Asunto(s)
Psicoterapia/métodos , Psicotrópicos/uso terapéutico , Trastornos Relacionados con Sustancias/terapia , Trastornos Relacionados con Alcohol/tratamiento farmacológico , Trastornos Relacionados con Alcohol/psicología , Trastornos Relacionados con Alcohol/terapia , Terapia Conductista , Trastornos Relacionados con Cocaína/tratamiento farmacológico , Trastornos Relacionados con Cocaína/psicología , Trastornos Relacionados con Cocaína/terapia , Terapia Combinada , Femenino , Humanos , Abuso de Marihuana/tratamiento farmacológico , Abuso de Marihuana/psicología , Abuso de Marihuana/terapia , Trastornos Relacionados con Opioides/tratamiento farmacológico , Trastornos Relacionados con Opioides/psicología , Trastornos Relacionados con Opioides/terapia , Embarazo , Complicaciones del Embarazo/tratamiento farmacológico , Complicaciones del Embarazo/psicología , Complicaciones del Embarazo/terapia , Trastornos Relacionados con Sustancias/tratamiento farmacológico , Trastornos Relacionados con Sustancias/psicología , Tabaquismo/tratamiento farmacológico , Tabaquismo/psicología , Tabaquismo/terapia , Resultado del TratamientoRESUMEN
UNLABELLED: Cambodians experienced genocide from 1975 to 1979 and ensuing civil war until 1993. PURPOSE: Are Khmer with a history of trauma who present to a general medical clinic with unexplained physical symptoms more likely than the general population to harbor psychiatric symptoms? METHODS: Subjects were drawn from a Phnom Penh clinic and the surrounding neighborhood. All subjects completed the Stressful Life Events Screening Questionnaire (SLESQ) and the PRIMEMD. Clinic patients with unexplained physical complaints were compared with neighborhood nonpatients. All individuals reporting trauma during the Pol Pot regime were compared to those reporting no such trauma; and those reporting exposure to domestic violence were compared to those without such exposure. FINDINGS: There is an increased incidence of traumatic events, depressive symptoms, general anxiety symptoms, and panic symptoms in the clinical group as compared to the control group. Survivors of genocide-associated trauma reported more somatic complaints and panic symptoms, while survivors of domestic violence had an increased incidence of depressive symptoms, general anxiety symptoms, and panic symptoms. CONCLUSION: Clinicians should consider the possibility of trauma-related psychological distress in patients who present with undiagnosable physical complaints.
Asunto(s)
Trastornos de Ansiedad/etnología , Trastornos de Ansiedad/psicología , Depresión/etnología , Depresión/psicología , Tamizaje Masivo/métodos , Trastorno de Pánico/epidemiología , Trastorno de Pánico/psicología , Trastornos Somatomorfos/etnología , Trastornos Somatomorfos/psicología , Trastornos por Estrés Postraumático/epidemiología , Trastornos por Estrés Postraumático/psicología , Adulto , Trastornos de Ansiedad/diagnóstico , Cambodia/epidemiología , Depresión/diagnóstico , Femenino , Humanos , Masculino , Trastorno de Pánico/diagnóstico , Prevalencia , Índice de Severidad de la Enfermedad , Trastornos Somatomorfos/diagnóstico , Trastornos por Estrés Postraumático/diagnóstico , Encuestas y CuestionariosRESUMEN
Kenneth Leslie Artiss (1913-2001) was an Army psychiatrist who did significant investigative work in schizophrenia and milieu therapy and whose broad scholarship led to decisively important and enduring contributions to operational psychiatry. After retirement from military service, he developed a bold approach for teaching psychodynamic theory and its applications, and he led seminars for psychiatry residents and other physicians for over four decades. He was among the first to apply psychodynamic ideas to improve oncology practice. His death in 2001 motivated a group of his military students to memorialize his life and contributions and to demonstrate why they merit continuing consideration.