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Uncategorized

The concept of posttraumatic mood disorder and its relation to suicidal behavior in war veterans

April 11, 2010

Leo Sher
Columbia University and New York State Psychiatric Institute, New York, New York, USA
War and Suicide. Hauppauge, New York: Nova Science Publishers, 2009, 306 pages.

Individuals exposed to severe traumatic stress often develop comorbid posttraumatic stress disorder (PTSD) and major depressive disorder (MDD). I developed a new concept suggesting that that some or all individuals diagnosed with comorbid PTSD and MDD have a separate psychobiological condition that can be termed “post-traumatic mood disorder” (PTMD). This concept is supported by a significant number of clinical, translational and other studies suggesting that patients suffering from comorbid PTSD and MDD are different clinically and biologically from individuals with PTSD alone or MDD alone. Patients with comorbid PTSD and MDD are characterized by greater impairment compared to individuals with PTSD alone or MDD alone. Neurobiological evidence supporting the concept of PTMD includes the findings related to dopaminergic, serotonergic, and hypothalamic-pituitary-adrenal axis function and other observations. Combat-related trauma may result in PTMD. The wars in Iraq and Afghanistan have presented coalition soldiers with a unique set of severe and chronic stressors. Many returning war veterans suffer from comorbid PTSD and MDD (i.e., PTMD) and exhibit suicidal behavior. Both PTSD and MDD are associated with suicidal behavior and there are observations suggesting that individuals with comorbid PTSD and MDD (i.e., PTMD) have higher suicidality compard to persons with MDD only. It is crucial to develop interventions to prevent and to treat PTMD in war veterans and measures to prevent and to treat suicidal ideation and behavior in war veterans with PTMD

‹ Locating now: On historical trauma and the confusion of identity › The interpersonal-psychological theory of suicidal behaviors as an explanation of suicide among war veterans

Uncategorized

The Concept of Posttraumatic Mood Disorder and its Relation to Suicidal Behavior in War Veterans

April 3, 2010

Leo Sher
Columbia University and New York State Psychiatric Institute, New York, New York, USA
Suicide in the Military. Hauppauge, New York: Nova Science Publishers, 2009, 210 pages.

Individuals exposed to severe traumatic stress often develop comorbid posttraumatic stress disorder (PTSD) and major depressive disorder (MDD). I developed a new concept suggesting that that some or all individuals diagnosed with comorbid PTSD and MDD have a separate psychobiological condition that can be termed “post-traumatic mood disorder” (PTMD). This concept is supported by a significant number of clinical, translational and other studies suggesting that patients suffering from comorbid PTSD and MDD are different clinically and biologically from individuals with PTSD alone or MDD alone. Patients with comorbid PTSD and MDD are characterized by greater impairment compared to individuals with PTSD alone or MDD alone. Neurobiological evidence supporting the concept of PTMD includes the findings related to dopaminergic, serotonergic, and hypothalamic-pituitary-adrenal axis function and other observations. Combat-related trauma may result in PTMD. The wars in Iraq and Afghanistan have presented coalition soldiers with a unique set of severe and chronic stressors. Many returning war veterans suffer from comorbid PTSD and MDD (i.e., PTMD) and exhibit suicidal behavior. Both PTSD and MDD are associated with suicidal behavior and there are observations suggesting that individuals with comorbid PTSD and MDD (i.e., PTMD) have higher suicidality compard to persons with MDD only. It is crucial to develop interventions to prevent and to treat PTMD in war veterans and measures to prevent and to treat suicidal ideation and behavior in war veterans with PTMD.

‹ Sleep Disturbances and Suicide Prevention in the Military › Preventing Suicide in the Military: Plenty of Room for Improvement

"Terror and Suicide" chapter abstracts

The concept of posttraumatic mood disorder and its relation to suicidal behavior in war veterans

April 2, 2010

Leo Sher
Columbia University and New York State Psychiatric Institute, New York, New York, USA
Terror and Suicide. Hauppauge, New York: Nova Science Publishers, 2009, 167 pages.

Individuals exposed to severe traumatic stress often develop comorbid posttraumatic stress disorder (PTSD) and major depressive disorder (MDD). I developed a new concept suggesting that that some or all individuals diagnosed with comorbid PTSD and MDD have a separate psychobiological condition that can be termed “post-traumatic mood disorder” (PTMD). This concept is supported by a significant number of clinical, translational and other studies suggesting that patients suffering from comorbid PTSD and MDD are different clinically and biologically from individuals with PTSD alone or MDD alone. Patients with comorbid PTSD and MDD are characterized by greater impairment compared to individuals with PTSD alone or MDD alone. Neurobiological evidence supporting the concept of PTMD includes the findings related to dopaminergic, serotonergic, and hypothalamic-pituitary-adrenal axis function and other observations. Combat-related trauma may result in PTMD. The wars in Iraq and Afghanistan have presented coalition soldiers with a unique set of severe and chronic stressors. Many returning war veterans suffer from comorbid PTSD and MDD (i.e., PTMD) and exhibit suicidal behavior. Both PTSD and MDD are associated with suicidal behavior and there are observations suggesting that individuals with comorbid PTSD and MDD (i.e., PTMD) have higher suicidality compard to persons with MDD only. It is crucial to develop interventions to prevent and to treat PTMD in war veterans and measures to prevent and to treat suicidal ideation and behavior in war veterans with PTMD.

Related Posts

"Terror and Suicide" chapter abstracts /

A case analysis based on the narrative of a survivor of the gulags

"Terror and Suicide" chapter abstracts /

PTSD: Posttraumatic Suicide Disorder?

"Terror and Suicide" chapter abstracts /

A double S: Stress and Suicide

‹ PTSD: Posttraumatic Suicide Disorder? › A case analysis based on the narrative of a survivor of the gulags

Editorials

  • Gut microbiota and mental health
  • Is it time to revisit Feres?
  • Waiting to eliminate measles?
  • It’s hard to say I’m sorry

Research Papers

  • Examination of depressive signs and symptoms among 803 University students in seven Universities and Colleges. Hungary, Romania, Serbia.
  • Examination of spirituality and the dimensions of spirituality among 803 students in seven different Universities. Hungary, Romania and Serbia.
  • Examination of depressive signs and symptoms among 932 students in eight different secondary schools in Hungary
  • Examination of psychological immune system among 932 students in eight different secondary schools in Hungary

Research News

  • Fathers’ alcohol use and suicidal behavior
  • Married people are less likely to experience dementia as they age
  • Endogenous cannabinoids and suicidality in combat veterans
  • Cell phones and brain breaks

Latest News

  • The 2020 Rome Congress on suicide research and prevention
  • 2020 Best Medical Schools
  • “The Challenged Child”: The Fifth International Conference on Child Health, Development and Welfare
  • An Expertscape tweet

Interviews with eminent psychiatrists

  • Interview with Professor Shih-Ku Lin
  • Interview with Professor Masahito Fushimi
  • Interview with Professor Maurizio Pompili
  • Interview with Professor Marco Sarchiapone

Ten Years Ago

  • Objections to suicide among mood disordered patients with co-occurring alcohol use disorders
  • Effect of alcohol use on the lethality of suicide attempts
  • Treatment of depressed bipolar patients with or without co-occurring alcohol use disorder
  • Moral objections to suicide and suicidal ideation among individuals with mood disorders

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