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Post-traumatic stress disorder: present and future

Published online by Cambridge University Press:  13 June 2014

Niall Crumlish
Niall Crumlish*
Affiliation:
Department of Psychiatry, TCD, Jonathan Swift Clinic, St. James's Hospital, James's St, Dublin 8, Ireland
*
*Correspondence E-mail: niall.crumlish@tcd.ie
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Extract

Post-traumatic stress disorder (PTSD) and acute stress disorder (ASD) differ from almost every other psychiatric diagnosis in that they may only be diagnosed with reference to an aetiological event – an external traumatic stressor. ASD occurs immediately after the stressor and is comparatively short-lived, while PTSD is a prolonged abnormal response that may take months to develop. The types of stressor leading to ASD and PTSD are identical and were intended to be tightly defined, involving a perceived threat of death, serious injury or loss of physical integrity.

It is useful initially to distinguish ASD and PTSD from adjustment disorders, which are also diagnosed only after an observable life event. An adjustment disorder may be thought of as a gradual and prolonged response to stressful changes in a person's life. The range of stressors precipitating an adjustment disorder is potentially much broader than that precipitating ASD or PTSD, as a threat of death or injury is not needed.

Indeed, a ‘threat’ as such is not needed, as the event may be a loss. Events such as job loss or the breakup of a relationship may lead to an adjustment disorder, as well as threats such as accidents or assaults. The diagnostic criteria for adjustment disorder do not specify what the immediate response, if any, to the precipitating stressor must be.

Type
Continuing Professional Development
Information
Irish Journal of Psychological Medicine , Volume 27 , Issue 3 , September 2010 , pp. i - vi
Copyright
Copyright © Cambridge University Press 2010

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References

1.American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders (4th ed.) (DSM-IV). Washington, DC: APA, 1994.Google Scholar
2.Gelder, M, Cowen, P, Harrison, P (Eds.) Shorter Oxford Textbook of Psychiatry. New York: Oxford University Press, 2007.Google Scholar
3.Friedman, MJ.PTSD revisions for DSM-V, with input from array of experts. Psychiatric News 2010; 45: 8.CrossRefGoogle Scholar
4.McNally, RJ.Conceptual problems with the DSM-IV criteria for posttraumatic stress disorder. In: GM, Rosen, (ed). Posttraumatic Stress Disorder: Issues and Controversies. Chichester, Wiley, 2004: 1–14.Google Scholar
5. American Psychiatric Association. Proposed revision — posttraumatic stress disorder. Accessed at www.dsm5.org/ProposedRevisions/Pages/proposedrevision.aspx?rid=165, June 19, 2010.Google Scholar
6.Jones, E.Historical approaches to post-combat disorders. Philos Trans R Soc Lond B Biol Sci 2006;361: 533–542.CrossRefGoogle ScholarPubMed
7.Summerfield, D.The invention of post-traumatic stress disorder and the social usefulness of a psychiatric category. BMJ 2001; 322: 95–98.CrossRefGoogle ScholarPubMed
8.American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders (DSM III). Washington, DC: APA, 1980.Google Scholar
9.World Health Organisation. Manual of the international classification of diseases, injuries and causes of death (9th rev). Geneva: World Health Organisation, 1978.Google Scholar
10.Karl, A, Schaefer, M, Malta, LS, Dörfel, D, Rohleder, N, Werner, A.A meta-analysis of structural brain abnormalities in PTSD. Neurosci Biobehav Rev 2006; 30: 1004–31CrossRefGoogle ScholarPubMed
11.Kitayama, N, Vaccarino, V, Kutner, M, Weiss, P, Bremner, JD.Magnetic resonance imaging (MRI) measurement of hippocampal volume in posttraumatic stress disorder: a meta-analysis. J Affect Disord 2005; 88: 79–86.CrossRefGoogle ScholarPubMed
12.Woon, FL, Hedges, DW.Amygdala volume in adults with posttraumatic stress disorder: a meta- analysis. J Neuropsychiatry Clin Neurosci 2009; 21: 5–12.CrossRefGoogle ScholarPubMed
13.Etkin, A, Wagner, TD.Functional neuroimaging of anxiety: a meta-analysis of emotional processing in PTSD, social anxiety disorder, and specific phobia. Am J Psychiatry 2007; 164: 1476–88.CrossRefGoogle ScholarPubMed
14.McEwen, BS.Effects of adverse experiences for brain structure and function. Biol Psychiatry 2000; 48: 721–31.CrossRefGoogle ScholarPubMed
15.Schauer, M, Neuner, F, Elbert, T.Narrative Exposure Therapy: A Short-Term Intervention for Traumatic Stress Disorders after War, Terror, or Torture. Gottingen: Hogrefe and Huber, 2005.Google Scholar
16.Brunello, N, Davidson, JRT, Deahl, Met alPosttraumatic stress disorder: diagnosis and epidemiology, comorbidity and social consequences, biology and treatment. Neuropsychobiology 2001; 43: 150–62.CrossRefGoogle ScholarPubMed
17.Debiec, J, LeDoux, JE.Noradrenergic signaling in the amygdala contributes to the reconsolidation of fear memory: treatment implications for PTSD. Ann NY Acad Sci 2006; 1071: 521–4.CrossRefGoogle Scholar
18.Nutt, DJ, Malizia, AL.Structural and functional brain changes in posttraumatic stress disorder. J Clin Psychiatry 2004; 65(s1): 11–17.Google ScholarPubMed
19.Kessler, RC, Sonnega, A, Bromet, E, Hughes, M, Nelson, CB.Posttraumatic stress disorder in the National Comorbidity Survey. Arch Gen Psychiatry 1995; 52: 1048–60.CrossRefGoogle ScholarPubMed
20.Kessler, RC, Berglund, P, Dernier, O, Jin, R, Merikangas, KR, Walters, EE.Lifetime prevalence and age-of-onset distributions of DSM-IV disorders in the National Comorbidity Survey Replication. Arch Gen Psychiatry 2005; 62: 593–602.CrossRefGoogle ScholarPubMed
21.Breslau, N, Kessler, RC.The stressor criterion in DSM-IV posttraumatic stress disorder: an empirical investigation. Biol Psychiatry 2001; 50: 699–704.CrossRefGoogle ScholarPubMed
22.Alonso, J, Angermeyer, MC, Bernert, Set al.Prevalence of mental disorders in Europe: results from the European Study of the Epidemiology of Mental Disorders (ESEMeD) project. Acta Psychiatr Scand Suppl 2004; 420: 21–7.Google Scholar
23.Somers, JM, Goldner, EM, Waraich, P, Hsu, L.Prevalence and incidence studies of anxiety disorders: a systematic review of the literature. Can J Psychiatry 2006; 51: 100–13.CrossRefGoogle ScholarPubMed
24.Alhasnawi, S, Sadik, S, Rasheed, Met al.The prevalence and correlates of DSM-IV disorders in the Iraq Mental Health Survey (IMHS). World Psychiatry 2009 Jun; 8(2): 97–109.Google ScholarPubMed
25.Jamil, H, Farrag, M, Hakim-Larson, J, Kafaji, T, Abdulkhaleq, H, Hammad, A.Mental health symptoms in Iraqi refugees: posttraumatic stress disorder, anxiety, and depression. J Cult Divers 2007; 14: 19–25.Google ScholarPubMed
26.Porter, M, Haslam, N.Predisplacement and postdisplacemen t factors associated with mental health of refugees and internally displaced persons: a meta-analysis. JAMA 2005; 294: 602–612.CrossRefGoogle Scholar
27.Fazel, M, Wheeler, M, Danesh, J.Prevalence of serious mental disorder in 7000 refugees resettled in western countries: a systematic review. Lancet 2005; 365, 1309–1314.CrossRefGoogle ScholarPubMed
28.Silove, D, Sinnerbrink, I, Field, A, Manicavasagar, V, Steel, Z.Anxiety, depression and PTSD in asylum-seekers: associations with pre-migration trauma and post-migration stressors. Br J Psychiatry 1997; 170: 351–357.CrossRefGoogle ScholarPubMed
29.de Vries, GJ, Olff, M.The lifetime prevalence of traumatic events and posttraumatic stress disorder in the Netherlands. J Trauma Stress 2009; 22: 259–267.CrossRefGoogle ScholarPubMed
30.Brewin, CR, Andrews, B, Valentine, JD.Meta-analysis of risk factors for posttraumatic stress disorder in trauma-exposed adults. J Consult Clin Psychol 2000; 68: 748–766.CrossRefGoogle ScholarPubMed
31.Resnick, HS, Kilpatrick, DG, Best, CL, Kramer, TL.Vulnerability-stress factors in development of posttraumatic stress disorder. J Nerv Ment Dis 1992; 180: 424–30.CrossRefGoogle ScholarPubMed
32.Heinrichs, M, Wagner, D, Schoch, W, Soravia, LM, Hellhammer, DH, Ehlert, U.Predicting posttraumatic stress symptoms from pretraumatic risk factors: a 2-Year prospective follow-up study in firefighters. Am J Psychiatry 2005; 162: 2276–2286.CrossRefGoogle ScholarPubMed
33.Gilbertson, MW, Shenton, ME, Ciszewski, A, Kasai, K, Lasko, NB, Orr, SP, Pitman, PK.Smaller hippocampal volume predicts pathologic vulnerability to psychological trauma. Nat Neurosci 2002; 5: 1242–1247.CrossRefGoogle ScholarPubMed
34.Kuzelova, H, Ptacek, R, Macek, M.The serotonin transporter gene (5-HTT) variant and psychiatric disorders: review of current literature. Neuro Endocrinol Lett 2010; 31: 4–10.Google ScholarPubMed
35.Elklit, A, Christiansen, DM.ASD and PTSD in rape victims. J Interper Viol 2010; 25: 1470–1488.CrossRefGoogle ScholarPubMed
36.Vieweg, WV, Julius, DA, Fernandez, A, Beatty-Brooks, M, Hettema, JM, Pandurangi, AK.Posttraumatic stress disorder: clinical features, pathophysiology, and treatment. Am J Med 2006; 119: 383–90.CrossRefGoogle ScholarPubMed
37.Bryant, RA, Creamer, M, O'Donnell, ML, Silove, D, McFarlane, AC.A multisite study of the capacity of acute stress disorder diagnosis to predict posttraumatic stress disorder. J Clin Psychiatry 2008; 69: 923–929.CrossRefGoogle ScholarPubMed
38.Harvey, AG, Bryant, RA.The relationship between acute stress disorder and posttraumatic stress disorder: a 2-year prospective evaluation. J Consult Clin Psychol 1999; 67: 985–8.CrossRefGoogle ScholarPubMed
39.Kassam-Adams, N, Winston, FK.Predicting child PTSD: the relationship between acute stress disorder and PTSD in injured children. J Am Acad Child Adol Psychiatry 2004; 43: 403–11.CrossRefGoogle ScholarPubMed
40.Creamer, M, O'Donnell, ML, Pattison, P.The relationship between acute stress disorder and posttraumatic stress disorder in severely injured trauma survivors. Behav Res Ther 2004; 42: 315–28.CrossRefGoogle ScholarPubMed
41.Brewin, CR.Risk factor effect sizes in PTSD: what this means for intervention. J Trauma Dissociation 2005; 6: 123–30.CrossRefGoogle ScholarPubMed
42. National Institute for Clinical Excellence: The Management of PTSD in Adults and Children in Primary and Secondary Care. London, National Institute for Clinical Excellence, 2005Google Scholar
43.Bisson, J, Andrew, M.Psychological treatment of post-traumatic stress disorder (PTSD). Cochrane Database of Systematic Reviews 2007; 3: CD003388.Google Scholar
44.Bisson, JI, Ehlers, A, Matthews, R, Pilling, S, Richards, D, Turner, S.Psychological treatments for chronic post-traumatic stress disorder. Systematic review and meta-analysis. Br J Psychiatry 2007; 190: 97–104.CrossRefGoogle ScholarPubMed
45.Stein, DJ, Ipser, JC, Seedat, S.Pharmacotherapy for post traumatic stress disorder (PTSD). Cochrane Database of Systematic Reviews 2006, Issue 1. Art. No.: CD002795.Google Scholar
46.Ehlers, A, Clark, DM.A cognitive model of post-traumatic stress disorder. Behav Res Ther 2000;38: 319–345.CrossRefGoogle Scholar
47.Duffy, M, Gillespie, K, Clark, DM.Post-traumatic stress disorder in the context of terrorism and other civil conflict in Northern Ireland: randomised controlled trial. BMJ 2007; 334: 1147–1150.CrossRefGoogle ScholarPubMed
48.Gillespie, K, Duffy, M, Hackmann, A, Clark, DM.Community based cognitive therapy in the treatment of posttraumatic stress disorder following the Omagh bomb. Behav Res Ther 2002; 40: 345–357.CrossRefGoogle ScholarPubMed
49.Walshe, DG, Lewis, EJ, Kim, SI, O'Sullivan, K, Wiederhold, BK.Exploring the use of computer games and virtual reality in exposure therapy for fear of driving following a motor vehicle accident. Cyberpsychol Behav 2003; 6: 329–334.CrossRefGoogle ScholarPubMed
50.Shapiro, F.Eye movement desensitization: a new treatment for post-traumatic stress disorder. J Behav Ther Exp Psychiatry 1989; 20: 211–217.CrossRefGoogle ScholarPubMed
51.Stickgold, R.EMDR: A putative neurobiological mechanism of action. J Clin Psychol 2002; 58: 61–75.CrossRefGoogle ScholarPubMed
52.Seidler, GH, Wagner, FE.Comparing the efficacy of EMD R and trauma-focused cognitive behavioral therapy in the treatment of PTSD: a meta-analytic study. Psychol Med 2006; 36: 1515–1522.CrossRefGoogle Scholar
53.Powers, MB, Halpem, JM, Ferenschak, MP, Gillihan, SJ, Foa, EB.A meta-analytic review of prolonged exposure for posttraumatic stress disorder. Clin Psychol Rev 2010; 30: 635–41.CrossRefGoogle ScholarPubMed
54.Foa, EB.Psychosocial therapy for posttraumatic stress disorder. J Clin Psychiatry 2006; 67: Suppl 2: 40–5.Google ScholarPubMed
55.Meichenbaum, D.Treating Post-Traumatic Stress Disorder: A Handbook and Practice Manual for Therapy. Chichester: John Wiley and Sons, 1994.Google Scholar
56.Crumlish, N, O'Rourke, K.A systematic review of treatments for post-traumatic stress disorder among refugees and asylum-seekers. J Nerv Ment Dis 2010; 198: 237–51.CrossRefGoogle ScholarPubMed
57.Lawrence, S, De Silva, M, Henley, R.Sports and games for post-traumatic stress disorder (PTSD). Cochrane Database Syst Rev 2010; (1): CD007171.Google Scholar
58.Bryant, RA, Harvey, AG, Dang, ST, Sackville, T, Basten, C.Treatment of acute stress disorder: a comparison of cognitive-behavioral therapy and supportive counselling. J Consult Clin Psychol 1998; 66: 862–866.CrossRefGoogle Scholar
59.Roberts, NP, Kitchiner, NJ, Kenardy, J, Bisson, JI.Early psychological interventions to treat acute traumatic stress symptoms. Cochrane Database Syst Rev 2010 Mar 17; 3: CD007944.Google Scholar
60.Van Ommeren, M, Saxena, S, Saraceno, B.Mental and social health during and after acute emergencies: emerging consensus? Bull World Health Org 2005; 83: 71–75.Google ScholarPubMed
61.Rose, S, Bisson, J, Churchill, R, Wessely, S.Psychological debriefing for preventing post traumatic stress disorder (PTSD). Cochrane Database Syst Rev 2002;(2):CD000560.Google Scholar
62.Pae, CU, Lim, HK, Peindl, Ket al.The atypical antipsychotics olanzapine and risperidone in the treatment of posttraumatic stress disorder: a meta-analysis of randomized, double-blind, placebo- controlled clinical trials. Int Clin Psychopharmacol 2008 Jan; 23(1): 1–8.CrossRefGoogle ScholarPubMed
63.Robert, S, Hamner, MB, Kose, S, Ulmer, HG, Deitsch, SE, Lorberbaum, JP.Quetiapine improves sleep disturbances in combat veterans with PTSD: sleep data from a prospective, open-label study. J Clin Psychopharmacol 2005; 25: 387–8.CrossRefGoogle ScholarPubMed
64.van Liempt, S, Vermetten, E, Geuze, E, Westenberg, HG.Pharmacotherapy for disordered sleep in post-traumatic stress disorder: a systematic review. Int Clin Psychopharmacol 2006; 21: 193–202.CrossRefGoogle ScholarPubMed
65.Strawn, JR, Geracioti, TD.Noradrenergic dysfunction and the psychopharmacology of posttraumatic stress disorder. Depress Anxiety 2008; 25: 260–271.CrossRefGoogle ScholarPubMed
66.Byers, MG, Allison, KM, Wendel, CS, Lee, JK.Prazosin versus quetiapine for nighttime posttraumatic stress disorder symptoms in veterans: an assessment of long-term comparative effectiveness and safety. J Clin Psychopharmacol 2010; 30: 225–9.CrossRefGoogle ScholarPubMed
67.Berlin, HA.Antiepileptic drugs for the treatment of post-traumatic stress disorder. Curr Psychiatry Rep 2007; 9: 291–300.CrossRefGoogle ScholarPubMed
68.Cukor, J, Spitalnick, J, Difede, J, Rizzo, A, Rothbaum, BO.Emerging treatments for PTSD. Clin Psychol Rev 2009; 29: 715–726.CrossRefGoogle ScholarPubMed
69.Parrott, AC.The psychotherapeutic potential of MDMA: An evidence-based review. Psychopharmacology 191: 181–193.CrossRefGoogle Scholar
70.Ressler, KJ, Rothbaum, BO, Tannenbaum, Let al.Cognitive enhancers as adjuncts to psychotherapy: use of D-cycloserine in phobic individuals to facilitate extinction of fear. Arch Gen Psychiatry 2004; 61: 1136–1144.CrossRefGoogle ScholarPubMed
71.Bormann, JE, Thorp, SR, Wetherell, JL, S. Golshan, S.A spiritually based group intervention for combat veterans with posttraumatic stress disorder: feasibility study. J Holistic Nurs 2008; 26: 109–116.CrossRefGoogle ScholarPubMed
72.Krupnick, JL, Green, BL, Stockton, B, Miranda, J, Krause, E, Mete, M.Group interpersonal psychotherapy for low-income women with posttraumatic stress disorder. Psychother Res 2008; 18: 497–507.CrossRefGoogle ScholarPubMed
73.Holmes, EA, Arntz, A, Smucker, MR.Imagery rescripting in cognitive behaviour therapy: images, treatment, techniques and outcomes. J Behav Ther Exp Psychiatry 2007; 38: 297–305.CrossRefGoogle ScholarPubMed
74.Grunert, BK, Weis, JM, Smucker, MR, Christianson, HF.Imagery rescripting and reprocessing therapy after failed prolonged exposure for post-traumatic stress disorder following industrial injury. J Behav Ther Exp Psychiatry 2007; 38: 317–328.CrossRefGoogle ScholarPubMed
75.GM, Rosen, editor. Posttraumatic Stress Disorder: Issues and Controversies. Chichester, Wiley, 2004: xi.Google Scholar
76.Rosen, GM, Frueh, BC.Challenges to the PTSD construct and its database: the importance of scientific debate. J Anx Disord 2007; 21: 161–163.CrossRefGoogle Scholar