PTSD

Question 1

PTSD is characterized by what 3 things?

Answer 1

Intrusive thoughts
flashbacks
avoidance

Question 2

Lifetime prevalence of PTSD

Answer 2

6.1-9.2%

Question 3

_______ treatment may prevent chronicity

Answer 3

Early

Question 4

Sexual relationship violence encompass what percentage of trauma

Answer 4

33 percent

Question 5

What is the most frequent trauma experienced by women with PTSD

Answer 5

Sexual trauma

Question 6

Of women with a history of PTSD, __% have been raped and ___% experiences some other form of sexual assault

Answer 6

32%
31%

Question 7

Mass Conflict and Displacement Example and % prevalence with trauma

Answer 7

Massive earthquake, hurricane Katrina, civilian war zone, refugee
30.6%

Question 8

Interpersonal-network trauma percentage and examples

Answer 8

30%
UNEXPECTED death of a loved one, illness of a child

Question 9

Interpersonal violence percentage and example

Answer 9

12 percent
childhood abuse, physical assault

Question 10

Exposure to organized violence percentage and example

Answer 10

3% kidnapped, refugee, civilian war zone

Question 11

Participation in organized violence percentage and example

Answer 11

11%
combat, first responders

Question 12

What 2 things are PTSD and combat correlated with

Answer 12

Injury and occurrence of traumatic brain injury

Question 13

When should you be on the look out for presentation of PTSC with combat injury patients

Answer 13

4.2% at 1 mo AND 12.2% at 4 mo

Question 14

A heart rate > ___bpm at first presentation to emergency department is a risk factor for PTSD

Answer 14

95

Question 15

Does exposure to trauma automatically result in PTSD

Answer 15

No, about 10 % of those exposed to serious trauma develop PTSD

Question 16

Which Americans are most at risk?

Answer 16

Native Americans (14.2% -16.1%)
cambodian refugees (62%)

Question 17

Women are ____ times more likely to develop PTSD than men after exposure to traumatic event. WHATS THE EXCEPTION?

Answer 17

4
Accidents, natural disasters, and sudden loss of loved one has even prevalence among genders

Question 18

Does intentional or unintentional trauma have a higher association with PTSD

Answer 18

Intentional

Question 19

With PTSD patients, what is there a decreased volume of on scans

Answer 19

hipocampus
left amygdala
anterior cingulate cortex

Question 20

Sensitization with PTSD

Answer 20

Previous exposures to trauma increase risk of developing PTSD

Question 21

Schizo vs PTSD

Answer 21

Schizo : more genetic, adolescent prodromal, gradual
PTSD : specific event, cause and effect

Question 22

Screening tool for PTSD and SCORING

Answer 22

CAPS-5
4+ in men explore PTSD
3+ in women explore PTSD

Question 23

When do symptoms usually begin with PTSD

Answer 23

within 3 mo of traumatic event

Question 24

How long must symptoms last?

Answer 24

> 1mo and interfere with daily life and unrelated to other conditions

Question 25

Symptoms of PTSD

Answer 25

Flashbacks, anxiety, dissociative episodes, fleeing, combative behavior Avoidance emotional numbing, detachment from others

Question 26

Cardinal features of PTSD

Answer 26

Traumatic event, intrusion symptoms, avoidance symptoms, and negative alterations in cognition or mood

Question 27

Experience of traumatic event

Answer 27

usually extreme may be victim, observer, or hear about it

Question 28

Intrusion symptoms (hallmark of PTSD)

Answer 28

re-experiencing symptoms, unwanted intrusive memories, nightmares, flashbacks (associated with fear and panic) May cause autonomic arousal (increase in HR)

Question 29

Avoidance Symptoms

Answer 29

People avoid the thoughts and activities that remind them of the trauma

Question 30

Negative cognitions/mood

Answer 30

decreased interest blame themselves detachment

Question 31

Arousal reactivity changes

Answer 31

Irritability, or aggressive reckless and destructive behaviors Must have started after traumatic event

Question 32

Dx of PTSD: must have all of the following for >1mo

Answer 32

at least one re-experiencing symptom at least one avoidance symptom at least two arousal and reactivity symptoms at least two condition and mood symptoms

Question 33

Depressive disorders, anxiety disorders, and substance abuse are ___ to ___ times more prevalent in patients with PTSD

Answer 33

2-4x

Question 34

50% of PTSD patients have __ or more psychiatric disorders

Answer 34

3

Question 35

25% of patients with PTSD had a diagnosis of ____ _______ ________ . This increases likelihood of suicide events. What is another common personality disorder associated with PTSD

Answer 35

Borderline personality disorder Antisocial personality disorder

Question 36

Somatic symptoms are __ x more likely in patients with PTSD than without disorder

Answer 36

90

Question 37

When PTSD occurs with symptoms of depression in women, it is associated with nearly ___ times greater risk of death

Answer 37

Four

Question 38

Treatment for PTSD

Answer 38

Trauma-focused psychotherapy (CBT) if have anxiety and depression at SSRI (sertraline/citalopram)

Question 39

Other form of treatment for PTSD

Answer 39

EMDR moving your eyes specific ways while processing traumatic injuries

Question 40

What are the barriers to treatment of PTSD?

Answer 40

Stigma and Access to Care

Question 41

What are adjustment disorders

Answer 41

change in emotional or behavioral symptoms that happens within 3mo of a stressful event, but does not meet criteria for anything else more intense than normal but not PTSD bad

Question 42

Why do we even have diagnosis of adjustment disorders?

Answer 42

Allows you to billl insurance lol

Question 43

Criteria of Adjustment disorder

Answer 43

within 3mo of stressful event (can be positive) more intense than to be expected interfering with life not related to other illness

Question 44

Acute Adjustment disorder

Answer 44

occurs with a person experiences symptoms for 6mo or less before resolution