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From GGZ News

About half of the patients with post traumatic stress disorder (PTSD) also have depressive symptoms. Researchers from the Case Western Reserve University come to this conclusion.

Depression is equally prevalent in both men and women with PTSD. This is striking because women generally show more depressive symptoms. The study is based on an analysis of 57 studies involving 6670 people with PTSD. In 52 percent of them, researchers also found depressive symptoms.

"If patients are not properly examined, there is a good chance that a diagnosis will be missed," said lead researcher Nina Rytwinski. "Our research emphasizes the importance of routinely investigating the presence of both disorders." Rytwinski emphasizes that more attention should be paid to men in particular. "Their depressive symptoms are often dismissed as part of the PTSD."

The research is published in the Journal of Traumatic Stress.

Source: gezondheidnet.nl

Often, people with PTSD suffer from mood swings or a depressed mood. There may be a negative self-image or a gloomy expectation of own possibilities and the future. Suicidal thoughts that originate from a hopeless experience of the problems and experiences can also have to do with depression. Often a depression goes together with feeling tired, reduced energy, not enjoying activities, reduced appetite, sleep problems or wanting to sleep a lot. In the heavier form constantly thinking of death or suicide and wanting to die. Often, those who suffer from it experience a feeling of isolation and emptiness. It is often impossible for the person to explain why they feel like that and therefore to think like that. Especially when a death wish plays a role it seems as if the person and his / her environment are two parallel worlds that do not reach each other. People are often ashamed of their feelings or thoughts. Depression can vary from light to 

severe. But a real depression is actually a disease. It feels hopeless and does not seem to pass, no matter what you do. The idea that it is a disease can help the person by realizing that he / she is not guilty of it. It is as if your whole being is seen or experienced through dark glasses or as if your in a dark room of it is dark inside you

"The physical complaints depression"

There are people who express their actual mooddisorder unnoticed in physical complaints, thereby consulting many doctors and specialists, going in and out hospitals and consulting rooms and the underlying depression is not seen or noticed. It may well be that the body undergoes all kinds of chemical hormone changes that underlie this depression. That is why physical research as a part of examination is also important to exclude this.

Pain complaints can also be exacerbated by a mindset or how we interpreted it. Here, too, it is important how we think and interpret the situation and our influence. Does this indicate a depression? An unrecognized depression as well as the cognitive form can unnecessarily prolong suffering and lead to a senseless approach, which in turn maintains the spiral of depression.

The unnoticed cognitive depression

There is a form of depression that unfortunately clinicians do not notice sometimes. It manifests itself in a change of cognition or thinking. That can be subtle and some people dismiss this as an attitude, character trait or a view of life. But below that the reason is actually a depression and unnoticed emotional life that people often do not express. It can be anything, sadness that is rationalized, anger, grief, disappointment, feeling lonely and therefore not expressing. It is actually a pattern of thinking that always says the same in a form "it is pointless" and can take self-undermining forms. That can creep in gradually and the inner conclusion

that people often draw is often not recognized as such. Noteworthy is the interpretation these people have of situations with people's and their interpretations of reactions or behavior. It is good to ask about this and the accompanying feelings it raises. Putting you over it and ignoring it has no effect. One must try to examine the inner conclusions and thoughts that result it in a sad or depressed mood.  How do these patterns of thinking proceed and is there a undermining & depressive tendency or negative self-blaiming attitude to be discovered.