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[PMID]:27773678
[Au] Autor:Pyne JM; Constans JI; Wiederhold MD; Gibson DP; Kimbrell T; Kramer TL; Pitcock JA; Han X; Williams DK; Chartrand D; Gevirtz RN; Spira J; Wiederhold BK; McCraty R; McCune TR
[Ad] Endereço:Center for Mental Health Outcomes Research, Central Arkansas Veterans Healthcare System, North Little Rock, AR, 72114, United States; South Central Mental Illness Education and Clinical Center, Central Arkansas Veterans Healthcare System, North Little Rock, AR, 72114, United States; Division of Heal
[Ti] Título:Heart rate variability: Pre-deployment predictor of post-deployment PTSD symptoms.
[So] Source:Biol Psychol;121(Pt A):91-98, 2016 12.
[Is] ISSN:1873-6246
[Cp] País de publicação:Netherlands
[La] Idioma:eng
[Ab] Resumo:Heart rate variability is a physiological measure associated with autonomic nervous system activity. This study hypothesized that lower pre-deployment HRV would be associated with higher post-deployment post-traumatic stress disorder (PTSD) symptoms. Three-hundred-forty-three Army National Guard soldiers enrolled in the Warriors Achieving Resilience (WAR) study were analyzed. The primary outcome was PTSD symptom severity using the PTSD Checklist - Military version (PCL) measured at baseline, 3- and 12-month post-deployment. Heart rate variability predictor variables included: high frequency power (HF) and standard deviation of the normal cardiac inter-beat interval (SDNN). Generalized linear mixed models revealed that the pre-deployment PCL*ln(HF) interaction term was significant (p<0.0001). Pre-deployment SDNN was not a significant predictor of post-deployment PCL. Covariates included age, pre-deployment PCL, race/ethnicity, marital status, tobacco use, childhood abuse, pre-deployment traumatic brain injury, and previous combat zone deployment. Pre-deployment heart rate variability predicts post-deployment PTSD symptoms in the context of higher pre-deployment PCL scores.
[Mh] Termos MeSH primário: Distúrbios de Guerra/psicologia
Frequência Cardíaca/fisiologia
Militares/psicologia
Transtornos de Estresse Pós-Traumáticos/fisiopatologia
[Mh] Termos MeSH secundário: Adulto
Sistema Nervoso Autônomo/fisiopatologia
Distúrbios de Guerra/complicações
Feminino
Seres Humanos
Guerra do Iraque 2003-2011
Modelos Lineares
Estudos Longitudinais
Masculino
Valor Preditivo dos Testes
Estados Unidos
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, N.I.H., EXTRAMURAL; RESEARCH SUPPORT, NON-U.S. GOV'T
[Em] Mês de entrada:1709
[Cu] Atualização por classe:180125
[Lr] Data última revisão:
180125
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161025
[St] Status:MEDLINE


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[PMID]:27776275
[Au] Autor:Nevarez MD; Malone JC; Rentz DM; Waldinger RJ
[Ad] Endereço:Harvard Study of Adult Development, Massachusetts General Hospital, Harvard Medical School, Boston, MA. Electronic address: mnevarez@partners.org.
[Ti] Título:War and remembrance: Combat exposure in young adulthood and memory function sixty years later.
[So] Source:Compr Psychiatry;72:97-105, 2017 01.
[Is] ISSN:1532-8384
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: Identifying adaptive ways to cope with extreme stress is essential to promoting long-term health. Memory systems are highly sensitive to stress, and combat exposure during war has been shown to have deleterious effects on cognitive processes, such as memory, decades later. No studies have examined coping styles used by combat veterans and associations with later-life cognitive functioning. Defenses are coping mechanisms that manage difficult memories and feelings, with some more closely related to memory processes (e.g., suppression, repression). Utilizing a longitudinal database, we assessed how reliance on certain defense mechanisms after World War II combat exposure could affect cognitive health 60years later. METHOD: Data spanning 75years were available on 71 men who had post-war assessment of combat exposure, defense mechanism ratings (ages 19-50), and late-life neuropsychological testing. Interaction models of combat exposure with defenses predicting late-life memory were examined. RESULTS: In bivariate analyses, greater reliance on suppression correlated with worse memory performance (r=-0.30, p=.01), but greater reliance on repression did not. Greater reliance on suppression strengthened the link between combat exposure and worse memory in late life (R =0.24, p<.001). In contrast, greater reliance on repression attenuated the link between combat exposure and poorer late-life memory (R =0.19, p<.001). CONCLUSIONS: Results suggest that coping styles may affect the relationship between early-adult stress and late-life cognition. Findings highlight the importance of understanding how coping styles may impact cognitive functioning as people move through adult life.
[Mh] Termos MeSH primário: Adaptação Psicológica
Distúrbios de Guerra/psicologia
Rememoração Mental
Transtornos de Estresse Pós-Traumáticos/psicologia
Veteranos/psicologia
[Mh] Termos MeSH secundário: Adulto
Distúrbios de Guerra/diagnóstico
Distúrbios de Guerra/epidemiologia
Emoções
Seres Humanos
Estudos Longitudinais
Masculino
Memória
Testes Neuropsicológicos
Transtornos de Estresse Pós-Traumáticos/diagnóstico
Transtornos de Estresse Pós-Traumáticos/epidemiologia
Guerra
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, N.I.H., EXTRAMURAL
[Em] Mês de entrada:1708
[Cu] Atualização por classe:180101
[Lr] Data última revisão:
180101
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161025
[St] Status:MEDLINE


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[PMID]:28961596
[Au] Autor:Lee J; Possemato K; Ouimette PC
[Ad] Endereço:*Syracuse VA Medical Center, Syracuse, New York; †Eastern Michigan University, Ypsilanti, Michigan; ‡Center for Integrated Healthcare, Syracuse VA Medical Center; and §Psychological HealthCare, Syracuse, New York.
[Ti] Título:Longitudinal Changes in Combat-Related Posttraumatic Stress Disorder Among Operation Enduring Freedom/Operation Iraqi Freedom/Operation New Dawn Veterans With Hazardous Alcohol Use: The Role of Avoidance Coping.
[So] Source:J Nerv Ment Dis;205(10):805-808, 2017 Oct.
[Is] ISSN:1539-736X
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Military personnel who have experienced combat trauma are at risk for developing posttraumatic stress disorder (PTSD). A greater recognition of the complex array of vulnerability factors that contribute to PTSD severity has led researchers to examine other non-combat-related factors. This longitudinal study examined a number of pre-, peri-, and postdeployment factors hypothesized to contribute to PTSD symptomatology among returning Operation Enduring Freedom/Operation Iraqi Freedom/Operation New Dawn veterans presenting with at least subthreshold PTSD symptoms and hazardous alcohol use in a primary care setting. Purported risk factors included childhood family environment, severity of combat exposure, postdeployment social support, alcohol dependence severity, and an avoidant coping style. At baseline, postdeployment social support and avoidant coping contributed to PTSD severity. Only avoidant coping was associated with changes in PTSD symptom at 1-year follow-up. Reducing avoidant coping may deter the maintenance of PTSD among veterans with PTSD symptoms and hazardous alcohol use.
[Mh] Termos MeSH primário: Adaptação Psicológica/fisiologia
Transtornos Relacionados ao Uso de Álcool/fisiopatologia
Distúrbios de Guerra/fisiopatologia
Índice de Gravidade de Doença
Apoio Social
Transtornos de Estresse Pós-Traumáticos/fisiopatologia
Veteranos/psicologia
[Mh] Termos MeSH secundário: Adulto
Campanha Afegã de 2001-
Transtornos Relacionados ao Uso de Álcool/epidemiologia
Transtornos Relacionados ao Uso de Álcool/psicologia
Distúrbios de Guerra/epidemiologia
Distúrbios de Guerra/psicologia
Comorbidade
Feminino
Seres Humanos
Guerra do Iraque 2003-2011
Estudos Longitudinais
Masculino
Fatores de Risco
Transtornos de Estresse Pós-Traumáticos/epidemiologia
Transtornos de Estresse Pós-Traumáticos/psicologia
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171004
[Lr] Data última revisão:
171004
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170930
[St] Status:MEDLINE
[do] DOI:10.1097/NMD.0000000000000713


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[PMID]:28654999
[Ti] Título:Some Problems of Wartime Neurology.
[So] Source:JAMA;317(24):2556, 2017 06 27.
[Is] ISSN:1538-3598
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Distúrbios de Guerra/história
Militares/história
Neurologia/história
Exposição à Guerra/história
I Guerra Mundial
[Mh] Termos MeSH secundário: Inglaterra
História do Século XX
Seres Humanos
Estados Unidos
Exposição à Guerra/efeitos adversos
[Pt] Tipo de publicação:CLASSICAL ARTICLE; HISTORICAL ARTICLE; JOURNAL ARTICLE
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170713
[Lr] Data última revisão:
170713
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170628
[St] Status:MEDLINE
[do] DOI:10.1001/jama.2017.5057


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[PMID]:28591393
[Au] Autor:Pedroso JL; Linden SC; Barsottini OG; Maranhão P; Lees AJ
[Ad] Endereço:Universidade Federal de São Paulo, Departamento de Neurologia, Divisão de Neurologia Geral e Unidade de Ataxia, São Paulo SP, Brasil.
[Ti] Título:The relationship between the First World War and neurology: 100 years of "Shell Shock".
[So] Source:Arq Neuropsiquiatr;75(5):317-319, 2017 May.
[Is] ISSN:1678-4227
[Cp] País de publicação:Brazil
[La] Idioma:eng
[Ab] Resumo:The First World War was a global war, beginning on 28 July 1914, until 11 November 1918. Soon after the beginning of the war, there was an "epidemic" of neurological conversion symptoms. Soldiers on both sides started to present in large numbers with neurological symptoms, such as dizziness, tremor, paraplegia, tinnitus, amnesia, weakness, headache and mutism of psychosomatic origin. This condition was known as shell shock, or "war neurosis". Because medically unexplained symptoms remain a major challenge, and considering the close relationship of symptoms described in shell shock with clinical neurology, we should study their history in order to improve future care.
[Mh] Termos MeSH primário: Distúrbios de Guerra/história
Militares/história
Transtornos de Estresse Pós-Traumáticos/história
I Guerra Mundial
[Mh] Termos MeSH secundário: História do Século XX
Seres Humanos
Transtornos de Estresse Pós-Traumáticos/psicologia
[Pt] Tipo de publicação:HISTORICAL ARTICLE; JOURNAL ARTICLE
[Em] Mês de entrada:1706
[Cu] Atualização por classe:170630
[Lr] Data última revisão:
170630
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170608
[St] Status:MEDLINE


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[PMID]:28570793
[Au] Autor:Shiner B; Westgate CL; Bernardy NC; Schnurr PP; Watts BV
[Ad] Endereço:VA Medical Center, 215 N Main St, 11Q, White River Junction, VT 05009. brian.shiner@va.gov.
[Ti] Título:Anticonvulsant Medication Use in Veterans With Posttraumatic Stress Disorder.
[So] Source:J Clin Psychiatry;78(5):e545-e552, 2017 May.
[Is] ISSN:1555-2101
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: Anticonvulsants have been studied for many indications, including posttraumatic stress disorder (PTSD). The limited efficacy research on anticonvulsants for PTSD is mixed. However, anticonvulsants are prescribed widely to veterans with PTSD. Our objective was to measure trends and factors associated with anticonvulsant prescriptions among veterans with PTSD. METHODS: We obtained administrative and pharmacy data for veterans who initiated PTSD treatment in the US Department of Veterans Affairs (VA) between 2004 and 2013 (N = 731,520). We identified those who received anticonvulsants during the year following their initial clinical PTSD diagnosis and examined common indications for anticonvulsant use, patient characteristics, and service use characteristics. Using logistic regression, we determined the predictors of anticonvulsant initiation among those without an indication. RESULTS: Although 24.9% of patients in the cohort received an anticonvulsant during their initial year of PTSD treatment, 94.6% had an indication unrelated to PTSD and 51.2% initiated anticonvulsant use before their PTSD diagnosis. While there was growth in anticonvulsant initiation over the 10-year period, this was explained both by growth in indications unrelated to PTSD and by increased use of anticonvulsants for these indications. The rate of anticonvulsant initiation without an indication was stable at approximately 5% throughout the period, with patient and service use characteristics driving the selection of individual agents. CONCLUSIONS: A large and increasing proportion of veterans with PTSD receives anticonvulsant prescriptions. However, this may be appropriate use driven by increased prevalence of comorbid conditions that may be an indication for anticonvulsant use, including pain and headache disorders.
[Mh] Termos MeSH primário: Anticonvulsivantes/uso terapêutico
Distúrbios de Guerra/tratamento farmacológico
Transtornos de Estresse Pós-Traumáticos/tratamento farmacológico
Veteranos/psicologia
[Mh] Termos MeSH secundário: Adulto
Idoso
Distúrbios de Guerra/epidemiologia
Distúrbios de Guerra/psicologia
Comorbidade
Uso de Medicamentos/estatística & dados numéricos
Feminino
Seres Humanos
Masculino
Transtornos Mentais/tratamento farmacológico
Transtornos Mentais/epidemiologia
Transtornos Mentais/psicologia
Meia-Idade
Transtornos de Estresse Pós-Traumáticos/epidemiologia
Transtornos de Estresse Pós-Traumáticos/psicologia
Resultado do Tratamento
Veteranos/estatística & dados numéricos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Anticonvulsants)
[Em] Mês de entrada:1706
[Cu] Atualização por classe:170616
[Lr] Data última revisão:
170616
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170602
[St] Status:MEDLINE


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[PMID]:28482012
[Au] Autor:Fink DS; Keyes KM; Calabrese JR; Liberzon I; Tamburrino MB; Cohen GH; Sampson L; Galea S
[Ti] Título:Deployment and Alcohol Use in a Military Cohort: Use of Combined Methods to Account for Exposure-Related Covariates and Heterogeneous Response to Exposure.
[So] Source:Am J Epidemiol;186(4):411-419, 2017 Aug 15.
[Is] ISSN:1476-6256
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Studies have shown that combat-area deployment is associated with increases in alcohol use; however, studying the influence of deployment on alcohol use faces 2 complications. First, the military considers a confluence of factors before determining whether to deploy a service member, creating a nonignorable exposure and unbalanced comparison groups that inevitably complicate inference about the role of deployment itself. Second, regression analysis assumes that a single effect estimate can approximate the population's change in postdeployment alcohol use, which ignores previous studies that have documented that respondents tend to exhibit heterogeneous postdeployment drinking behaviors. Therefore, we used propensity score matching to balance baseline covariates for the 2 comparison groups (deployed and nondeployed), followed by a variable-oriented difference-in-differences approach to account for the confounding and a person-oriented approach using a latent growth mixture model to account for the heterogeneous response to deployment in this prospective cohort study of the US Army National Guard (2009-2014). We observed a nonsignificant increase in estimated monthly drinks in the first year after deployment that regressed to predeployment drinking levels 2 years after deployment. We found a 4-class model that fit these data best, suggesting that common regression analyses likely conceal substantial interindividual heterogeneity in postdeployment alcohol-use behaviors.
[Mh] Termos MeSH primário: Consumo de Bebidas Alcoólicas/epidemiologia
Distúrbios de Guerra/epidemiologia
Militares/estatística & dados numéricos
[Mh] Termos MeSH secundário: Adulto
Consumo de Bebidas Alcoólicas/psicologia
Distúrbios de Guerra/psicologia
Interpretação Estatística de Dados
Projetos de Pesquisa Epidemiológica
Feminino
Seres Humanos
Masculino
Militares/psicologia
Pontuação de Propensão
Análise de Regressão
Guerra
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170901
[Lr] Data última revisão:
170901
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170509
[St] Status:MEDLINE
[do] DOI:10.1093/aje/kww230


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[PMID]:28394217
[Au] Autor:McLay RN; Baird A; Webb-Murphy J; Deal W; Tran L; Anson H; Klam W; Johnston S
[Ad] Endereço:1 San Diego County Mental Health , San Diego, California.
[Ti] Título:A Randomized, Head-to-Head Study of Virtual Reality Exposure Therapy for Posttraumatic Stress Disorder.
[So] Source:Cyberpsychol Behav Soc Netw;20(4):218-224, 2017 Apr.
[Is] ISSN:2152-2723
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Virtual reality exposure therapy (VRET) is one of the few interventions supported by randomized controlled trials for the treatment of combat-related posttraumatic stress disorder (PTSD) in active duty service members. A comparative effectiveness study was conducted to determine if virtual reality technology itself improved outcomes, or if similar results could be achieved with a control exposure therapy (CET) condition. Service members with combat-related PTSD were randomly selected to receive nine weeks of VRET or CET. Assessors, but not therapists, were blinded. PTSD symptom improvement was assessed one week and 3 months after the conclusion of treatment using the clinician-administered PTSD scale (CAPS). A small crossover component was included. Results demonstrated that PTSD symptoms improved with both treatments, but there were no statistically significant differences between groups. Dropout rates were higher in VRET. Of those who received VRET, 13/42 (31%) showed >30% improvement on the CAPS, versus 16/43 (37%) who received CET. Three months after treatment, >30% improvement was seen in 10/33 (30%) of VRET participants and 12/33 (36%) in CET. Participants who crossed over (n = 11) showed no statistically significant improvements in a second round of treatment, regardless of condition. This study supported the utility of exposure therapy for PTSD, but did not support additional benefit by the inclusion of virtual reality.
[Mh] Termos MeSH primário: Distúrbios de Guerra/terapia
Terapia Implosiva/métodos
Transtornos de Estresse Pós-Traumáticos/terapia
Veteranos/psicologia
Terapia de Exposição à Realidade Virtual/métodos
[Mh] Termos MeSH secundário: Adulto
Distúrbios de Guerra/psicologia
Feminino
Seres Humanos
Masculino
Método Simples-Cego
Transtornos de Estresse Pós-Traumáticos/etiologia
Resultado do Tratamento
[Pt] Tipo de publicação:JOURNAL ARTICLE; RANDOMIZED CONTROLLED TRIAL
[Em] Mês de entrada:1706
[Cu] Atualização por classe:170608
[Lr] Data última revisão:
170608
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170411
[St] Status:MEDLINE
[do] DOI:10.1089/cyber.2016.0554


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[PMID]:28320355
[Au] Autor:Munjiza J; Britvic D; Radman M; Crawford MJ
[Ad] Endereço:Centre for Psychiatry, Faculty of Medicine, Imperial College London, Hammersmith Campus, 7th Floor Commonwealth Building, Du Cane Road, London, W12 0NN, UK. j.munjiza10@imperial.ac.uk.
[Ti] Título:Severe war-related trauma and personality pathology: a case-control study.
[So] Source:BMC Psychiatry;17(1):100, 2017 Mar 21.
[Is] ISSN:1471-244X
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Exposure to war-related trauma has long been recognised to have an adverse effect on mental health. We attempted to investigate whether people who have clinically significant personality-related problems 15 years after a war are more likely to have been exposed to severe war-related trauma than those who do not have significant personality difficulties. METHODS: A case -control study was conducted in southern Croatia, fifteen years after the 1991-1995 war. We recruited 268 participants: 182 cases who scored positively on the International Personality Disorder Examination scale (IPDE), and 86 controls who were IPDE negative. Severity of war-related trauma was assessed according to the 17 items on the Harvard Trauma Questionnaire (HTQ) trauma event scale, which were considered to be of severe (catastrophic) nature based on the ICD-10 description of catastrophic trauma and the opinion of trauma experts. All participants also completed measures of mental health (depression, anxiety and PTSD), social functioning and current substance misuse. RESULTS: Cases (IPDE positive) were eight times more likely to report exposure to severe war-related trauma than controls. This association increased after adjustments for demographic factors (OR = 10.1, 95% CI 5.0 to 20.4). The types of severe trauma most frequently reported were either the participants'own life being in direct danger or witnessing extreme violence inflicted on others or the result of violence towards others (murder, torture, seeing burned or disfigured bodies). Prevalences of depression, anxiety and PTSD were high among IPDE positive participants 15 years after exposure to war trauma. Their level of interpersonal dysfunction was considerably higher than that in controls (OR = 10.39, 95% CI 3.51 to 30.75). Alcohol consumption in cases was significantly higher with a mean of 14.24 units per week (sd = 11.03) when compared to controls whose mean number of alcohol units was 9.24 (sd = 7.25), t (73) = 2.16, p < 0.05, mean difference 4.99 (95% CI = 0.39 to 9.60). Similarly, a significantly higher number of cases reported current substance misuse (8.2% vs. 0.0%) X (1, n = 268) = 7.51, p < 0.05). CONCLUSION: Exposure to severe war-related trauma is a risk factor for interpersonal dysfunction15 years after people were exposed to an armed conflict. These findings have implications for assessing and meeting the long-term mental health needs of people in war-affected regions. Further research needs to be done to increase our understanding about the relationship between severe war trauma and personality related problems.
[Mh] Termos MeSH primário: Distúrbios de Guerra/diagnóstico
Distúrbios de Guerra/psicologia
Transtornos da Personalidade/diagnóstico
Transtornos da Personalidade/psicologia
Transtornos de Estresse Pós-Traumáticos/diagnóstico
Transtornos de Estresse Pós-Traumáticos/psicologia
Guerra
[Mh] Termos MeSH secundário: Adulto
Estudos de Casos e Controles
Croácia
Feminino
Seres Humanos
Masculino
Meia-Idade
Inventário de Personalidade/estatística & dados numéricos
Psicometria
Fatores de Risco
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170817
[Lr] Data última revisão:
170817
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170322
[St] Status:MEDLINE
[do] DOI:10.1186/s12888-017-1269-3


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[PMID]:28291974
[Au] Autor:Jaksic N; Margetic BA; Marcinko D
[Ad] Endereço:National Center for Psychotrauma, Department of Psychiatry, University Hospital Center Zagreb, Kispaticeva 12, 10 000 Zagreb, Croatia, nenad_jaksic@yahoo.com.
[Ti] Título:Comorbid Depression and Suicide Ideation in Patients with Combat-Related PTSD: The Role of Temperament, Character, and Trait Impulsivity.
[So] Source:Psychiatr Danub;29(1):51-59, 2017 Mar.
[Is] ISSN:0353-5053
[Cp] País de publicação:Croatia
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: War veterans with PTSD have a high chance of developing major depressive disorder (MDD) at some point, while they can also exhibit increased suicidal tendencies. The primary goal of this research was to investigate whether personality dimensions, including temperament, character, and trait impulsivity, were associated with comorbid MDD, as well as with suicidal ideation in psychiatric patients suffering from combat-related PTSD. SUBJECTS AND METHODS: The sample consisted of 148 Croatian male war veterans (mean age 49.53 years) treated for PTSD at the National Center for Psychotrauma, Department of Psychiatry, University Hospital Center Zagreb. Fifty-one (34%) of them met ICD-10 diagnostic criteria for current or lifetime MDD, while 97 (66%) were diagnosed with PTSD alone. All the participants were assessed with the M.I.N.I. diagnostic interview and they completed the following battery of self-report instruments: the Beck Depression Inventory-Second Edition (BDI-II), the Suicidal Behaviors Questionnaire-Revised (SBQ-R), the Temperament and Character Inventory-Revised (TCI-R), and the Barratt Impulsiveness Scale-11 (BIS-11). RESULTS: Comparisons between the two clinical groups showed that PTSD+MDD patients were more suicidal and differed with regard to temperament dimensions Harm Avoidance, Reward Dependence and Persistence, character dimension Self-Directedness, and trait impulsivity. In three multivariate regression analyses, it was revealed that character dimension Cooperativeness as well as trait impulsivity were unique predictors of suicidal ideation, while controlling for the influence of sociodemographics, length of treatment and comorbid depression. CONCLUSIONS: Combat-related PTSD patients with comorbid depression exhibit increased suicide thoughts and different personality profiles in comparison with those suffering from PTSD alone. Character dimension Cooperativeness and trait impulsivity seem to be uniquely predictive of suicide ideation in this population. Elucidation of individual psychological factors that increase the risk of MDD and suicidal tendencies in war veterans with PTSD may facilitate more effective prevention and treatment methods.
[Mh] Termos MeSH primário: Caráter
Distúrbios de Guerra/psicologia
Transtorno Depressivo Maior/psicologia
Comportamento Impulsivo
Transtornos de Estresse Pós-Traumáticos/psicologia
Ideação Suicida
Veteranos/psicologia
[Mh] Termos MeSH secundário: Adulto
Comorbidade
Feminino
Seres Humanos
Masculino
Meia-Idade
Inquéritos e Questionários
Temperamento
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170914
[Lr] Data última revisão:
170914
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170315
[St] Status:MEDLINE



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