Cognitive functions in combat posttraumatic stress disorder

Posttraumatic stress disorder (PTSD) is associated with changes in cognitive functions. The aim of the study was to investigate differences in cognitive abilities between PTSD patients and healthy controls. As PTSD is often accompanied by comorbidity, the PTSD patients with comorbid diagnoses were a...

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Permalink: http://skupni.nsk.hr/Record/nsk.NSK01001104458/Details
Matična publikacija: Collegium antropologicum (Online)
44 (2020), 4 ; str. 199-207
Glavni autori: Havelka Meštrović, Ana (Author), Domijan, Marina, Mićković, Vlatko, Lončar, Zoran, liječnik
Vrsta građe: e-članak
Jezik: eng
Predmet:
Online pristup: https://doi.org/10.5671/ca.44.4.2
Hrčak
Collegium antropologicum (Online)
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245 1 0 |a Cognitive functions in combat posttraumatic stress disorder  |h [Elektronička građa] /  |c Ana Havelka Meštrović, Marina Domijan, Vlatko Mičković, Zoran Lončar. 
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520 |a Posttraumatic stress disorder (PTSD) is associated with changes in cognitive functions. The aim of the study was to investigate differences in cognitive abilities between PTSD patients and healthy controls. As PTSD is often accompanied by comorbidity, the PTSD patients with comorbid diagnoses were also included in our study. The study participants included 254 Croatian combat veterans (60 PTSD and 194 PTSD plus comorbidity) and control group of 125 healthy Croatian military and civilian pilots. The diagnosis of PTSD was made by clinical scale for PTSD assessment (CAPS), while cognitive abilities were measured by Wechsler intelligence scale (WAIS-III-R) and Rey test (ROCFT). The study results have confirmed that there is a significant difference in cognitive functions between the PTSD patients and healthy controls regarding age and education. The PTSD patients (PTSD only and PTSD with comorbidity) have shown lower general intellectual abilities, reduced capacity of working, numerical and visual memory, and decreased executive functions when compared to healthy controls. These results are an additional contribution to a better understanding and determination of changes in cognitive functions that occur in combat PTSD as a result of traumatic stress. 
520 |a Cilj istraživanja bio je dokazati razlike u kognitivnim sposobnostima između bolesnika s PTSP-om i zdravih ispitanika. S obzirom da je PTSP često praćen komorbidnim dijagnozama, u ispitivanje su uključeni bolesnici s PTSP-om koji imaju komorbidnu dijagnozu. Među sudionicima studije bila su 254 hrvatska ratna veterana (60 PTSP i 194 PTSP + komorbiditet) dok su kontrolnu skupinu činili 125 hrvatskih vojnih i civilnih pilota. Dijagnoza PTSP-a procjenjivala se je skalom za ocjenu PTSP-a (CAPS), dok su kognitivne sposobnosti bile mjerene Wechslerovom obavjesnom skalom (WAIS-IIII-R) i Reyevim testom (ROCFT). Rezultati ispitivanja potvrdili su postojanje značajnih razlika u kognitivnim funkcijama između bolesnika s PTSP-om i zdravih ispitanika s obzirom na dob i obrazovanje. Bolesnici s PTSP-om (samo PTSP i PTSP + komorbiditet) pokazali su smanjene opće intelektualne sposobnosti, smanjeni kapacitet radne, numeričke i vizualne memorije te smanjene izvršne funkcije u usporedbi sa zdravim kontrolnim ispitanicima. Ti su rezultati dodatni doprinos boljem razumijevanju i definiranju promjena kognitivnih funkcija te boljem terapijskom pristupu PTSPu kao posljedice traumatskog stresa. 
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700 1 |a Domijan, Marina  |4 aut 
700 1 |a Mićković, Vlatko  |4 aut 
700 1 |a Lončar, Zoran,  |c liječnik  |4 aut 
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