Clinical display and comorbid diseases of the posttraumatic embitterment disorder in anxiety outpatient clinic

Introduction: If there is a life, then there is a stressor. When the numbers and the kinds of stressors increase, both our perception and our reactions depending on this state will change. Feeling in a situation of desperate, helpless and irrevocable, we might lose our hopes. If this situation is perceived as weakness, injustice, the emotions of anger and heartsickness will appear. If this case continues too long, it will turn into the posttraumatic embitterment disorder that causes the loss of physical and mental functionality, which ruins work, family and social life of the person. Material and Methods: The patients who have come to the anxiety outpatient clinic have all been evaluated by considering the items of standardazing the posttraumatic embitterment disorder. Some self evaluation measures have been carried out at a sample that consists of 344 people afterward. . Results: Posttraumatic embitterment disorder has been determined as the proportions of %47,3 and %4,6 for diagnosed and undiagnosed DSM-5 symptomatic people who have come to the anxiety clinic. This rate of %51,9 is quite high in total. Apart from this, %0,8 of distressed emotion which is not pathological has been determined for some healthy volunteers. Some significant connections of embitterment disorder have been detected between the women who are housewives and the men who work in private companies. There is a positive correlation between the symptoms and the intensity of the posttraumatic embitterment disorder. Discussion: In this study, the posttraumatic embitterment disorder has been determined as quite common among the people who was examined in the anxiety outpatient clinic. The identical diagnosis of higher DSM-5 are similar to the works done in other countries. This is significant as the first work in Turkey which studies the posttraumatic embitterment disorder in terms of psychiatric experience. There are some differences and similarities due to cultural diversity between literature and demographic features. It is understood that when the variety and number of stressors increase, the posttraumatic embitterment disorder will increase. And also the change in being perceived of stressor according to gender has come into prominence because of cultural diversity. The improvement of posttraumatic embitterment disorder might be risky for women who are housewives and men who work in private companies. The positive correlation of the posttraumatic embitterment disorder with disease duration explains the significance of chronicity in functionality. The rate of higher posttraumatic embitterment disorder on symptomatic people who are not diagnosed as DSM-5 might indicate the population whose treatment is inadequate in the clinic. Conclusion: The posttraumatic embitterment disorder is common in our clinical experience. It should be considered as comorbid or a single diagnosis for this disorder and treatment of psychopathology. There are some spesific therapeutic interventions for the posttraumatic embitterment disorder, which are thought to increase the success of treatment by being added to the therapy plan.Key Works: posttraumatic embitterment disorder, anxiety, psychiatric outpatient, comorbidity