Recognition and Treatment of Posttraumatic Stress Disorder

Department of Psychiatry and Behavioral Sciences, Box 3812, Duke University Medical Center, Durham, NC 27710, USA.
JAMA The Journal of the American Medical Association (Impact Factor: 35.29). 08/2001; 286(5):584-588. DOI: 10.1001/jama.286.5.584


The reports on posttraumatic stress disorder (PTSD) in this issue of
draw attention to 3 important facts: PTSD is a worldwide problem, reaching
alarming proportions in countries torn by violent conflict; it is associated
with persistent disability and comorbidity for many people; and treatments
can produce a meaningful reduction in distress. These studies, which tell
clinicians not to forget about PTSD, provide the opportunity to focus on what
is known about PTSD as a medical problem, and its presentation, recognition,
and management. Perhaps the 3 main lessons to be learned are that PTSD often
presents in medical disguise, it is largely unrecognized, and it can be treated

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    • "Such dissatisfaction with the care received has also been identified as a problem in the literature on health care of traumatized individuals [52]. Only a fraction of individuals with a traumatic experience or PTSD seem to receive or be referred to appropriate treatment [40,42,50,53]. One of the reasons for this shortfall is seen in the shortage of resources in the help-system (e.g. "
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    ABSTRACT: Despite frequent and serious mental health problems after interpersonal traumatization, only a fraction of those affected by interpersonal violence seek formal help after the event. Reasons for this mismatch can be found in the individual help-seeking process but also in the individual's social environment. These social factors are explored based on a model describing the survivor's help-seeking process. Survivors of interpersonal traumatization and professionals providing help for this population were asked about factors influencing the ease of seeking and receiving professional help after interpersonal traumatization. A deductive and inductive content analysis of the experiences of 43 survivors of interpersonal traumatization and 16 professionals providing help for this population was carried out. The analysis suggested a clear distinction of an individual and a social system level of influencing variables. At the system level three main factors were identified: factors of the help-system, dominant attitudes in society and public knowledge about traumatization and available help. The results confirmed a complex interaction of variables on the individual and system level in the help-seeking process. The system level affects the individual's help-seeking through multiple pathways, especially through the individual's representation of the traumatization, through the reactions of the individual's social network and through barriers the individual perceives or experiences in the formal help-system.
    BMC Public Health 10/2010; 10:634. DOI:10.1186/1471-2458-10-634 · 2.26 Impact Factor
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    • "Sam termin može da oznacava razlicite stvari. Nekada se koristi jednostavno za neke oblike psihoterapije (Davidson, 2001). Pokušaji da se definiše termin daju razlicite rezultate (Agger , Buus Jensen &, Jacobs, 1995). "
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    • "Psychosocial programmes This term may denote various things. Sometimes it is used simply for some types of psychotherapy (Davidson, 2001). Attempts to define this term give different results (Agger , Buus Jensen &, Jacobs, 1995). "
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    ABSTRACT: Six years of the IAN Trauma Centre work and three years of work in the IAN Centre for Rehabilitation of Torture Victims have been marked with socio-political and professional challenges, as well as with challenges common to the work of humanitarian organisations in emergencies. The predominantly psychological and psychiatric profile of the organisation and its core programmes was gradually supplemented with an orientation towards a wider psychosocial context of assistance to victims of torture and war-related trauma, inlcuding not only psychological aid, but also classical humanitarian programmes of emergency material aid distribution, repatriation and integration programmes, skills training and economic self-reliance programmes, medical aid and forensic expertise. This paper provides an overview of key principles underpinning the work of various segments of the comprehensive programme of assisance for torture and trauma victims as the basic operational framework in which specific project activities have been implemented.
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