Posttraumatic Stress Disorders in Civilian Orthopaedics

@article{Aaron2011PosttraumaticSD,
  title={Posttraumatic Stress Disorders in Civilian Orthopaedics},
  author={Daniel L. Aaron and Paul D. Fadale and Colin J. Harrington and Christopher T. Born},
  journal={American Academy of Orthopaedic Surgeon},
  year={2011},
  volume={19},
  pages={245–250}
}
Abstract Posttraumatic stress disorder (PTSD) is a well‐characterized anxiety disorder that may occur after exposure to a traumatic event. Research is ongoing to document neuroanatomic, neuroendocrine, and genetic correlates to the behavioral phenotype. PTSD occurs in 20% to 51% of patients with musculoskeletal injury. Orthopaedic outcomes, including return to work, activities of daily living, patient perception of physical recovery, and objective physical parameters, suffer considerably in… Expand
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  • 2011
TLDR
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References

SHOWING 1-10 OF 28 REFERENCES
Posttraumatic stress disorder and stress-related disorders.
  • A. Shalev
  • Psychology, Medicine
  • The Psychiatric clinics of North America
  • 2009
TLDR
The empirical evidence on the treatment of acute and chronic PTSD is reviewed, similarities and differences between PTSD and other Axis I disorders are outlined, new therapeutic approaches are evaluated, and the implications of current knowledge for the forthcoming DSM-V are discussed. Expand
Symptoms of posttraumatic stress disorder after orthopaedic trauma.
TLDR
Patients who respond positively to the item, "The emotional problems caused by the injury have been more difficult than the physical problems," may meet diagnostic criteria for this disorder and should be evaluated further. Expand
Incidence and prediction of posttraumatic stress disorder symptoms in severely injured accident victims.
TLDR
In severely injured accident victims who were healthy before experiencing trauma, the incidence of PTSD was low and one-third of the variance of PTSD symptoms at 1-year follow-up could be predicted by mainly psychosocial variables. Expand
Ethnic differences in posttraumatic stress disorder after musculoskeletal trauma.
TLDR
Results indicate an ethnic difference in prevalence of PTSD symptomatology after musculoskeletal injury among Hispanics, and U.S. born Hispanics were nearly seven times more likely to be positive for PTSD symptom atology. Expand
Posttraumatic stress disorder and depression negatively impact general health status after hand injury.
TLDR
Nearly one third of hand-injured patients met diagnostic criteria for PTSD, depression, or both, according to the thresholds of the instruments used to measure these psychological aspects of illness. Expand
Posttraumatic stress disorder after injury: impact on general health outcome and early risk assessment.
TLDR
The data suggest that psychological morbidity is an important part of the patient's perceived general health after trauma, and PTSD compromises self-reported general health outcome in injured adults independent of baseline status, Injury Severity Score, or degree of physical recovery. Expand
Treatment of acute stress disorder: a randomized controlled trial.
TLDR
Exposure-based therapy leads to greater reduction in subsequent PTSD symptoms in patients with ASD when compared with cognitive restructuring, and exposure should be used in early intervention for people who are at high risk for developing PTSD. Expand
Acute stress disorder and posttraumatic stress disorder symptoms among patients severely injured in motor vehicle accidents in Japan.
TLDR
Having ASD or partial ASD in the early stage, and the presence of physical disability as an aftereffect are strong predictive factors for PTSD, which validate the importance of evidence-based intervention for ASD to forestall PTSD. Expand
A nationwide US study of post-traumatic stress after hospitalization for physical injury
TLDR
Nationwide in the USA, more than 20% of injured trauma survivors have symptoms consistent with a diagnosis of PTSD 12 months after acute care in-patient hospitalization. Expand
Prazosin for treatment of nightmares related to posttraumatic stress disorder.
TLDR
Prazosin appears to be a promising and well-tolerated agent for the management of PTSD-related nightmares and further well-designed trials are warranted to establish its place in the treatment of PTSD. Expand
...
1
2
3
...