Posttraumatic Stress Disorder in patients with traumatic brain injury

Glaesser J, Neuner F, Lütgehetmann R, Schmidt R, Elbert T (2004)
BMC psychiatry 4(1): 5.

Zeitschriftenaufsatz | Veröffentlicht | Englisch
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Glaesser, Judith; Neuner, FrankUniBi; Lütgehetmann, Ralph; Schmidt, Roger; Elbert, Thomas
Abstract / Bemerkung
BACKGROUND: Severe traumatic stressors such as war, rape, or life-threatening accidents can result in a debilitating psychopathological development conceptualised as Posttraumatic Stress Disorder (PTSD). Pathological memory formation during an alarm response may set the precondition for PTSD to occur. If true, a lack of memory formation by extended unconsciousness in the course of the traumatic experience should preclude PTSD. METHODS: 46 patients from a neurological rehabilitation clinic were examined by means of questionnaires and structured clinical interviews. All patients had suffered a TBI due to an accident, but varied with respect to falling unconscious during the traumatic event. RESULTS: 27% of the sub-sample who were not unconscious for an extended period but only 3% (1 of 31 patients) who were unconscious for more than 12 hours as a result of the accident were diagnosed as having current PTSD (P <.02). Furthermore, intrusive memories proved to be far more frequent in patients who had not been unconscious. This was also the case for other re-experiencing symptoms and for psychological distress and physiological reactivity to reminders of the traumatic event. CONCLUSION: TBI and PTSD are not mutually exclusive. However, victims of accidents are unlikely to develop a PTSD if the impact to the head had resulted in an extended period of unconsciousness.
Middle Aged; Mental Recall; Memory Disorders/epidemiology; Memory Disorders/diagnosis; Brain Injuries/complications; Accidents/statistics & numerical data; Brain Injuries/diagnosis; Brain Injuries/epidemiology; Comorbidity; Dreams/psychology; Female; Humans; Incidence; Life Change Events; Male; Personality Inventory; Models; Psychological; Wechsler Scales; Psychiatric Status Rating Scales; Unconsciousness/epidemiology; Unconsciousness/diagnosis; Unconsciousness/complications; Psychological/psychology; Memory Disorders/complications; Adult; Stress; Psychological/diagnosis; Stress; Post-Traumatic/etiology; Stress Disorders; Post-Traumatic/epidemiology; Stress Disorders; Questionnaires; Post-Traumatic/diagnosis; Stress Disorders; Trauma Severity Indices
BMC psychiatry
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Glaesser J, Neuner F, Lütgehetmann R, Schmidt R, Elbert T. Posttraumatic Stress Disorder in patients with traumatic brain injury. BMC psychiatry. 2004;4(1): 5.
Glaesser, J., Neuner, F., Lütgehetmann, R., Schmidt, R., & Elbert, T. (2004). Posttraumatic Stress Disorder in patients with traumatic brain injury. BMC psychiatry, 4(1), 5. doi:10.1186/1471-244X-4-5
Glaesser, Judith, Neuner, Frank, Lütgehetmann, Ralph, Schmidt, Roger, and Elbert, Thomas. 2004. “Posttraumatic Stress Disorder in patients with traumatic brain injury”. BMC psychiatry 4 (1): 5.
Glaesser, J., Neuner, F., Lütgehetmann, R., Schmidt, R., and Elbert, T. (2004). Posttraumatic Stress Disorder in patients with traumatic brain injury. BMC psychiatry 4:5.
Glaesser, J., et al., 2004. Posttraumatic Stress Disorder in patients with traumatic brain injury. BMC psychiatry, 4(1): 5.
J. Glaesser, et al., “Posttraumatic Stress Disorder in patients with traumatic brain injury”, BMC psychiatry, vol. 4, 2004, : 5.
Glaesser, J., Neuner, F., Lütgehetmann, R., Schmidt, R., Elbert, T.: Posttraumatic Stress Disorder in patients with traumatic brain injury. BMC psychiatry. 4, : 5 (2004).
Glaesser, Judith, Neuner, Frank, Lütgehetmann, Ralph, Schmidt, Roger, and Elbert, Thomas. “Posttraumatic Stress Disorder in patients with traumatic brain injury”. BMC psychiatry 4.1 (2004): 5.

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