PTSD Diagnostic Criteria and Symptoms

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Questions and Answers

What is the primary psychological benefit of MDMA in the context of PTSD therapy?

  • It creates a state of unconsciousness that removes painful memories.
  • It induces hallucinations that enhance the therapy experience.
  • It significantly alters cognitive perception leading to new belief systems.
  • It reduces the fear response to trauma-related stimuli. (correct)

Which effect of MDMA has been shown to enhance interpersonal relationships during therapy?

  • Induced dissociation from past trauma.
  • Increased oxytocin levels. (correct)
  • Decreased emotional empathy.
  • Enhanced visual clarity.

In MDMA-assisted psychotherapy, what role does increased Big 5 Openness play?

  • It indicates resistance to therapeutic processes.
  • It reflects decreased emotional engagement during treatment.
  • It correlates with lower levels of oxytocin.
  • It predicts better therapeutic outcomes for PTSD symptoms. (correct)

What is the typical duration of each MDMA therapy session?

<p>5-8 hours. (D)</p> Signup and view all the answers

How does MDMA affect brain activity according to the content?

<p>Attenuates amygdala activity and activates the frontal cortex. (A)</p> Signup and view all the answers

What distinguishes adjustment disorder from PTSD and ASD?

<p>Adjustment disorder occurs without meeting specific diagnostic criteria for PTSD or anxiety disorders. (A)</p> Signup and view all the answers

Which factor is NOT associated with an increased risk of developing PTSD?

<p>Having strong emotional support post-trauma (A)</p> Signup and view all the answers

Which biological factor is associated with a higher vulnerability to developing PTSD?

<p>A relatively small hippocampus (B)</p> Signup and view all the answers

What role does the ventromedial prefrontal cortex (PFC) play in PTSD symptoms?

<p>It inhibits amygdala activity to regulate fear responses. (A)</p> Signup and view all the answers

Which finding was observed in the amygdala of individuals with PTSD?

<p>Increased activity in response to emotional stimuli (D)</p> Signup and view all the answers

What is suggested by the heritability estimate of 0.30 for PTSD in war veterans?

<p>Genetic predisposition plays a role in PTSD development. (A)</p> Signup and view all the answers

How do cortisol levels in individuals with PTSD generally compare to those without PTSD during non-stressful conditions?

<p>Lower than in individuals without PTSD (C)</p> Signup and view all the answers

What is the effect of severe trauma on associations formed with specific cues?

<p>Previous positive associations with cues are overridden by trauma. (C)</p> Signup and view all the answers

How does emotional processing theory relate to information-processing theories?

<p>It explains how fear responses are learned, stored, and triggered. (D)</p> Signup and view all the answers

What is a result of mental defeat as described in the content?

<p>Feeling like a victim and processing trauma negatively. (B)</p> Signup and view all the answers

Which of the following increases vulnerability to PTSD according to emotional processing theory?

<p>Having fixed views about oneself and the world prior to trauma. (A)</p> Signup and view all the answers

How does severe trauma impact an individual's beliefs about the world?

<p>It can cause many more cues to elicit fear and hypervigilance responses. (D)</p> Signup and view all the answers

What impact does mental defeat have on the memory of trauma?

<p>It prevents full processing and integration of the trauma. (B)</p> Signup and view all the answers

Which symptom may arise from mental defeat after a traumatic experience?

<p>Dissociation between fear responses and their meaning. (D)</p> Signup and view all the answers

Which statement accurately reflects the therapeutic implications of emotional processing theory?

<p>Therapies focus on modifying the fear network created by traumatic experiences. (D)</p> Signup and view all the answers

What is one key difference between emotional processing theory and the conditioning account?

<p>Emotional processing theory accounts for the impact of severe trauma on memory formation. (D)</p> Signup and view all the answers

What does the acronym IR stand for in the context of the study?

<p>Intrusive Recall (B)</p> Signup and view all the answers

Which group exhibited greater ratings of danger due to scenarios containing intrusions?

<p>Directly exposed individuals (A)</p> Signup and view all the answers

What is suggested as potentially affecting the correlation of IR with chronic PTSD symptoms?

<p>The presence of acute PTSD symptoms (D)</p> Signup and view all the answers

What percentage of PTSD patients reportedly do not respond adequately to psychotherapy?

<p>40-60% (A)</p> Signup and view all the answers

What is one of the suggested benefits of drug treatment in the context of PTSD?

<p>Enhancing engagement with traumatic material during therapy (A)</p> Signup and view all the answers

What did the results suggest about intrusions in relation to danger inferences?

<p>They act as contextual cues indicating potential harm. (D)</p> Signup and view all the answers

What does the relationship between acute and chronic PTSD symptoms indicate?

<p>Acute PTSD symptoms significantly predict chronic symptoms. (A)</p> Signup and view all the answers

Why might IR not significantly contribute to chronic PTSD symptoms?

<p>Small sample size (B)</p> Signup and view all the answers

What is currently considered the first-line treatment for PTSD?

<p>Exposure-based psychotherapy (D)</p> Signup and view all the answers

What correlation coefficient range is found between negative interpretations of PTSD symptoms and chronic PTSD symptoms?

<p>0.10 to 0.36 (D)</p> Signup and view all the answers

What was the main finding regarding PTSD symptoms compared to the non-PTSD group?

<p>The PTSD group exhibited higher trait anxiety. (C)</p> Signup and view all the answers

How did the PTSD group respond to scenarios with anxiety information compared to scenarios without it?

<p>They showed higher danger ratings for scenarios with anxiety information. (A)</p> Signup and view all the answers

What effect remained intact even after controlling for anxiety and outcome expectations?

<p>Higher danger ratings in PTSD participants. (B)</p> Signup and view all the answers

What is the relationship between IQ and IR as indicated by the findings?

<p>IQ had a low negative correlation with IR. (A)</p> Signup and view all the answers

What does ER & IR stand for, as described in the study?

<p>Emotion Regulation &amp; Intrusion Recognition. (A)</p> Signup and view all the answers

According to the outcomes, what perception is likely to develop PTSD?

<p>If they perceive instinct as dangerous. (A)</p> Signup and view all the answers

What role do negative interpretations of symptoms play in the PTSD group's experience?

<p>They are associated with increased PTSD severity. (A)</p> Signup and view all the answers

How were participants instructed to engage with the scenarios during the study?

<p>By identifying themselves with fictional characters. (A)</p> Signup and view all the answers

Which variable was found to have a moderate correlation of r = 0.35?

<p>The relationship between ER and IR scenarios. (C)</p> Signup and view all the answers

What was the general outcome regarding anxiety sensitivity in the PTSD group?

<p>It was higher compared to the non-PTSD group. (C)</p> Signup and view all the answers

Flashcards

Adjustment Disorder

A mental health condition characterized by emotional and behavioral symptoms following a stressful event. It differs from PTSD in severity and duration of symptoms.

Etiology of PTSD

The study of the causes of PTSD, including environmental, social, and biological factors.

Environmental and Social Factors in PTSD

Factors that increase the likelihood of developing PTSD, such as the severity and duration of the trauma, and proximity to the event.

Heritability of PTSD

The degree to which genetics contribute to the development of PTSD. Studies have shown a heritability of 0.30 in war veterans, suggesting that genetics play a role.

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Hippocampus and PTSD

A brain structure involved in memory and spatial navigation. Studies have shown that people with PTSD often have a smaller hippocampus, potentially due to stress-related hormone exposure.

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Amygdala and PTSD

A brain region that plays a role in processing emotions, especially fear. In PTSD, the amygdala can become overactive, leading to exaggerated fear responses.

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Medial Prefrontal Cortex (mPFC) and PTSD

A brain area involved in regulating emotional responses and controlling impulsive behavior. It helps to suppress the amygdala's activity. In PTSD, the mPFC may be less active, leading to difficulty controlling fear reactions.

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Emotional Processing Theory

The theory that traumatic experiences create strong, unique memories that can be triggered by related cues and change how the individual views the world.

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What does Emotional Processing Theory focus on?

This theory explains how fear responses are learned, stored, and triggered.

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Mental Defeat

A specific state of mind where an individual feels powerless and unable to cope with their trauma, seeing themselves as a victim.

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How does Mental Defeat affect thinking?

Individuals with Mental Defeat tend to process all information about the trauma negatively and view themselves as incapable of defending themselves.

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How does Mental Defeat contribute to PTSD?

A negative approach to the trauma and its consequences can lead to maladaptive behaviors and cognitive strategies that maintain the disorder.

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How does Mental Defeat affect memory?

Individuals with Mental Defeat often have difficulty integrating the trauma into their autobiographical knowledge, leading to symptoms like reliving the event and dissociation.

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Key Concept: How does trauma impact belief in safety?

Emotional Processing Theory helps explain how trauma changes beliefs about safety and elicits strong fear responses.

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Key Concept: Who's more vulnerable to PTSD?

Individuals with fixed views of themselves and the world prior to trauma are more susceptible to PTSD.

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Key Concept: How is Emotional Processing Theory used in therapy?

Therapeutic approaches based on Emotional Processing Theory aim to modify the fear network shaped by trauma.

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Perceived Danger

A perception that a situation is dangerous or threatening, even if objectively it might not be. It often triggers anxiety responses and can contribute to the development of PTSD.

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Intrusive Thoughts or Memories (IT)

Experiences of flashbacks, nightmares, or intrusive thoughts that bring back memories of the traumatic event.

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Perceived Uncontrollability

An individual's subjective feeling of being unable to control their responses to internal or external stimuli. This can heighten the perceived danger of a situation and contribute to PTSD.

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PTSD (Post-Traumatic Stress Disorder)

A mental health condition characterized by intrusive memories, avoidance behaviors, negative thoughts and feelings, and alterations in mood and reactivity following a traumatic event.

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Generalized Anxiety Disorder (GAD)

A mental health condition characterized by persistent anxiety, fear, and worry even when there is no immediate threat.

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Anxiety Sensitivity

The degree to which someone experiences physical and psychological symptoms of anxiety such as racing heart, trembling, and dizziness.

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Negative Appraisals

A measure of individual differences in the levels of negative interpretation or appraisals associated with PTSD symptoms. People with higher negative appraisals may have more difficulty coping with PTSD symptoms.

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Stress Reactivity

A pattern of emotional and behavioral responses to stressful events that include feeling anxious, overwhelmed, and unable to cope.

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Stressful Life Events

A factor that plays a significant role in PTSD. It can come from internal sources (thoughts, feelings) or external sources (environment, social situations) and is a key predictor of PTSD severity.

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ER (Anxiety Effect) and IR (Intrusion Effect)

The difference in ratings of perceived danger between scenarios with and without information on anxiety or intrusions. It indicates the extent to which these factors influence people's perception of danger.

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MDMA's Role in PTSD Treatment

MDMA-assisted psychotherapy has been shown to be a breakthrough therapy for PTSD. It works by reducing fear responses to anxiety-provoking stimuli, including past trauma, and enhancing introspection and interpersonal trust.

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MDMA and Oxytocin

MDMA increases oxytocin levels, a hormone associated with trust and bonding. This may contribute to the improved interpersonal trust observed in MDMA-assisted therapy.

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MDMA's Long-Term Effects on Social Learning

A single dose of MDMA in mice reopens the critical period for social reward learning, which requires activation of oxytocin receptors in the nucleus accumbens. This suggests that MDMA can have lasting effects on how the brain processes social interactions.

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Process of MDMA-Assisted Psychotherapy

MDMA-assisted psychotherapy involves multiple sessions, including preparatory sessions before and integrative therapy sessions after each MDMA session. These sessions are conducted in a clinical but aesthetically pleasing setting with two therapists guiding the patient through an introspective process.

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MDMA and Personality Change

MDMA-assisted therapy increases openness to new experiences, which plays a moderating role in reducing PTSD symptoms. This suggests that a shift in personality traits may be important for long-term healing from PTSD.

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Intrusion-Related Risk (IR)

A psychological phenomenon where individuals with PTSD experience increased perceived danger when intrusions (e.g., flashbacks, nightmares) are present in a situation.

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Exposure-Based Psychotherapy

Psychological interventions that aim to help individuals with PTSD confront and process traumatic memories in a safe and controlled environment.

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Distressing Intrusions and Danger Inferences

The tendency to allow distressing intrusions to influence judgments about danger.

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Post-Traumatic Stress Disorder (PTSD)

A mental health condition characterized by persistent and intense distress following a traumatic event. Symptoms include flashbacks, nightmares, avoidance, and emotional numbness.

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Study Notes

PTSD Diagnostic Criteria

  • PTSD involves persistent anxiety symptoms after a frightening or life-threatening event.
  • The event can be experiencing death, injury, or sexual violation directly or witnessing it.
  • Learning about the violent or accidental death of a close family member or friend, or extreme or repeated exposure to a traumatic event, can also cause PTSD.
  • Symptoms develop over one month duration.

PTSD Symptoms

  • Intrusive symptoms: Recurrent distressing memories, flashbacks, nightmares related to the event. Intense psychological or physical distress when reminded of it.
  • Avoidance: Actively avoiding thoughts, feelings, places, or people associated with the trauma. Avoiding conversations, activities, objects, situations.
  • Negative changes in cognition and mood: Ongoing negative beliefs about oneself, others, or the world, persistent difficulty experiencing positive emotions. Feeling detachment or estrangement from others.
  • Hypervigilance and chronic arousal: Being constantly on guard for a threat to happen again; jumpiness, difficulties sleeping, or concentrating.

PTSD Prevalence

  • Lifetime prevalence of PTSD is 1-3% in the general population.
  • Rates are higher in individuals exposed to severe trauma (war zones, disasters, etc.).
  • Up to 90% of rape victims and 50-90% torture victims can develop PTSD.

PTSD and Gender

  • Women are more likely to develop PTSD than men (2.4 times more likely).
  • Possible reasons include the greater frequency of certain traumas, like sexual abuse, and the stigma surrounding them, reducing support systems.
  • Men may experience traumas considered less stigmatizing.

PTSD and Culture

  • Cultural background affects PTSD prevalence, but frequency of exposure to trauma explains some differences.
  • Racial/ethnic minorities tend to seek treatment less often than whites due to lower socioeconomic status and/or greater stigma surrounding treatment.

Acute Stress Disorder (ASD)

  • ASD is similar to PTSD but the duration is shorter (1 month, not longer than 4 weeks).
  • Those with ASD have a high risk of developing PTSD symptoms later.

Adjustment Disorder

  • Another trauma-related disorder.
  • Symptoms include emotional and behavioral distress within 3 months of a stressor.
  • Severity of the stressor may be lower than those that cause ASD or PTSD.

PTSD Etiology

  • Vulnerability factors include: history of anxiety/depression, poor coping strategies (avoidance/dissociation), experiences of childhood trauma, physical/emotional abuse etc.
  • Pre-existing vulnerabilities, family history, and genetic factors play a role in PTSD susceptibility.
  • Factors such as resilience, support networks, and coping mechanisms influence how people recover from trauma.

PTSD Treatment

  • Psychotherapy is the primary treatment. Methods include exposure therapy (facing fears), cognitive restructuring (challenging negative thoughts), and stress management techniques.
  • Medication (SSRIs) can help with symptoms like anxiety, nightmares, and sleep difficulties. However, medication often does not completely resolve PTSD alone.

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