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Critical Care

Erschienen in:

01.02.2007 | Commentary

Medical post-traumatic stress disorder: catching up with the cutting edge in stress research

verfasst von: Craig Weinert, William Meller

Erschienen in: Critical Care | Ausgabe 1/2007

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Abstract

We briefly summarize two original research papers and a review article. We then review the formal structure of the diagnosis of post-traumatic stress disorder (PTSD) and discuss the use of continuous measures of PTSD in comparison with diagnostic instruments. Problems with distinguishing incident from prevalent PTSD cases lead to questions of whether medical PTSD is a new important problem. By examining current studies, we demonstrate that medical PTSD is lagging in fundamental and interventional research but we discuss how medical PTSD has unique opportunities to develop causal models that could inform the greater field of stress studies. We conclude by advocating that future medical PTSD research efforts should focus on understanding how fundamental brain processes are affected during acute medical stress.

Boer K, Mahler C, Unlu C, Lamme B, Vroom M, Sprangers M, Gouma D, Reitsma J, DeBorgie C, Boermeester M: Long-term prevalence of posttraumatic stress disorder symptoms in patients after secondary peritonitis. Critical Care 2007, 11: R30. 10.1186/cc5710PubMedCentralCrossRefPubMed

Jackson J, Hart R, Gordon S, Hopkins R, Girard T, Ely E: Post-traumatic stress disorder and post-traumatic stress symptoms following critical illness in medical ICU patients: assessing the magnitude of the problem. Critical Care 2007, 11: R27. 10.1186/cc5707PubMedCentralCrossRefPubMed

Girard T, Shintani A, Jackson J, Gordon S, Pun B, Henderson M, Dittus R, Bernard G, Ely E: Risk factors for posttraumatic stress disorder symptoms following critical illness requiring mechanical ventilation: a prospective cohort study. Critical Care 2007, 11: R28. 10.1186/cc5708PubMedCentralCrossRefPubMed

Ely E, Shintani A, Truman B, Speroff T, Gordon S, Harrell F Jr, Inouye S, Bernard G, Dittus R: Delirium as a predictor of mortality in mechanically ventilated patients in the intensive care unit. JAMA 2004, 291: 1753-1762. 10.1001/jama.291.14.1753CrossRefPubMed

American Psychiatric Association: Diagnostic and Statistical Manual of Mental Disorders: DSM-IV. 4th edition. Washington, DC: American Psychiatric Press; 1994.

Breslau N, Reboussin B, Anthony J, Storr C: The structure of posttraumatic stress disorder: latent class analysis in 2 community samples. Arch Gen Psychiatry 2005, 62: 1434-1351.

Stoll C, Kapfhammer H, Rothenhausler H, Haller M, Briegel J, Schmidt M, Krauseneck T, Durst K, Schelling G: Sensitivity and specificity of a screening test to document traumatic experiences and to diagnose post-traumatic stress disorder in ARDS patients after intensive care treatment. Intensive Care Med 1999, 25: 697-704. 10.1007/s001340050932CrossRefPubMed

Schelling G, Richter M, Roozendaal B, Rothenhausler H, Krauseneck T, Stoll C, Nollert G, Schmidt M, Kapfhammer H: Exposure to high stress in the intensive care unit may have negative effects on health-related quality of life outcomes after cardiac surgery. Crit Care Med 2003, 31: 1971-1980. 10.1097/01.CCM.0000069512.10544.40CrossRefPubMed

Schelling G, Kilger E, Roozendaal B, de Quervain D, Briegel J, Dagge A, Rothenhausler H, Krauseneck T, Nollert G, Kapfhammer H: Stress doses of hydrocortisone, traumatic memories, and symptoms of posttraumatic stress disorder in patients after cardiac surgery: a randomized study. Biol Psychiatry 2004, 55: 627-633. 10.1016/j.biopsych.2003.09.014CrossRefPubMed

10.

National Institutes of Health, Computer Retrieval of Information on Scientific Projects[http://crisp.cit.nih.gov/crisp/crisp_query.generate_screen]

11.

National Institutes of Health, Clinical Trials Database[http://www.clinicaltrials.gov/]

12.

Nemeroff C, Bremner J, Foa E, Mayberg H, North C, Stein M: Posttraumatic stress disorder: a state-of-the-science review. J Psychiatric Res 2006, 40: 1-21. 10.1016/j.jpsychires.2005.07.005CrossRef

Titel: Medical post-traumatic stress disorder: catching up with the cutting edge in stress research
verfasst von: Craig Weinert
William Meller
Publikationsdatum: 01.02.2007
Verlag: BioMed Central
Erschienen in: Critical Care / Ausgabe 1/2007
Elektronische ISSN: 1364-8535
DOI: https://doi.org/10.1186/cc5697

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Medical post-traumatic stress disorder: catching up with the cutting edge in stress research

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