Última revisão: 25 Out 2020
Última atualização: 30 Abril 2019

Resumo

Definição

História e exame físico

Principais fatores de diagnóstico

  • exposição e resposta ao trauma
  • sintomas intrusivos
  • sintomas de evitação
  • alterações negativas nas cognições e humor
  • alterações no despertar e reatividade

Outros fatores de diagnóstico

  • depressão
  • abuso de álcool ou de substâncias
  • ansiedade

Fatores de risco

  • acidente grave
  • testemunha de violência escolar ou doméstica
  • desastre natural
  • ataque terrorista
  • tortura
  • exposição a combate
  • lesão cerebral traumática
  • morte súbita de ente querido
  • ofensa grave
  • estupro
  • vitimização pelo atacante
  • trauma prévio
  • estressores múltiplos significativos na vida
  • apoio social baixo
  • história de transtorno mental
  • história de abuso de álcool e drogas
  • sexo feminino
  • idade mais jovem

Exames diagnósticos

1° exames a serem solicitados

  • Checklist do transtorno do estresse pós-traumático (TEPT; PTSD Checklist)
  • Checklist de TEPT para o DSM-5 (PCL-5)
  • Escala de Impacto de Eventos - Revisada (IES-R)
  • Escala de Trauma de Davidson (DTS)
  • Questionário de Rastreamento de Trauma (TSQ)
  • SPAN
Mais 1° exames a serem solicitados

Exames a serem considerados

  • Escala de TEPT Administrada pelo Clínico (CAPS)
  • Escala de TEPT Administrada pelo Clínico do DSM-5 (CAPS-5)
  • Entrevista Clínica Estruturada para os Transtornos do Eixo I do DSM-IV (Módulo SCID PTSD)
  • Versão de Entrevista da Escala de Sintomas de TEPT (PSS-I)
Mais exames a serem considerados

Algoritmo de tratamento

Colaboradores

Professor of Psychiatric Epidemiology

Centre for Academic Mental Health

School of Social and Community Medicine

University of Bristol

Bristol

Clinical Senior Lecturer & Honorary Consultant Psychiatrist

Institute of Psychological Medicine and Clinical Neurosciences

Cardiff University

Cardiff

UK

Divulgações

SZ declares that he has no competing interests.

Consultant Psychiatrist and Clinical Teaching Fellow

Institute of Psychological Medicine and Clinical Neurosciences

School of Medicine

Cardiff University

Cardiff

Wales

Divulgações

MH is an author of references cited in this topic.

Research Associate

National Centre for Mental Health

Institute of Psychological Medicine and Clinical Neurosciences

School of Medicine

Cardiff University

Cardiff

Wales

Divulgações

CL declares that she has no competing interests.

Dr Stanley Zammit, Dr Mathew Hoskins, and Dr Catrin Lewis would like to gratefully acknowledge Dr Neil P. Roberts, Dr Jonathan I. Bisson, and Dr Steve Wood, previous contributors to this topic.

Divulgações

NPR is a member of the research team that developed a web-based guided self-help programme to treat PTSD. NPR has also received grant funding for research related to PTSD and undertaken systematic reviews, meta-analyses, randomised controlled trials, and other research in the traumatic stress field that may be referred to in this work. JIB and SW declare that they have no competing interests.

Colegas revisoresMOSTRAR TODOS

Deputy Associate Chief of Staff

Mental Health

VA New York Harbor Healthcare System

Clinical Associate Professor

New York University School of Medicine

New York

NY

Divulgações

MR declares that he has no competing interests.

Surgeon Commander

Royal Navy

Defence Professor of Mental Health, Visiting Professor of Psychiatry, and Co-Director

Academic Centre for Defence Mental Health

King's College London

London

UK

Divulgações

NG has been principal investigator on studies with research funding greater than 6 figures USD. NG is a director of a company providing early intervention training for traumatic stress (the company does not provide PTSD treatment services).

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