Article1997

Posttraumatic stress disorder in patients with traumatic brain injury and amnesia for the event?

Deborah L. Warden · Lawrence A. Labbate · Andres Μ. Salazar · Rebekah J. Nelson · James J. Staudenmeier · Erica K. Martin

95 citations0/0 files storedJournal of Neuropsychiatry

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Posttraumatic Stress Disorder Research Psychoanalysis and Psychopathology Research Traumatic Brain Injury Research

Abstract

Frequency of DSM-III-R posttraumatic stress disorder (PTSD) was studied in 47 active-duty service members (46 male, 1 female; mean age 27 = 7) with moderate traumatic brain injury and neurogenic amnesia for the event. Patients had attained "oriented and cooperative" recovery level. When evaluated with a modified Present State Examination and other questions at various points from study entry to 24-month follow-up, no patients met full criteria for PTSD or met criterion B (reexperience); 6 (13%) met both C (avoidance) and D (arousal) criteria. Five of these 6 also had organic mood disorder, depressed type, and/or organic anxiety disorder. Posttraumatic amnesia following moderate head injury may protect against recurring memories and the development of PTSD. Some patients with neurogenic amnesia may develop a form of PTSD without the reexperiencing symptoms.

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References

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2003The Relation between Memory of the Traumatic Event and PTSD: Evidence from Studies of Traumatic Brain Injury 2006Posttraumatic Stress Disorder Symptoms During the First Six Months After Traumatic Brain Injury 2003Post-traumatic stress disorder and traumatic brain injury: A review of causal mechanisms, assessment,and treatment

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