Positive symptoms of psychosis in posttraumatic stress disorder

被引:100
作者
Butler, RW
Mueser, KT
Sprock, J
Braff, DL
机构
[1] MEM SLOAN KETTERING CANC CTR, DEPT PEDIAT, NEW YORK, NY 10021 USA
[2] MEM SLOAN KETTERING CANC CTR, DEPT NEUROL, NEW YORK, NY 10021 USA
[3] DARTMOUTH COLL SCH MED, DEPT PSYCHIAT, HANOVER, NH USA
[4] DARTMOUTH COLL SCH MED, DEPT COMMUNITY & FAMILY MED, HANOVER, NH USA
[5] UNIV CALIF SAN DIEGO, DEPT PSYCHIAT, SAN DIEGO, CA 92103 USA
关键词
PTSD; positive symptoms; delusions; hallucinations; differential diagnosis;
D O I
10.1016/0006-3223(95)00314-2
中图分类号
Q189 [神经科学];
学科分类号
071006 ;
摘要
The possible presence of hallucinations and delusional thoughts in posttraumatic stress disorder (PTSD) was investigated. Other symptom clusters were also assessed in order to further clarify the nature of PTSD. Twenty combat veterans with PTSD were compared to 18 combat veterans without PTSD on symptom rating scales. The subjects with PTSD exhibited a greater degree of depression, anxiety, agitation, anhedonia, and positive symptoms of psychosis than the comparison group. Specifically, the PTSD group manifested increased hallucinations, delusions, and bizarre behavior. Some of these positive symptoms did not appear to be due to reexperiencing of the trauma. The groups were not significantly different on indices of mania, thought disorder or inertia. The clinical and diagnostic implications of the results are discussed A diagnosis of PTSD should be considered with patients who have positive symptoms in the absence of thought disorder.
引用
收藏
页码:839 / 844
页数:6
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