Document Type : Research Paper

Authors

1 Allameh Tabatabai University

2 Imam Khomeini International University

Abstract

The purpose of this study was to comparison of the severity of depression symptoms and the speed of information processing among patients with post-traumatic stress disorder and normal adolescents. The research design was causal-comparative. The research population consisted of normal adolescents and adolescents with post-traumatic stress disorder in the city of Karaj in the winter of 2018. The sample consisted of 52 participants (26 patients with post-traumatic stress disorder and 26 normal people) which were selected by Convenience method, and matched according to age and gender. Data were collected from child depression inventory (CDI) and WISC-IV Test. Data were analyzed using multivariate analysis of variance (MANOVA). The findings showed that in comparison with normal people, patients with post-traumatic stress disorder show a higher level of negative mood, higher self-esteem and inefficiency, and lower processing speed. However, there was no difference between the two groups in terms of lack of pleasure and Relationship problems. Therefore, it can be concluded that in comparison with normal adolescents, adolescents with post-traumatic stress disorder are more prone to experiencing mood symptoms and cognitive problems such as weaknesses in information processing. As a result, attention to these issues is essential in the treatment of people with posttraumatic stress disorder.

Keywords

احمدی، مریم؛ مرادی، علیرضا و حسنی، جعفر. (1395). عملکرد نوجوانان مبتلا به اختلال افسردگی اساسی و استرس پس از سانحه در حافظه فعال و سرعت پردازش. فصلنامه روانشناسی شناختی، 4 (1-2)، 52-62.
دهشیری، غلامرضا؛ نجفی، محمود؛ شیخی، منصوره و حبیبی عسگرآبادی، مجتبی. (1388). بررسی مقدماتی ویژگی­های روانسنجی پرسشنامه افسردگی کودکان (CDI). خانواده پژوهی، 5 (18)، 159-177.
سادوک، ج. بنجامین و سادوک، آ. ویرجینیا. (2007). خلاصه روان‌پزشکی علوم رفتاری/ روان‌پزشکی بالینی کاپلان و سادوک. (ترجمه فرزین رضاعی، 1392). تهران: نشر ارجمند.
موسوی اصل، علی؛ برجعلی، احمد؛ سهرابی، فرامرز و فرخی، نورعلی. (1393). اثربخشی طرحواره­درمانی بر کاهش علائم تجربه مجدد ضربه در جانبازان مبتلا به اختلال استرس پس از ضربه. فصلنامه مطالعات روانشناسی بالینی، 14 (4)، 1-20.
American Psychiatric Association. (2013). Diagnostic and Statistical Manual of Mental Disorders (DSM-5®). American Psychiatric Pub.
Bomyea, J., Lang, A. J. (2016). Accounting for intrusive thoughts in PTSD: Contributions of cognitive control and deliberate regulation strategies. Journal of affective disorders, 192, 184-190.
Bountress, K., Sheerin, C., Amstadter, A.B., Mandel, H., Voltin, J., Wang, Z. (2017). The relation between GAD1 and PTSD symptoms: Shared risk for depressive symptoms. Psychiatry Research, 258, 607-608.
Dekel, S., Peleg, T., Solomon, Z. (2013). The relationship of PTSD to negative cognitions: a 17-year longitudinal study. Psychiatry, 76(3), 241-55.
Drag, L.L, Spencer, R.J, Walker, S.J, Pangilinan, P.H., Bieliauskas, L.A. (2012). The contributions of self-reported injury characteristics and psychiatric symptoms to cognitive functioning in OEF/OIF veterans with mild traumatic brain injury. J Int Neuropsycho, 18(3), 576-84
El-Hage, W., Quidé, Y., Radua, J., & Olff, M. (2013). Neural correlates of memory dysfunctions in PTSD: Preliminary findings of a systematic review and a mixed image/voxel-based meta-analysis. In 13th European Conference on Traumatic Stress-Trauma and its clinical pathways. PTSD and beyond.
Elhai, J.D., Grubaugh, A.L., Kashdan, T.B., Frueh, B.C. (2008). Empirical examination of a proposed refinement to DSM-IV posttraumatic stress disorder symptom criteria using the National Comorbidity Survey Replicationdata. J. Clin. Psychiatry, 69(4),597–602.
Elwood, L.S., Hahn, K.S., Olatunji, B.O., Williams, N.L. (2009). Cognitive vulnerabilities to the development of PTSD: are view off our vulnerabilities and the proposal of an integrative vulnerability model. Clin. Psychol. Rev, 29(1), 87–100.
Friedman HR. (2004). Towards Pharmacotherapy for Posttraumatic Stress Disorder. Philadelphia, 465-81.
Johnsen GE, Kanagaratnam P, Nordling T, Wilberg C, Asbjّrnsen AE. (2017). Psychophysiological responses to an executive task in refugees with chronic PTSD and comorbid depression. Nordic Psychology, 69(3):177-94.
Koso, M., Hansen, S. (2006). Executive function and memory in posttraumatic stress disorder: A study of Bosnian war veterans. European Psychiatry, 21, 167–173.
Lagarde, G., Doyon, J., Brunet, A. (2010). Memory and executive dysfunction associated with acute posttramatic stress disorder. Psychiatry Res,177(2), 144-9.
Lee, D.J., Liverant, G.I., Lowmaster, S.E., Gradus, J.L., Sloan, D.M. (2014). PTSD and reasons for living: Associations with depressive symptoms and alcohol use. Psychiatry Research, 219 (3), 550-555.
Olff, M., Polak, A.R., Witteveen, A.B., Denys, D. (2014). Executive function in posttraumatic stress disorder (PTSD) and the influence of comorbid depression. Neurobiology of Learning and Memory, 112, 114-121.
Patel, R., Spreng, R. N., Shin, L. M., & Girard, T. A. (2012). Neurocircuitry models of posttraumatic stress disorder and beyond: A meta-analysis of functional neuroimaging studies. Neuroscience and Biobehavioral Reviews, 36, 2130–2142.
Polak, A. R., Witteveen, A. B., Reitsma, J. B., & Olff, M. (2012). The role of executive function in posttraumatic stress disorder: A systematic review. Journal of Affective Disorders, 141, 11–21.
Porter, R. J., Bourke, C., Gallagher, P. (2007). Neuropsychological impairment in major depression: Its nature, origin and clinical significance. Australian and New Zealand Journal of Psychiatry, 41, 115–128.
Quide, Y., Witteveen, A. B., El-Hage, W., Veltman, D. J., & Olff, M. (2012). Differences between effects of psychological versus pharmacological treatments on functional and morphological brain alterations in anxiety disorders and major depressive disorder: A systematic review. Neuroscience and Biobehavioral Reviews, 36, 626–644.
Qureshi, S. U., Long, M. E., Bradshaw, M. R., Pyne, J. M., Magruder, K. M., Kim-brell, T. et al. (2011). Does PTSD impair cognition beyond the effect of trauma? The Journal of Neuropsychiatry and Clinical Neurosciences, 23, 16–28.
Roley, M.E., Claycomb, M.A., Contractor, A.A., Dranger, P., Armour, C., Elhai, J.D. (2015). The relationship between rumination, PTSD, and depression symptoms. Journal of Affective Disorders, 180, 116–121.
Scott, J. C., Matt, G. E., Wrocklage, K. M., Crnich, C., Jordan, J., Southwick, S. M., ... & Schweinsburg, B. C. (2015). A quantitative meta-analysis of neurocognitive functioning in posttraumatic stress disorder. Psychological bulletin, 141(1), 105.
Shafiei M., Sadeghi M., Ramezani S. (2017). Effectiveness of Cognitive-Behavioral Therapy on Executive Function and Experiential Avoidance in Veterans with Post-Traumatic Stress Disorder. Iranian Journal of War & Public Health, 9(4), 169-175.
Stein, M. B., Kennedy, C. M., & Twamley, E. W. (2002). Neuropsychological function in female victims of intimate partner violence with and without posttraumatic stress disorder. Biological Psychiatry, 52, 1079–1088.
Twamley, E. W., Allard, C. B., Thorp, S. R., Norman, S. B., Hami-Cissell, S., Hughes-Berardi, K. et al. (2009). Cognitive impairment and functioning in PTSD related to intimate partner violence. Journal of the International Neuropsychological Society, 15, 879–887.
Vasterling, J. J., Duke, L. M., Brailey, K., Constans, J. I., Allain, A. N., Sutker, P. B. (2002). Attention, learning, and memory performances and intellectual resources in Vietnam veterans: PTSD and no disorder comparisons. Neuropsychology, 16, 5–14.