Biopsihosocijalni model posttraumatskog stresnog poremećaja

master's thesis

• Title (english): Biopsychosocial model of posttraumatic stress disorder
• Author: Antonia Sirovatka
• Mentor: Dražen Begić (mentor)
• Committee member: Alma Mihaljević-Peleš (predsjednik povjerenstva)
• Committee member: Milena Skočić Hanžek (član povjerenstva)
• Committee member: Dražen Begić (član povjerenstva)
• Granter: University of Zagreb; School of Medicine; (Department of Psychiatry and Psychological Medicine); Zagreb
• Defense date and country: 2015-07-15, Croatia
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Clinical Medical Sciences; Psychiatry

Abstract

Posttraumatski stresni poremećaj je psihički poremećaj, oblik anksioznog poremećaja, kojeg je pokrenuo prestravljujući događaj – bilo da ga je osoba proživjela ili mu svjedočila. Može se razviti u bilo kojoj životnoj dobi i procjenjuje se da 1-14% populacije od njega pati. Zbog toga je važno da liječnici pravovremeno otkriju i pravilno zbrinu problem, pa je cilj ovog rada bio pregledati postojeće znanje o bolesti i metodama liječenja u literaturi. Prvo poglavlje je uvodno i sadrži definiciju bolesti. Drugo poglavlje ukratko opisuje anksiozne poremećaje. Treće poglavlje daje kratki povijesni pregled. Četvrto poglavlje podijeljeno je na četiri dijela. Prvi dio opisuje rizične faktore za razvoj bolesti. Drugi dio opisuje biološke, a treći psihološke faktore razvoja bolesti,
objašnjavajući psihodinamske, bihevioralne i kognitivne teorije. Četvrti dio prikazuje socijalne etiološke faktore. Peto poglavlje prikazuje epidemiološke podatke i uspoređuje učestalost bolesti među spolovima. Šesto poglavlje daje informacije o klasifikaciji bolesti i podijeljeno je na tri djela. Prvi dio navodi klasifikacijske kriterije DSM-5, drugi dio klasifikacijske kriterije MKB-10, a treći dio ih uspoređuje. Sedmo poglavlje bavi se kliničkom prezentacijom pacijenata i opisuje najčešće znakove i simptome bolesti. Podijeljeno je u pet dijelova. Prvi dio donosi biološke, drugi psihološke, a treći sociJalne karakteristike. U četvrtom dijelu navode se tipične grupe simptoma, a u petom dijelu se prikazuje njihova učestalost. Osmo poglavlje bavi se liječenjem. Podijeljeno je na tri dijela. Prvi dio daje podatke o biološkom liječenju, uključujući farmakoterapiju, TMS, neuroregenerativnu terapiju i drugu. Drugi dio uspoređuje tipove psihoterapije. Treći dio temelji se na socioterapijskim postupcima s ciljem brže i lakše resocijalizacije.
Zaključci se nalaze u devetom poglavlju. Za najbolji uspjeh terapije PTSP-a potreban je sveobuhvatan i cjelovit pristup kroz biopsihosocijalni model.

Abstract (english)

Posttraumatic stress disorder is a mental health condition, a form of an anxiety disorder, that is triggered by a terrifying event – either experiencing it or witnessing it. It is a condition that can develop at any age and it is estimated that about 1-14% of the population suffers from PTSD. Because of that, it is important for the physicians to be able to detect and manage the problem appropriately, so the aim of this paper was to review the existing knowledge about the disease and methods of treatment described in the literature. Chapter One is introductory and contains a definition of the disease.
Chapter Two shows a brief outline of the anxiety disorders. Chapter Three gives a brief historical overview of the disease.
Chapter Four is subdivided into four parts. Part One deals with risk factors for the disease development. Part Two explains biological factors, Part Three deals with the psychological factors, psychodynamic, behavioral and cognitive theory of the disease development. Part Four illustrates social etiological factors. Chapter Five contains epidemiological data and compares the incidence of the disease between the sexes. Chapter Six gives information on classification of the disease and is subdivided into three parts. Part One shows DSM-5 classification criteria. Part Two shows ICD-10 classification criteria. Part Three compares these two classifications. Chapter Seven looks at the clinical presentation of the patients and describes most common signs and symptoms of the disease. It is subdivided into five parts. Part One deals with the biological, Part Two with psychological and Part Three with social characteristics. Part Four shows typical group of symptoms for the disease and Part Five illustrates the frequency of these symptoms. Chapter Eight deals with different methods of treatment. It is subdivided into three parts. Part One provides information about biological treatment, including psychiatric drugs, TMS, neuroregenerative therapy and others. Part Two compares the most common types of psychotherapy. Part Three is based on sociotherapeutic procedures with the aim of faster and easier resocialization.
Conclusions are drawn in Chapter Nine. A comprehensive and holistic approach through a biopsychosocial model is required for the best success in the treatment of PTSD.

• Keywords: posttraumatski stresni poremećaj; razvoj bolesti; znakovi i simptomi; liječenje
• Keywords (english): posttraumatic stress disorder; disease development; signs and symptoms; treatment
• Language: croatian
• URN:NBN: urn:nbn:hr:105:563231
• Study programme: Title: Medicine; Study programme type: university; Study level: integrated undergraduate and graduate; Academic / professional title: doktor/doktorica medicine (doktor/doktorica medicine)
• Type of resource: Text
• File origin: Born digital
• Access conditions: Open access
• Created on: 2016-08-16 09:59:35