scholarly journals The network structure of ICD ‐11 complex post‐traumatic stress disorder across different traumatic life events

2020 ◽  
Vol 19 (3) ◽  
pp. 400-401
Author(s):  
Thanos Karatzias ◽  
Mark Shevlin ◽  
Philip Hyland ◽  
Menachem Ben‐Ezra ◽  
Marylène Cloitre ◽  
...  
2018 ◽  
Vol 64 (4) ◽  
pp. 351-358 ◽  
Author(s):  
Taylor Jennelle Fitch ◽  
Xiao Yu ◽  
Lung-Chang Chien ◽  
Mohammad Monjurul Karim ◽  
Hasanat Alamgir

Background: Post-traumatic stress disorder (PTSD) may be more prevalent and burdensome in developing countries. Aims: The goals of this study were to (1) determine the prevalence of PTSD, (2) identify types and number of traumas related to screening positive for PTSD and (3) determine other sociodemographic risk factors and health/medical conditions that may be correlated to PTSD among garment-factory workers and a comparable working population in Bangladesh. Method: A survey was administered to a convenient sample of 607 lower socio-economic status (SES) working women in Bangladesh, 310 of who were garment workers. The primary outcome PTSD was measured by the PTSD Checklist. The Life Events Checklist determined the number and type of traumatic events. Results: The prevalence of PTSD was found to be 17.79% – 7.25% in garment workers and 21.55% in the comparison worker group. In multivariate analysis, PTSD was found to be significantly associated with age, income, chronic pain and number of stressful events. Participants between 45–50 years of age had the greatest odds of reporting PTSD – 15.68 fold (95% confidence interval (CI) = 4.08, 60.29) compared with those younger than 24 years. PTSD was more common in those with lower income (2,000–4,000 taka) (odds ratio (OR) = 1.60; 95% CI = 0.79, 3.26), who had chronic pain (OR = 2.48; 95% CI = 1.51, 4.07) and who experienced over three traumatic life events (OR = 11.25; 95% CI = 4.59, 27.59). The mean number of traumatic events experienced by this entire population was 4.9 with PTSD being more likely in those who experienced physical assault (OR = 6.35; 95% CI = 4.07, 9.90), who caused serious harm or death to someone else (OR = 4.80; 95% CI = 1.36, 16.87) and who had exposure to combat or war (OR = 4.76; 95% CI = 1.17, 19.34). Conclusion: Undiagnosed and untreated PTSD impacts the quality of life and decrease worker productivity among working-age women in this developing country.


2014 ◽  
Vol 4 (5) ◽  
pp. 20140008 ◽  
Author(s):  
Brett T. Litz

The resilience construct has received a great deal of attention as a result of the long wars in Iraq and Afghanistan. The discourse about resilience, especially the promise of promoting it and mitigating risk for serious post-traumatic negative outcomes among service members and veterans, is hopeful and encouraging. Remarkably, most service members exposed to horrific war trauma are not incapacitated by the experience. Yet, resilience is elusive and fleeting for many veterans of war. In this paper, I address some of the complexities about resilience in the context of exposure to war stressors and I offer some assumptions and heuristics that stem from my involvement in the dialogue about resilience and from experiences helping prevent post-traumatic stress disorder among active-duty service members with military trauma. My goal is to use my observations and applied experiences as an instructive context to raise critical questions for the field about resilience in the face of traumatic life-events.


2018 ◽  
Vol 7 (1) ◽  
pp. 44-56
Author(s):  
Isabel da Conceição Lemos ◽  
Ivone Patrão

Aim The objective of this study is to verify whether there is a correlation between PTSD, Depression, Life Events and Experiences of Dissociation Peritraumatic, and what is the effect of these variables on PTSD. Railway accidents are considered potentially traumatic events and one of the consequences is the development of Post-Traumatic Stress Disorder (PTSD). There are few studies that focus on the association between train accidents and the development of PTSD on train drivers. Method In total, 216 male train drivers with a mean age of 44.85 (SD = 5.70), completed the Portuguese versions of the Beck Depression Inventory (BDI-II), the List of Life Events – Clinician Administered (CAPS), the PTSD Checklist Civilian Version (PCL-C) and the Peritraumatic Dissociative Experiences Questionnaire (PDEQ). Results A prevalence of PTSD symptoms in train drivers (8.3%) was revealed, as well as the existence of a significant correlation between PTSD and the main variables: Depression (r = .70, p < .001), Life Events (r = .25, p < .001) and Peritraumatic Dissociative Experiences (r = .63, p < .001), and also that variables BDI-II (β = .51, t = 9.60, p < .001) and PDEQ (β = .34, t = 6.24, p < .001) have a significant impact at the PCL-C (R² = .58). Conclusion According to the results obtained and taking into account that 8.3% of train drivers present symptoms of PTSD, we consider important the existence of a reparative and preventive psychological support after the railway accident, in order to minimize the psychological impact on train drivers.


2003 ◽  
Vol 1 (2) ◽  
pp. 7-8
Author(s):  
Sam Tyano

Unfortunately, terrorism, violence and other acute adverse life events have become a world-wide problem. There is no country today that is protected from these phenomena and people can no longer feel safe anywhere. This new situation has increased both the scientific interest in post-traumatic stress disorder (PTSD) and the amount of research conducted on this issue.


Autism ◽  
2020 ◽  
Vol 24 (4) ◽  
pp. 884-898 ◽  
Author(s):  
Nirit Haruvi-Lamdan ◽  
Danny Horesh ◽  
Shani Zohar ◽  
Meital Kraus ◽  
Ofer Golan

People with Autism Spectrum Disorder show an increased risk of experiencing potentially traumatic events, particularly social victimization. However, Autism Spectrum Disorder and Post-Traumatic Stress Disorder co-occurrence was hardly studied. We examined exposure to potentially traumatic life events and PTSD symptoms in adults with Autism Spectrum Disorder vs typical adults. Twenty-five adults with Autism Spectrum Disorder and 25 typical adults were comparable on age and gender. Participants self-reported on potentially traumatic life events of social and non-social nature, and on PTSD symptoms related to their most distressing event. Results showed higher rates of probable-Post-Traumatic Stress Disorder in the Autism Spectrum Disorder group (32%) compared with the typical adults group (4%). Individuals with Autism Spectrum Disorder reported more PTSD symptoms, particularly re-experiencing and hyper-arousal, compared with typical adults, although the latter was elevated only in females with Autism Spectrum Disorder. Participants with Autism Spectrum Disorder, especially females, reported more negative life events, particularly social events, than typical adults. Sixty percent of Autism Spectrum Disorder participants, but only 20% of typical adults, chose a social event as their most distressing event. Individuals with Autism Spectrum Disorder and probable-Post-Traumatic Stress Disorder co-occurrence presented poorer social skills compared with those with Autism Spectrum Disorder alone. Results indicate increased vulnerability of individuals with Autism Spectrum Disorder to trauma and Post-Traumatic Stress Disorder, especially due to social stressors. Females with Autism Spectrum Disorder may be particularly vulnerable to Post-Traumatic Stress Disorder. Lay Abstract People with Autism Spectrum Disorder show an increased risk of experiencing traumatic events, particularly social victimization. However, Autism Spectrum Disorder and Post-Traumatic Stress Disorder co-occurrence was hardly studied. We examined exposure to traumatic life events and Post-Traumatic Stress Disorder symptoms in adults with Autism Spectrum Disorder vs typical adults. Two groups took part in this study: Twenty-five adults with Autism Spectrum Disorder and 25 typical adults of similar age and male to female ratio. Participants completed questionnaires on potentially traumatic life events of social and non-social nature, as well as on Post-Traumatic Stress Disorder symptoms related to their most distressing event. Participants also filled out an autism traits questionnaire. Results showed a higher Post-Traumatic Stress Disorder rate in the Autism Spectrum Disorder group (32%) compared with the typical group (4%). Individuals with Autism Spectrum Disorder reported more Post-Traumatic Stress Disorder symptoms, particularly re-experiencing and increased physiological arousal, compared with typical adults, although the latter was elevated only in females with Autism Spectrum Disorder. Participants with Autism Spectrum Disorder, especially females, reported more negative life events, particularly social events, than typical adults. Sixty percent of Autism Spectrum Disorder participants, but only 20% of typical participants, chose a social event as their most distressing event. Individuals with Autism Spectrum Disorder who were also suspected as having Post-Traumatic Stress Disorder (based on their questionnaires) presented poorer social skills compared with those with Autism Spectrum Disorder alone. Results indicate that individuals with Autism Spectrum Disorder are more susceptible to trauma and Post-Traumatic Stress Disorder, particularly due to social stressors. Females with Autism Spectrum Disorder may be especially vulnerable to Post-Traumatic Stress Disorder.


BJPsych Open ◽  
2019 ◽  
Vol 5 (5) ◽  
Author(s):  
Trond Heir ◽  
Tore Bonsaksen ◽  
Tine Grimholt ◽  
Øivind Ekeberg ◽  
Laila Skogstad ◽  
...  

Background It has been suggested that countries with more resources and better healthcare have populations with a higher risk of post-traumatic stress disorder (PTSD). Norway is a high-income country with good public healthcare. Aims To examine lifetime trauma exposure and the point prevalence of PTSD in the general Norwegian population. Method A survey was administered to a national probability sample of 5500 adults (aged ≥18 years). Of 4961 eligible individuals, 1792 responded (36%). Responders and non-responders did not differ significantly in age, gender or urban versus rural residence. Trauma exposure was measured using the Life Events Checklist for the DSM-5. PTSD was measured with the PTSD Checklist for the DSM-5. We used the DSM-5 diagnostic guidelines to categorise participants as fulfilling the PTSD symptom criteria or not. Results At least one serious lifetime event was reported by 85% of men and 86% of women. The most common event categories were transportation accident and life-threatening illness or injury. The point prevalence of PTSD was 3.8% for men and 8.5% for women. The most common events causing PTSD were sexual and physical assaults, life-threatening illness or injury, and sudden violent deaths. Risk of PTSD increased proportionally with the number of event categories experienced. Conclusions High estimates of serious life events and correspondingly high rates of PTSD in the Norwegian population support the paradox that countries with more resources and better healthcare have higher risk of PTSD. Possible explanations are high expectations for a risk-free life and high attention to potential harmful mental health effects of serious life events. Declaration of interest None.


1989 ◽  
Vol 23 (1) ◽  
pp. 97-102 ◽  
Author(s):  
Paddy Burges Watson

A case study illustrates the aim of this paper, which is to discuss the clinical and theoretical implications of adult patients who have experienced extreme or catastrophic stress in their distant past which may not be immediately “recognisable”. A close relationship between Post-Traumatic Stress Disorder and Borderline Personality Disorder (as defined in DSM-III-R) is suggested.


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