TY  - JOUR
PY  - 2017//
TI  - Acute stress disorder and defense mechanisms: a study of physical trauma patients admitted to an emergency hospital
JO  - Trends in psychiatry and psychotherapy
A1  - Santana, Márcia Rosane Moreira
A1  - Zatti, Cleonice
A1  - Spader, Mariana Lunardi
A1  - Malgarim, Bibiana Godoi
A1  - Salle, Emílio
A1  - Piltcher, Renato
A1  - Ceresér, Keila Maria Mendes
A1  - Bastos, Andre Goettems
A1  - Freitas, Lúcia Helena
SP  - 247
EP  - 256
VL  - 39
IS  - 4
N2  - INTRODUCTION: Acute stress disorder (ASD) encompasses a set of symptoms that can arise in individuals after exposure to a traumatic event. This study assessed the defense mechanisms used by victims of physical trauma who developed ASD. <br><br>METHOD: This was a controlled cross-sectional study of 146 patients who suffered physical trauma and required hospitalization. A structured questionnaire was used to evaluate ASD symptoms based on DSM-5 diagnostic criteria, in addition to the Defense Style Questionnaire (DSQ). <br><br>RESULTS: Ten participants (6.85%) received a positive diagnosis of ASD, and 136, (93.15%) a negative diagnosis. The majority of the sample consisted of men with median age ranging from 33.50 to 35.50. The most prevalent defense mechanisms among the 10 patients with ASD were cancellation and devaluation, which belong to the neurotic and immature factors, respectively. Positive associations between the presence of symptoms from criterion B of the DSM-5 and defense mechanisms from the DSQ were found. These included the mechanisms of undoing, projection, passive aggression, acting out, autistic fantasy, displacement, and somatization. <br><br>CONCLUSION: Patients with ASD employed different defense mechanisms such as undoing and devaluation when compared to patients not diagnosed with ASD. These results mark the importance of early detection of ASD symptoms at a preventative level, thereby creating new possibilities for avoiding exacerbations related to the trauma, which represents an important advance in terms of public health.<p />  <p>Language: en</p>
LA  - en
SN  - 2237-6089
UR  - http://dx.doi.org/10.1590/2237-6089-2016-0071
ID  - ref1
ER  -