PTSD (ps2008- week 7)
40 Questions
1 Views

Choose a study mode

Play Quiz
Study Flashcards
Spaced Repetition
Chat to Lesson

Podcast

Play an AI-generated podcast conversation about this lesson

Questions and Answers

What is one of the required symptoms for the diagnosis of PTSD?

  • Consistent feelings of joy
  • Frequent positive thoughts about the self
  • Inability to recall key features of the trauma (correct)
  • Emotional stability with no changes in mood

Which of the following is NOT part of the reactivity symptoms for PTSD?

  • Aggression
  • Decreased interest (correct)
  • Difficulty sleeping
  • Hypervigilance

For how long must symptoms be present to qualify for PTSD?

  • At least 2 weeks
  • At least 6 months
  • At least 3 months
  • At least 1 month (correct)

What characterizes depersonalisation in PTSD?

<p>Feeling disconnected from one's body or mental processes (D)</p> Signup and view all the answers

What element is NOT associated with a higher risk of developing PTSD?

<p>Positive self-cognition (B)</p> Signup and view all the answers

What is a key feature of Complex PTSD as described in the content?

<p>Marked irritability, anger, and numbness (A)</p> Signup and view all the answers

What is the male to female ratio for PTSD prevalence?

<p>2.4:1 (C)</p> Signup and view all the answers

Which situation is likely associated with the development of PTSD?

<p>Experiencing repeated trauma with high interpersonal intensity (D)</p> Signup and view all the answers

What primary area of the brain is associated with dysregulated stress response in individuals with PTSD?

<p>Amygdala (C)</p> Signup and view all the answers

Which hormone release is primarily associated with long-term stress responses as regulated by the HPA axis?

<p>Cortisol (A)</p> Signup and view all the answers

Which of the following processes is NOT directly linked to the activity of the hippocampus in PTSD patients?

<p>Hyperactivity in stress response (D)</p> Signup and view all the answers

What is considered a potential vulnerability factor for developing PTSD related to hormonal activity?

<p>Reduced cortisol levels (B)</p> Signup and view all the answers

Which biological factor is cited as having an approximately 30-40% heritability concerning the risk of PTSD?

<p>Genetic predispositions (C)</p> Signup and view all the answers

The reduction in which neurotransmitter has been linked to increased startle responses and fear memories in PTSD sufferers?

<p>Serotonin (D)</p> Signup and view all the answers

Research involving which animal has discovered the potential for learned aversion affecting gene expression in offspring?

<p>Mice (C)</p> Signup and view all the answers

What role does hypervigilance play in individuals suffering from PTSD?

<p>An outcome of dysregulated stress response (D)</p> Signup and view all the answers

What does hyperactivity of the amygdala potentially suggest about an individual's predisposition to PTSD?

<p>It may predispose individuals to develop PTSD. (C)</p> Signup and view all the answers

Which of the following factors does NOT contribute to the risk of developing PTSD?

<p>Positive mental health. (D)</p> Signup and view all the answers

What does the avoidance of the conditioned stimulus (CS) in PTSD primarily lead to?

<p>Maintenance through negative reinforcement (B)</p> Signup and view all the answers

According to the cognitive model of PTSD, which aspect significantly influences a person's risk of developing PTSD?

<p>Interpretation of the traumatic event. (D)</p> Signup and view all the answers

Which of the following statements about traumatic memories is accurate?

<p>Retrieving any element of the memory recalls the entire memory. (A)</p> Signup and view all the answers

Which statement best describes traumatic loads in relation to PTSD?

<p>They suggest that increased trauma exposure heightens vulnerability to PTSD. (A)</p> Signup and view all the answers

What could be an outcome of the mental defeat framework proposed by Elhers & Clarke?

<p>Increased sense of vulnerability and victimhood. (B)</p> Signup and view all the answers

What are the two memory systems distinguished by Brewin (2001)?

<p>Verbally accessible memory &amp; situationally accessible memory (D)</p> Signup and view all the answers

Which is the primary aim of trauma-focused CBT in the treatment of PTSD?

<p>To change dysfunctional thoughts and behaviors (B)</p> Signup and view all the answers

Which factor is associated with peri-trauma that can increase vulnerability to PTSD?

<p>Dissociation during the traumatic event. (B)</p> Signup and view all the answers

In the context of PTSD, what role does previous stress exposure play?

<p>It is a major risk factor for PTSD upon re-exposure to trauma. (B)</p> Signup and view all the answers

In EMDR therapy, what mechanism is suggested to be involved in the process?

<p>Working memory engagement (D)</p> Signup and view all the answers

What form can exposure therapy for PTSD take?

<p>Gradual exposure or rapid flooding (B)</p> Signup and view all the answers

How does gender influence PTSD susceptibility according to the content?

<p>Women are twice as likely to experience PTSD, though findings are mixed. (D)</p> Signup and view all the answers

What is a notable characteristic of situationally accessible memory (SAM) in PTSD?

<p>It consists of brief subconscious snapshots. (B)</p> Signup and view all the answers

What is the median duration delay for seeking treatment after the onset of PTSD, according to Wang et al (2005)?

<p>12 years (D)</p> Signup and view all the answers

How has the classification of PTSD changed since its introduction?

<p>It is now recognized as a trauma and stress-related disorder. (C)</p> Signup and view all the answers

What is one of the main differences between Acute Stress Disorder (ASD) and PTSD?

<p>PTSD symptoms must persist for at least 1 month, while ASD symptoms last for less than 1 month. (D)</p> Signup and view all the answers

Which characteristic is associated with Disinhibited Social Engagement Disorder?

<p>Extreme social impulsiveness with no awareness of boundaries. (A)</p> Signup and view all the answers

What aspect of trauma exposure is essential for the diagnosis of PTSD according to DSM guidelines?

<p>Indirect exposure to aversive details of trauma. (D)</p> Signup and view all the answers

Which symptom must a person experience to be diagnosed with PTSD?

<p>More than one intrusive symptom such as flashbacks or nightmares. (B)</p> Signup and view all the answers

What type of stressors may lead to Reactive Attachment Disorder in children?

<p>Prolonged abuse or neglect. (A)</p> Signup and view all the answers

Why is Adjustment Disorder typically diagnosed in adulthood?

<p>It develops due to difficulties adjusting to everyday life stressors. (D)</p> Signup and view all the answers

What is a common misconception regarding the symptoms of PTSD?

<p>Symptoms are guaranteed to resolve when the environment changes. (B)</p> Signup and view all the answers

Flashcards

Post-Traumatic Stress Disorder (PTSD)

A mental health disorder triggered by a traumatic event like war, abuse, or a life-threatening experience, causing recurring flashbacks, nightmares, and avoidance behaviors.

Trauma and Stress-Related Disorders

A disorder focused on traumatic events that involve imminent death or serious injury, marked by intense distress, avoidance, and re-experiencing of the event.

Reactive Attachment Disorder

A condition affecting children who have experienced prolonged abuse, neglect, or disruption in early attachment bonds, leading to difficulties forming healthy relationships.

Disinhibited Social Engagement Disorder

A disorder characterized by children who are extremely social, lack boundaries, and readily seek attention from strangers, even if they are unsafe.

Signup and view all the flashcards

Adjustment Disorder

A disorder that arises when individuals experience significant difficulty adjusting to major life stressors, such as a job loss or a relationship breakup.

Signup and view all the flashcards

Exposure to Trauma

The process of directly or indirectly being exposed to actual or perceived threats of death, injury, violence, or horrific details of trauma.

Signup and view all the flashcards

Intrusive Symptoms of PTSD

Symptoms like disturbing memories, nightmares, flashbacks, intense distress, and exaggerated reactions to reminders of the trauma.

Signup and view all the flashcards

Avoidance of Trauma-Related Reminders

A key feature of PTSD involving persistent avoidance of trauma-related thoughts, feelings, and external reminders.

Signup and view all the flashcards

Inability to recall key features of the trauma

The inability to recall important features of the traumatic event, such as the details of the event or specific moments.

Signup and view all the flashcards

Negative thoughts and blaming

Experiencing overly negative thoughts about oneself, the world, and others, frequently blaming oneself or others for the trauma.

Signup and view all the flashcards

Depersonalization

A sense of detachment from one's own body, thoughts, or feelings. It's like feeling like an outsider observing oneself.

Signup and view all the flashcards

Derealization

Experiencing a disconnect from the environment, like the world feels unreal or strange.

Signup and view all the flashcards

Complex PTSD

A chronic form of PTSD characterized by experiencing PTSD symptoms along with additional challenges like intense emotional dysregulation, negative self-view, and relationship difficulties.

Signup and view all the flashcards

Emotional dysregulation

A marked increase in irritability, anger, and numbness, often associated with Complex PTSD.

Signup and view all the flashcards

Negative self-cognition

A significantly reduced sense of self-worth, feeling worthless, defeated, or incapable.

Signup and view all the flashcards

Amygdala hyperactivity in PTSD

The amygdala, responsible for processing fear and threat, becomes overactive in people with PTSD, leading to an exaggerated stress response that doesn't return to normal.

Signup and view all the flashcards

Hippocampus and PTSD

The hippocampus, crucial for memory formation and contextualizing events, often has reduced activity and volume in individuals with PTSD. This can contribute to intrusive memories and difficulty remembering the traumatic event as a past experience.

Signup and view all the flashcards

HPA axis dysregulation in PTSD

The HPA axis, responsible for managing stress responses, is dysregulated in PTSD. This can lead to lower levels of cortisol, which normally helps regulate stress responses, potentially contributing to persistent PTSD symptoms.

Signup and view all the flashcards

HPA axis: The stress response pathway

The HPA axis involves a chain reaction starting with the hypothalamus releasing CRH (corticotropin-releasing hormone), which then prompts the pituitary gland to release ACTH (adrenocorticotropic hormone). ACTH acts on the adrenal gland, leading to the release of adrenaline (short-term stress) and cortisol (long-term stress).

Signup and view all the flashcards

Genetic predisposition to PTSD

Genes play a significant role in PTSD risk, influencing both the likelihood of exposure to trauma and the individual's reactivity to it. Around 30-40% of PTSD risk is attributed to genetic factors.

Signup and view all the flashcards

Norepinephrine and dopamine in PTSD

Elevated levels of norepinephrine and dopamine, neurotransmitters involved in the stress response, have been linked to PTSD and the learning of fear. This suggests that individuals with higher levels of these neurochemicals may have more intense fear associations.

Signup and view all the flashcards

Cortisol and serotonin in PTSD

Reduced levels of cortisol and serotonin in individuals with PTSD have been associated with an increased startle response and exaggerated fear memories. These neurochemicals play essential roles in regulating mood and fear responses.

Signup and view all the flashcards

Epigenetics and PTSD

Epigenetics studies how environmental experiences can influence gene expression, impacting how genes are turned on or off. Animal studies have shown that learned aversions can be passed down to offspring, suggesting that traumatic experiences can trigger epigenetic changes.

Signup and view all the flashcards

Conditioned Fear Response

A neutral stimulus (like a sound or object) that becomes associated with a fear response, similar to a 'conditioned stimulus' (CS) in classical conditioning.

Signup and view all the flashcards

Triggers (for PTSD)

Internal or external cues that trigger strong fear or anxiety, similar to conditioned stimuli (CS), reminding a person of a traumatic event.

Signup and view all the flashcards

Avoidance (for PTSD)

Prolonged avoidance of situations or stimuli associated with a traumatic event, often driven by fear and negative reinforcement (removing fear).

Signup and view all the flashcards

Dual Representation Theory

A theory explaining how traumatic memories are stored, involving both verbal (conscious) and non-verbal (subconscious) memory systems.

Signup and view all the flashcards

Verbally Accessible Memory (VAM)

A memory system that stores consciously processed memories in the hippocampus, ordered and organized, similar to 'explicit memory' (conscious).

Signup and view all the flashcards

Situationally Accessible Memory (SAM)

A memory system that stores brief subconscious memories in the amygdala, often relived as flashbacks, similar to 'implicit memory' (unconscious).

Signup and view all the flashcards

Cognitive Restructuring (for PTSD)

A type of therapy that focuses on challenging and changing dysfunctional thoughts and behaviors that hinder processing of the trauma, similar to Cognitive Behavioral Therapy (CBT) but specifically for trauma.

Signup and view all the flashcards

Exposure Therapy (for PTSD)

A method of exposure therapy that involves confronting traumatic memories in a safe and controlled way, often through imagination or verbal descriptions, gradually reducing fear and anxiety.

Signup and view all the flashcards

Underactive Brain Regions in PTSD

The hippocampus, prefrontal cortex, and anterior cingulate cortex are less active in people with PTSD, which suggests that the limbic system, responsible for emotions, is overactive.

Signup and view all the flashcards

Amygdala Hyperactivity & PTSD Risk

A heightened response to negative stimuli in the amygdala before the onset of trauma is associated with an increased risk of developing PTSD.

Signup and view all the flashcards

Traumatic Load & PTSD Risk

Repeated exposure to traumatic experiences increases susceptibility to developing PTSD. 

Signup and view all the flashcards

Pre-Trauma Risk Factors for PTSD

Pre-existing mental health issues, previous trauma, and gender can all influence PTSD vulnerability.

Signup and view all the flashcards

Gender & PTSD Risk

Women are twice as likely as men to develop PTSD.

Signup and view all the flashcards

Trauma Type and PTSD Risk

The type, frequency, severity, and perceived threat of trauma can all contribute to PTSD development. People who also experience dissociation during trauma are more susceptible.

Signup and view all the flashcards

Interpreting Trauma & PTSD Risk

How people interpret a traumatic event is important in understanding PTSD. A catastrophic interpretation of events can lead to a persistent sense of threat.

Signup and view all the flashcards

Mental Defeat & PTSD

The mental defeat model argues that those who frequently experience trauma may develop a sense of vulnerability and helplessness, increasing their risk of PTSD.

Signup and view all the flashcards

Study Notes

Post-Traumatic Stress Disorder (PTSD)

  • Relatively new disorder (1980s)
  • Formerly described as "shell shock" in WWII
  • Believed to be only related to war environments
  • Now considered a trauma and stress-related disorder, not an anxiety disorder
  • Symptoms believed to disappear once environment changes

Reactive Attachment Disorder

  • Characterized by childhood traumatic stressors
  • Prolonged abuse or neglect
  • Lack of attachment to a caregiver
  • Children might shy away from interactions and avoid eye contact
  • Difficulty in developing attachments

Disinhibited Social Engagement Disorder

  • Outgoing children
  • Extremely social and impulsive
  • Unable to distinguish between appropriate boundaries of strangers

Adjustment Disorders

  • Diagnosed in adulthood
  • Developed through difficult adjusting to everyday life stressors

PTSD and Acute Stress Disorder

  • Related to life-threatening events
  • Element of exposure to death or threat to physical, mental, or sexual integrity
  • PTSD diagnosed after experiencing symptoms for at least 1 month
  • Acute stress disorder diagnosed in people with symptoms for less than 1 month

PTSD Symptoms

  • Intrusive symptoms (unwanted memories, nightmares, flashbacks)
  • Dissociative reactions, intense psychological distress
  • Avoidance of trauma-related thoughts, feelings, or external reminders
  • Mood/thought process changes (inability to recall trauma details, negative thought pattern, self-blame)
  • Arousal/Reactivity (recklessness, aggression, hypervigilance, difficulty concentrating, trouble sleeping)
  • Dissociative subtypes
    • Depersonalization: discontinuity in self-experience
    • Derealization: discontinuity in environmental experience

Epidemiology

  • Kessler et al. (2017): 70% of people experience a lifetime trauma
  • Lifetime prevalence of PTSD is 2.2-8.8%
  • 30% prevalence among veterans
  • Higher prevalence in women (2.4:1 ratio compared to men)

Other Features of Trauma (Complex PTSD)

  • Duration of trauma
  • Frequency of trauma
  • Perceived lethality of trauma
  • Emotional dysregulation (irritability, anger)
  • Negative self-cognition
  • Relationship difficulties
  • High interpersonal intensity and severity of exposure

Pathophysiology

  • Dysregulation of the stress response (amygdala)
  • Hyperactivity in amygdala
  • Hypervigilance
  • Reduced activity/volume of hippocampus
  • Intrusive memories
  • Difficulty encoding memories

Biological Risk Factors

  • Heritability: 30-40%
  • Elevated norepinephrine and dopamine
  • Reduced cortisol
  • Epigenetic changes (how experiences change gene expression)
  • Hippocampus, prefrontal, and anterior cingulate cortex underactivity

Environmental Risk Factors

  • Cumulative trauma (more trauma = more vulnerability to PTSD)
  • Previous mental health issues
  • Gender (Women more likely to experience PTSD)
  • Catastrophic inference of events (interpreting events as more severe)

Conditioning Theory

  • Neutral stimuli become associated with a fear response
  • Explains PTSD triggers
  • Avoidance maintains fear response

Dual Representation Theory

  • Two memory systems: Verbally accessible (conscious) and situationally accessible (unconscious)
  • Explains PTSD flashbacks
  • Need for treatment to transform situationally accessible memories into verbally accessible ones

Treatment Options

  • Trauma-focused CBT
  • EMDR (Eye Movement Desensitization and Reprocessing)
  • Exposure Therapy

Studying That Suits You

Use AI to generate personalized quizzes and flashcards to suit your learning preferences.

Quiz Team

Related Documents

Description

This quiz explores various psychological disorders, including Post-Traumatic Stress Disorder (PTSD), Reactive Attachment Disorder, and Disinhibited Social Engagement Disorder. Dive into the symptoms, causes, and implications of these trauma and stress-related conditions. Gain a better understanding of how these disorders impact individuals and their relationships.

More Like This

PTSD in Children
12 questions

PTSD in Children

ProblemFreeComprehension avatar
ProblemFreeComprehension
PTSD
43 questions

PTSD

BallerGiraffe0118 avatar
BallerGiraffe0118
PTSD og cPTSD - Studiekort
31 questions
Use Quizgecko on...
Browser
Browser