Peritraumatic Reactions and Posttraumatic Stress Disorder Symptoms After Psychiatric Admission

Université de Toulouse
The Journal of nervous and mental disease (Impact Factor: 1.69). 01/2012; 200(1):88-90. DOI: 10.1097/NMD.0b013e31823fafb9
Source: PubMed


The present study aimed to explore exposure to stressful events during a psychiatric admission and the predictive power of peritraumatic distress and dissociation in the development of posttraumatic stress disorder (PTSD) symptoms after exposure to such events. Psychiatric inpatients (N = 239) were asked to report exposure to stressful events during their admission within 48 hours of being admitted. Individuals reporting at least one stressful event during admission (n = 70, 29%) were assessed for peritraumatic dissociation and distress in relation to this event and, 5 weeks later, were reassessed for PTSD symptoms. Eight participants (12.3%) scored above the cutoff for probable PTSD. Multiple regression analyses revealed that peritraumatic distress was a significant predictor of 5-week PTSD symptoms. Our findings suggest that individuals experiencing increased peritraumatic distress in relation to a stressful event experienced during a psychiatric admission might be at risk of PTSD symptoms and might benefit from increased attention.

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    • "Concerning predictive factors for developing PTSD symptoms in the general trauma literature, special attention has been paid to immediate reactions occurring during the trauma, such as dissociation, acute anxiety, panic and negative emotions (Bernat, Ronfeldt, Calhoun, & Arias, 1998). Peritraumatic dissociation seems to be one of the most important factors (Birmes et al., 2003; Bui et al., 2010; Ladois-Do Pilar Rei et al., 2012). According to Marmar, Weiss and Metzler (1998), the occurrence of dissociative symptoms during or just after the exposure to extreme events, provokes changes in cognitive and perceptive functioning (e.g. "
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