head JofIMAB
Journal of IMAB - Annual Proceeding (Scientific Papers)
Publisher: Peytchinski Publishing
ISSN: 1312-773X (Online)
Issue: 2017, vol. 23, issue 2
Subject Area: Medicine - Psychiatry & Psychology
DOI: 10.5272/jimab.2017232.1564
Published online: 23 May 2017

Case Report

J of IMAB 2017 Apr-Jun;23(2):1564-1566
Ivan Aleksandrov1ORCID logoCorresponding Autoremail, Yasen Yanev1ORCID logo, Mariana Arnaoudova1ORCID logo, Ivan Dimitrov2ORCID logo, Valeri Stoyanov3ORCID logo,
1) Department of Psychiatry and Medical Psychology, Faculty of Medicine, Medical University, Varna, University hospital St. Marina, Varna, Bulgaria
2) Department of Neurology, Faculty of Medicine, Medical University, Varna, University hospital St. Marina, Varna, Bulgaria
3) Department of Psychology, Faculty of Social Sciences, Varna Free University Chernorizets Hrabar, Bulgaria.

Background: Seeking and receiving psychological help after a stressful life event is associated with certain prejudice attitudes, especially present in minority ethnic groups.
Case description: This case report describes the specific reactions and psychopathological dynamics of a female patient, the age of 43, who survived the terrible accident on December the 10th 2016, in Hitrino village.
Discussion: Due to stigmatising beliefs, patient reluctantly had only a few meeting with a clinical psychologist, refused proper psychiatric treatment, and developed an acute stress reaction in the first few days after the accident, followed by post-traumatic stress disorder the next few weeks, as described chronologically in the ICD-10.
Conclusion: Stigmatising beliefs are further amplified by ethnic minorities’ prejudice of seeking mental health and having a mental illness, which affects professionals’ ability to provide comprehensive medical care.

Keywords: psychiatric stigma, acute stress reaction, PTSD, disaster,

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Please cite this article in PubMed Style or AMA (American Medical Association) Style:
Aleksandrov I, Yanev Y, Arnaoudova M, Dimitrov I, Stoyanov V. Psychopathological dynamics of a disaster victim, rejecting mental health care - a case report and discussion. J of IMAB. 2017 Jan-Mar;23(2):1564-1566. DOI: 10.5272/jimab.2017232.1564

Corresponding AutorCorrespondence to: Ivan Aleksandrov, Department of psychiatry and medical psychology, Medical University; 55, Marin Drinov str., 9002 Varna, Bulgaria; E-mail: i_s_aleksandrov@abv.bg

1. Aleksandrov I, Arnaudova M, Stoyanov V, Ivanova V, Petrov PY. On Psychological and Psychiatric Impact of Piracy on Seafarers. J of IMAB. 2015 Oct-Dec;21(4):991-994. [CrossRef]
2. Friedman MJ. PTSD History and Overview. National Center for PTSD (31-1-2014) [Internet]
3. Friedman MJ.  Finalizing PTSD in DSM-5:Getting Here From There and Where to Go Next. J Trauma Stress.2013 Oct;26(5):548-556. [PubMed] [CrossRef]
4. Bowles SV, James LC, Solursh DS, Yancey MK, Epperly TD, Folen RA, et al. Acute and post-traumatic stress disorder after spontaneous abortion. Am Fam Physician. 2000 Mar 15;61(6):1689-96. [PubMed]
5. Diagnostic and Statistical Manual of Mental Disorders (DSM-5®), Fifth Edition. Edited by American Psychiatric Association. 2013 [CrossRef]
6. Arnaudova M, Aleksandrov I, Stoyanov V, Ivanova V, Petrov PY. Diagnostic challenges in assessing post-traumatic stress disorder. J of IMAB. 2015 Oct-Dec;21(4):987-990. [CrossRef]
7. Sabri B, Bolyard R, McFadgion AL, Stockman JK, Lucea MB, Callwood GB, et al. Intimate partner violence, depression, PTSD, and use of mental health resources among ethnically diverse black women. Soc Work Health Care. 2013; 52:351-369. [PubMed] [CrossRef]
8. Catthoor K, Schrijvers D, Hutsebaut J, Feenstra D, Sabbe B. Psychiatric stigma in treatment-seeking adults with personality problems: evidence from a sample of 214 patients. Front Psychiatry. 2015 Jul 8;6:101. [PubMed] [CrossRef]
9. Han M, Cao L, Anton K. Exploring the role of ethnic media and the community readiness to combat stigma attached to mental illness among Vietnamese immigrants: the pilot project Tam An (Inner Peace in Vietnamese). Community Ment Health J. 2015 Jan;51(1):63-70. [PubMed] [CrossRef]
10. The ICD-10 Classification of Mental and Behavioural Disorders: Clinical Descriptions and Diagnostic Guidelines. World Health Organization, Geneva. 1992. [Internet]
11. Death Toll of Bulgaria's Hitrino Blast Reversed to 7. Novinite.com. Sofia News Agency. December 12, 2016. [Internet]
12. State of Emergency Remains in Force in Bulgaria's Hitrino - Novinite.com. Sofia News Agency. December 17, 2016. [Internet]
13. Reavley N, Jorm A. Community and population-based interventions to reduce stigma associated with depression, anxiety and suicide: a rapid review. SaxInstitute. August 2013. [Internet].

Received: 10 March 2017
Published online: 23 May 2017

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