Relationship between combat related posttraumatic stress disorder (PTSD) and multiple sclerosis (MS)

Psychiatr Danub. 2008 Mar;20(1):80-4.

Abstract

The interrelation between chronic stress and multiple sclerosis (MS) has always been known, but the biological foundation for this phenomenon has not yet been proven. Our case-study of 5 patients, both diagnosed with multiple sclerosis and PTSD, attempts to demonstrate various dimensions of interrelation between these two diseases. We have also tried to point out the problems and possible complications doctors might encounter during the treatment of an MS patient who is suffering from chronic stress. Our findings show the need for a multidisciplinary approach in the treatment of patients with chronic PTSD and co morbid multiple sclerosis, which will optimize treatment and result in more cost-effective care. Appropriate identification and optimal pharmacological interventions for both disorders might modify further chronicity of these disorders and thus achieve better outcome.

Publication types

  • Case Reports

MeSH terms

  • Activities of Daily Living / psychology
  • Adaptation, Psychological
  • Adult
  • Arousal
  • Combat Disorders / epidemiology*
  • Combat Disorders / psychology
  • Combat Disorders / therapy
  • Comorbidity
  • Disease Progression
  • Female
  • Humans
  • Male
  • Middle Aged
  • Multiple Sclerosis / epidemiology*
  • Multiple Sclerosis / psychology
  • Multiple Sclerosis / therapy
  • Sick Role
  • Social Support
  • Somatoform Disorders / epidemiology
  • Somatoform Disorders / psychology
  • Somatoform Disorders / therapy
  • Veterans / psychology
  • Veterans / statistics & numerical data*