Positive symptoms of psychosis in posttraumatic stress disorder
Positive symptoms of psychosis in posttraumatic stress disorder
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DOI：
10.1016/0006-3223(95)00314-2
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发表时间：
1996-05-15
影响因子：
10.6
通讯作者：
Braff, DL
中科院分区：
文献类型：
--
作者：
Butler, RW;Mueser, KT;Braff, DL
本文探讨了创伤后应激障碍（PTSD）中可能存在的幻觉和妄想。其他症状群也进行了评估，以进一步澄清PTSD的性质。在症状评定量表上，将20名患有PTSD的退伍军人与18名没有PTSD的退伍军人进行了比较。与对照组相比，PTSD受试者表现出更大程度的抑郁、焦虑、激动、快感缺乏和精神病阳性症状。具体来说，PTSD组表现出更多的幻觉，妄想和奇怪的行为。这些阳性症状中的一些似乎不是由于再次经历创伤造成的。两组在躁狂、思维障碍或惰性指数上没有显著差异。的临床和诊断的影响的结果进行了讨论，创伤后应激障碍的诊断应考虑与患者谁有积极的症状，在没有思维障碍。
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.