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Post-Traumatic Stress Disorder (PTSD) Symptoms in Adults with Psychiatric Disorders

Published online by Cambridge University Press:  13 June 2014

Muhammad Tahir Khalily*
Affiliation:
Psychology Department Roscommon Mental Health Services and Clinical Supervisor for D.Psych.Sc School of Psychology, National University of Ireland, Galway, Galway, Ireland
Anna Paulina Wota
Affiliation:
Programme Department of Psychology, University of Bielefeld, Bielefeld, Germany
Brian Hallahan
Affiliation:
Department of Psychiatry, Roscommon County Hospital, Roscommon and Honorary Research Fellow, Clinical Science Institute, National University of Ireland, Galway, Galway, Ireland
*
*Correspondence Email [email protected]

Abstract

Objective: This study explores unrecognised symptoms related to post-traumatic stress disorder (PTSD) in individuals with a range of psychiatric disorders in the absence of traumatic events. We also examine the association between PTSD symptoms, social interaction with peers and therapeutic alliance with mental health professionals.

Method: A purposive sample of 120 adults consecutively referred to the psychology department from September 2008 to September 2010 was included in this study. We used the Minnesota Multiphasic Personality Inventory 2 (MMPI-2) to ascertain the presence of PTSD symptoms, social interaction levels and treatment alliance with health professionals.

Results: Individuals previously undiagnosed with PTSD, referred without any noted traumatic event had high levels of symptoms related to PTSD, as measured by the PK scale of the MMPI-2. The PK scale was significantly correlated with several MMPI-2 clinical scales, the Social Introversion Scale (Si) and the Treatment Alliance Scale (TRT) (p < 0.001).

Conclusion: This study demonstrated the presence of symptoms related to PTSD in individuals with a range of psychiatric disorders despite the absence of reported trauma. The presence of symptoms related to PTSD may be associated with an indirect negative impact on social contacts and a poorer therapeutic alliance with mental health professionals. Investigating symptoms of PTSD during a psychological assessment even when trauma is not the presenting complaint is merited in most cases.

Type
Original Paper
Copyright
Copyright © Cambridge University Press 2012

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References

1.American Psychiatric Association (1994). Diagnostic and Statistical Manual of Mental Disorders (4th edn) (DSM-1V). Washington, DC: APA.Google Scholar
2.Kessler, RC, Sonnega, A, Brmet, E, Hughes, M, Nelson, CB. Post-traumatic stress disorder in the National Co-morbidity Survey. Arch Gen Psychiatry 1995; 52: 10481060.CrossRefGoogle Scholar
3.Holbrooke, TL, Galarneau, MR, Duye, JL, Quinn, K, Dougherty, AL. Morphine use after combat injury in Iraq and Post-traumatic stress disorder. N Engl J Med 2010; 362: 110117.CrossRefGoogle Scholar
4.Saskia, SL, Arntz, A, Metsemakers, JFM. Symptoms of post-traumatic stress disorder after non-traumatic events: evidence from an open population study. Br J Psychiatry 2005; 186: 494499.Google Scholar
5.Scott, MJ, Stradling, SG. Post-traumatic stress disorder without the trauma. Br J Clin Psychol 1994; 33: 7174.CrossRefGoogle ScholarPubMed
6.Carey, PD, Stein, DJ, Zungu-Dirwayi, N, Seedat, S. Trauma and post-traumatic stress disorder in an urban Xhosa primary care population: Prevalence, co-morbidity and service use patterns. J Nerv Ment Dis 2003; 19: 230236.CrossRefGoogle Scholar
7.Mkize, DL. Post traumatic stress disorder in a psychiatric population not presenting with trauma: a preliminary study. Afr J Psychiatry 2008; 11:5153.CrossRefGoogle Scholar
8.Davidson, J, Smith, R. Traumatic experience in psychiatric out patients. J Trauma Stress 1990; 3: 459475.CrossRefGoogle Scholar
9.Levin, A. PTSD not most common disorder that develops after trauma. Psychiatric News 2010; 45: 824.CrossRefGoogle Scholar
10.Mueser, KT, Goodman, LB., Trmbetta, SL, et al.Trauma and post traumatic stress disorder in severe mental illness. J Consult Clin Psychol 1998; 66: 493499.CrossRefGoogle ScholarPubMed
11.Blanchard, EB, Hicking, EJ, Taylor, AE. Loos, W. Psychiatric morbidity associated with motor vehicle accidents. J Nerv Ment Dis 1995; 183: 495504.CrossRefGoogle ScholarPubMed
12.Goodman, LA, Fallot, R. HIV risk behaviours and poor urban women with severe mental disorders: Association with childhood physical and sexual abuse. Am J Orthopsychiatry 1998; 68: 7383.CrossRefGoogle ScholarPubMed
13.Roessler, TA, McKenzie, N. Effects of childhood trauma on psychological functioning in adult sexually abused as children. J Nerv Ment Dis 1994; 182: 145150.CrossRefGoogle Scholar
14.Solomon, P, Draine, J, Delaney, MA. The working alliance and consumer case management. J Ment Health Adm 1995; 22: 126134.CrossRefGoogle ScholarPubMed
15.Cresswell, CM, Kuipers, L, Power, MJ. Social networks and support in long term psychiatric patients. Psychol Med 1992; 22:10191026.CrossRefGoogle ScholarPubMed
16.Breslau, N, Davis, GC, Andreski, P. Risk factors for PTSD-related traumatic events: A prospective analysis. Am J Psychiatry 1995; 152: 529535.Google ScholarPubMed
17.Penk, WE, Rierdan, J, Losardo, M, Robinowitz, R. The MMPI-2 and Assessment of Posttraumatic Stress Disorder (PTSD). In Butcher, J.N. (Ed.) 2006 MMPI-2: A Practitioner's Guide. Washington, D.C.: American Psychological Association.Google Scholar
18.Butcher, JN, Graham, JR, Ben-Porath, YS, et al.Manual for administration, scoring, and interpretation. Revised Edition, MMPI-2 2001. University of Minnesota, Press Minneapolis.Google Scholar
19.Hase, HD, Goldberg, LR. Comparative validity of different strategies of constructing personality inventory scales. Psychol Bull 1967; 67: 231248.CrossRefGoogle ScholarPubMed
20.Burisch, M. Approaches to personality inventory construction: A comparison of merits. Am Psychol 1984; 39: 214227.CrossRefGoogle Scholar
21.Wetzel, RD, Murphy, GE, Simons, A, et al.What does the Keane PTSD Scale of the MMPI measure? Repeated measurements in a group of patients with Major Depression. Psychol Rep 2003; 92, 781786.CrossRefGoogle Scholar
22.Khalily, TM. Neuropsychology and its relevance to clinical psychology in the non-specialist Adult Mental Health setting. Ir J Psychol Med 2009; 26: 131133CrossRefGoogle ScholarPubMed
23.Khalily, TM, Wota, A, Hallahan, B. Investigation of schema modes currently activated in clients with psychiatric disorders. Ir J Psychol Med 2010;28: 7681CrossRefGoogle Scholar
24.Khalily, TM, Hallahan, B. Occurrence of neurological symptoms in alcohol misusers. Ir J Med Sci 2012; in press (DOI 10.1007/s11845-011-0801-6).Google Scholar
25.Keane, TM, Malloy, PF, Fairbanks, JA. Empirical development of an MMPI subscale for the assessment of comate-related post-traumatic stress disorder. J Consult Clin Psychol 1984; 52: 888891.CrossRefGoogle Scholar
26.Munley, PH, Bains, DS, Bloem, WD, Busby, RM. Post-traumatic stress disorder and the MMPI-2. J Trauma Stress 1995; 8: 171178.Google ScholarPubMed
27.Litz, BT, Penk, WE, Walsh, S, et al.Similarities and differences between MMPI and MMPI-2 applications to the assessment of posttraumatic stress disorder. J Pers Assess 1991; 57, 238253.CrossRefGoogle Scholar
28.Lees-Haley, PR. Efficacy of MMPI-2 validity scales and MCMI-II modifier scales for detecting spurious PTSD claims: F, F-K, Fake Bad Scale, Ego Strength, Subtle-Obvious Subscales, DIS, and DEB. J Clin Psychol 1992; 48, 681688.3.0.CO;2-Q>CrossRefGoogle ScholarPubMed
29.Greenblatt, RL, Davis, WE. Differential diagnosis of PTSD, schizophrenia, and depression with the MMPI-2. J Clin Psychol 1999; 55:217223.3.0.CO;2-I>CrossRefGoogle ScholarPubMed
30.Erika, JW, Mark, WM, Robert, JO, Mariann, RW, Diane, TC, Jaime, M, Danny, GK, Terence, MK. The MMPI-2 Restructured Clinical Scales in the Assessment of Post-traumatic Stress Disorder and Co-morbid Disorders. Psycho Assess 2008; 20: 327340.Google Scholar
31.Frank, WW, Brett, TL, Debra, SH, Jennifer, AH, Terence, MK. The PTSD Checklist (PCL): reliability, validity, and diagnostic utility. Paper presented at the Annual meeting of international society for traumatic stress studies, San Antonio, TX, 10, 1993.Google Scholar
32.Hepp, U, Gamma, A, Milos, G, et al.Prevalence of exposure to potentially traumatic events and PTSD. The Zurich Cohort Study. Eur Arch Psychiatry Clin Neurosci 2006; 256: 151158.CrossRefGoogle ScholarPubMed