况利《精神病学教学》3.3anxiety disorders-PTSD-huhua.pdfVIP

Anxiety Disorders Mental Health Center the first affiliated hospital of Chongqing Medical University Hu hua Definition  This disorder arise as a serious and delayed response to a stressful event or situation ( Stressor )of an exceptionally threatening or catastrophic nature. PTSD-picture.ppt Stressor  natural and man-made disasters  Shipwreck, pranging, floodwater overflow, earthquake, fire, prevalence of infectious disease  War, witch-hunting, sexual-abuse  serious life event Epidemiology  The lifetime prevalence is about 1%, but there is great variation from country to country.  About 30 % -40% of women have been reported to develop PTSD following sexual assault, and about 20% of American Vietnam war veterans developed the disorder (specific ‘at-risk’ groups). Etiology Pathogenesis  The threaten events are the direct cause.  The relative contributions of genetic endowment, physical development, psychological maturity, social support, cultural expectations, past experience with trauma, and the mature of the trauma itself are unclear. Etiology Pathogenesis  Psychologically, failure to integrate a traumatic experience into a person’s life experiences may lead to an alternating pattern of reexperiencing the traumatic event and defensive numbing when the reexperiencing itself roves traumatic (Horowitz, 1976). Manifestations Symptoms– Features of PTSD  The essential feature of post-traumatic stress disorder (PTSD) is the development of a characteristic set of psychological symptoms following exposure to a serious, traumatic event that involved actual or threatened death, or actual or serious injury, to either the self or others. Manifestat