Living under threat: adolescents’ continuous traumatic stress reactions in relation to violence exposure DOI Creative Commons
Inga Truskauskaitė‐Kunevičienė, Monika Kvedaraitė, Aviva Goral

et al.

European journal of psychotraumatology, Journal Year: 2025, Volume and Issue: 16(1)

Published: March 27, 2025

Background: Adolescents exposed to violence are at a higher risk for mental health problems than their peers. Exposure ongoing can potentially lead Continuous Traumatic Stress (CTS). CTS reactions have never been studied in relation exposure adolescent samples.

Language: Английский

Health and Social Care Professionals’ Experience of Psychological Safety Within Their Occupational Setting: A Thematic Synthesis Review DOI Creative Commons
Nicola Peddie,

Josephine Hoegh,

Gemma Rice

et al.

Nursing Reports, Journal Year: 2025, Volume and Issue: 15(4), P. 131 - 131

Published: April 14, 2025

Objective: Psychological safety (PS) is essential for health and social care professionals (HSCPs) working in high-stress environments. While much of the existing research focuses on PS within teams, less known about HSCPs’ lived experiences across diverse settings. This scoping review aims to synthesise qualitative literature PS, identifying key barriers enablers its development workplaces. Methods: A systematic search was conducted MEDLINE, PsycINFO, Embase, CINAHL, Scopus, Web Science, Cochrane Library, covering a 20-year period (2004–2024). Eligible studies included primary exploring PS. Screening data extraction were managed using Rayyan. An inductive thematic synthesis approach applied identify patterns data. Results: The identified several main (1) feeling safe team (2) personal factors, which encompassed professional skills, experience, support, self-care. Conversely, identified: normalisation traumatic incidents, unsupportive management structures, (3) organisational constraints, (4) lack knowledge training Conclusions: Understanding critical improving workplace culture, resilience, wellbeing among HSCPs. These findings provide foundation future interventions aimed at strengthening individual, team, levels results also offer valuable insights informing policies practice ultimately enhance both staff patient quality.

Language: Английский

Citations

2

The vagal paradox: A polyvagal solution DOI Creative Commons
Stephen W. Porges

Comprehensive Psychoneuroendocrinology, Journal Year: 2023, Volume and Issue: 16, P. 100200 - 100200

Published: Aug. 9, 2023

Although there is a consistent literature documenting that vagal cardioinhibitory pathways support homeostatic functions, another less frequently cited implicates in compromises to survival humans and other mammals. The latter usually associated with threat reactions, chronic stress, potentially lethal clinical conditions such as hypoxia. Solving this 'vagal paradox' studies conducted the neonatal intensive care unit served motivator for Polyvagal Theory (PVT). paradox resolved when different functions of fibers originating two anatomically distinguishable brainstem areas are recognized. One pathway originates dorsal area known motor nucleus vagus ventral ambiguus. Unlike mammals, all ancestral vertebrates from which mammals evolved, primarily originate vagus. Thus, nerve 'poly' because it contains distinct efferent pathways. Developmental evolutionary biology identify migration culminate an integrated circuit has been labeled complex. This complex consists interneuronal communication source nuclei involved regulating striated muscles head face via special visceral system enables coordination regulation heart sucking, swallowing, breathing, vocalizing forms basis social engagement allows sociality be potent neuromodulator resulting calm states promote function. These biobehavioral features, dependent on maturation complex, can compromised preterm infants. informs us immature mammal (e.g., fetus, infant) not fully functional myelinization complete; neuroanatomical profile may potentiate impact vulnerability confirmed clinically life-threatening reactions apnea bradycardia human newborns, hypothetically mediated through chronotropic Neuroanatomical research documents distribution neurons representing these varies among changes during early development. By explaining solution human, paper highlights provides scientific foundation testing hypotheses generated by PVT.

Language: Английский

Citations

25

Threat, safety, safeness and social safeness 30 years on: Fundamental dimensions and distinctions for mental health and well‐being DOI Creative Commons
Paul Gilbert

British Journal of Clinical Psychology, Journal Year: 2024, Volume and Issue: 63(3), P. 453 - 471

Published: May 3, 2024

Abstract In 1993, the British Journal of Clinical Psychology published my paper titled ‘Defence and safety: Their function in social behaviour psychopathology’. The highlights that to understand people's sensitivity threat, we also need their ability identify what is safe. This offers an update on these concepts, highlighting distinctions were implicit but not clearly defined at time. Hence, seeks clarify between: (i) threat detection response, (ii) safety seeking, (iii) safeness (iv) non‐social functions forms. Threat response are prevent or minimize harm (e.g., run from a predator fire). Safety checking relates monitoring for absence avoidance while seeking links destination defensive running home). maintaining vigilance appearance potential harms doing things believed avoid harm. Threat‐defending regulated primarily through evolved processing systems monitor nature, presence, controllability and/or amygdala sympathetic nervous system). Safeness uses different via psychophysiological prefrontal cortex, parasympathetic system) presence internal external resources support threat‐coping, risk‐taking, resource exploration. Creating brain states recruit can impact how standard evidence‐based therapies exposure, distress tolerance reappraisal) experienced produce long‐term change.

Language: Английский

Citations

13

The agency domain and behavioral interactions: assessing positive animal welfare using the Five Domains Model DOI Creative Commons
Katherine E. Littlewood,

Morgan V. Heslop,

Mia Cobb

et al.

Frontiers in Veterinary Science, Journal Year: 2023, Volume and Issue: 10

Published: Nov. 2, 2023

Animal welfare denotes how an animal experiences their life. It represents the overall mental of and is a subjective concept that cannot be directly measured. Instead, indicators are used to cautiously infer from resource provisions, management factors, animal-based measures. The Five Domains Model holistic structured framework for collating these assessing welfare. Contemporary approaches consider animals can given opportunities have positive experiences. However, uncertainty surrounding inferred has resulted in risk-averse scientists returning relative safety positivism. This meant aspects often referred as ‘wants’. Agency straddles positivist-affective divide way forward discussions about capacity individual engage voluntary, self-generated, goal-directed behavior they motivated perform. Discrete emotions agentic based on available knowledge animal’s motivation engaging behavior. Competence-building agency evaluate potential represented by Behavioral Interactions domain Model. In 2020, was updated to, amongst other things, include consideration human-animal interactions. most important aspect this update renaming Domain 4 “Behavior” “Behavioral Interactions” additional detail added allow domain’s purpose clearly understood represent exercise agency. We illustrate assess animals’ competence-building article, we use examples sugar gliders housed captivity greyhounds race qualities choice, control, challenge experience affective engagement.

Language: Английский

Citations

22

Validation of the Italian version of the Neuroception of Psychological Safety Scale (NPSS) DOI Creative Commons
Andrea Poli, Mario Miccoli

Heliyon, Journal Year: 2024, Volume and Issue: 10(6), P. e27625 - e27625

Published: March 1, 2024

Research on the neuroscience of fear in both humans and non-humans has suggested that a lack acquisition safety cues might be biological hallmark posttraumatic stress disorder (PTSD). Danger perception, particular, feeling as one's own life is danger, thought to represent major predictor PTSD. Persistent danger perception concurrently associated with persistence safety. However, despite several research efforts, no validated psychometric tools exist regarding psychological unique core construct domain soothing-contentment system. By including social, compassionate, bodily components, Neuroception Psychological Safety Scale (NPSS), neurophysiologically rooted polyvagal theory, aims specifically assess Originally developed English, we employed rather large non clinical sample validate our Italian translation NPSS (n = 338) scale was found retain three-factor structure. In light its positive moderate correlations Unconditional Self-Kindness (ρ 0.376) Self-Compassion Scale-Short-Form 0.481), good convergent validity robust properties were shown by NPSS. The Subjective Traumatic Outlook Questionnaire -0.283) three subscales Body Perception Questionnaire-22-Body Awareness -0.103), Supradiaphragmatic Reactivity -0.234), Awareness/Subdiaphragmatic -0.146)-were have weak negative NPSS, which further demonstrated discriminant validity. Eventually, show test-retest reliability (intraclass correlation coefficient 0.922; three-week time interval), usage fostered contexts where evaluation relevance.

Language: Английский

Citations

8

Urban environment influences on stress, autonomic reactivity and circadian rhythm: protocol for an ambulatory study of mental health and sleep DOI Creative Commons
Andrea Montanari, Limin Wang, Amit Birenboim

et al.

Frontiers in Public Health, Journal Year: 2024, Volume and Issue: 12

Published: Feb. 5, 2024

Introduction Converging evidence suggests that urban living is associated with an increased likelihood of developing mental health and sleep problems. Although these aspects have been investigated in separate streams research, stress, autonomic reactivity circadian misalignment can be hypothesized to play a prominent role the causal pathways underlining complex relationship between environment two dimensions. This study aims at quantifying momentary impact environmental stressors on rhythm, thereby mood anxiety symptoms quality context everyday living. Method The present article reports protocol for feasibility assessing daily mobility exposures 40 participants from area Jerusalem over 7 days. Every participant will carry set wearable sensors while being tracked through space time GPS receivers. Skin conductance heart rate variability monitor participants' stress responses reactivity, whereas electroencephalographic signal used tracking. Light exposure, actigraphy skin temperature ambulatory monitoring. Geographically explicit ecological assessment (GEMA) assess perception environment, symptoms, vitality. For each outcome variable (sleep health), hierarchical mixed models including random effects individual level used. In analysis, control potential unobserved individual-level confounders, fixed effect specified case-crossover analyses (comparing oneself). Conclusion Recent developments sensing methods, as employed our or even more advanced methods reviewed Discussion, make it possible gather information functioning neuro-endocrine systems real-world way investigate interactions exposures, behavior health. Our work provide disruptors inspire interventions, municipal policies planning schemes aimed addressing those factors.

Language: Английский

Citations

7

The Role of Mindfulness and Embodiment in Group-Based Trauma Treatment DOI Open Access
Julien Tempone-Wiltshire

Deleted Journal, Journal Year: 2024, Volume and Issue: 12(1)

Published: March 27, 2024

Embodiment and mindfulness interventions provide a range of benefits for individuals living with trauma yet lack clarity surrounds their integration in group work practice. This article provides framework the embodiment settings trauma. While such can be utilised primary processing open process psychotherapy, this particular guidance more general these tools structured format resourcing groups. Attention is given to value features phasic, staged specialised trauma-oriented work. details how support participants cultivate capacity counter experiential avoidance reorient attention towards present moment, consequently increasing bodily affective self-awareness. serves reduce patterns reactivity, thereby supporting symptom stabilisation, improved reflective mentalising ability, cultivation self- co-regulatory capacities necessary trauma-processing These also possess supportive implications facilitator’s wellbeing, formation cohesiveness group, and, crucially, norming process, both implicit explicit. safety considerations, including contraindications practices certain presentations, screening requirements exclusion criteria group.

Language: Английский

Citations

6

The Role of Emotion Dysregulation in Understanding Suicide Risk: A Systematic Review of the Literature DOI Open Access
Elena Rogante, Mariarosaria Cifrodelli, Salvatore Sarubbi

et al.

Healthcare, Journal Year: 2024, Volume and Issue: 12(2), P. 169 - 169

Published: Jan. 10, 2024

Suicide prevention represents a global imperative, and efforts to identify potential risk factors are intensifying. Among these, emotional regulation abilities represent transdiagnostic component that may have an impactful influence on suicidal ideation behavior. Therefore, the present systematic review aimed investigate association between emotion dysregulation and/or behavior in adult participants. The followed PRISMA guidelines, research was performed through four major electronic databases (PubMed/MEDLINE, Scopus, PsycInfo, Web of Science) for relevant titles/abstracts published from January 2013 September 2023. included original studies peer-reviewed journals English assessed relationship regulation, as measured by Difficulties Emotional Regulation Scale (DERS), In total, 44 were considered eligible, results mostly revealed significant positive associations ideation, while findings suicide attempts more inconsistent. Furthermore, also confirmed role mediator other variables. Given these results, it is important continue investigating constructs conduct accurate assessments implement effective person-centered interventions.

Language: Английский

Citations

5

Autonomic nervous system activity correlates with peak experiences induced by DMT and predicts increases in well-being DOI
Valérie Bonnelle, Amanda Feilding, Fernando Rosas

et al.

Journal of Psychopharmacology, Journal Year: 2024, Volume and Issue: 38(10), P. 887 - 896

Published: Sept. 20, 2024

Background: Non-ordinary states of consciousness induced by psychedelics can be accompanied so-called “peak experiences,” characterized at the emotional level their intensity and positive valence. These experiences are strong predictors outcomes following psychedelic-assisted therapy, it is therefore important to better understand biology. Despite growing evidence that autonomic nervous system (ANS) plays an role in mediating experiences, its involvement psychedelic experience poorly understood. The aim this study was investigate what extent changes relative influence sympathetic (SNS) parasympathetic systems (PNS) over cardiac activity may reflect subjective short-acting N,N-Dimethyltryptamine (DMT). Methods: We derived measures SNS PNS from electrocardiograms 17 participants (11 males, mean age = 33.8 years, SD 8.3) while they received either DMT or placebo. Results: Results show joint (“sympathovagal coactivation”) positively related participants’ ratings “Spiritual Experience” “Insightfulness” during experience, also being improved well-being scores 2 weeks after session. In addition, we found state balance between two ANS branches balance”) before injection predicted as well subsequent sympathovagal coactivation. Conclusion: findings demonstrate psychedelic-induced peak pave way development biofeedback-based tools enhance therapy.

Language: Английский

Citations

5

Appeasement: replacing Stockholm syndrome as a definition of a survival strategy DOI Creative Commons
Rebecca Bailey,

Jaycee Dugard,

Stefanie F. Smith

et al.

European journal of psychotraumatology, Journal Year: 2023, Volume and Issue: 14(1)

Published: Jan. 19, 2023

Stockholm syndrome or

Citations

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