PTSD Flashcards

1
Q

key characteristic of PTSD

A

occurrence of preceding traumatic event which symptoms are related to or in the context of

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2
Q

main criteria for PTSD

A

person exposed to actual/threatened death, serious infjury, sexual violence in follwoing ways
- direct expsoure
-witnessing trauma
- learning a close other was exposed to trauma
- indirect exposure in course of profession

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3
Q

most common triggers for men

A

military trauma

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4
Q

most common triggers for women

A

rape

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5
Q

intrusion criteria for PSTD

A

unwanted memories, nightmares, flashbacks, distress, physical reactivity when exposed to reminders

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6
Q

avoidance criteria for PTSD

A

avoiding places, people, thoughts, feelings that remind them of the event
- interferes with functioning in a way that is important to them

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7
Q

negative mood and cognitive problems for PTSD

A

recall failures (blackouts)
detachment
anhedonia
lack of interest in activity
distrust of others
blame of self or others
negative affect

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8
Q

increased arousal and reactivity for PTSD

A

hyper vigilance
startle response
irritability
poor concentration
difficulty sleeping
self destructive behaviour

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9
Q

how long must symptoms occur for diagnosis

A

1 month minimum

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10
Q

pstd comorbidity

A

high comorbidity
93% have another disorder
66% have anxiety disorder

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11
Q

sex differences and PTSD

A

women 2x more likely to develop PTSD

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12
Q

trauma and PTSD

A

more trauma/higher degree of trauma - more chance of PTSD

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13
Q

risk factors of PTSD

A

fear conditioning
amygdala reactivity (excessive)
attentional bias to threat
neuroticism

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14
Q

prominent psych model of PTSD

A

2 factor theory
- fear must come from somewhere
- challenge of healing comes from avoidance and safety behaviours which prevent fear extinction

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15
Q

neurobiology of PTSD - amygdala and PFC

A

overactive amygdala makes afraid and determines reactions
PFC is under-active in mitigating this

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16
Q

neurobiology of PTSD - hippocampus

A

sensitivity of hippocampus is sensitive to stress and cortisol
smaller hippocampal volume

17
Q

dysfunction in hippocampus

A

failure to organise and separate memories, leads to overgeneralisation of fear
smaller hippocampus - worse at functioning in segregating memories

18
Q

dissociation in PTSD

A

lack of connectedness
experiences of derealisation and depersonalisation
protects people from trauma

19
Q

more dissociation =>

A

greater chance of PTSD
more unclear aspects of memory which affects how it can be treated

20
Q

most important approach to PTSD

A

cbt and exposure
- involves reminders of event to extinguish anxiety

21
Q

cogntive restructuring - PTSD

A

reduce blame
establish coping beliefs
- attrition is high

22
Q

drugs which help with exposure therapy

A

MDMA
d-cycloserine
propranolol

23
Q

MDMA - PTSD

A

acts on monoamines (serotonin) induces euphoria
- speeds up recovery

24
Q

d-cycloserine - PTSD

A

enhances glutamate activity in subregions of amygdala
- improves extinctin learning and efficacy of exposure

25
Q

Propranolol - PTSD

A

beta-adrenergic blocker
- stop physical reaction to stress
- interferes with memory reconsolidation
- treats anxiety