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[PTSD in somatic disease].

T Krauseneck1, H-B Rothenhäusler, G Schelling

  • 1Psychiatrische Klinik und Poliklinik der Ludwig-Maximilians-Universität München. Till.Krauseneck@med.uni-muenchen.de

Fortschritte Der Neurologie-Psychiatrie
|April 5, 2005
PubMed
Summary
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Posttraumatic stress disorder (PTSD) can occur in physically ill patients following serious medical events, impacting quality of life. Early diagnosis and integrated treatment are crucial for managing this important comorbidity.

Area of Science:

  • Medical Psychology
  • Psychiatry
  • Critical Care Medicine

Context:

  • Historically, posttraumatic stress disorder (PTSD) research focused on veterans and assault victims.
  • Recent research indicates PTSD incidence in patients with severe physical illnesses, expanding the scope of trauma studies.
  • The early 1990s saw increased diagnosis of PTSD following civilian traumas like motor vehicle accidents.

Purpose:

  • To review the incidence and significance of posttraumatic stress disorder (PTSD) in patients with physical illnesses.
  • To highlight the underdiagnosis and undertreatment of PTSD within somatic illness management.
  • To emphasize the need for interdisciplinary collaboration in diagnosing and treating PTSD in medical patients.

Summary:

  • PTSD is increasingly diagnosed after serious somatic diseases, including awareness during anesthesia, prolonged ICU stays (e.g., ARDS, septic shock), burns, cardiac arrest resuscitation, bypass surgery, organ transplantation, and cancer.

Related Experiment Videos

  • The prevalence of PTSD in these medical conditions is approximately 5-10%, establishing it as a significant comorbidity.
  • PTSD symptoms, such as intrusive memories, avoidance, and hyper-arousal, can negatively affect patients' quality of life, sometimes more than the primary illness, even in sub-syndromal forms.

    • Impact:

    • Recognizing PTSD in physically ill patients is vital for comprehensive healthcare.
    • Improved diagnostic and treatment strategies for PTSD in medical settings are necessary.
    • Close collaboration between medical specialists and psychiatrists is essential for effective patient care and management of PTSD.