Recognition of Occupation‐Induced Posttraumatic Stress Disorders
作者:
Richard Schottenfeld,
Mark Cullen,
期刊:
Journal of Occupational Medicine
(OVID Available online 1986)
卷期:
Volume 28,
issue 5
页码: 365-369
ISSN:0096-1736
年代: 1986
出版商: OVID
数据来源: OVID
摘要:
Because many occupationally exposed workers are disabled by medically unexplained symptoms, the authors set out to develop etiologically, prognostically, and therapeutically distinct diagnostic categories for these patients. Rigorous diagnostic criteria were applied to a sample of 21 patients with disproportionate disability: three patients had typical posttraumatic stress disorders (PTSD), seven had atypical PTSD, and the remainder suffered somatoform disorders. Recognition of PTSD is important because, unlike somatoform disorders, PTSD often responds to appropriate treatment. Some of the factors that may lead to PTSD are discussed, based on the case series. Using case examples, the authors discuss the diagnostic criteria for typical and atypical PTSD; differentiate these from somatoform disorders; and discuss the implications of the study for prevention of PTSD and for case management.
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