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Posttraumatic stress disorder and and concomitant comorbidity in BIH war veterans 12 years after war

Published online by Cambridge University Press:  16 April 2020

M. Klarić
Affiliation:
Clinic for Psychiatry, Clinical Hospital Mostar, Mostar, Bosnia-Herzegovina
T. Frančišković
Affiliation:
Department of Psychiatry and Psychological Medicine, School of Medicine, University of Rijeka, Rijeka, Croatia
B. Petrov
Affiliation:
Clinic for Psychiatry, Clinical Hospital Mostar, Mostar, Bosnia-Herzegovina

Abstract

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Introduction

PTSD is dominant, but rarely the only psychological disorder that is present among individuals who have a history of exposure to traumatic event.

Objectives

To examine morbidity in veterans 12 years after the war, with special emphasis on comorbidity of PTSD and other psychiatric disorders.

Methods

The study population consisted of 154 veterans who sought psychiatric treatment due to PTSD. The control group consisted of 77 war veterans who do not have PTSD, collected by snow balling method through veteran associations. The study used a general demographic questionnaire, the HTQ-version for BiH, and the MINI.

Results

Veterans who sought psychiatric treatment due to PTSD, were experienced a significantly greater number of traumatic events (t = 5.66; P < 0.001) and achieved significantly higher scores on a scale of PTSD symptoms (t = 15.291; P < 0.001), perceived personal functionality (t = 12.491; P < 0.001) and the overall result of traumatic symptoms (t = 14.499; P < 0.001). Additionally, among veterans with PTSD there are significantly more of those who reported chronic somatic diseases (X2 = 17.988; P < 0.001), who met the criteria for the diagnosis of current depressive episode (X2 = 36.297; P < 0.001), previous depressive episode (X2 = 29.356; P < 0.001), depressive episode with melancholic features (X2 = 29.356; P < 0.001), dysthymia (X2 = 9.959; P = 0.007), the criteria for the diagnosis of panic disorder with agoraphobia (X2 = 5.490; P = 0.019), PTSD (X2 = 102.018; P < 0.001) and generalized anxiety disorder (X2 = 89.755; P < 0.001).

Conclusion

Although PTSD is the dominant cause for seeking psychiatric treatment in veterans, PTSD promotes a comprehensive psychiatric and somatic comorbidity, and predominated are anxious and affective disorders.

Type
P02-477
Copyright
Copyright © European Psychiatric Association 2011
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