RESUMO
The addition of self-destructive and reckless behavior as a symptom of posttraumatic stress disorder (PTSD) in DSM-5 has stimulated renewed interest in understanding relationships between these behaviors and trauma-related psychopathology. This study examined the relationship between reckless and self-destructive behaviors (RSDB), intervening exposure to new adverse events, and later PTSD severity in a sample of trauma-exposed veterans. At baseline, participants were assessed for RSDB (past 5 years) and current PTSD severity (N = 222). PTSD severity was then reassessed approximately 4 years later (N = 148). Overall, RSDB were reported by 74.4% of the sample, with 61.3% engaging in multiple forms of RSDB. The most commonly endorsed behaviors included alcohol/drug abuse (42.8%), driving while intoxicated (29.4%), gambling (24.7%), and aggression (23.1%). There was a positive correlation between RSDB and PTSD severity at both the baseline (r = .16, p = .031) and follow-up assessment (r = .24, p = .005). Path models indicated that exposure to new adverse events fully mediated the effect of Time 1 RSDB on PTSD symptoms at Time 2 (indirect association: ß = .05, p = .046). Results suggest that RSDB are common among trauma-exposed veterans and may perpetuate PTSD symptoms by increasing exposure to new adverse events.
Assuntos
Acontecimentos que Mudam a Vida , Comportamento Autodestrutivo/complicações , Transtornos de Estresse Pós-Traumáticos/complicações , Adulto , Agressão/psicologia , Dirigir sob a Influência/psicologia , Feminino , Jogo de Azar/psicologia , Humanos , Estudos Longitudinais , Masculino , Pessoa de Meia-Idade , Comportamento Autodestrutivo/psicologia , Índice de Gravidade de Doença , Transtornos de Estresse Pós-Traumáticos/psicologia , Transtornos Relacionados ao Uso de Substâncias/complicações , Transtornos Relacionados ao Uso de Substâncias/psicologia , Veteranos , Adulto JovemRESUMO
The differential diagnosis of a superficial breast lesion detected on mammography typically includes seborrheic keratosis, dermal nevus, epidermal inclusion cyst, and basal cell carcinoma with subcutaneous invasion [Kopans DB. Breast Imaging. 3rd ed. Philadelphia: Lippincott Williams & Wilkins; 2007; pp. 481-2]. The case presented is of a trichoblastoma of the superficial breast. Trichoblastoma is a benign skin neoplasm that is rarely found in the breast. It has not previously been described in the radiologic literature. This case describes and correlates the findings of trichoblastoma of the breast on mammography, sonography, and histology.
