Enduring Personality Changes after Intense Stressful Event: Case Report
DOI:
https://doi.org/10.3889/oamjms.2016.083Keywords:
posttraumatic stress disorder, enduring personality changes, SSRI anti-depressive, anti-psychotic, psycho stabilizing therapy, case report, Republic of MacedoniaAbstract
BACKGROUND: World statistical data show that a large number of individuals suffer from posttraumatic stress disorder (PTSD) after exposure to the intense traumatic event. PTSD can have a chronic course with enduring changes in the functioning of the person.
CASE PRESENTATION: Here we report two adult individuals of different gender and education who were exposed to the extremely severe stressful event after which difficulties in psychological functioning developed. The first case we present is a 46-year-old man, with completed high education, divorced, father of two children, who lives with his parents, and is retired. Disorders appeared 20 years ago when he was exposed to extremely severe stressful events in war circumstances that included captivity, torture, and loss of fellow soldiers. The second case is a 50-year-old female patient, with a university degree, professor of art, married, and mother of two children of whom the son died six years ago. She suffered from disorders after the sudden injury of her son that ended with his death.
CONCLUSION: Posttraumatic stress disorder after the intense stress is a risk of development enduring personality changes with serious individual and social consequences.Â
Downloads
Metrics
Plum Analytics Artifact Widget Block
References
Kaplan HI, Sadock BJ, Grebb JA, editors. Kaplan and Sadock's synopsis of psychiatry: Behavioural sciences, clinical psychiatry, 7th ed., 1994.
American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders, 5th ed. Arlington, VA: American Psychiatric Publishing, 2013.
Crawford C, Dawn B. A Systematic Review of Biopsychosocial Training Programs for the Self-Management of Emotional Stress: Potential Applications for the Military. Evidence-Based Complementary and Alternative Medicine. 2013:1–23. http://dx.doi.org/10.1155/2013/747694 PMid:24174982 PMCid:PMC3794660
Dobry Y, Braquehais MD, Sher L. Bullying, psychiatric pathology and suicidal behavior. International Journal of Adolescent Medicine and Health. 2013;25(3):295–9. http://dx.doi.org/10.1515/ijamh-2013-0065 PMid:24006324
Fullerton CS, Ursano RJ, Wang L. Acute Stress Disorder, Posttraumatic Stress Disorder, and Depression in Disaster or Rescue Workers. Am J Psychiatry. 2004;161(8):1370–6. http://dx.doi.org/10.1176/appi.ajp.161.8.1370 PMid:15285961
Dobry Y, Braquehais MD, Sher L. Bullying, psychiatric pathology and suicidal behavior. International Journal of Adolescent Medicine and Health. 2013;25(3):295–9. http://dx.doi.org/10.1515/ijamh-2013-0065 PMid:24006324
Pereira A. Combat trauma and the diagnosis of post-traumatic stress disorder in female and male veterans. Military Medicine. 2002;167(1):23–27. PMid:11799808
Suris A, Lind L, Kashner M, Borman P, Petty F. Sexual Assault in Women Veterans: An Examination of PTSD Risk, Health Care Utilization, and Cost of Care. Psychosomatic Medicine. 2004;69:749–756. http://dx.doi.org/10.1097/01.psy.0000138117.58559.7b PMid:15385701
National Collaborating Centre for Mental Health (UK). Post-Traumatic Stress Disorder: The Management of PTSD in Adults and Children in Primary and Secondary Care". NICE Clinical Guidelines, No. 26. Gaskell, 2005.
Ozer EJ, Best SR, Lipsey TL, Weiss DS. Predictors of posttraumatic stress disorder and symptoms in adults: a meta-analysis. Psychol Bull. 2003;129(1): 52–73. http://dx.doi.org/10.1037/0033-2909.129.1.52 PMid:12555794
Downloads
Published
How to Cite
Issue
Section
License
http://creativecommons.org/licenses/by-nc/4.0
