Posttraumatická stresová porucha (PTSP) je podle MKN-10 řazena pod velkou kapitolu F 43 – reakce na závažný stres a poruchy přizpůsobení. Na rozdíl od akutní reakce na stres vzniká jako zpožděná nebo protrahovaná reakce. Volba léčby vychází ze stanovení diagnózy, důležité je včasné zahájení terapie, které zabrání vyvolání behaviorálních, biologických a morfologických změn. V léčbě je nutný komplexní přístup zahrnující jak psychoterapii, tak farmakoterapii; v dětském věku je třeba volit specifické přístupy.

The post-traumatic stress disorder is classified pursuant to MKN-10 in the large chapter of F43 – severe stress reactions and defects of adaptibility. Compared to the acute stress reaction, the post-traumatic stress disorder is a delayed or protracted reaction. Therapy is based on diagnosis and it is important to commence the therapy in time, in order to prevent behavioral, biological and morphological changes. The therapy requires a complex approach, including psychotherapy as well as pharmacotherapy; specific approach has to be taken if children are involved.

• MeSH
• dítě MeSH
• farmakoterapie metody   MeSH
• neurobiologie MeSH
• posttraumatická stresová porucha diagnóza   farmakoterapie   MeSH
• psychoterapie metody   MeSH
• Check Tag
• dítě MeSH
• Publikační typ
• přehledy MeSH

• MeSH
• posttraumatická stresová porucha zákonodárství a právo   terapie   diagnóza   MeSH

• Konspekt
• Psychiatrie
• NLK Obory
• psychiatrie
• právo, zákonodárství

• MeSH
• posttraumatická stresová porucha MeSH
• Publikační typ
• abstrakty MeSH

• Konspekt
• Patologie. Klinická medicína
• NLK Obory
• neurologie

Aim: This study aimed to: (1) explore post-traumatic stress disorder symptoms in relation to sociodemographic, obstetric, and childbirth trauma factors; (2) assess the association between perceived stress levels and post-traumatic stress disorder symptoms; and (3) analyze how the duration of perceived stress affects post-traumatic stress disorder. Design: A cross-sectional study. Methods: Data were collected via an online survey, including demographic and obstetric information, traumatic childbirth events, post-traumatic stress disorder symptoms, and perceived stress levels and duration in the postpartum period. The study was conducted with 202 women who self-identified as having experienced a traumatic childbirth. Results: Post-traumatic stress disorder scores did not differ significantly by most sociodemographic or obstetric factors, but cesarean delivery was linked to higher post-traumatic stress disorder scores compared to vaginal delivery with forceps or vacuum extraction, mediated by increased perceived stress. Perceived stress levels showed a significant positive association with all post-traumatic stress disorder dimensions. Stress duration significantly was related to total post-traumatic stress disorder scores, with longer stress being associated with greater severity of symptoms. Conclusion: Cesarean delivery and prolonged, elevated stress during childbirth are key risk factors for post-traumatic stress disorder symptoms, highlighting the need for targeted postpartum mental health interventions.

• MeSH
• císařský řez psychologie   škodlivé účinky   MeSH
• dospělí psychologie   MeSH
• komplikace porodu * psychologie   MeSH
• lidé MeSH
• poporodní období psychologie   MeSH
• porod psychologie   MeSH
• posttraumatická stresová porucha * etiologie   MeSH
• průřezové studie metody   MeSH
• průzkumy a dotazníky MeSH
• psychický stres * etiologie   MeSH
• Check Tag
• dospělí psychologie   MeSH
• lidé MeSH

Post-traumatic stress disorder (PTSD) is a neuropsychological condition caused by exposure to chronic stressors and extreme trauma. In past decades, Colombia (South America) has experienced high levels of armed conflict, which created an environment of chronic stress, resulting in an increased incidence of PTSD in children. Limited research exists on the effects of PTSD on emotional memory functioning of these Colombian youth living in chronically stressful environments. In the present study, 23 PTSD affected youth and 26 controls were asked to recall items from a memorised word list, as well as remembering details from a short emotional story. Although no significant differences were found for word list memory, deficits for emotional story content were found in the PTSD youth, particularly for facts involving negative emotional details. The latter may suggest a deficit in executive functioning for the integration of emotionally laden stimuli, perhaps induced as a by-product of their traumatic experiences.

• MeSH
• dítě MeSH
• emoce fyziologie   MeSH
• lidé MeSH
• mladiství MeSH
• posttraumatická stresová porucha psychologie   MeSH
• Check Tag
• dítě MeSH
• lidé MeSH
• mladiství MeSH
• mužské pohlaví MeSH
• ženské pohlaví MeSH
• Publikační typ
• časopisecké články MeSH
• Geografické názvy
• Kolumbie MeSH

Several neuroendocrine systems have been implicated in post-traumatic stress disorder, including the mesocortical and mesolimbic dopamine, the norepinephrine, the β-endorphin, the serotonin, and the oxytocin systems. The interaction between these different systems remains, however, largely unknown and a generally accepted unifying theory is thus far lacking. In this review, we suggest that galanergic suppression of dopaminergic neurons in the ventral tegmental may constitute the missing link in a post-traumatic feedback loop. In addition, we address the literature on the negative cross-antagonism in this brain region between the galanin 1 and μ-opioid receptors, which suggests that behavioural patterns which stimulate β-endorphin, a natural μ-opioid receptors ligand, secretion may provide novel avenues for the treatment and prevention of PTSD, as well as for recruitment, training, and leadership processes in high-stress/high-risk professions such as the military, first responders and the police.

• MeSH
• dopamin metabolismus   MeSH
• dopaminergní neurony metabolismus   MeSH
• galanin metabolismus   MeSH
• lidé MeSH
• posttraumatická stresová porucha metabolismus   MeSH
• tegmentum mesencephali - area ventralis metabolismus   MeSH
• zvířata MeSH
• Check Tag
• lidé MeSH
• zvířata MeSH
• Publikační typ
• časopisecké články MeSH
• přehledy MeSH

• MeSH
• diagnostické techniky neurologické metody   MeSH
• dítě MeSH
• farmakoterapie metody   MeSH
• lidé MeSH
• mladiství MeSH
• posttraumatická stresová porucha diagnóza   farmakoterapie   patologie   MeSH
• příznaky a symptomy diagnóza   patologie   terapie   MeSH
• psychoterapie metody   MeSH
• sertralin terapeutické užití   MeSH
• Check Tag
• dítě MeSH
• lidé MeSH
• mladiství MeSH
• Publikační typ
• kazuistiky MeSH

• MeSH
• lidé MeSH
• mladiství MeSH
• psychický stres komplikace   MeSH
• psychoterapie MeSH
• rodina MeSH
• traumatologie MeSH
• Check Tag
• lidé MeSH
• mladiství MeSH
• ženské pohlaví MeSH
• Publikační typ
• kazuistiky MeSH

BACKGROUND: Considering the recently growing number of potentially traumatic events in Europe, the European Psychiatric Association undertook a study to investigate clinicians' treatment choices for post-traumatic stress disorder (PTSD). METHODS: The case-based analysis included 611 participants, who correctly classified the vignette as a case of PTSD, from Central/ Eastern Europe (CEE) (n = 279), Southern Europe (SE) (n = 92), Northern Europe (NE) (n = 92), and Western Europe (WE) (N = 148). RESULTS: About 82% woulduse antidepressants (sertraline being the most preferred one). Benzodiazepines and antipsychotics were significantly more frequently recommended by participants from CEE (33 and 4%, respectively), compared to participants from NE (11 and 0%) and SE (9% and 3%). About 52% of clinicians recommended trauma-focused cognitive behavior therapy and 35% psychoeducation, irrespective of their origin. In the latent class analysis, we identified four distinct "profiles" of clinicians. In Class 1 (N = 367), psychiatrists would less often recommend any antidepressants. In Class 2 (N = 51), clinicians would recommend trazodone and prolonged exposure therapy. In Class 3 (N = 65), they propose mirtazapine and eye movement desensitization reprocessing therapy. In Class 4 (N = 128), clinicians propose different types of medications and cognitive processing therapy. About 50.1% of participants in each region stated they do not adhere to recognized treatment guidelines. CONCLUSIONS: Clinicians' decisions for PTSD are broadly similar among European psychiatrists, but regional differences suggest the need for more dialogue and education to harmonize practice across Europe and promote the use of guidelines.

• MeSH
• antidepresiva terapeutické užití   MeSH
• kognitivně behaviorální terapie * MeSH
• lidé MeSH
• posttraumatická stresová porucha * farmakoterapie   psychologie   MeSH
• psychiatři MeSH
• Check Tag
• lidé MeSH
• Publikační typ
• časopisecké články MeSH
• kazuistiky MeSH
• přehledy MeSH
• Geografické názvy
• Evropa MeSH

• Konspekt
• Psychiatrie
• NLK Obory
• traumatologie
• psychiatrie