Acute stress of the healthcare workforce during the COVID-19 pandemic evolution: a cross-sectional study in Spain

BMJ Open, Год журнала: 2020, Номер 10(11), С. e042555 - e042555

Опубликована: Ноя. 1, 2020

Objectives To determine the volume of health professionals who suffered distress due to their care patients with COVID-19 and analyse direction in which response capacity face future waves is evolving. Design A cross-sectional study. Setting Primary hospitals Spain. Participants non-randomised sample 685 (physicians, nurses other staff). secondary outcome measures Frequency intensity stress responses measured by Acute Stress Health Professionals Caring Scale (EASE). Variation according number deaths per day territory evolutionary stage outbreak Kruskal-Wallis Mann-Whitney U tests. Results The average score on EASE was 11.1 (SD 6.7) out 30. Among participants, 44.2% presented a good emotional adjustment, 27.4% tolerable level distress, 23.9% medium–high load 4.5% extreme acute stress. were more intense most affected territories (12.1 vs 9.3, p=0.003) during disillusionment phase (12.7 8.5 impact, 10.2 heroic 9.8 honeymoon, p=0.000). Conclusions pandemic has mental significant proportion may reduce resilience COVID-19. institutional approaches support psychological needs are essential ensure optimal considering these results.

Язык: Английский

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Effect of Virtual Reality on Stress Reduction and Change of Physiological Parameters Including Heart Rate Variability in People With High Stress: An Open Randomized Crossover Trial

Frontiers in Psychiatry, Год журнала: 2021, Номер 12

Опубликована: Авг. 10, 2021

Introduction: Although, attempts to apply virtual reality (VR) in mental healthcare are rapidly increasing, it is still unclear whether VR relaxation can reduce stress more than conventional biofeedback. Methods: Participants consisted of 83 healthy adult volunteers with high stress, which was defined as a score 20 or on the Perceived Stress Scale-10 (PSS-10). This study used an open, randomized, crossover design baseline, and phases. During phase, participants experienced intentionally generated shaking serial-7 subtraction. For underwent randomly assigned session day 1 among biofeedack, other type applied 2. We compared State-Trait Anxiety Inventory-X1 (STAI-X1), STAI-X2, Numeric Rating Scale (NRS), physiological parameters including heart rate variability (HRV) indexes Results: A total 74 were included analyses. The median age 39 years, STAI-X1 47.27 (SD = 9.92), NRS 55.51 24.48) at baseline. biofeedback significantly decreased from phase while difference effect between not significant. However, there significant electromyography, LF/HF ratio, LF total, NN50 Conclusion: effective reducing subjectively reported individuals stress.

Язык: Английский

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The memory and identity theory of ICD-11 complex posttraumatic stress disorder.

Psychological Review, Год журнала: 2023, Номер 130(4), С. 1044 - 1065

Опубликована: Июнь 20, 2023

The 11th version of the International Classification Diseases (ICD-11) includes complex posttraumatic stress disorder (CPTSD) as a separate diagnostic entity alongside (PTSD).ICD-11 CPTSD is defined by six sets symptoms, three that are shared with PTSD (reexperiencing in here and now, avoidance, sense current threat) (affective dysregulation, negative selfconcept, disturbances relationships) representing pervasive "disturbances self-organization" (DSO).There considerable evidence supporting construct validity ICD-11 CPTSD, but no theoretical account its development has thus far been presented.A theory needed to explain several phenomena especially relevant such role played prolonged repeated trauma exposure, functional independence between DSO heterogeneity following exposure.The memory identity states single multiple exposure occur context individual vulnerability which interact give rise intrusive, sensation-based traumatic memories identities which, together, produce symptoms define CPTSD.The model emphasizes two major related causal processes intrusive exist on continuum from prereflective experience full self-awareness.Theoretically derived implications for assessment treatment discussed, well areas future research testing.

Язык: Английский

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The Alternative Model of Personality Disorders: Assessment, Convergent and Discriminant Validity, and a Look to the Future

Annual Review of Clinical Psychology, Год журнала: 2024, Номер 20(1), С. 431 - 455

Опубликована: Янв. 12, 2024

The Alternative Model of Personality Disorders (AMPD) is a dimensional, empirically based diagnostic system developed to overcome the serious limitations traditional categories. We review mounting evidence on its convergent and discriminant validity, with an incursion into less-studied ICD-11 system. In literature, AMPD's Pathological Trait (Criterion B) shows excellent convergence normal personality traits, it could be useful as organizing framework for mental disorders. contrast, Functioning A) cannot distinguished from lacks both incremental has shaky theoretical background. offer some suggestions view future. These include removing Criterion A, using real-life consequences traits indicators severity, delving dynamic mechanisms underlying furthering integration currently disengaged psychological paradigms that can shape sounder clinical science.

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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