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Psychotic symptoms and comorbid psychiatric disorders in Croatian combat-related posttraumatic stress disorder patients.
Croat Med J. 2000 Jun; 41(2):179-83.CM

Abstract

AIM

To investigate the prevalence rate of post-traumatic stress disorder (PTSD) comorbid psychiatric disorders and to explore psychotic symptoms in patients with combat-related current PTSD.

METHOD

The sample included Croatian war veterans (N=41) who were hospitalized at the University Department of Psychiatry of the Vrapèe Psychiatric Hospital during the 1995-1996 period and fulfilled the DSM-IV criteria for the current and chronic PTSD. The Schedule for Affective Disorder and Schizophrenia (SADS-L) was applied for the assessment of current and lifetime psychiatric disorders. Only three subjects had a prewar Axis I psychiatric disorder. One third of the patients met the criteria for personality disorder.

RESULTS

After severe combat trauma, the majority of PTSD patients (33/41) had at least one comorbid psychiatric diagnosis on Axis I. In those with personality disorders the most frequent was alcohol dependence, whereas in those without personality disorders it was major depressive disorder. Psychotic symptoms occurred in 8 out of 41 PTSD patients. None of them had a primary psychotic disorder or a personality disorder. In all the patients, psychotic symptoms were different from flashbacks. They were symbolically related to the trauma and resistant to antipsychotic treatment. Psychotic symptoms were associated with depression in 5 out of 8 patients with psychotic symptoms.

CONCLUSION

Severe and prolonged combat trauma may be followed by the co-occurrence of PTSD and psychotic symptoms, forming the atypical clinical picture of PTSD.

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Authors+Show Affiliations

Ivezić S
Psychiatric Hospital Vrapce, Zagreb, Croatia, sladana.strkalj-ivezic@zg.tel.hr
Bagarić A
No affiliation info available
Oruc L
No affiliation info available
Mimica N
No affiliation info available
Ljubin T
No affiliation info available

MeSH

AdultCroatiaFemaleHumansMaleMental DisordersMiddle AgedPersonality DisordersPrevalencePsychotic DisordersStress Disorders, Post-TraumaticVeteransWarfare

Pub Type(s)

Journal Article

Language

eng

PubMed ID

10853048

Citation

Ivezić, S, et al. "Psychotic Symptoms and Comorbid Psychiatric Disorders in Croatian Combat-related Posttraumatic Stress Disorder Patients." Croatian Medical Journal, vol. 41, no. 2, 2000, pp. 179-83.
Ivezić S, Bagarić A, Oruc L, et al. Psychotic symptoms and comorbid psychiatric disorders in Croatian combat-related posttraumatic stress disorder patients. Croat Med J. 2000;41(2):179-83.
Ivezić, S., Bagarić, A., Oruc, L., Mimica, N., & Ljubin, T. (2000). Psychotic symptoms and comorbid psychiatric disorders in Croatian combat-related posttraumatic stress disorder patients. Croatian Medical Journal, 41(2), 179-83.
Ivezić S, et al. Psychotic Symptoms and Comorbid Psychiatric Disorders in Croatian Combat-related Posttraumatic Stress Disorder Patients. Croat Med J. 2000;41(2):179-83. PubMed PMID: 10853048.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Psychotic symptoms and comorbid psychiatric disorders in Croatian combat-related posttraumatic stress disorder patients. AU - Ivezić,S, AU - Bagarić,A, AU - Oruc,L, AU - Mimica,N, AU - Ljubin,T, PY - 2000/6/15/pubmed PY - 2000/9/2/medline PY - 2000/6/15/entrez SP - 179 EP - 83 JF - Croatian medical journal JO - Croat Med J VL - 41 IS - 2 N2 - AIM: To investigate the prevalence rate of post-traumatic stress disorder (PTSD) comorbid psychiatric disorders and to explore psychotic symptoms in patients with combat-related current PTSD. METHOD: The sample included Croatian war veterans (N=41) who were hospitalized at the University Department of Psychiatry of the Vrapèe Psychiatric Hospital during the 1995-1996 period and fulfilled the DSM-IV criteria for the current and chronic PTSD. The Schedule for Affective Disorder and Schizophrenia (SADS-L) was applied for the assessment of current and lifetime psychiatric disorders. Only three subjects had a prewar Axis I psychiatric disorder. One third of the patients met the criteria for personality disorder. RESULTS: After severe combat trauma, the majority of PTSD patients (33/41) had at least one comorbid psychiatric diagnosis on Axis I. In those with personality disorders the most frequent was alcohol dependence, whereas in those without personality disorders it was major depressive disorder. Psychotic symptoms occurred in 8 out of 41 PTSD patients. None of them had a primary psychotic disorder or a personality disorder. In all the patients, psychotic symptoms were different from flashbacks. They were symbolically related to the trauma and resistant to antipsychotic treatment. Psychotic symptoms were associated with depression in 5 out of 8 patients with psychotic symptoms. CONCLUSION: Severe and prolonged combat trauma may be followed by the co-occurrence of PTSD and psychotic symptoms, forming the atypical clinical picture of PTSD. SN - 0353-9504 UR - https://www.unboundmedicine.com/medline/citation/10853048/Psychotic_symptoms_and_comorbid_psychiatric_disorders_in_Croatian_combat_related_posttraumatic_stress_disorder_patients_ L2 - http://www.cmj.hr/2000/41/2/10853048.pdf DB - PRIME DP - Unbound Medicine ER -