Stress and Health,
Год журнала:
2011,
Номер
28(1), С. 51 - 60
Опубликована: Май 17, 2011
Ambulance
workers
are
exposed
to
critical
incidents
that
may
evoke
intense
distress
and
can
result
in
long-term
impairment.
Individuals
who
regulate
experience
briefer
post-incident
fewer
emotional
difficulties.
Attachment
research
has
contributed
our
understanding
of
individual
differences
stress
regulation,
suggesting
secure
attachment
is
associated
with
effective
support-seeking
coping
strategies,
We
tested
the
effect
insecurity
on
ambulance
workers,
hypothesizing
(1)
insecure
symptoms
current
(2)
prolonged
recovery
from
acute
post-critical
incident
distress,
strategies
supportive
contact
mediate
this
relationship.
measured
insecurity,
social
following
an
index
(3)
post-traumatic
stress,
depression,
somatization
burnout
hypothesized
associations.
Fearful-avoidant
was
all
symptoms,
most
strongly
depression
(R=0.38,
p<0.001).
also
maladaptive
coping,
reduced
support
slower
withdrawal
physical
arousal
incident,
but
these
processes
did
not
relationship
between
symptoms.
These
findings
relevant
for
optimizing
workers.
Human Rights Documents online,
Год журнала:
2018,
Номер
unknown
Опубликована: Авг. 17, 2018
Aim:
To
describe
and
appraise
the
research
literature
reporting
prevalence
of
torture
and/or
war-related
potentially
traumatic
experiences
(PTEs)
in
adult
forced
migrants
living
high-income
countries.Methods:
A
search
for
peer-reviewed
articles
English
was
conducted
PubMed,
Web
Science,
PILOTS,
key
journals,
reference
lists.Studies
based
on
clinical
samples
where
less
than
half
participants
were
excluded.Data
extracted
a
methodological
quality
appraisal
performed.Results:
total
3,470
titles
abstracts
retrieved
screened.Of
these,
198
full-text.Forty-one
fulfilled
inclusion
criteria
number
study
12,020
(median
170).A
majority
focused
specific
ethnic
groups
or
nationalities,
Southeast
Asian,
Middle
Eastern
Balkan
being
most
frequent.Reported
rates
ranged
between
one
76
%
27
%).Almost
all
across
studies
had
experienced
some
kind
PTE.Conclusions:
Reported
PTEs
vary
migrants.Trauma
history
often
studied
as
background
variable
relation
to
mental
health.The
heterogeneity
data,
well
challenges
reaching
defining
measuring
experiences,
prevent
generalisation
concerning
trauma
groups.
European journal of psychotraumatology,
Год журнала:
2016,
Номер
7(1)
Опубликована: Июль 12, 2016
Armed
conflict,
occupation,
and
political
economic
instability
that
are
particularly
experienced
by
the
civilian
Lebanese
population
of
South
Lebanon
would
almost
inevitably
affect
these
individuals
psychologically.
Therefore,
identifying
predictors
co-occurring
mental
disorders
is
paramount
to
sound
assessment
intervention
planning.This
study
aims
determine
prevalence
posttraumatic
stress
disorder
(PTSD)
major
depressive
(MDD)
in
a
post-war
from
Lebanon.A
total
991
citizens
10
villages
were
interviewed
using
cross-sectional
design
through
random
sampling.
The
PTSD,
MDD,
or
both
was
23.4%.
To
identify
PTSD
depression
co-occurrence,
multinomial
logistic
regression
used.
Participants
divided
into
four
groups
(participants
with
no
depression,
participants
only,
PTSD-depression
comorbidity).Among
significant
female
gender,
health
problems,
social
life
events,
witnessed
traumatic
events
most
consistently
found.
Additionally,
employment
educational
status,
as
well
support,
found
significantly
predict
co-occurrence.Results
reveal
distinct
risk
protective
factors
characterize
profile.
These
findings
will
hopefully
assist
development
interventions
sensitive
individuals'
psychosocial
milieu.
European journal of psychotraumatology,
Год журнала:
2018,
Номер
9(1)
Опубликована: Янв. 1, 2018
Background:
Posttraumatic
Stress
Disorder
(PTSD)
is
associated
with
significant
functional
impairment
in
important
areas,
including
interpersonal
relationships
and
occupational
or
educational
roles.
Preliminary
evidence
suggests
that
the
dissociative
subtype
of
PTSD
(PTSD+DS),
characterized
by
marked
symptoms
depersonalization
derealization,
increased
disease
severity,
among
military
members
veterans
diagnosed
PTSD.
Similarly,
first
responders
(e.g.
police,
fire,
paramedics)
have
also
been
found
to
experience
symptoms.
Despite
these
findings,
little
work
has
investigated
whether
are
related
heightened
populations.Objective:
We
examined
relation
between
symptom
level
variables,
derealization
members,
veterans,
probable
further
hypothesis
mediate
symptomatology
impairment.Method:
Eighty-one
medical
charts
inpatients
at
a
residential
treatment
programme
were
accessed
via
retrospective
review.
Sixty-two
included
present
analyses.
Comparison
means
on
measures
members/veterans
conducted,
followed
correlational
mediation
analyses.Results:
Compared
responders,
showed
higher
levels
impairment,
alexithymia,
anxiety,
depression.
Within
total
sample,
emerged
as
strongest
correlate
and,
clusters,
demonstrated
impairment.
Mediation
analyses
revealed
significantly
mediated
impairment.Conclusions:
These
findings
highlight
importance
assessing
treating
symptoms,
consistent
PTSD,
Successful
recovery
symptomatic
may
necessitate
particularly
derealization.
EClinicalMedicine,
Год журнала:
2022,
Номер
48, С. 101439 - 101439
Опубликована: Май 6, 2022
Background(S)-ketamine
is
a
glutamatergic
drug
with
potent
and
rapid
acting
effects
for
the
treatment
of
depression.
Little
known
about
effectiveness
intranasal
(S)-ketamine
treating
patients
comorbid
depression
post-traumatic
stress
disorder
(PTSD).MethodsWe
performed
retrospective
case
series
analysis
clinical
outcomes
in
35
Veterans
co-morbid
PTSD
who
were
treated
treatments
at
VA
San
Diego
Neuromodulation
Clinic
between
Jan
2020
March
2021.
not
randomized
or
blinded
to
treatment.
The
primary
outcome
measured
was
change
patient
health
questionnaire-9
(PHQ-9)
Checklist
DSM-5
(PCL-5)
scores
across
first
8
(induction
period)
using
repeated
measures
variance
(ANOVA).
In
smaller
sub-group
(n
=
19)
received
least
additional
treatments,
we
analyzed
whether
continued
show
effects.
Finally,
correlation
analyses
understand
how
changes
PHQ-9
PCL-5
related
treatments.FindingsDuring
induction
phase
there
an
absolute
reduction
5.1
(SEM
0.7)
on
rating
scale
depression,
from
19.8
1
14.7
0.8)
(week
4)
(F(7238)
8.3,
p
1e-6,
partial
η2
0.2).
Five
(14%)
showed
clinically
meaningful
response
(50%
score)
8.
There
15.5
+/-
2.4
checklist
5
PTSD,
54.8
2)
down
39.3
2.5)
15.5,
2e-7,
0.31).
Sixteen
(46%)
(reduction
>
30%)
PTSD.
Change
correlated
(r
0.47,
0.005),
but
decrease
symptoms
observable
some
individuals
minimal
anti-depressant
response.InterpretationsWhile
this
open-label
analysis,
our
results
indicate
that
both
dual-diagnoses
may
improve
temporally
individually
distinct
those
suggesting
potentially
different
modes
action
two
disorders.
This
work
warrant
formal
controlled
studies
MDD
PTSD.FundingVA
Center
Excellence
Stress
Mental
Health,
ORD
(Career
Development
Award
DSR),
Burroughs-Wellcome
Fund
(DSR),
NIMH
(EL)
Stress and Health,
Год журнала:
2011,
Номер
28(1), С. 51 - 60
Опубликована: Май 17, 2011
Ambulance
workers
are
exposed
to
critical
incidents
that
may
evoke
intense
distress
and
can
result
in
long-term
impairment.
Individuals
who
regulate
experience
briefer
post-incident
fewer
emotional
difficulties.
Attachment
research
has
contributed
our
understanding
of
individual
differences
stress
regulation,
suggesting
secure
attachment
is
associated
with
effective
support-seeking
coping
strategies,
We
tested
the
effect
insecurity
on
ambulance
workers,
hypothesizing
(1)
insecure
symptoms
current
(2)
prolonged
recovery
from
acute
post-critical
incident
distress,
strategies
supportive
contact
mediate
this
relationship.
measured
insecurity,
social
following
an
index
(3)
post-traumatic
stress,
depression,
somatization
burnout
hypothesized
associations.
Fearful-avoidant
was
all
symptoms,
most
strongly
depression
(R=0.38,
p<0.001).
also
maladaptive
coping,
reduced
support
slower
withdrawal
physical
arousal
incident,
but
these
processes
did
not
relationship
between
symptoms.
These
findings
relevant
for
optimizing
workers.
