Posttraumatic stress disorder in women - experiences form the Psychiatric Clinic, University Hospital Center Zagreb, Croatia [Posttraumatski stresni poremećaj u žena - iskustva Klinike za psihijatriju Kliničkog bolničkog centra Zagreb, Hrvatska]

Jovanović, Nikolina and Rojnić Kuzman, Martina and Medved, Vesna and Bokić Sabolić, Anđelina and Grubišin, Jasmina and Hotujac, Ljubomir (2009) Posttraumatic stress disorder in women - experiences form the Psychiatric Clinic, University Hospital Center Zagreb, Croatia [Posttraumatski stresni poremećaj u žena - iskustva Klinike za psihijatriju Kliničkog bolničkog centra Zagreb, Hrvatska]. Collegium Antropologicum, 33 (1). pp. 267-272. ISSN 0350-6134

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Abstract

Posttraumatic stress disorder (PTSD) is an anxiety disorder that develops after a severe traumatic event or experience. Lifetime prevalence rate in the European population is 1.9 % and it is higher for women (2.9%) then for men (0.9 %). The aim of this study was to examine rates and sociodemographic and clinical characteristics of women with PTSD who were hospitalized at the Psychiatric clinic of University Hospital Center in Croatia over the years 1990-2007. Data were gathered retrospectively from the medical charts. We found that 67 women were diagnosed with PTSD which is 0.58% of all admissions over these years. Majority suffered from comorbid depression (N = 51) and various somatic conditions, especially malignant gynecological tumors (N = 23). No significant differences were found in distribution of PTSD symptoms in relation to the combat vs. civilian trauma. We found that patients with combat trauma often suffer from comorbid depression, while those with civilian traumas more often reported somatic conditions, especially malignant gynecological tumors. Our institution is a speciality clinic at a tertiary care medical center which tends to accumulate patients with serious forms of the disorder, and therefore our results can not be generalized to other settings involved in working with women with PTSD. Our results indicate that psychiatrists' assessment of female patients should inevitably include lifetime traumatic experiences, and among those with PTSD, special attention should be paid to comorbid depression and malignant tumors.

Abstract in Croatian

Posttraumatski stresni poremećaj (PTSP) je anksiozni poremećaj koji se razvija nakon ozbiljnog traumatskog događaja ili iskustva. Cijeloživotna prevalencija u europskoj populaciji je 1,9%, viša je u žena (2,9%) nego u muškaraca (0,9%). Cilj ovog istraživanja bio je ispitati stope, sociodemografska i klinička obilježja žena oboljelih od PTSP-a koje su bile hospitaliziranih na Klinici za psihijatriju Kliničkog bolničkog centra Zagreb u Hrvatskoj, tijekom 1990–2007. godine. Podatci su prikupljeni retrospektivno iz medicinske dokumentacije. Pronašli smo da je 67 žena dijagnosticiran PTSP što predstavlja 0.58% svih prijema tijekom ovih godina. Većina je patila od komorbidne depresije (N=51) i raznih tjelesnih bolesti, posebno malignih ginekoloških tumora (N=22). Nismo našli značajne razlike u distribuciji simptoma PTSP-a u odnosu na vrstu doživljene traume (ratna vs. mirnodopska). Pokazali smo da su bolesnici s ratnom traumom češće imali komorbidnu depresiju, dok su oni s civilnom traumom češće obolijevali od tjelesnih bolesti, posebice malignih ginekoloških tumora. Naša ustanova je specijalistička klinika u tercijarnom medicinskom centru s tendencijom da liječi bolesnike s težim oblicima poremećaja i stoga se naši rezultati ne mogu generalizirati na druga radilišta koja liječe bolesnike s PTSP-om. Ipak, naši rezultati ukazuju da psihijatrijska procjena nužno treba uključivati prošla traumatska iskustva bolesnika, a u žena s dijagnosticiranim PTSP-om potrebno je obratiti posebnu pažnju na komorbidnu depresiju i maligne tumore.

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