Comorbidity - a troublesome factor in PTSD treatment.
Posttraumatic stress syndrome (PTSD) is a disorder which emerges after the patient has experienced one or more psychotraumatic events, which equally include neurobiological deregulation and psychological dysfunction. Comorbidity is present in more than 80% of the diagnosed cases of PTSD, which makes treatment of the primary disorder very difficult. It has been identified that PTSD can be found in comorbidity with other psychiatric disorders as well as with physical illnesses. This study presents aged 42, who has been psychiatrically treated for the past 12 years, with a diagnose of chronic PTSD and who subsequently developed depression. The patient has been treated for psoriasis for the past seven years, and two years ago, had to undergo surgery due to bladder carcinoma, followed by a radiotherapy course. Multiple comorbidity significantly makes the treatment of the primary illness very difficult and it limits the choice of pharmacotherapy in ambulatory conditions.
Community Primary Health Centre, Primorsko-goranska county, Croatia. elizabeta.dadic.hero@ri.t-com.hr
Elizabeta
E
Dadić-Hero
Ines
I
Torić
Klementina
K
Ruzić
Paola
P
Medved
Mirjana
M
Graovac
D000328:Adult; D014151:Anti-Anxiety Agents / Q000009:adverse effects / Q000627:therapeutic use*; D000928:Antidepressive Agents / Q000009:adverse effects / Q000627:therapeutic use*; D003130:Combat Disorders / Q000188:drug therapy* / Q000453:epidemiology*; D003131:Combined Modality Therapy; D015897:Comorbidity; D003866:Depressive Disorder / Q000188:drug therapy / Q000453:epidemiology*; D003975:Diazepam / Q000009:adverse effects / Q000627:therapeutic use*; D003875:Drug Eruptions / Q000175:diagnosis / Q000453:epidemiology; D004359:Drug Therapy, Combination; D006801:Humans; D008297:Male; D010555:Personality Inventory / Q000706:statistics & numerical data; D011565:Psoriasis / Q000175:diagnosis / Q000453:epidemiology*; D011594:Psychometrics; D011613:Psychotherapy; D001749:Urinary Bladder Neoplasms / Q000175:diagnosis / Q000453:epidemiology*
D014151:Anti-Anxiety Agents; D000928:Antidepressive Agents; D003975:Diazepam