Identification and characteristics of post-traumatic stress disorder in patients with multiple sclerosis
The fourth edition of the Diagnostic and Statistical Manual on Mental Disorders (DSM-IV) recognizes the existence of a disease as a potential life-threatening stressor capable of causing post-traumatic stress disorder (PTSD). This research is one of the first works dedicated to the study of PTSD in...
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| Format: | Article |
| Language: | Russian |
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Federal State Budget Scientific Institution National Medical Research Center for Psychiatry and Neurology n.a. V.M. Bekhterev Ministry of Health of the Russian Federation
2020-10-01
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| Series: | Обозрение психиатрии и медицинской психологии имени В.М. Бехтерева |
| Subjects: | |
| Online Access: | https://www.bekhterevreview.com/jour/article/view/462 |
| _version_ | 1826573116496674816 |
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| author | M. T. Andreeva T. A. Karavaeva |
| author_facet | M. T. Andreeva T. A. Karavaeva |
| author_sort | M. T. Andreeva |
| collection | DOAJ |
| description | The fourth edition of the Diagnostic and Statistical Manual on Mental Disorders (DSM-IV) recognizes the existence of a disease as a potential life-threatening stressor capable of causing post-traumatic stress disorder (PTSD). This research is one of the first works dedicated to the study of PTSD in patients diagnosed with «multiple sclerosis» (RS). A total of 724 complete sample patients were screened for outpatient treatment at the «City MS Center» in Saint Petersburg. According to the results of the screening survey and the expert clinical interview for the verification of the diagnosis of PTSD, the clinic—psychopathological signs sufficient for the diagnosis of PTSD have been identified in 61 patients, which is 8.4% of the total number of screened patients. The presence of PTSD is confirmed by high indices of sub-scales «avoidance», «intrusion», «physiological excitability» on the WOVTS scale, as well as higher indicators of dissociation level compared to control group. The lack of correlation between PTSD and the duration of RS, the degree of disability of patients, as well as socio-demographic data was found. Thus, the development of PTSD is more related to the premorbid personality characteristics than to the characteristics of the disease. These findings suggest that RS may have PTSD-type reactions. Further studies of the psychological characteristics of this group of patients are needed to identify the targets for psychotherapy. |
| first_indexed | 2024-03-12T03:59:44Z |
| format | Article |
| id | doaj.art-7916bee770ff48d5a7484d9b10f87ba8 |
| institution | Directory Open Access Journal |
| issn | 2313-7053 2713-055X |
| language | Russian |
| last_indexed | 2025-03-14T12:37:48Z |
| publishDate | 2020-10-01 |
| publisher | Federal State Budget Scientific Institution National Medical Research Center for Psychiatry and Neurology n.a. V.M. Bekhterev Ministry of Health of the Russian Federation |
| record_format | Article |
| series | Обозрение психиатрии и медицинской психологии имени В.М. Бехтерева |
| spelling | doaj.art-7916bee770ff48d5a7484d9b10f87ba82025-03-02T09:12:45ZrusFederal State Budget Scientific Institution National Medical Research Center for Psychiatry and Neurology n.a. V.M. Bekhterev Ministry of Health of the Russian FederationОбозрение психиатрии и медицинской психологии имени В.М. Бехтерева2313-70532713-055X2020-10-0103505710.31363/2313-7053-2020-3-50-57357Identification and characteristics of post-traumatic stress disorder in patients with multiple sclerosisM. T. Andreeva0T. A. Karavaeva1SBIH City Clinical Hospital No. 31, City Center of MS and Autoimmune DiseasesFederal State Budgetary Institution «V.M. Bekhterev National Research Medical Center for Psychiatry and Neurology» of the Russian Federation Ministry of Health; Federal State Budgetary Institution of Higher Education «Saint-Petersburg State University»The fourth edition of the Diagnostic and Statistical Manual on Mental Disorders (DSM-IV) recognizes the existence of a disease as a potential life-threatening stressor capable of causing post-traumatic stress disorder (PTSD). This research is one of the first works dedicated to the study of PTSD in patients diagnosed with «multiple sclerosis» (RS). A total of 724 complete sample patients were screened for outpatient treatment at the «City MS Center» in Saint Petersburg. According to the results of the screening survey and the expert clinical interview for the verification of the diagnosis of PTSD, the clinic—psychopathological signs sufficient for the diagnosis of PTSD have been identified in 61 patients, which is 8.4% of the total number of screened patients. The presence of PTSD is confirmed by high indices of sub-scales «avoidance», «intrusion», «physiological excitability» on the WOVTS scale, as well as higher indicators of dissociation level compared to control group. The lack of correlation between PTSD and the duration of RS, the degree of disability of patients, as well as socio-demographic data was found. Thus, the development of PTSD is more related to the premorbid personality characteristics than to the characteristics of the disease. These findings suggest that RS may have PTSD-type reactions. Further studies of the psychological characteristics of this group of patients are needed to identify the targets for psychotherapy.https://www.bekhterevreview.com/jour/article/view/462post-traumatic stress disordermultiple sclerosisdissociationadaptive disorder |
| spellingShingle | M. T. Andreeva T. A. Karavaeva Identification and characteristics of post-traumatic stress disorder in patients with multiple sclerosis Обозрение психиатрии и медицинской психологии имени В.М. Бехтерева post-traumatic stress disorder multiple sclerosis dissociation adaptive disorder |
| title | Identification and characteristics of post-traumatic stress disorder in patients with multiple sclerosis |
| title_full | Identification and characteristics of post-traumatic stress disorder in patients with multiple sclerosis |
| title_fullStr | Identification and characteristics of post-traumatic stress disorder in patients with multiple sclerosis |
| title_full_unstemmed | Identification and characteristics of post-traumatic stress disorder in patients with multiple sclerosis |
| title_short | Identification and characteristics of post-traumatic stress disorder in patients with multiple sclerosis |
| title_sort | identification and characteristics of post traumatic stress disorder in patients with multiple sclerosis |
| topic | post-traumatic stress disorder multiple sclerosis dissociation adaptive disorder |
| url | https://www.bekhterevreview.com/jour/article/view/462 |
| work_keys_str_mv | AT mtandreeva identificationandcharacteristicsofposttraumaticstressdisorderinpatientswithmultiplesclerosis AT takaravaeva identificationandcharacteristicsofposttraumaticstressdisorderinpatientswithmultiplesclerosis |