Prevention of Post-Traumatic Stress Disorder After Trauma: Current Evidence and Future Directions

Current Psychiatry Reports, Год журнала: 2016, Номер 18(2)

Опубликована: Янв. 23, 2016

Post-traumatic stress disorder (PTSD) is a frequent, tenacious, and disabling consequence of traumatic events. The disorder’s identifiable onset early symptoms provide opportunities for detection prevention. Empirical findings theoretical models have outlined specific risk factors pathogenic processes leading to PTSD. Controlled studies shown that theory-driven preventive interventions, such as cognitive behavioral therapy (CBT), or hormone-targeted pharmacological are efficacious in selected samples survivors. However, the effectiveness clinical interventions remains unknown, results obtained aggregates (large groups) overlook individual heterogeneity PTSD pathogenesis. We review current evidence prevention outline need improve intervention individual-specific paths chronic

Язык: Английский

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A review of the long‐term impact of child maltreatment on posttraumatic stress disorder and its comorbidities: An emotion dysregulation perspective.

Clinical Psychology Science and Practice, Год журнала: 2017, Номер 24(2), С. 154 - 169

Опубликована: Апрель 11, 2017

This review examines posttraumatic stress disorder (PTSD) related to child maltreatment in adults, PTSD comorbidities, and complex PTSD, with a focus on emotion dysregulation. Adults maltreated as children report high rates of PTSD. Although all forms are associated increased risk, effects stronger for sexual emotional abuse, abuse the context other adverse childhood experiences, cumulative abuse. comorbidities that involve dysregulation examined, including substance use disorders, eating borderline personality disorder. Emotion appears be coalescent factor nexus maltreatment, comorbidities. Treatment recommendations made adults maltreatment–related

Язык: Английский

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Risk for suicidal behaviors associated with PTSD, depression, and their comorbidity in the U.S. Army

Journal of Affective Disorders, Год журнала: 2014, Номер 161, С. 116 - 122

Опубликована: Март 25, 2014

Язык: Английский

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Understanding the Australian Aboriginal experience of collective, historical and intergenerational trauma

International Social Work, Год журнала: 2019, Номер 62(6), С. 1522 - 1534

Опубликована: Сен. 26, 2019

This article provides a summary of the evolving definition trauma, including different forms trauma and its impact on health, behaviours well-being individuals communities. Specifically, it discusses collective, historical intergenerational value these concepts in understanding health social challenges we see within colonized Indigenous communities, particularly Australian Aboriginal The argues that current approach to addressing communities will have limited unless accompanied by significant focus level permeates Programmes initiatives reducing rates certain variables, such as infant mortality, incarceration or school completion, are very important but only treating symptoms underlying is addressed. Due ongoing devastation caused many years forced child removal, this especially for legal welfare practitioners protection system work field if break cycles family cultural disruption.

Язык: Английский

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Prevalence and predictors of PTSD among a college sample

Journal of American College Health, Год журнала: 2018, Номер 67(2), С. 123 - 131

Опубликована: Апрель 13, 2018

Objective:This study examined the prevalence and correlates of probable posttraumatic stress disorder (PTSD) in freshman entering college prospective associations PTSD with additional outcomes. Participants: 2,310 students data collected from Fall 2014 through Spring 2015. Methods: Incoming completed a survey assessing for relevant variables at beginning fall semester during spring semester. Results: Seventy percent sample endorsed experiencing least one potentially traumatic event (PTE). 34.4% PTE exposed individuals met criteria PTSD. Female sex, higher depressive anxiety symptoms, interpersonal count were positively associated symptoms. Higher symptoms new-onset PTE. Conclusions: Identification factors contributing to risk is essential inform prevention intervention efforts. Intervention efforts should be targeted as they enter college.

Язык: Английский

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Recent Advancements in Treating Sleep Disorders in Co-Occurring PTSD

Current Psychiatry Reports, Год журнала: 2018, Номер 20(7)

Опубликована: Июнь 21, 2018

Язык: Английский

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Update to an evaluation of ICD-11 PTSD and complex PTSD criteria in a sample of adult survivors of childhood institutional abuse by Knefel & Lueger-Schuster (2013): a latent profile analysis

European journal of psychotraumatology, Год журнала: 2015, Номер 6(1)

Опубликована: Янв. 1, 2015

The World Health Organization (WHO) International Classification of Diseases, 11th version (ICD-11), has proposed a trauma-related diagnosis complex posttraumatic stress disorder (CPTSD) separate and distinct from (PTSD).To determine whether the symptoms endorsed by individuals who had experienced childhood institutional abuse form classes that are consistent with diagnostic criteria for ICD-11 CPTSD as PTSD.A latent profile analysis (LPA) was conducted on 229 adult survivors using Brief Symptom Inventory PTSD Checklist-Civilian Version to assess current psychopathological symptoms.The LPA revealed four individuals: (1) class elevated (PTSD disturbances in self-organization); (2) low self-organization; (3) self-organization some symptoms; (4) results support existence group our sample, could be described category termed more precisely than normal PTSD. In addition, there seems persons do not fulfill but yet suffer symptoms.

Язык: Английский

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Prolonged grief, depression, and posttraumatic stress in disaster-bereaved individuals: latent class analysis

European journal of psychotraumatology, Год журнала: 2017, Номер 8(1)

Опубликована: Янв. 1, 2017

Background: Hundreds of individuals lost one or more significant others in the MH17 plane crash 2014 Ukraine. The current study is first to explore subgroups disaster-bereaved based on presence psychopathology clusters. This may inform development diagnostic instruments and tailored interventions.Objective: Aims were examine (1) prolonged grief disorder (PGD), major depressive (MDD), posttraumatic stress (PTSD) symptom clusters (2) associations between class membership, disaster-related variables (i.e. experiencing multiple losses, conducting burials for same deceased, time confirmation death), a sense unrealness.Method: Self-rated PGD (10 items Traumatic Grief Inventory represented two clusters), MDD (16-item Quick Of Depressive Symptomatology cluster), PTSD (20-item Checklist DSM-5 four clusters) from 167 participants subjected latent analysis identify classes). Correlates membership assessed using three-step approach.Results: A three-class solution yielded best model fit. Class 1 (Resilient class; 20.0%) was predominantly characterized by low probability PGD, MDD, clusters, 2 (PGD 41.8%) moderate high 3 (Combined 38.2%) Compared with Resilient class, unrealness likely be experienced Combined class.Conclusions: Our results indicate that can distinguished strongest distinguishing feature subgroups.

Язык: Английский

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Persistent PTSD symptoms are associated with plasma metabolic alterations relevant to long-term health: A metabolome-wide investigation in women

Psychological Medicine, Год журнала: 2025, Номер 55

Опубликована: Янв. 1, 2025

Abstract Background Post-traumatic stress disorder (PTSD) is characterized by severe distress and associated with cardiometabolic diseases. Studies in military clinical populations suggest that dysregulated metabolomic processes may be a key mechanism. Prior work identified validated metabolite-based score (MDS) linked depression anxiety subsequent Here, we assessed whether PTSD shares metabolic alterations if additional metabolites are related to PTSD. Methods We leveraged plasma metabolomics data from three subsamples nested within the Nurses’ Health Study II, including 2835 women 2950 blood samples collected across time points (1996–2014) 339 known assayed mass spectrometry-based techniques. Trauma exposures were 2008 as follows: lifetime trauma without PTSD, remission, persistent symptoms. Associations between MDS or individual estimated each subsample adjusting for potential confounders combined random-effects meta-analyses. Results Persistent symptoms higher levels of previously developed MDS. Out metabolites, 29 (primarily elevated glycerophospholipids glycerolipids) (false discovery rate < 0.05; technical covariates). No metabolite associations found other PTSD-related exposures. Conclusions As first large-scale, population-based analysis our study highlighted shared distinct differences versus anxiety. novel markers symptom persistence, suggesting further connections dysregulation have downstream consequences health.

Язык: Английский

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Prevention of Trauma and Stressor-Related Disorders: A Review

Neuropsychopharmacology, Год журнала: 2015, Номер 41(1), С. 357 - 369

Опубликована: Авг. 28, 2015

Язык: Английский

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