Basic approaches to the diagnosis and therapy of post-traumatic stress disorder
https://doi.org/10.31363/2313-7053-2022-4-107-111
Abstract
Based on a review of domestic and foreign literature, the article highlights the main approaches to the diagnosis and treatment of post-traumatic stress disorder (PTSD). The importance of rapid detection and timely provision of medical care for this disease is shown. The definition of PTSD is formulated, the etiological factors are described, the place in modern classifications, clinical features, the main groups of characteristic symptoms. The role of a medical psychologist in a multiprofessional team providing assistance to patients with PTSD is shown. Comprehensive treatment of PTSD should include psychopharmacotherapy, the first line of which are SSRIs, and psychotherapy methods that have scientifically proven effectiveness in relation to this nosology.
About the Authors
A. V. VasilevaRussian Federation
Anna V. Vasileva
Saint Petersburg
T. A. Karavaeva
Russian Federation
Tatiana A. Karavaeva
Saint Petersburg
E. P. Lukoshkina
Russian Federation
Ekaterina P. Lukoshkina
Saint Petersburg
D. S. Radionov
Russian Federation
Dmitriy S. Radionov
Saint Petersburg
References
1. Vasileva A. V., Karavaeva T. A., Neznanov N. G. Psikhoterapiya: uchebnik. Moskva: GEOTAR-Media, 2022. (In Russ.). doi: 10.33029/9704-6485-4-VKN-2022-1-864.
2. Vasileva A. V., Karavaeva T. A., Lukoshkina E. P., Karpov A. O. Socio-psychological risk factors for the development of posttraumatic stress disorder in patients with rectum cancer, who undergone colostomia. Obozrenie psihiatrii i medicinskoj psihologii imeni V. M. Bekhtereva. 2018; 2: 44-53. (In Russ.). doi: 10.31363/2313-7053-2018-2-44-53
3. Krasnov V. N. Acute stress disorders as a problem of catastrophe psychiatry: clinical and organizational aspects. Sotsial’naya i klinicheskaya psikhiatriya. 2005. – 2: 5-10. (In Russ.).
4. Lukoshkina E. P., Karavaeva T. A., Vasil’eva A. V. Etiology, epidemiology and psychotherapy of concomitant mental disorders in oncological diseases. Voprosy onkologii. 2016; 6: 774-784. (In Russ.).
5. Mezhdunarodnaya klassifikatsiya boleznei, 10-i peresmotr. Psikhicheskie rasstroistva i rasstroistva povedeniya. Klass V MKB-10, adaptirovannyi dlya ispol’zovaniya v Rossiiskoi Federatsii. Moskva: Rossiiskoe obshchestvo psikhiatrov. 1998. (In Russ.).
6. Neznanov N. G. Diagnostika i lechenie psikhicheskikh i narkologicheskikh rasstroistv: sovremennye podkhody. Sbornik metodicheskikh rekomendatsii. sost. N. V. Semenova, pod obshch. red. N. G. Neznanova. Vypusk 2. SPb.: Izdatel’sko-poligraficheskaya kompaniya «KOSTA». 2019. (In Russ.).
7. Popov Yu. V. Sovremennaya klinicheskaya psikhiatriya. SPb.: Rech’, 2000. (In Russ.).
8. Soldatkin V. A. Posttravmaticheskoe stressovoe rasstroistvo. GBOU VPO RostGMU Minzdrava Rossii. Rostov n/D: Izd-vo RostGMU. 2015. (In Russ.).
9. Alexander P. The differential effects of abuse characteristics and attachment in the prediction of long-term effects of sexual abuse. Journal of Interpersonal Violence. 1993; 8: 346 –362.
10. Bandelow B., Allgulander C., Baldwin D. S., et al. World Federation of Societies of Biological Psychiatry (WFSBP) guidelines for treatment of anxiety, obsessive-compulsive and posttraumatic stress disorders — Version 3. Part I: Anxiety disorders. World J Biol Psychiatry. 2022; 1-39. doi: 10.1080/15622975.2022.2086295
11. Kessler R. C. Posttraumatic Stress Disorder in the National Comorbidity Survey. Archives of General Psychiatry. 1995; 52 (12): 1048. doi: 10.1001/archpsyc.1995.03950240066012
12. Waddington A., Ampelas J. F., Mauriac F., et al. Post-traumatic stress disorder (PTSD): the syndrome with multiple faces. Encephale. 2003; 1 (29): 20-27.
Review
For citations:
Vasileva A.V., Karavaeva T.A., Lukoshkina E.P., Radionov D.S. Basic approaches to the diagnosis and therapy of post-traumatic stress disorder. V.M. BEKHTEREV REVIEW OF PSYCHIATRY AND MEDICAL PSYCHOLOGY. 2022;56(4):107-111. (In Russ.) https://doi.org/10.31363/2313-7053-2022-4-107-111