1 / 16

Primary care presentations of Post Traumatic Stress Disorder (PTSD): A case series analysis

Primary care presentations of Post Traumatic Stress Disorder (PTSD): A case series analysis. Dr John M. Shephard. Background. Common in current op tempo Trauma exposure a major risk Shame, guilt & sorrow important. Background. Clinical signs often delayed Co-morbid conditions

dennis
Télécharger la présentation

Primary care presentations of Post Traumatic Stress Disorder (PTSD): A case series analysis

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Primary care presentations of Post Traumatic Stress Disorder (PTSD):A case series analysis Dr John M. Shephard

  2. Background • Common in current op tempo • Trauma exposure a major risk • Shame, guilt & sorrow important

  3. Background • Clinical signs often delayed • Co-morbid conditions • Considerable barriers to treatment • Huge psych-social impact

  4. Aim To examine: • Patterns of PTSD presentation • Facilitators and barriers to case identification

  5. Study population • ARA Infantry Bn • RBG role • High tempo • Op Anode • Op Catalyst • Op Astute • Op Deluge

  6. Study subjects • Current PTSD cases Rx at RAP • Oct 07 – Sep 08 • Confirmed by Psychiatrist • MEC downgrade

  7. Data collection • Consent • UMR review • Interview

  8. Results • 5 new cases • < 1% prevalence • Rank: PTE – WO2 • Deployments • Rwanda (1) • INTERFET (1) • IRAQ (2) • TL (1)

  9. Traumatic exposure • Civilian atrocities (3) • Combat actions (1) • Non-battle fatality (1)

  10. Presentation • Time to diagnosis: 5.2 yrs (mean) • On deployment: 3/5 • ETOH incidents: 3/5 • Initial care giver • MO 4/5 • Padre 1/5

  11. Barriers • Poor psycho-education • Trivialisation of exposure • Pride • Discrimination • Career progression

  12. Outcome • Medical discharge 3/5 • Remission 1/5 • Ongoing 1/5

  13. Limitations • Small numbers • Descriptive design

  14. Conclusions • Prevalence rates appear lower than expected • Considerable time delay to identification • ETOH and deployment were common “triggers” for diagnosis

  15. Conclusions • No cases were identified at RtAPS/POPS • PTSD often led to discharge • Numerous and sizeable barriers to help seeking exist

  16. QUESTIONS? Dr John M. SHEPHARD BMed, DTM&H, FRACGP, MPH john.shephard@defence.gov.au

More Related