Post-traumatic Stress and Trauma-Related Subjective Distress: Comparisons Among Hispanics, African-Americans, and Whites with Severe Mental Illness

2017 ◽  
Vol 53 (7) ◽  
pp. 778-781
Author(s):  
Thomas O’Hare ◽  
Ce Shen ◽  
Margaret V. Sherrer
2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Keneilwe Molebatsi ◽  
Lauren C. Ng ◽  
Bonginkosi Chiliza

Abstract Background Research consistently reports elevated rates of exposure to traumatic events and post-traumatic stress disorder (PTSD) in people with severe mental illness (SMI). PTSD may be adequately managed with psychotherapy; however, there is a gap when it comes to management in culturally diverse settings like Botswana. This paper describes a study protocol whose aim is to culturally adapt the BREATHE intervention, a brief psychological intervention for people living with comorbid PTSD and SMI that was developed and tested in the USA; assess the feasibility and acceptability of the adapted BREATHE intervention and explore its efficacy. Methods The study will be conducted in three phases using a mixed methods approach. The first phase will identify and describe the most common traumatic experiences and responses to traumatic experiences, amongst patients with SMI, and patients’ and mental health care providers’ perceptions about suitable PTSD interventions for Botswana. The second phase will entail cultural adaption of the intervention using findings from phase 1, and the third phase will be a pilot trial to assess the feasibility and acceptability of the culturally adapted intervention and explore its efficacy. Quantitative and qualitative data will be analysed using basic descriptive statistics and thematic analysis, respectively. Discussion Literature highlights cultural variations in the expression and management of mental illness suggesting the need for culturally adapted interventions. The findings of this feasibility study will be used to inform the design of a larger trial to assess the efficacy of an adapted brief intervention for PTSD in patients with SMI in Botswana. Trial registration Clinicaltrials.gov registration: NCT04426448. Date of registration: June 7, 2020.


2015 ◽  
Vol 206 (6) ◽  
pp. 501-508 ◽  
Author(s):  
Kim T. Mueser ◽  
Jennifer D. Gottlieb ◽  
Haiyi Xie ◽  
Weili Lu ◽  
Philip T. Yanos ◽  
...  

BackgroundA cognitive–behavioural therapy (CBT) programme designed for post-traumatic stress disorder (PTSD) in people with severe mental illness, including breathing retraining, education and cognitive restructuring, was shown to be more effective than usual services.AimsTo evaluate the incremental benefit of adding cognitive restructuring to the breathing retraining and education components of the CBT programme (trial registration: clinicaltrials.gov identifier: NCT00494650).MethodIn all, 201 people with severe mental illness and PTSD were randomised to 12- to 16-session CBT or a 3-session brief treatment programme (breathing retraining and education). The primary outcome was PTSD symptom severity. Secondary outcomes were PTSD diagnosis, other symptoms, functioning and quality of life.ResultsThere was greater improvement in PTSD symptoms and functioning in the CBT group than in the brief treatment group, with both groups improving on other outcomes and effects maintained 1-year post-treatment.ConclusionsCognitive restructuring has a significant impact beyond breathing retraining and education in the CBT programme, reducing PTSD symptoms and improving functioning in people with severe mental illness.


Author(s):  
Rong-Rong Wang ◽  
Ya-huei Wang

<p class="AbstractText">People may encounter different stages of grief during the course of bereavement, and not everyone can achieve a positive state of mind. This study intended to analyze how the characters in <em>Manchester by the Sea</em>, mainly Lee Chandler, Patrick Chandler, and Randi, manage their emotional responses when they are facing the loss of a loved one. The study used Elisabeth Kübler-Ross’s five-stage model of grief and post-traumatic stress disorder (PTSD) to analyze how these characters transition through their grief and whether they are likely to suffer from mental illness. Some people, like Randi and Patrick in the film, may recover from bereavement; however, some people, like Lee, may not, eventually becoming afflicted with mental illness or PTSD.</p>


2005 ◽  
Vol 20 (2) ◽  
pp. 137-144 ◽  
Author(s):  
Maria Livanou ◽  
Yiannis Kasvikis ◽  
Metin Başoğlu ◽  
Pashalia Mytskidou ◽  
Vivi Sotiropoulou ◽  
...  

AbstractExposure to earthquakes has been associated with psychological distress and in particular the development of post-traumatic stress disorder (PTSD). Earthquake-related psychological distress can be longstanding. The present study involved 157 Greek survivors of the 1999 Parnitha earthquake assessed approximately 4 years after the earthquake. Assessments were based on the Traumatic Stress Symptom Checklist (TSSC). Using stringent calibrations for the estimation of symptom presence 25% of the survivors endorsed at least 5 and 12% at least 10 TSSC symptoms. Approximately 22% of the survivors reported subjective distress and 15% impaired adjustment due to their symptoms. Intensity of fear during the earthquake and participation in rescue operations related to greater post-earthquake psychological distress. The results suggest that the psychological consequences of earthquakes can be serious and long-standing even when the magnitude of the earthquake is moderate. Psychological treatments that have been proven to reduce fear and PTSD symptoms need to be made available to the survivors. Such treatments may also increase the survivors' psychological preparedness and emotional resilience in view of future earthquakes.


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