Header

UZH-Logo

Maintenance Infos

Der „verzögerte Beginn“ einer Posttraumatischen Belastungsstörung (PTBS) – ein diagnostisches und gutachterliches Problem mit Bezug zur politischen Inhaftierung in der DDR


Frommberger, Ulrich; Frommberger, Helena; Maercker, Andreas (2020). Der „verzögerte Beginn“ einer Posttraumatischen Belastungsstörung (PTBS) – ein diagnostisches und gutachterliches Problem mit Bezug zur politischen Inhaftierung in der DDR. Psychotherapie, Psychosomatik Medizinische Psychologie, 70(03/04):104-111.

Abstract

More often than is generally assumed: according to 2 metaanalyses, an average of about 25% of all cases of PTSD are not definitively diagnosed with post-traumatic stress disorder (PTSD) until 6 months or more after their trauma. Its prevalence varies widely depending on the given population. Delayed onset PTSD is diagnosed in military personnel much more often than in the civilian population (38,2 vs. 15,3%) . The divergence in PTSD's prevalence numbers is attributed to differences in its definition, methodology, and target population, as well as the type of trauma. The longer the observation period, the more likely it is that the PTSD diagnosis will be delayed. Several influencing factors have been identified for its emergence and persistence. Some experts insist that "bridge symptoms" be defined when patients are diagnosed as suffering from delayed onset PTSD. Although frequent, they are not necessarily present. We discuss an example thereof provided by political prisoners in the former GDR exhibiting different courses of PTSD as well as its delayed-manifestation subtype.

Abstract

More often than is generally assumed: according to 2 metaanalyses, an average of about 25% of all cases of PTSD are not definitively diagnosed with post-traumatic stress disorder (PTSD) until 6 months or more after their trauma. Its prevalence varies widely depending on the given population. Delayed onset PTSD is diagnosed in military personnel much more often than in the civilian population (38,2 vs. 15,3%) . The divergence in PTSD's prevalence numbers is attributed to differences in its definition, methodology, and target population, as well as the type of trauma. The longer the observation period, the more likely it is that the PTSD diagnosis will be delayed. Several influencing factors have been identified for its emergence and persistence. Some experts insist that "bridge symptoms" be defined when patients are diagnosed as suffering from delayed onset PTSD. Although frequent, they are not necessarily present. We discuss an example thereof provided by political prisoners in the former GDR exhibiting different courses of PTSD as well as its delayed-manifestation subtype.

Statistics

Citations

Altmetrics

Additional indexing

Other titles:Delayed Onset PTSD - A Problem for Diagnosis and Litigation - with Special Reference to Political Imprisonment in GDR
Item Type:Journal Article, refereed, original work
Communities & Collections:06 Faculty of Arts > Institute of Psychology
Dewey Decimal Classification:150 Psychology
Scopus Subject Areas:Social Sciences & Humanities > Clinical Psychology
Social Sciences & Humanities > Applied Psychology
Health Sciences > Psychiatry and Mental Health
Language:German
Date:1 April 2020
Deposited On:25 Sep 2019 15:47
Last Modified:29 Jul 2020 11:23
Publisher:Georg Thieme Verlag
ISSN:0937-2032
OA Status:Closed
Publisher DOI:https://doi.org/10.1055/a-0918-5689
PubMed ID:31466115

Download

Full text not available from this repository.
View at publisher

Get full-text in a library