Acute stress disorder and defense mechanisms: a study of physical trauma patients admitted to an emergency hospital
Autor(a) principal: | |
---|---|
Data de Publicação: | 2017 |
Outros Autores: | , , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Trends in Psychiatry and Psychotherapy |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S2237-60892017000400247 |
Resumo: | Abstract Introduction: Acute stress disorder (ASD) encompasses a set of symptoms that can arise in individuals after exposure to a traumatic event. This study assessed the defense mechanisms used by victims of physical trauma who developed ASD. Method: This was a controlled cross-sectional study of 146 patients who suffered physical trauma and required hospitalization. A structured questionnaire was used to evaluate ASD symptoms based on DSM-5 diagnostic criteria, in addition to the Defense Style Questionnaire (DSQ). Results: Ten participants (6.85%) received a positive diagnosis of ASD, and 136, (93.15%) a negative diagnosis. The majority of the sample consisted of men with median age ranging from 33.50 to 35.50. The most prevalent defense mechanisms among the 10 patients with ASD were cancellation and devaluation, which belong to the neurotic and immature factors, respectively. Positive associations between the presence of symptoms from criterion B of the DSM-5 and defense mechanisms from the DSQ were found. These included the mechanisms of undoing, projection, passive aggression, acting out, autistic fantasy, displacement, and somatization. Conclusion: Patients with ASD employed different defense mechanisms such as undoing and devaluation when compared to patients not diagnosed with ASD. These results mark the importance of early detection of ASD symptoms at a preventative level, thereby creating new possibilities for avoiding exacerbations related to the trauma, which represents an important advance in terms of public health. |
id |
APRGS-1_920f7401fa99c6364bd625117c720eea |
---|---|
oai_identifier_str |
oai:scielo:S2237-60892017000400247 |
network_acronym_str |
APRGS-1 |
network_name_str |
Trends in Psychiatry and Psychotherapy |
repository_id_str |
|
spelling |
Acute stress disorder and defense mechanisms: a study of physical trauma patients admitted to an emergency hospitalSymptomacute stress disorderdefense mechanismsstressful eventsAbstract Introduction: Acute stress disorder (ASD) encompasses a set of symptoms that can arise in individuals after exposure to a traumatic event. This study assessed the defense mechanisms used by victims of physical trauma who developed ASD. Method: This was a controlled cross-sectional study of 146 patients who suffered physical trauma and required hospitalization. A structured questionnaire was used to evaluate ASD symptoms based on DSM-5 diagnostic criteria, in addition to the Defense Style Questionnaire (DSQ). Results: Ten participants (6.85%) received a positive diagnosis of ASD, and 136, (93.15%) a negative diagnosis. The majority of the sample consisted of men with median age ranging from 33.50 to 35.50. The most prevalent defense mechanisms among the 10 patients with ASD were cancellation and devaluation, which belong to the neurotic and immature factors, respectively. Positive associations between the presence of symptoms from criterion B of the DSM-5 and defense mechanisms from the DSQ were found. These included the mechanisms of undoing, projection, passive aggression, acting out, autistic fantasy, displacement, and somatization. Conclusion: Patients with ASD employed different defense mechanisms such as undoing and devaluation when compared to patients not diagnosed with ASD. These results mark the importance of early detection of ASD symptoms at a preventative level, thereby creating new possibilities for avoiding exacerbations related to the trauma, which represents an important advance in terms of public health.Associação de Psiquiatria do Rio Grande do Sul2017-12-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S2237-60892017000400247Trends in Psychiatry and Psychotherapy v.39 n.4 2017reponame:Trends in Psychiatry and Psychotherapyinstname:Sociedade de Psiquiatria do Rio Grande do Sulinstacron:APRGS10.1590/2237-6089-2016-0071info:eu-repo/semantics/openAccessSantana,Márcia Rosane MoreiraZatti,CleoniceSpader,Mariana LunardiMalgarim,Bibiana GodoiSalle,EmílioPiltcher,RenatoCeresér,Keila Maria MendesBastos,Andre GoettemsFreitas,Lúcia Helenaeng2017-12-20T00:00:00Zoai:scielo:S2237-60892017000400247Revistahttp://www.scielo.br/scielo.php?script=sci_serial&pid=2237-6089&lng=en&nrm=isohttps://old.scielo.br/oai/scielo-oai.phprevista@aprs.org.br|| rodrigo_grassi@terra.com.br2238-00192237-6089opendoar:2017-12-20T00:00Trends in Psychiatry and Psychotherapy - Sociedade de Psiquiatria do Rio Grande do Sulfalse |
dc.title.none.fl_str_mv |
Acute stress disorder and defense mechanisms: a study of physical trauma patients admitted to an emergency hospital |
title |
Acute stress disorder and defense mechanisms: a study of physical trauma patients admitted to an emergency hospital |
spellingShingle |
Acute stress disorder and defense mechanisms: a study of physical trauma patients admitted to an emergency hospital Santana,Márcia Rosane Moreira Symptom acute stress disorder defense mechanisms stressful events |
title_short |
Acute stress disorder and defense mechanisms: a study of physical trauma patients admitted to an emergency hospital |
title_full |
Acute stress disorder and defense mechanisms: a study of physical trauma patients admitted to an emergency hospital |
title_fullStr |
Acute stress disorder and defense mechanisms: a study of physical trauma patients admitted to an emergency hospital |
title_full_unstemmed |
Acute stress disorder and defense mechanisms: a study of physical trauma patients admitted to an emergency hospital |
title_sort |
Acute stress disorder and defense mechanisms: a study of physical trauma patients admitted to an emergency hospital |
author |
Santana,Márcia Rosane Moreira |
author_facet |
Santana,Márcia Rosane Moreira Zatti,Cleonice Spader,Mariana Lunardi Malgarim,Bibiana Godoi Salle,Emílio Piltcher,Renato Ceresér,Keila Maria Mendes Bastos,Andre Goettems Freitas,Lúcia Helena |
author_role |
author |
author2 |
Zatti,Cleonice Spader,Mariana Lunardi Malgarim,Bibiana Godoi Salle,Emílio Piltcher,Renato Ceresér,Keila Maria Mendes Bastos,Andre Goettems Freitas,Lúcia Helena |
author2_role |
author author author author author author author author |
dc.contributor.author.fl_str_mv |
Santana,Márcia Rosane Moreira Zatti,Cleonice Spader,Mariana Lunardi Malgarim,Bibiana Godoi Salle,Emílio Piltcher,Renato Ceresér,Keila Maria Mendes Bastos,Andre Goettems Freitas,Lúcia Helena |
dc.subject.por.fl_str_mv |
Symptom acute stress disorder defense mechanisms stressful events |
topic |
Symptom acute stress disorder defense mechanisms stressful events |
description |
Abstract Introduction: Acute stress disorder (ASD) encompasses a set of symptoms that can arise in individuals after exposure to a traumatic event. This study assessed the defense mechanisms used by victims of physical trauma who developed ASD. Method: This was a controlled cross-sectional study of 146 patients who suffered physical trauma and required hospitalization. A structured questionnaire was used to evaluate ASD symptoms based on DSM-5 diagnostic criteria, in addition to the Defense Style Questionnaire (DSQ). Results: Ten participants (6.85%) received a positive diagnosis of ASD, and 136, (93.15%) a negative diagnosis. The majority of the sample consisted of men with median age ranging from 33.50 to 35.50. The most prevalent defense mechanisms among the 10 patients with ASD were cancellation and devaluation, which belong to the neurotic and immature factors, respectively. Positive associations between the presence of symptoms from criterion B of the DSM-5 and defense mechanisms from the DSQ were found. These included the mechanisms of undoing, projection, passive aggression, acting out, autistic fantasy, displacement, and somatization. Conclusion: Patients with ASD employed different defense mechanisms such as undoing and devaluation when compared to patients not diagnosed with ASD. These results mark the importance of early detection of ASD symptoms at a preventative level, thereby creating new possibilities for avoiding exacerbations related to the trauma, which represents an important advance in terms of public health. |
publishDate |
2017 |
dc.date.none.fl_str_mv |
2017-12-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S2237-60892017000400247 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S2237-60892017000400247 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/2237-6089-2016-0071 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Associação de Psiquiatria do Rio Grande do Sul |
publisher.none.fl_str_mv |
Associação de Psiquiatria do Rio Grande do Sul |
dc.source.none.fl_str_mv |
Trends in Psychiatry and Psychotherapy v.39 n.4 2017 reponame:Trends in Psychiatry and Psychotherapy instname:Sociedade de Psiquiatria do Rio Grande do Sul instacron:APRGS |
instname_str |
Sociedade de Psiquiatria do Rio Grande do Sul |
instacron_str |
APRGS |
institution |
APRGS |
reponame_str |
Trends in Psychiatry and Psychotherapy |
collection |
Trends in Psychiatry and Psychotherapy |
repository.name.fl_str_mv |
Trends in Psychiatry and Psychotherapy - Sociedade de Psiquiatria do Rio Grande do Sul |
repository.mail.fl_str_mv |
revista@aprs.org.br|| rodrigo_grassi@terra.com.br |
_version_ |
1754209281024983040 |