16- PTSD Flashcards

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1
Q

what is the cause of PTSD ?

A

exposure to actual or threatened death, serious or sexual violence in which the sense of personal safety is threatened

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2
Q

what are the diagnostic criteria of PTSD? (4 + 2)

A

presence of 1 or more intrusive symptoms of: recurrent memories, recurrent nightmares, intense distress at cue exposure, marked physiological reactivity at cue exposure

persistence avoidance of 1 or both:
avoidance of distressing memories, thoughts of the event + avoidance of external reminders that arouse memories of event (activities, people)

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3
Q

how does PTSD affect mood ?

A

inability of remembering an important aspect of the event
persistent distorted thoughts about cause or consequence of event- lead to blame of self or others
feeling detached from others

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4
Q

how does PTSD affect arousal ?

A

irritable behavior, angry outbursts
hypervigilance
exaggerated startle response

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5
Q

what percentage of the general population has PTSD ?

A

7-9%

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6
Q

what percentage of trauma victims has PTSD?

A

60-80%

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7
Q

what percentage of combat veterans has PTSD ?

A

30%

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8
Q

what percentage of sexual assault victims have PTSD ?

A

50-80%

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9
Q

what gender is more likely to have PTSD ?

A

women

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10
Q

what is the dose response relationship in PTSD ?

A

the more lack social support, the more chances of PTSD

eg comparing WW1 veterans and Vietnam veterans

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11
Q

what is the main comorbidity with PTSD ?

A

depression

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12
Q

what is acute stress disorder ?

A

a milder version of PTSD lasting 3 days to 1 month

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13
Q

what is the main criticism of PTSD ?

A

there is too much focus on the event causing PTSD, but not everyone develops PTSD so there should be more focus on the individual variability

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14
Q

what are pre trauma risk factors to PTSD ?

A

genetic predisposition, personality vulnerabilities

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15
Q

what is the main risk factor during trauma for PTSD ?

A

peritraumatic dissociation

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16
Q

what is the main risk factor post trauma for PTSD ?

A

bad social support system

17
Q

what is the heritability of PTSD ?

A

degree of 0.40, meaning 16%

18
Q

what 3 main neurological vulnerabilities are PTSD risk factors ?

A

low cortisol levels
amygdala excessive activation
smaller hippocampal volume (can’t dampen amygdala properly)

19
Q

what attachment style may lead to more chances of developing PTSD ?

A

insecure

20
Q

what locus of control is a PTSD risk factor ?

A

external

21
Q

what is the cognitive appraisal pattern leading to PTSD ?

A

assumption that the world is a safe place is shattered

22
Q

what are the 4 main risk factors for PTSD ?

A

neuroticism
history of psychiatric illness
perceived threat
social support