Reliable and clinically significant change in the clinician-administered PTSD Scale for DSM-5 and PTSD Checklist for DSM-5 among male veterans.

Psychological Assessment, Год журнала: 2021, Номер 34(2), С. 197 - 203

Опубликована: Дек. 23, 2021

We calculated the reliable change index (RCI) and clinically significant (CSC) values for two widely used measures of posttraumatic stress disorder (PTSD): The Clinician-Administered PTSD Scale DSM-5 (CAPS-5) Checklist (PCL-5) examined how symptom changes at these thresholds related to improvements in psychosocial functioning. data from three independent samples male military veterans, including randomized controlled trials (N = 198 Sample 1 N 102 2) a cross-sectional study primary care patients 228). For 1, within-person CAPS-5 PCL-5 scores ≥ 13 15, respectively, was indicative change. 2, 12 18, Scores ≤ 8 28 on PCL-5, indicated participant is more likely belong non-PTSD population than (i.e., change) both Samples 2. Participants who exhibited or CSC reported significantly better functioning all posttreatment assessments those did not. Results provide identifying meaningful using measures. Care should be taken interpret appropriately relative numerous other definitions (PsycInfo Database Record (c) 2022 APA, rights reserved).

Язык: Английский

---

The Management of Posttraumatic Stress Disorder and Acute Stress Disorder: Synopsis of the 2023 U.S. Department of Veterans Affairs and U.S. Department of Defense Clinical Practice Guideline

Annals of Internal Medicine, Год журнала: 2024, Номер 177(3), С. 363 - 374

Опубликована: Фев. 26, 2024

The U.S. Department of Veterans Affairs (VA) and Defense (DoD) worked together to revise the 2017 VA/DoD Clinical Practice Guideline for Management Posttraumatic Stress Disorder Acute Disorder. This article summarizes 2023 clinical practice guideline (CPG) its development process, focusing on assessments treatments which evidence was sufficient support a recommendation or against.

Язык: Английский

---

Post-traumatic Stress Disorder

Medical Clinics of North America, Год журнала: 2022, Номер 107(1), С. 85 - 99

Опубликована: Окт. 28, 2022

Язык: Английский

---

Diagnostic accuracy of the Primary Care PTSD Screen for DSM‐5 (PC‐PTSD‐5) within a civilian primary care sample

Journal of Clinical Psychology, Год журнала: 2022, Номер 78(11), С. 2299 - 2308

Опубликована: Июнь 28, 2022

This study aims to evaluate the diagnostic accuracy of Primary Care Posttraumatic Stress Disorder (PTSD) Screen for Diagnostic and Statistical Manual Mental Disorders-Fifth Edition (DSM-5) (PC-PTSD-5) as a screening tool identification PTSD among civilian sample receiving behavioral health treatment within primary care setting. Validation will increase generalizability PC-PTSD-5 brief measure identify practices.The present is retrospective review data (N = 198) collected part patient registry an integrated consultation service clinic. The was administered standardized set measures standard clinical interview. validation accomplished via consensus model between board-certified family medicine physician licensed psychologist along with medical/psychology trainees.Fifty-two participants (26.26%) out 198 who completed were diagnosed PTSD. demonstrated excellent (area under curve 0.933, 95% confidence interval [CI]: 0.901-0.965). A cutoff score 4 maximized sensitivity (sensitivity% 100) while maintaining acceptable specificity (specificity% 85.2). also efficiency (κ[0.5] 0.77, SE 0.05, CI: 0.67-0.86) maintained good (≥0.60) quality index (κ[0] 0.61).The strong sample.

Язык: Английский

---

Where do we go from here? The personal impact of adverse events and complications in surgeons: Results from a cross-sectional study

The Surgeon, Год журнала: 2025, Номер unknown

Опубликована: Янв. 1, 2025

Medical error is an inevitable part of modern healthcare, with a potential harmful impact for the patient and surgeon. The phenomenon negative personal responses healthcare workers in aftermath adverse events described as "second casualty" can involve significant physical psychological distress. We present results from cross-sectional survey surgeons their experience or complications. Following ethical approval anonymous online was distributed to all training consultant Republic Ireland. Data collected included basic demographics, response event, coping strategies, contributing factors perception support structures. A total 110 were received representing broad range specialty. Eighty-nine percent (n = 98) symptoms events. predominant anxiety, guilt low mood. Sixty-seven 74) reported that did not prepare them but found informal peer family be beneficial open implementation formal Surgeons suffer outcomes feel unprepared manage consequences. Institutions representative bodies must step forward change culture develop supports

Язык: Английский

---

Gaps in Mental Health Care–Seeking Among Health Care Providers During the COVID-19 Pandemic — United States, September 2022–May 2023

MMWR Morbidity and Mortality Weekly Report, Год журнала: 2025, Номер 74(2), С. 19 - 25

Опубликована: Янв. 16, 2025

Health care workers experience substantial chronic stress, burnout, and mental distress, the COVID-19 pandemic might have exacerbated these conditions. To identify ways to improve health care-seeking among this population, symptoms, care-seeking, self-reported barriers seeking U.S. providers during were studied. During September 2022-May 2023, 2,603 primary physicians, pediatricians, nurse practitioners, physician assistants participated in a national Internet panel survey. Approximately one half (45.4%) of participants reported that they did not need care, only five (20.3%) had sought care. One quarter (25.6%) distress severe enough meet diagnostic criteria for psychopathology. Among providers, 38% care; 20.1% indicated despite symptoms. The average number years practice was lower reporting care-seeking. Providers who identified as female also more likely report most frequently included difficulty getting time off from work, cost concerns about confidentiality. Increased pandemic-related work stressors associated with increased symptom severity, but support supervisors mitigated effects. Organizational human resources practices, supervisor training on managing employee public messaging normalize its effects licensing help address gaps provider patient outcomes.

Язык: Английский

---

Prognostic models for depression and post-traumatic stress disorder symptoms following traumatic brain injury: a CENTER-TBI study

BMJ Mental Health, Год журнала: 2025, Номер 28(1), С. e301181 - e301181

Опубликована: Янв. 1, 2025

Background Traumatic brain injury (TBI) is associated with an increased risk of major depressive disorder (MDD) and post-traumatic stress (PTSD). We aimed to identify predictors develop models for the prediction depression PTSD symptoms at 6 months post-TBI. Methods analysed data from Collaborative European NeuroTrauma Effectiveness Research in Brain Injury study. used linear regression model relationship between (Patient Health Questionnaire-9) (PTSD Checklist Diagnostic Statistical Manual Mental Disorders Fifth Edition). Predictors were selected based on Akaike’s Information Criterion. Additionally, we fitted logistic endpoints ‘probable MDD’ PTSD’. also examined incremental prognostic value 2–3 weeks symptoms. Results included 2163 adults (76% Glasgow Coma Scale=13–15). Depending scoring criteria, 7–18% screened positive probable MDD about 10% PTSD. For both outcomes, psychiatric history, employment status, sex, cause, alcohol intoxication total severity; preinjury health education. The performance was modest (proportion explained variance=R 2 8% 7% PTSD, respectively). Symptoms assessed had a large (delta R =0.25, 95% CI 0.24 0.26 symptoms; delta =0.30, 0.29 0.31 PTSD). Conclusion Preinjury characteristics, such as history unemployment, violent can increase mental problems after TBI. identification patients should be guided by early screening health.

Язык: Английский

---

Study of the incidence and signs of post-traumatic stress disorder at the stage of primary medical care in military personnel and forcibly displaced people during a full-scale invasion

INTERNATIONAL NEUROLOGICAL JOURNAL, Год журнала: 2025, Номер 21(1), С. 1 - 8

Опубликована: Март 20, 2025

Background. War and its consequences not only dominate the collective national consciousness of every citizen but also, as a stressor, lead to emotional tension exhaustion. They are major factor in stress-associated disorders, particularly post-traumatic stress disorder (PTSD). The diagnosis PTSD is based on presence at least one symptom: intrusion, avoidance, negative mood cognitive impairments, hyperreactivity. purpose was investigate prevalence severity probable among patients visiting primary health care (PHC) facilities, military personnel, forcibly displaced people (FDP) using various questionnaires. Materials methods. A total 90 individuals (46 men 44 women, average age 39.65 ± 13.93 years) were examined. Participants divided into three groups (30 each): group I — personnel Armed Forces Ukraine receiving treatment Municipal Non-Profit Enterprise “Vinnytsia City Clinical Emergency Hospital”; II internally persons who forced live Vinnytsia (FDP); III controls (civilian residents PHC facilities). All respondents surveyed Spielberg-Hanin Anxiety Scale, assessed for likelihood screening questionnaire approved by Ministry Health (Order No. 1265 dated February 23, 2024), with Checklist DSM-5 (PCL-5). Results. Probable more frequently detected FDP (83.33 % scale 56.67 PCL-5) compared (53.33 40.0 %, respectively) civilians (10.0 3.33 respectively). Among FDP, symptoms avoidance (76.67 %), cognition hyperarousal (88.33 %) predominant, emphasizing significant role responses their potential impact other symptoms. Correlations (p < 0.05) found between age, gender, score PCL-5. Conclusions. can be successfully any available tools (PTSD screening, almost equal frequency, allowing identification should undergo additional examination confirmation subsequent this condition.

Язык: Английский

---

Mental Disorders Among Health Care Workers at the Early Phase of COVID-19 Pandemic in Kenya; Findings of an Online Descriptive Survey

Frontiers in Psychiatry, Год журнала: 2021, Номер 12

Опубликована: Июль 22, 2021

Background: Healthcare workers responding to the Corona Virus Pandemic (COVID-19) are at risk of mental illness. Data is scanty on burden disorders among Kenyan healthcare pandemic that can inform health and psychosocial support. The purpose this study was establish frequency associated factors worry, generalized anxiety disorder, depression, posttraumatic stress disorder poor quality sleep care beginning COVID-19 pandemic. Methods: We conducted an online survey 1,259 in Kenya. A researcher developed social demographic questionnaire several standardized tools were used for data collection. Standardized programmed into Redcap, (Research Electronic Capture) analysis performed using R Core Team. In all a p -value &lt; 0.05 considered significant. Results: 66% participants reported experiencing worry related COVID-19. 32.1% had 36% anxiety, 24.2% insomnia 64.7% scored positively probable Post Traumatic Stress Disorder (PTSD). Depression higher females compared men (36.5 vs. 26.9%, = 0.003), &lt;35 years old older ones (38.1 26.4%, 0.001), those who not married (40.6 27.6%, 0.001). Generalized commoner aged (43.5 29.3%, (41.7 29.2%, mere (45.2 31.2%, 0.001) with &lt;10 working experience (41.6 20.5%, Younger professional proportion (30.3 18.6%, Insomnia years' more than 20 experience(27.3 17.6%, 0.043) Conclusion: Many early phase suffered from various common young, female professionals bearing bigger burden. This useful informing interventions promote wellbeing

Язык: Английский

---

Two Years of COVID-19 in Austria—Exploratory Longitudinal Study of Mental Health Outcomes and Coping Behaviors in the General Population

International Journal of Environmental Research and Public Health, Год журнала: 2022, Номер 19(13), С. 8223 - 8223

Опубликована: Июль 5, 2022

Since the long-term mental health impact of COVID-19 is not yet fully understood, present study explored changes in outcomes and pandemic-related coping behaviors across four pandemic stages. The main objective was to gain insights into dynamics coping, considering different features at assessment waves. final sample consisted N = 243 adults from Austrian general population. Data were collected timepoints (between June 2020 December 2021) via LimeSurvey, an open-source online survey tool. Symptoms posttraumatic stress disorder (PTSD), adjustment (AD), anxiety, depression assessed using validated instruments: Primary Care PTSD Screen for DSM-5 (PC-PTSD-5), AD-New Module 8 (ADNM-8), Patient Health Questionnaire (PHQ4). We also administered Pandemic Coping Scale (PCS) address behaviors. Cochran’s Q test repeated measures ANOVAs applied assess over time. results indicated that prevalence rates AD (χ2(2) 16.88, p 0.001), (χ2(3) 18.69, < anxiety 19.10, 0.001) significantly changed Changes mean scores observed. For we found differences subscales: healthy lifestyle: F(3, 651) 5.11, prevention adherence: F(2.73, 592.35) 21.88, joyful activities: 5.03. Taken together, our showed a higher burden wintertime than summertime, indicating increased need psychosocial support times stricter measures, incidences, death rates. Furthermore, observed decrease adaptive suggests easy-to-implement strategies should be actively promoted order maintain during aftermath pandemics.

Язык: Английский

---