Archives of Physical Medicine and Rehabilitation, Год журнала: 2024, Номер unknown
Опубликована: Ноя. 1, 2024
Язык: Английский
Health Psychology, Год журнала: 2018, Номер 37(8), С. 787 - 798
Опубликована: Май 29, 2018
While the implications of social support are increasingly well understood, no meta-analytic review to date has examined intersection and sleep literatures. The aims this meta-analysis were primarily association between additionally test several proposed moderators from prior work.Using a literature search ancestry approach, identified 61 studies with total 105,437 participants.Random-effects modeling showed that greater was significantly related improved outcomes (Zr = -.152). These results not moderated by operationalization support, study design, or chronic conditions.These data indicate robust favorable outcomes. (PsycINFO Database Record
Язык: Английский
Процитировано
195
Journal of Neurotrauma, Год журнала: 2020, Номер 38(5), С. 546 - 554
Опубликована: Окт. 27, 2020
Identifying the principal determinants of life satisfaction following mild TBI (mTBI) may inform efforts to improve subjective well-being in this population. We examined among participants Transforming Research and Clinical Knowledge Traumatic Brain Injury (TRACK-TBI) study who presented with mTBI (Glasgow Coma Scale [GCS] score = 13–15; n 1152). An L1-regularization path algorithm was used select optimal sets baseline concurrent symptom measures for prediction scores on Satisfaction Life (SWLS) at 2 weeks 3, 6, 12 months post-injury. Multi-variable linear regression models (all 744–894) were then fit evaluate associations between empirically selected predictors SWLS each follow-up visit. Results indicated that emotional post-TBI symptoms b −1.27 −0.77, all p < 0.05), anhedonia −1.59 −1.08, 0.01), pain interference −1.38 −0.89, 0.001) contributed lower follow-ups. Insomnia predicted weeks, 3 months, 6 −1.11 −0.83, ps 0.01); negative affect −0.80, 0.005). Other domains socio-demographic, injury-related, clinical characteristics did not emerge as robust during year after mTBI. Efforts benefit from a focus detection treatment affective symptoms, pain, insomnia. The results reinforce need tailoring evidence-based treatments these conditions maximize efficacy patients
Язык: Английский
Процитировано
32
Journal of Applied Gerontology, Год журнала: 2025, Номер unknown
Опубликована: Фев. 11, 2025
Healthy Aging Project-Brain (HAP-B) is a novel clinical psychoeducation offering developed to encourage engagement in activities associated with successful aging. HAP-B targets sleep, socialization, physical, and cognitive activity through myth-busting, developing SMART goals, tracking behavioral change. Study aims: (1) assess feasibility/acceptability Veteran population; (2) analyze pre- post-intervention ratings examine health well-being; (3) explore associations between factors life satisfaction. The 50 participants (mean age = 70.6 years) were predominantly male-identity (88%) White (76%). Findings, based on independent t tests, revealed improvements satisfaction, emotional well-being, energy levels post-intervention. Linear regression results found higher satisfaction was lower depressive symptoms, self-efficacy. This easily implementable education intervention can result more positive self-appraisal encouraging downstream effects. Healthcare providers are well-positioned utilize classes such as promote patient-centric approaches brain health.
Язык: Английский
Процитировано
0
Trauma Violence & Abuse, Год журнала: 2025, Номер 26(2), С. 235 - 250
Опубликована: Март 1, 2025
Military service members experience higher levels of cumulative trauma than the general population, increasing their risk mental health problems. This scoping review synthesizes evidence on protective factors that contribute to posttraumatic wellbeing among military and veterans. PubMed PsycINFO databases were searched using keywords for military/veterans, traumatic event exposure, stress, outcomes (e.g., quality life [QoL]). Article abstracts full texts screened by two reviewers, with a third reviewer resolving conflicts. Inclusion criteria consisted following: (a) empirical study, (b) military/veteran sample, (c) exposed stress disorder (PTSD) criterion A event, (d) ≥1 factor examined, (e) outcome examined. After data extraction, Bibliometric Network Analysis was used visualize topics covered. Literature searches yielded 1,341 articles. Of these, 104 articles retained after screening. studied, QoL, functioning, growth well-researched. Across intervention types (CBT-based, wave, complementary), some interventions efficacious (mainly QoL), but many had negligible or nonsignificant effects. Other social support, external resources, systemic supports understudied. Intensive those involving daily practice most effectively promoted wellbeing. Protective such as executive optimism, system-level resources should be better incorporated into PTSD care members/veterans.
Язык: Английский
Процитировано
0
Social Psychiatry and Psychiatric Epidemiology, Год журнала: 2024, Номер 59(12), С. 2119 - 2143
Опубликована: Май 21, 2024
Abstract Purpose Combat deployment increases exposure to potentially traumatic events. Perceived social support (PSS) may promote health and recovery from combat trauma. This systematic review meta-analysis aimed synthesize studies investigating the level of PSS associated factors among (ex-)military personnel who served in Iraq/Afghanistan conflicts. Methods Five electronic databases were searched August 2023 searches restricted beginning conflicts 2001. The search was conducted according Preferred Reporting Items for Systematic Reviews Meta-Analyses (PRISMA) guidelines. A quality assessment carried out, a narrative synthesis performed. Results In total, 35 papers consisting 19,073 participants included. Of these, 31 United States (US) 23 cross-sectional. pooled mean score 54.40 (95% CI: 51.78 57.01). Samples with probable post-traumatic stress disorder had lower (44.40, 95% 39.10 49.70). Approximately half included (n = 19) investigated mental relation PSS, whilst only four explored physical health. most frequently reported risk low disorder, depression anxiety, growth unit protective factors. Conclusion Higher levels generally more positive psychosocial health-related outcomes following deployment. should be targeted interventions education programmes. Future research investigate across other countries cultures, based on lack that focused outside US.
Язык: Английский
Процитировано
3
Journal of Emergency Management, Год журнала: 2017, Номер 15(2), С. 107 - 116
Опубликована: Март 1, 2017
Objective: Police officers in the New Orleans geographic area faced a number of challenges following Hurricane Katrina 2005.Design: This cross-sectional study examined gratitude, resilience, and satisfaction with life as mediators association between social support post-traumatic stress disorder (PTSD) symptoms 82 male 31 female police officers. The Gratitude Questionnaire, Connor-Davidson Resilience Scale, Satisfaction Life Interpersonal Support Evaluation List were used to measure life, support, respectively. PTSD measured using Checklist-Civilian (PCL-C). Ordinary least square regression mediation analysis was estimate direct indirect effects among symptoms. All models adjusted for age, alcohol, race, previous military experience.Results: Mean PCL-C 29.1 (standard deviation [SD] = 14.4) females 27.9 (SD 12.1) males. There no relationship (c9 −0.041; 95% confidence interval [CI] −0.199, 0.117) independent effect through resilience (effect −0.038; 95%CI −0.099, −0.002). Neither gratitude −0.066; CI −0.203, 0.090) nor −0.036, −0.131, 0.046) contribute effect.Conclusions: These results indicate that mediates PTSD. Targeting may facilitate reduction
Язык: Английский
Процитировано
29
Medical Acupuncture, Год журнала: 2017, Номер 29(4), С. 215 - 219
Опубликована: Авг. 1, 2017
Background: Neurofeedback, a type of biofeedback, is an operant conditioning treatment that has been studied for use in the traumatic brain injury (TBI) both civilian and military populations. In this approach, users are able to see or hear representations data related their own physiologic responses triggers, such as stress distraction, real time and, with practice, learn alter these order reduce symptoms and/or improve performance. Objective: This article provides brief overview focusing on neurofeedback, TBI, applications populations, describes pilot study currently underway looking at effects commercial neurofeedback device patients mild-to-moderate TBIs. Conclusions: Although more research, including blinded randomized controlled studies, needed literature suggests approach shows promise treating some TBI modality. With further advances technology, at-home devices, preliminary survivors may benefit from improved motivation reduction attention, mood, mindfulness, addition treatment.
Язык: Английский
Процитировано
24
Psychiatric Rehabilitation Journal, Год журнала: 2019, Номер 42(3), С. 229 - 237
Опубликована: Март 7, 2019
Poor sleep and pain are common in veterans with serious mental illness (SMI), yet it is unclear how these may impact dimensions of quality life. As such, this study examined independent additive contributions difficulties on life (QoL) among a sample SMI insomnia.Participants were 57 (schizophrenia spectrum, bipolar, or major depressive disorders significant functional impairment) at least subthreshold insomnia (Insomnia Severity Index ≥8). Measures assessed (Pittsburgh Sleep Quality Index), intensity (Pain Numeric Rating Scale [PNRS]), interference (Short Form 12 Health Survey), QoL (World Organization Life-BREF). Multivariate multiple regression analyses the effects QoL.Forty-one (71.9%) reported moderate-to-severe (PNRS ≥4). Poorer was associated greater worse physical, emotional, environmental QoL. quality, not pain, explained variance (b = -2.30; 95% confidence interval [CI: -4.16, -.43]). Pain interference, physical health-related -.23; CI [-.38, -.08]).Results reveal importance screening for chronic SMI. For who already struggle daytime functioning, interventions such as integrated cognitive-behavioral therapy pain-related warranted. Such treatments must account disturbance differentially facets (PsycINFO Database Record (c) 2019 APA, all rights reserved).
Язык: Английский
Процитировано
18
Journal of Head Trauma Rehabilitation, Год журнала: 2017, Номер 32(4), С. 255 - 263
Опубликована: Май 18, 2017
To identify predictors of satisfaction with life in Veterans 1 year after traumatic brain injury (TBI).The VA TBI Model Systems (TBIMS) project includes 5 Affairs (VA) Polytrauma Rehabilitation Centers.Veterans enrolled the TBIMS study who completed Satisfaction With Life Scale at follow-up. The sample is largely male (96%) and Caucasian (72%), a median age 27 years upon enrollment.Prospective observational cohort measuring including demographics (eg, education), preinjury variables mental health history employment), military during deployment active duty status).Satisfaction Scale.Multivariate regression analyses revealed that age, marital status, employment history, status time were significant follow-up.Results this suggest mediated by several factors might inform rehabilitation interventions discharge recommendations. Preinjury (a unique aspect Veteran population) influence postinjury. Limitations future clinical implications will be discussed.
Язык: Английский
Процитировано
16
PLoS ONE, Год журнала: 2019, Номер 14(2), С. e0211684 - e0211684
Опубликована: Фев. 7, 2019
Introduction Assault is the third most common cause of traumatic brain injury (TBI), after falls and road traffic collisions. TBI can lead to multiple long-term physical, cognitive emotional sequelae, including post-traumatic stress disorder (PTSD). Intentional violence may further compound psychological trauma event, in a way that conventional outcome measures, like Glasgow Outcome Scale (GOS), fail capture. This study aims examine influence assault on self-reported outcomes, quality life symptoms PTSD. Methods Questionnaire were completed by 256 patients attending clinic, Quality Life Brain Injury (QOLIBRI) PTSD checklist (PCL-C). Medical records provided demographics, clinical data aetiology injury. Subjective outcomes compared between other causes. Results Of 202 analysed, 21% sustained from assault. There was no difference severity injuries non-assault groups. No relationship found or GOS. The group scored worse all questionnaires, with statistically significant differences for measures post-concussion symptoms. However, using threshold scores, prevalence assaulted not higher than non-assault. After adjusting age, ethnicity presence extra-cranial trauma, did have effect questionnaire scores. Exploratory analysis showed accidents associated significantly falls. Conclusion related functional TBI. Assaulted suffer patients, but these insignificant when adjusted demographic factors. Intentionality behind event likely more important alone. Differences are reflected Scale. information useful arranging earlier targeted review support.
Язык: Английский
Процитировано
15