The typology of chronic posttraumatic stress disorder
Voloshin, V.M.
Zhurnal Nevrologii i Psikhiatrii Imeni S.S. Korsakova 104(1): 17-23
2004
ISSN/ISBN: 1997-7298 PMID: 14870688 Document Number: 569379
Psychopathological chronic posttraumatic stress disorder (PTSD) was studied in relation to clinical peculiarities of depression included in PTSD structure. One hundred and sixty-five patients, 124 men and 41 women, aged 25-48 years, were examined in general outpatient clinics. PTSD duration was from 6 to 24 months. A stress was caused by situations related to combat events (60,6%), close person's death (25,4%), assault with physical and moral violence (8,2%) and rape (5,8%). With regard to depression structure and dominating affect, 4 PTSD types - anxious (36,6%), dysphoric (26,1%), apathic (20%) and somatoform (17,7%), were distinguished. Also, their significance for the formation of patient's personality features is emphasized. A role of depression in syndrome formation in chronic PTSD is suggested.