Resumo
Definição
História e exame físico
Principais fatores diagnósticos
- exposição e resposta ao trauma
- sintomas intrusivos
- sintomas de evitação
- alterações negativas nas cognições e humor
- alterações no despertar e reatividade
Outros fatores diagnósticos
- 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
Investigações diagnósticas
Primeiras investigações a serem solicitadas
- 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
Investigações a serem consideradas
- 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)
Algoritmo de tratamento
Colaboradores
Autores
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
Declarações
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
Declarações
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
Declarações
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.
Declarações
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.
Revisores
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
Declarações
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
Declarações
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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