Adolescent patient with post traumatic stress disorder due atypical stressor: Case report

Jhonny Alejandro Muñoz Valencia , Jose Ricardo MuñoZuñiga , Juan Carlos Rivas Nieto
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Abstract

Introduction

Post-traumatic stress disorder (PTSD) is characterised by intrusive, anxious, and avoidant symptoms that are triggered after a stressful experience and affect the mood. The definition of a stressor that generates PTSD has been debated in recent years, as a clinical picture compatible with the disorder can occur after exposure to stressors that do not meet the criteria A1 of the DSM V; these stressors have been defined in the literature as "of low magnitude, uncommon, unusual or atypical".

Clinical case

We present the clinical case of a paediatric patient who developed PTSD after being exposed to an atypical stressor.

Conclusions

The literature shows these stressors to be more frequently documented in the paediatric population. We therefore suggest that cases should be analysed as a complex interweaving of variables, where one of the most important is each patient's interpretation of the event according to their life history and social context, and not because of an inherent characteristic of the stressor itself.

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非典型压力源导致的创伤后应激障碍青少年患者:病例报告。
导言:创伤后应激障碍(PTSD)的特点是在应激经历后引发侵入性、焦虑和回避症状,并影响情绪。近年来,关于产生创伤后应激障碍的应激源的定义一直存在争议,因为在暴露于不符合 DSM V 标准 A1 的应激源后,也可能出现与创伤后应激障碍相符的临床表现;这些应激源在文献中被定义为 "低强度、不常见、不寻常或非典型"。因此,我们建议将病例作为一个复杂的交织变量来分析,其中最重要的一个变量是每个患者根据其生活史和社会背景对事件的解释,而不是因为应激源本身的固有特征。
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