive functioning. From a clinical standpoint, being aware that certain verbal memory functions are more restricted in patients with comorbid PTSD and MDD may be relevant for treatment outcome of traumafocused psychotherapy