Medicinski vjesnik, Vol. 29 No. (1-2), 1997.
Original scientific paper
The course and prognosis of PTSD - a review of important factor
Vinko Čatipović
Radomir Drobac
Miroslav Turković
Abstract
The paper analyzes a group of 59 patients diagnosed with PTSD, treated at the Psychiatric Department of Bjelovar General Hospital in 1996. In 23% of the cases PTSD was not diagnosed on the occasion of refering to the hospital, in which cases it was masked by alcoholism or psychosis. Within PTSD, anxiety-depressive disorder was diagnosed in 12.4% of the cases, anxiety disorder in 5.3% and depressive syndrome in 17.8% of the cases. Personality disorders (F60) or permanents changes of personality (F62) were diagnosed in 50.8% of the cases, with 63.3% of the patients in this group having a personality disorder diagnosed previously. The course of the disease is similar in patients with permanent changes of personality after catastrophic experience and in patients without disorders/changes of personality. In patients with a primary personality disorder a larger number of alcoholic complications and rehospitalisations is found (p<0.05). Prior to developing PTSD, 40.7% of the patients have already undergone a psychiatric treatment. During the treatment of PTSD they are hospitalised frequently, often discontinue the ambulatory treatment and have more alcoholic complications (p<0.05). The most frequently used drugs were basic neuroleptics, benzodiazepines and antidepressants. The most frequently applied neuroleptics and benzodiazepines were the ones with antidepressive effects (sulpiride and alprazolam).
Keywords
Hrčak ID:
192413
URI
Publication date:
1.12.1997.
Visits: 2.963 *