J. Glaesser
Posttraumatic Stress Disorder in patients with traumatic brain injury
Glaesser, J.; Neuner, F.; Lütgehetmann, R.; Schmidt, R.; Elbert, T.
Authors
F. Neuner
R. Lütgehetmann
R. Schmidt
T. Elbert
Abstract
Background: Severe traumatic stressors such as war, rape, or life-threatening accidents can result in a debilitating psychopathological development conceptualised as Posttraumatic Stress Disorder (PTSD). Pathological memory formation during an alarm response may set the precondition for PTSD to occur. If true, a lack of memory formation by extended unconsciousness in the course of the traumatic experience should preclude PTSD. Methods: 46 patients from a neurological rehabilitation clinic were examined by means of questionnaires and structured clinical interviews. All patients had suffered a TBI due to an accident, but varied with respect to falling unconscious during the traumatic event. Results: 27% of the sub-sample who were not unconscious for an extended period but only 3% (1 of 31 patients) who were unconscious for more than 12 hours as a result of the accident were diagnosed as having current PTSD (P < .02). Furthermore, intrusive memories proved to be far more frequent in patients who had not been unconscious. This was also the case for other re-experiencing symptoms and for psychological distress and physiological reactivity to reminders of the traumatic event. Conclusion: TBI and PTSD are not mutually exclusive. However, victims of accidents are unlikely to develop a PTSD if the impact to the head had resulted in an extended period of unconsciousness.
Citation
Glaesser, J., Neuner, F., Lütgehetmann, R., Schmidt, R., & Elbert, T. (2004). Posttraumatic Stress Disorder in patients with traumatic brain injury. BMC Psychiatry, 4, https://doi.org/10.1186/1471-244x-4-5
Journal Article Type | Article |
---|---|
Publication Date | Mar 9, 2004 |
Deposit Date | Apr 29, 2014 |
Publicly Available Date | Mar 29, 2024 |
Journal | BMC Psychiatry |
Publisher | BioMed Central |
Peer Reviewed | Peer Reviewed |
Volume | 4 |
DOI | https://doi.org/10.1186/1471-244x-4-5 |
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http://creativecommons.org/licenses/by/4.0/
Copyright Statement
© 2004 Glaesser et al; licensee BioMed Central Ltd. This is an Open Access article: verbatim copying and redistribution of this article are permitted in all media for any purpose, provided this notice is preserved along with the article's original URL.
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