Bleich A, Moskowits L
Department of Psychiatry, The Souraski Tel Aviv Medical Center, Sackler School of Medicine, Tel Aviv University, 6 Weitzman St, 64239 Tel Aviv, Israel.
Croat Med J. 2000 Dec;41(4):442-5.
To study the combined course and interaction of post-traumatic stress disorder (PTSD) and psychosis through detailed case studies.
We described 6 case studies of Israeli veterans with PTSD and psychosis, who were referred to our Center for the evaluation of their psychiatric status.
All the patients developed PTSD shortly after the exposure to a combat/military trauma. Psychosis appeared after months or even years, sometimes after a trauma-related trigger. Psychotic symptoms, such as delusions or auditory hallucinations, were usually paranoid or depressive and related in content to the traumatic experience.
The combined course of PTSD and psychotic disorder may reflect two distinct disorders, but in some cases it seems justified to make a diagnosis of PTSD with psychotic features. In addition, it seems that in certain conditions, traumatic exposure and/or PTSD may serve as a trigger for psychosis.
通过详细的案例研究来探讨创伤后应激障碍（PTSD）与精神病的合并病程及相互作用。
我们描述了6例患有PTSD和精神病的以色列退伍军人的案例研究，这些患者被转介到我们中心以评估其精神状态。
所有患者在遭受战斗/军事创伤后不久就患上了PTSD。精神病在数月甚至数年之后出现，有时是在与创伤相关的触发因素之后出现。诸如妄想或幻听等精神病症状通常是偏执或抑郁性的，并且在内容上与创伤经历相关。
PTSD和精神障碍的合并病程可能反映了两种不同的疾病，但在某些情况下，诊断为具有精神病特征的PTSD似乎是合理的。此外，在某些情况下，创伤暴露和/或PTSD似乎可能是精神病的触发因素。
