Post-Traumatic Stress Disorder Flashcards

1
Q

What is post traumatic stress disorder?

A
  • An anxiety disorder associated with experiencing or witnessing single, repeated or multiple events that could include:
    • Serious accidents
    • Assault (physical or sexual)
    • Abuse (including childhood or domestic)
    • Work-related exposure to trauma (including remote exposure)
    • Trauma related to serious health problems
    • War and conflict
    • Torture
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2
Q

What is the prevalence of PTSD?

A

timated lifetime prevalence: 6.8% (these number will change according to the diagnostic criteria used)

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3
Q

Who can be affected by PTSD?

A
  • can affect people of any age
  • not everyone who experiences trauma develops PTSD
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4
Q

What are the most common causes of PTSD for men and women?

A
  • men = combat
  • women = sexual molestation
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5
Q

What are the range of symptoms associated with functional impairment in PTSD and allow PTSD to be recognised?

A
  • re-experiencing
  • avoidance
  • hyperarousal
  • negative alterations in mood and thinking
  • dissociation
  • emotional dysregulation
  • interpersonal difficulties
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6
Q

What feelings are common in PTSD?

A

feeling of guilt, shame, sadness, betrayal, humiliation, and anger frequently go with PTSD

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7
Q

Explain re-experiencing in PTSD

A
  • Trauma is re-experienced through intrusive and stressing thoughts, images, flashbacks, or nightmares
  • Flashbacks feel ‘real’. Acting or feeling like the event is recurring.
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8
Q

Explain avoidance in PTSD

A

Avoidance of thoughts, feelings, people, places, and activities related to the event

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9
Q

Explain hyperarousal in PTSD

A
  • Physiological reactivity (e.g. increased heart rate)
  • Sleep disturbance
  • Irritability
  • Anger
  • Hypervigilance
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10
Q

How can the characteristics of the event impact PTSD?

A
  • Natural disaster vs traumatic events involving intentional harm (Ayers and De Visser, 2018)
  • Stressors involving intentional harm appear more likely to cause PTSD than are natural disasters
  • How deliberate human-caused stressors are judged to be also seem to be more important
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11
Q

What are the major other psychological factors that are prevelant in patients with PTSD?

A
  • Personal impact of the event
  • The extent of perceived control over future threats
  • How one is prepared to deal with a stressor
  • One’s beliefs and assumptions about trauma
  • All affect how severe the impact of a stressor may be and how likely an individual is the develop PTSD
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12
Q

What are the major risk factors for PTSD?

A
  • exposure to a traumatic event
  • severity of the incident
  • female sex
  • younger age
  • previous experience of trauma
  • presence of multiple major life stressors
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13
Q

What is resilence?

A

Adult capacity to maintain healthy psychological and physical functioning after exposure to a potentially traumatic event

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14
Q

What are the main characteristics of resilient people?

A
  • Process to a flexible adaption to challenges
  • Sense of continuity in their beliefs about themselves/lives
  • Retain ability to regenerate positive experiences
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15
Q

What medical conditions are likely to cause PTSD?

A
  • Onset of illness can be stressful: E.g. MI, stroke, haemorrhage: sudden and life threatening
  • Diagnosis of life-threatening disease: E.g. heart failure, HIV, cancer
  • Prolonged treatment or unpleasant medical procedures
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16
Q

What is the major NICE guidance on treatment for patients with PTSD?

A

Do not offer psychologically focused debriefing for the prevention or treatment of PTSD

17
Q

What are the main methods of prevention of PTSD?

A
  • cognitive processing therapy
  • cognitive therapy for PTSD
  • narrative exposure therapy
  • prolonged exposure therapy
  • eye movement desensitisation reporcessing
18
Q

What is exposure therapy

A

the person confronts traumatic memories and is repeatedly exposued to situations they have been avoiding

19
Q

What is trauma focused cognitive therapy?

A

identifies and modifies misrepresentations of the trauma and its aftermath that lead the person to overestimate the threat