Predicting postpartum post-traumatic stress and depressive symptoms in low-risk women from distal and proximal factors: a biopsychosocial prospective study using structural equation modeling

Author(s):  
Patricia Catala ◽  
Carlos Suso-Ribera ◽  
Dolores Marin ◽  
Cecilia Peñacoba
2010 ◽  
Vol 40 (10) ◽  
pp. 1669-1678 ◽  
Author(s):  
I. Schindel-Allon ◽  
I. M. Aderka ◽  
G. Shahar ◽  
M. Stein ◽  
E. Gilboa-Schechtman

BackgroundSymptoms of post-traumatic stress disorder (PTSD) and depression are highly co-morbid following a traumatic event. Nevertheless, decisive evidence regarding the direction of the relationship between these clinical entities is missing.MethodThe aim of the present study was to examine the nature of this relationship by comparing a synchronous change model (PTSD and depression are time synchronous, possibly stemming from a third common factor) with a demoralization model (i.e. PTSD symptoms causing depression) and a depressogenic model (i.e. depressive symptoms causing PTSD symptoms). Israeli adult victims of single-event traumas (n=156) were assessed on measures of PTSD and depression at 2, 4 and 12 weeks post-event.ResultsA cross-lagged structural equation modeling (SEM) analysis provided results consistent with the synchronous change model and the depressogenic model.ConclusionsDepressive symptoms may play an important role in the development of post-traumatic symptoms.


2017 ◽  
Vol 35 (3) ◽  
pp. 395-407 ◽  
Author(s):  
Michael Weinberg ◽  
Avi Besser ◽  
Virgil Zeigler-Hill ◽  
Yuval Neria

This study examined the relationships between marital satisfaction and trauma-related symptoms (i.e., post-traumatic stress disorder, depression, and anxiety) among 105 couples of injured survivors of terror attacks and their spouses ( N = 210). Structural equation modeling and the actor–partner interdependence model were used to test the interdependence relationship between survivors’ and spouses’ marital satisfaction and trauma-related symptoms. The results demonstrated that the level of marital satisfaction reported by unexposed spouses was negatively associated with their own trauma-related symptoms as well as with the symptoms reported by the survivors. In contrast, the level of marital satisfaction reported by the survivors was negatively associated with their own trauma-related symptoms but had no connection with trauma-related symptoms reported by their spouses. Taken together, our findings shed new light on the potential links between marital satisfaction and trauma-related symptoms for survivors of terrorism and their spouses. Theoretical and clinical implications of these findings are also discussed.


2009 ◽  
Vol 40 (7) ◽  
pp. 1215-1223 ◽  
Author(s):  
A. Liedl ◽  
M. O'Donnell ◽  
M. Creamer ◽  
D. Silove ◽  
A. McFarlane ◽  
...  

BackgroundPain and post-traumatic stress disorder (PTSD) are frequently co-morbid in the aftermath of a traumatic event. Although several models attempt to explain the relationship between these two disorders, the mechanisms underlying the relationship remain unclear. The aim of this study was to investigate the relationship between each PTSD symptom cluster and pain over the course of post-traumatic adjustment.MethodIn a longitudinal study, injury patients (n=824) were assessed within 1 week post-injury, and then at 3 and 12 months. Pain was measured using a 100-mm Visual Analogue Scale (VAS). PTSD symptoms were assessed using the Clinician-Administered PTSD Scale (CAPS). Structural equation modelling (SEM) was used to identify causal relationships between pain and PTSD.ResultsIn a saturated model we found that the relationship between acute pain and 12-month pain was mediated by arousal symptoms at 3 months. We also found that the relationship between baseline arousal and re-experiencing symptoms, and later 12-month arousal and re-experiencing symptoms, was mediated by 3-month pain levels. The final model showed a good fit [χ2=16.97, df=12, p>0.05, Comparative Fit Index (CFI)=0.999, root mean square error of approximation (RMSEA)=0.022].ConclusionsThese findings provide evidence of mutual maintenance between pain and PTSD.


Author(s):  
Olusola Ayandele ◽  
Cristian A. Ramos-Vera ◽  
Steven K. Iorfa ◽  
Catherine O. Chovwen ◽  
Peter O. Olapegba

Since COVID-19 currently has no proven cure but high morbidity and mortality; many people are living in fear of the virus along with other mental health challenges induced by the lockdowns and social distancing. Hence, this study aims to provide evidence on the co-occurrence and inter-relations between the fear of COVID-19, post-traumatic stress symptoms, and psychological distress in adherence to preventive health behavior among Nigerians. It also seeks to determine whether this process differs for men and women. The sample comprised 1,172 consenting young adults (mean age = 22.9 ± 6.6 years, 54.5% females) selected using a snowball sampling technique. Structural equation modeling (SEM) was used to test the mediation model of post-traumatic stress symptoms and psychological distress as parallel and serial mediators of the relationship between the fear of COVID-19 and preventive health behavior. The indirect effect of the fear of COVID-19 on preventive health behavior across gender was tested using moderation analysis. Results showed that post-traumatic stress symptoms and psychological distress serially and fully, in causal order, mediated the association between the fear of COVID-19 and preventive health behavior, and gender moderated the mediation effects. The research provides evidence that the fear of COVID-19 could trigger preventive health behavior through post-traumatic stress symptoms but reduces it through psychological distress, whereas the fear of COVID-19 has a slightly more positive impact on preventive health behavior among men.


2021 ◽  
pp. 089826432110641
Author(s):  
Kaipeng Wang ◽  
Anao Zhang ◽  
Adolfo G. Cuevas ◽  
Carson M. De Fries ◽  
Ladson Hinton ◽  
...  

Objectives To examine the association between post-traumatic stress and depression and whether such an association differs by level of loneliness among older Puerto Ricans. Methods Data were collected from 304 Puerto Ricans aged 60 and above living in the Greater Boston area who responded to questionnaires. We used ordinary least squares regression to examine the association between post-traumatic stress, loneliness, and depressive symptoms. Results Post-traumatic stress was significantly associated with higher levels of depression. The association between post-traumatic stress and depression was stronger for those experiencing a higher degree of loneliness. Discussion In working with older Puerto Ricans experiencing post-traumatic stress, it is important for mental health professionals to incorporate the assessment of loneliness and to prevent and reduce comorbid depression by addressing loneliness through improving social skills, enhancing social support, and reducing maladaptive social cognition.


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