Saturday, September 28, 2019
Personality Traits and PTSD Resilience Research Paper
Personality Traits and PTSD Resilience - Research Paper Example The TR in DSM-IV-TR refers toâ⬠text revisionâ⬠s. Numeroff et al. (2009), a reprint of the work of Numeroff et al. (2006), reviewed the state of science in posttraumatic stress disorder (PTSD). The authors pointed out five key points. First, PTSD is frequent among women than among men. Second, the presence of group C symptoms after exposure to trauma can predict the development of PTSD. Third, increases in corticotrophin-releasing factor or CRF concentration associated with PTSD ââ¬Å"may be reversedâ⬠with paroxetine treatment. Fourth, ââ¬Å"hippocampal volume appears to be selectively decreased and hippocampal function impaired among PTSD patients.â⬠Fifth, prolonged exposure therapy is effective in modifying negative cognitions that are frequent among PTSD patients. Note that in Numeroff et al. (2009) or state of science on the PTSD, there was no mention on the role of personality traits and resilience. In the 2000 guidelines of 50 pages for treating PTSD wri tten by Foa et al., there was no mention on the role of personality traits in hastening or slowing down the treatment or management of PTSDs. The treatment guidelines were developed under the auspices of the PTSD Treatment Guidelines Task Force organized by the Board of Directors of the International Society for Trauma Stress Studies (ISTSS) in November 1997 (Foa et al., 2000, p. 539). The treatment guidelines described PTSD as a serious psychological condition resulting from an exposure to a traumatic event (Foa et al., 2000, p. 539). The 2000 guidelines mentioned that the symptoms associated with PTSDs are ââ¬Å"reliving the traumatic events or frightening elements of it; avoidance of thoughts, memories, people, and places associated with the event; emotional numbing; and symptoms of elevated arousalâ⬠(Foa et al., 2000, p. 539). The treatment guidelines pointed out that PTSDs are ââ¬Å"often accompanied by other psychological disordersâ⬠(Foa et al., 2000, p. 539). Fu rther, the treatment guidelines elaborated that the ââ¬Å"PTSD is a complex condition that can be associated with significant morbidity, disability, and impairment of life functionsâ⬠(Foa et al., 2000, p. 539). The fourth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) of the American Psychiatric Association (1994) guided the guidelines. The guidelines recognized that research that shaped the guidelines came largely from western industrialized nations and little is known about the treatment of the PTSD in non-industrialized countries (Foa et al, 2000, p. 540). The guidelines also noted that there are limitations in the scientific literature on the PTSDs because most studies have used inclusion and exclusion criteria and, thus, each study may not fully represent the complete ââ¬Å"spectrumâ⬠of patients (Foa et al., 2000, p. 541). In particular, it is customary in the studies of PTSD treatment to ââ¬Å"exclude patients with active substance dependence, acute suicidal ideation, neuropsychological deficits, retardation, or cardiovascular diseaseâ⬠such that generalization of the findings to all populations may not be appropriate (Foa et al., 2000 p. 541). However, like Numeroff et al. (2009), Foa et al. (2000) did not mention anything on the association
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