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ARTÍCULO ESPECIAL 653 Experiencias traumáticas en la atención primaria - R. A. Figueroa et al suicidalidad crónica, trastornos de la personalidad y síntomas vagos y abigarrados, así como en aquellos en los que se conozca del antecedente traumático. La confirmación se puede facilitar con instrumentos breves de tamizaje como el PC-PTSD o el PCL. A partir de la tercera semana aquellos pacientes que persistan con síntomas que comprometan el funcionamiento deben ser derivados a PT-CT o en su defecto a psicoterapia convencional. Si además presentan depresión o si no responden a la psicoterapia se les debe indicar un ISRS y derivar a psiquiatría. Referencias 1. American Psychological Association (APA). Diagnostic and Statistical Manual of Mental Disorders (DSM-5®). 2013. 2. World Health Organization (WHO). Post-traumatic stress disorder Internet. ICD-11 Beta Draft (Joint Linearization for Mortality and Morbidity Statistics). 2015 consultado el 2015 Dec 28. Disponible en: http:// id.who.int/icd/entity/2070699808 3. Stein DJ, McLaughlin KA, Koenen KC, Atwoli L, Friedman MJ, Hill ED, et al. DSM-5 and ICD-11 definitions of posttraumatic stress disorder: investigating “narrow” and “broad” approaches. Depress Anxiety 2014; 31 (6): 494-505. 4. Zlotnick C, Johnson J, Kohn R, Vicente B, Rioseco P, Saldivia S. Epidemiology of trauma, post-traumatic stress disorder (PTSD) and co-morbid disorders in Chile. Psychol Med 2006; 36 (11): 1523-33. 5. Norris FH, Murphy AD, Baker CK, Perilla JL, Rodríguez FG, Rodríguez J de J. Epidemiology of trauma and posttraumatic stress disorder in Mexico. J Abnorm Psychol 2003; 112 (4): 646-56. 6. Perkonigg A, Kessler RC, Storz S, Wittchen HU. Traumatic events and post-traumatic stress disorder in the community: prevalence, risk factors and comorbidity. Acta Psychiatr Scand 2000; 101 (1): 46-59. 7. Creamer M, Burgess P, McFarlane AC. Post-traumatic stress disorder: findings from the Australian National Survey of Mental Health and Well-being. Psychol Med 2001; 31 (7): 1237-47. 8. Kessler RC, Sonnega A, Bromet E, Hughes M, Nelson CB. Posttraumatic stress disorder in the National Comorbidity Survey. Arch Gen Psychiatry 1995; 52 (12): 1048-60. 9. Moreau C, Zisook S. Rationale for a posttraumatic stress spectrum disorder. Psychiatr Clin North Am 2002; 25 (4): 775-90. 10. Kessler RC. Posttraumatic stress disorder: the burden to the individual and to society. J Clin Psychiatry 2000; 61 Suppl 5: 4. 11. Waddington A, Ampelas J-FF, Mauriac F, Bronchard M, Zeltner L, Mallat V. Post-traumatic stress disorder (PTSD): the syndrome with multiple faces. Encephale 2003; 29 (1): 20-7. 12. Galatzer-Levy IR, Bryant RA. 636,120 Ways to Have Posttraumatic Stress Disorder. Perspect Psychol Sci 2013; 8 (6): 651-62. 13. Wade D, Howard A, Fletcher S, Cooper J, Forbes D. Early response to psychological trauma-what GPs can do. Aust Fam Physician 2013; 42 (9): 610-4. 14. Grinage BD. Diagnosis and management of post-traumatic stress disorder. Am Fam Physician 2003; 68 (12): 2401-8. 15. Stein MB, McQuaid JR, Pedrelli P, Lenox R, Mccahill ME. Posttraumatic stress disorder in the primary care medical setting. Gen Hosp Psychiatry 2000; 22 (4): 261- 9. 16. Ministerio de Salud de Chile. Estudio de carga de enfermedad y carga atribuible Internet. Ministerio de Salud de Chile. 2008 consultado el 28 de marzo de 2016. Disponible en: http://epi.minsal.cl/wp-content/ uploads/2016/04/Informe-final-carga_Enf_2007.pdf 17. Mathers C, Fat D, Boerma J. The global burden of disease: 2004 update. 2008 consultado el 28 de diciembre de 2015; Disponible en: http://www.who.int/healthinfo/ global_burden_disease/GBD_report_2004update_full. pdf 18. Monson CM, Taft CT, Fredman SJ. Military-related PTSD and intimate relationships: from description to theory-driven research and intervention development. Clin Psychol Rev 2009; 29 (8): 707-14. 19. Taft CT, Watkins LE, Stafford J, Street AE, Monson CM. Posttraumatic stress disorder and intimate relationship problems: a meta-analysis. J Consult Clin Psychol 2011; 79 (1): 22-33. 20. McFarlane AC. Military deployment: the impact on children and family adjustment and the need for care. Curr Opin Psychiatry 2009; 22 (4): 369-73. 21. Sayers SL, Farrow VA, Ross J, Oslin DW. Family problems among recently returned military veterans referred for a mental health evaluation. J Clin Psychiatry 2009; 70 (2): 163-70. 22. Wilcox HC, Storr CL, Breslau N. Posttraumatic stress disorder and suicide attempts in a community sample of urban american young adults. Arch Gen Psychiatry 2009; 66 (3): 305-11. Rev Med Chile 2016; 144: 643-655


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