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Yıl:2015; Cilt: 8; Sayı: 1>> Özet
Türkiye Klinikleri Psikiyatri Özel Dergisi; 2015;8(1):21-30
Travma Sonrası Stres Bozukluğunun Kliniği ve Ayırıcı Tanısı
B Özdemir, C Çelik
GATA, Ankara
Travma Sonrası Stres Bozukluğu (TSSB) günümüze gelene kadar pek çok farklı isimle anılan, zengin klinik belirti kümelerine sahip, sadece gösterilebilir ve tanımlanabilir travmatik deneyimlerin etkisiyle ortaya çıkan eşsiz bir ruhsal bozukluktur. Ancak, ruhsal travma tanımındaki sınırların belirsizliği, belirti kümelerinin pek çok ruhsal bozuklukla örtüşmesi, eş zamanlı ruhsal bozuklukların sıklığı ve simülasyona açık bir tanı olması nedeniyle halen tartışmaya açık yönleri vardır. Bu gün için sınıflandırma kitaplarında yeni tanımlamalar yapmak suretiyle bu tartışmalar giderilmeye çalışılmıştır. Buna rağmen, ruhsal travmanın tarihsel sürecinde olduğu gibi gelecekte de daha farklı klinik ölçütler gündeme gelecektir. Nasıl olursa olsun, değişen toplumsal nitelikler travmatik etkenlerin tanımına yeni açıklamalar ekleyecektir ve bu da ayırıcı tanı bakımından TSSB'yi eşsiz bir konumda tutmaya devam edecektir.
Clinical and Differential Diagnosis of Post-traumatic Stress Disorder
Post-traumatic Stress Disorder (PTSD) is a unique psychiatric disorder that can only appear due to effects of demonstrated and described traumatic experiences. It has a broad clinical symptom cluster and has been referred with many different names until now. However, it still has debatable aspects because of uncertainty in the definition of the boundaries of psychological trauma; overlapping of symptom cluster with many mental disorders; high frequency of comorbid mental disorders and being a diagnosis that is prone to simulation. Nowadays, this discussion is being tried to be resolved by making new definitions in the classification books. However, different clinical criteria will be considered in the future as in the historical process of psychological trauma. In any case, changing social nature will add new explanations to the definition of traumatic factors and it will continue to hold PTSD diagnosis in a unique location in terms of differential diagnosis.

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