An early assessment of presence of probable post-traumatic stress disorder and its associated risk factors in a cohort of survivors of the 2019 Albania earthquake

Author(s):  
Zamira Hyseni Duraku ◽  
Fitim Uka ◽  
Diadora Cërmjani ◽  
Fjolla Ramadani ◽  
Shkurtë Bajgora
2021 ◽  
Author(s):  
Nela Klimcik ◽  
Maxime Nguyen ◽  
Philippe D'Athis ◽  
Nathalie Forestier ◽  
Pierre-grégoire Guinot ◽  
...  

Abstract Background: ARSDS requires extensive resuscitation and has major physical sequelae. We evaluated the psychiatric sequelae by conducting a systematic review to determine prevalence of symptoms of depression, anxiety disorders and post-traumatic stress disorder (PTSD) following ARDS, as well as their risk factors.Methods: We conducted a search on Pubmed by including all studies meeting our primary endpoint (prevalence of symptoms of depression, anxiety disorders and PTSD following ARDS) and secondary endpoint (associated risk factors). Results: Included studies found prevalence ranging from 16 to 46% for symptoms of depression, 23 to 62% for symptoms of anxiety disorders and 16 to 47% for symptoms of PTSD. The data were too heterogeneous to conduct a meta-analysis. Among the risk factors associated with a risk factor of depression, anxiety disorders or PTSD after ARDS were; factors related to patient (as an history of mental illness) risk factors related to ICU management (as use opioids and benzodiazepine). Effect of severity of ARDS is not known.Conclusion: This systematic review shows that depression, anxiety disorders and PTSD following ARDS are frequent, long-lasting, disabling and have severe psychiatric consequences. Associated risk factors can be identified and among us use of opioids.


2021 ◽  
Vol 2 (4) ◽  
pp. 410-423
Author(s):  
Abdullah AlRefaie ◽  
Christopher Dowrick

Objectives: To assess the causes and risk factors of post-traumatic stress disorder (PTSD) in adult asylum seekers and refugees. To explore whether the causes and risk factors of PTSD between male and female adult refugees/asylum seekers are different. Study design: Systematic review of current literature. Data Sources: PubMed, Web of Science, Scopus and Google Scholar up until February 2019. Method: A structured, systematic search was conducted of the relevant databases. Papers were excluded if they failed to meet the inclusion and exclusion criteria. Afterwards, a qualitative assessment was performed on the selected papers. Results: 12 Studies were included for the final analysis. All papers were either case studies/reports or cross-sectional studies. Traumatic events experienced by refugees/asylum seekers are the most frequently reported pre-migration causes of PTSD development, while acculturative stress is the most common post-migration stressor. There were mixed reports regarding the causes of PTSD between both genders of refugees/asylum seekers. Conclusions: This review’s findings have potential clinical application in terms of helping clinicians to risk stratify refugees/asylum seekers for PTSD development and thus aid in embarking on earlier intervention measures. However, more rigorous research similar to this study is needed for it to be implemented into clinical practice.


2007 ◽  
Vol 38 (4) ◽  
pp. 533-542 ◽  
Author(s):  
S. B. Norman ◽  
M. B. Stein ◽  
J. E. Dimsdale ◽  
D. B. Hoyt

BackgroundIdentifying risk factors for the development of post-traumatic stress disorder (PTSD) is important for understanding and ultimately preventing the disorder. This study assessed pain shortly after traumatic injury (i.e. peritraumatic pain) as a risk factor for PTSD.MethodParticipants (n=115) were patients admitted to a Level 1 Surgical Trauma Center. Admission to this service reflected a severe physical injury requiring specialized, emergent trauma care. Participants completed a pain questionnaire within 48 h of traumatic injury and a PTSD diagnostic module 4 and 8 months later.ResultsPeritraumatic pain was associated with an increased risk of PTSD, even after controlling for a number of other significant risk factors other than acute stress disorder symptoms. An increase of 0.5 s.d. from the mean in a 0–10 pain rating scale 24–48 h after injury was associated with an increased odds of PTSD at 4 months by more than fivefold, and at 8 months by almost sevenfold. A single item regarding amount of pain at the time of hospital admission correctly classified 65% of participants.ConclusionsIf these findings are replicated in other samples, high levels of peritraumatic pain could be used to identify individuals at elevated risk for PTSD following traumatic injury.


2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Noah M. Joseph ◽  
Alex Benedick ◽  
Christopher D. Flanagan ◽  
Mary A. Breslin ◽  
Heather A. Vallier

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