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Post-traumatic stress disorder and depression

An analysis of comorbidity

Published online by Cambridge University Press:  03 January 2018

Avi Bleich ,
Meni Koslowsky ,
Aliza Dolev  and
Bernard Lerer
Avi Bleich
Affiliation:
Tel-Aviv Souraski Medical Center, Sackler School of Medicine, Tel-Aviv University, and Medical Corps, Israel Defense Forces
Meni Koslowsky*
Affiliation:
Bar-llan University, Ramat-Gan, Israel, and Medical Corps, Israel Defense Forces
Aliza Dolev
Affiliation:
MSW Mental Health Department, Medical Corps, Israel Defense Forces
Bernard Lerer
Affiliation:
Hadassah - Hebrew University Medical Center, Jerusalem, and Medical Corps, Israel Defense Forces
*
Dr Mem Koslowsky, Department of Psychology, Bar-llan University, 52900 Ramat-Gan, Israel
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Abstract

Background

We examined psychiatric morbidity following war-related psychic trauma, with a special focus on the depressive comorbidity of post-traumatic stress disorder (PTSD).

Method

Subjects consisted of 60 Israeli veterans who sought psychiatric treatment 4–6 years after having been exposed to war trauma. PTSD and psychiatric comorbidity were diagnosed using the Structured Interview for PTSD and the Schedule for Affective Disorders and Schizophrenia.

Results

Both lifetime (100%) and current (87%) PTSD were the most prevalent disorders. Comorbidity was extensive, with major depressive disorder (MDD) most prevalent (95% lifetime, 50% current), followed by anxiety disorders, minor affective disorders, and alcoholism or drug misuse.

Conclusions

Within post-traumatic psychiatric morbidity of combat origin, PTSD and MDD are the most prevalent disorders. In addition it appears that PTSD, although related to post-traumatic MDD beyond a mere sharing of common symptoms, is of the same time differentiated from it as an independent diagnostic category.

Information

Type
Papers
Information
The British Journal of Psychiatry , Volume 170 , Issue 5 , May 1997 , pp. 479 - 482
Copyright
Copyright © 1997 The Royal College of Psychiatrists 

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References

Bleich, A., Siegal, B., Garb, R., et al (1986) Post-traumatic stress disorder following combat exposure, clinical features, and psychopharmacological treatment. British Journal of Psychiatry, 149, 365–369.CrossRefGoogle ScholarPubMed
Breslau, N., Davis, G. C., Andreski, R, et al (1991) Traumatic events and posttraumatic stress disorder in an urban population of young adults. Archives of General Psychiatry, 48, 216–222.CrossRefGoogle Scholar
Brom, D., Kleber, R. J. & Witztum, E. (1991) The prevalence of posttraumatic psychopathology in general and clinical population. Israel Journal of Psychiatry, 28, 53–63.Google Scholar
Davidson, J., Swartz, M. & Storck, M. (1985) A diagnostic and family study of posttraumatic stress disorder. American Journal of Psychiatry 142, 90–93.Google Scholar
Davidson, J., Swartz, M. & Storck, M. Smith, R. D. & Kudler, H. S. (1989) Validity and reliability of the DSM-III criteria for PTSD: experience with a structured interview, Journal of Nervous and Mental Disease, 176, 568–572.Google Scholar
Davidson, J., Swartz, M. & Storck, M. Kudler, H., Smith, R., et al (1990) Treatment of post-traumatic stress disorder with amitriptyline and placebo. Archives of General Psychiatry: 47, 259–266.CrossRefGoogle ScholarPubMed
Endicott, J. & Spitzer, R. (1978) A diagnostic interview: the schedule for affective disorders and schizophrenia. Archives of General Psychiatry, 35, 837–844.CrossRefGoogle ScholarPubMed
Green, B. L., Lindy, J. D., Grace, M. C., et al (1992) Chronic posttraumatic stress disorder and diagnostic comorbidity in a disaster sample, Journal of Nervous and Mental Dsease, 180, 760–766.Google Scholar
Health Status of Vietnam Veterans (1988) I: Psychosocial characteristics: the Centers for Disease Control Vietnam experiences study, journal of the American Medical Association, 259, 2701–2707.Google Scholar
Helzer, J. E., Robins, L. N. & McEroy, L. (1987) Posttraumatic stress disorder in the general population. New England Journal of Medicine, 317, 1630–1634.CrossRefGoogle ScholarPubMed
Jordan, B. K., Schlenger, W. E., Hough, R., et al (1991) Life-time and current prevalence of specific psychiatric disorders among Vietnam veterans and controls. Archives of General Psychiatry 48, 207–215.Google Scholar
Kessler, R. C., Sonnega, A., Bromet, E., et al (1995) Post-traumatic stress disorder in the national comorbidity survey. Archives of General Psychiatry 52, 1048–1060.CrossRefGoogle ScholarPubMed
Kosten, T. R., Frank, J. B., Dan, E., et al (1991) Pharmacotherapy for posttraumatic stress disorder using phenelzine or imipramine. Journal of Nervous and Mental Disease, 179, 366–370.CrossRefGoogle ScholarPubMed
Lerer, B., Bleich, A., Kotler, M., et al (1987) Posttraumatic stress disorders in Israeli combat veterans: effects of phenelzine treatment. Archives of General Psychiatry 44, 976–981.CrossRefGoogle ScholarPubMed
McFariana, A. C. & Papay, R (1992) Multiple diagnoses in posttraumatic stress disorder in the victims of a natural disaster, Journal of Nervous and Mental Disease, 180, 498–504.Google Scholar
Mellman, T. A., Randolph, C. A., Brawman-MIntzer, O., et al (1992) Phenomenology and course of psychiatric disorders associated with combat-related posttraumatic stress disorder. American Journal of Psychiatry, 149, 1568–1574.Google Scholar
Sierles, F. S., Chen, J. J., McFarland, R. E., et al (1983) Posttraumatic stress disorder and concurrent psychiatric illness: a preliminary report. American Journal of Psychiatry 140, 1177–1179.Google ScholarPubMed
Solomon, Z. (1989) Untreated combat-related PTSD - why some Israeli veterans do not seek help. Israel Journal of Psychiatry 24, 111–123.Google Scholar
Solomon, Z. Bieich, A., Koslowsky, M., et al (1991) Post-traumatic stress disorder: issues of comorbidity, Journal of Psychiatric Research, 25, 89–94.Google Scholar
Van der Kolk, B. (1994) The body keeps the score: memory and evolving psychobiology of PTSD. Harvard Review of Psychiatry, 1, 253–265.CrossRefGoogle Scholar
Watson, C. G., Kucala, T., Manifold, V., et al (1988) Differences between PTSD patients with delayed and undelayed onset, Journal of Nervous and Mental Disease, 176, 568–572.Google Scholar
Yehuda, R., Southwick, S. M., Krystal, J. H., et al (1993) Enhanced suppression of cortisol following dexamethasone administration in posttraumatic stress disorder. American Journal of Psychiatry 150, 83–86.Google Scholar
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