Posttraumatic Stress Disorder
Posttraumatic Stress Disorder
Posttraumatic Stress Disorder
DISORDER
PTSD
• Similar to PTSD for beyond 6 years except for exposure and developmental expressions of symptoms
• Fear of being separated from parents
• Losing previously- acquired skills
• Sleep problems and nightmares without recognizable content
• Somber, compulsive play in which themes or aspects of the trauma are repeated
• New phobias and anxieties that seem unrelated to the trauma
• Acting out the trauma through play, stories or drawings
• Aches and pain with no apparent cause
• Irritability and aggression
RISK FACTORS
• Pretraumatic Factors
• Temperament (childhood emotional problems, prior mental disorders)
• Environment (low SES, low education, lower intelligence, prior trauma, childhood adversity, cultural
characteristics related to coping)
• Gender (female)
RISK FACTORS
• Peritraumatic Factors
• Severity
• Personal injury
• Interpersonal violence
RISK FACTORS
• Posttraumatic Factors
• Temperament (negative appraisals, inappropriate coping, acute stress disorder)
• Environment (adverse life events, other traumatic losses, social support)
ETIOLOGY
• Psychological
• Related Symptoms prior to trauma
• Inadequate coping strategies
• Temperament
• Biological
• Reactivity and dampening reactivity: Amygdala; Hippocampus; Prefontal Cortex
• Biochemical: Cortisol