A gender comparative analysis of post-traumatic stress disorder among a community-based cohort of people who use drugs in Vancouver, Canada

2021 ◽  
Vol 115 ◽  
pp. 106793
Author(s):  
Sanjana Mitra ◽  
William Lee ◽  
Kanna Hayashi ◽  
Jade Boyd ◽  
M.J. Milloy ◽  
...  
2021 ◽  
Vol 86 (6) ◽  
pp. 729-736
Author(s):  
Konstantin N. Stupin ◽  
Mikhail Y. Zenko ◽  
Elena A. Rybnikova

Abstract Comparative analysis of available literature data on the pathogenetic neuroendocrine mechanisms of depression and post-traumatic stress disorder (PTSD) is provided in this review to identify their common features and differences. We discuss the multidirectional modifications of the activity of cortical and subcortical structures of the brain, levels of neurotransmitters and their receptors, and functions of the hypothalamic-pituitary-adrenocortical axis in depression and PTSD. The analysis shows that these disorders are examples of opposite failures in the system of adaptive stress response of the body to stressful psychotraumatic events. On this basis, it is concluded that the currently widespread use of similar approaches to treat these disorders is not justified, despite the significant similarity of their anxiety-depressive symptoms; development of differential therapeutic strategies is required.


2020 ◽  
pp. 107780122093519 ◽  
Author(s):  
Lauren B. Cattaneo ◽  
Amanda M. Stylianou ◽  
Stephanie Hargrove ◽  
Lisa A. Goodman ◽  
Kris T. Gebhard ◽  
...  

In the domestic violence field, a survivor-centered approach to services is a shared ideal, but there is little empirical work demonstrating its importance. This study filled that gap, focusing on a key outcome—safety-related empowerment. We gathered data from 177 intimate partner violence (IPV) survivors seeking community-based services, and after one session with an advocate, results revealed a significant change in two of three subscales of the Measure of Victim Empowerment Related to Safety (MOVERS) measure: Internal Tools and Expectations of Support. There was no change in Trade-Offs (pursuing safety causing new problems). More survivor-defined practice predicted greater changes in empowerment, over and above severity of violence, post-traumatic stress disorder (PTSD), and demographics.


BMJ Open ◽  
2019 ◽  
Vol 9 (6) ◽  
pp. e028550 ◽  
Author(s):  
Sintayehu Asnakew ◽  
Shegaye Shumet ◽  
Worknesh Ginbare ◽  
Getasew Legas ◽  
Kalkidan Haile

ObjectivesTo assess the prevalence of post-traumatic stress disorder (PTSD) and associated factors among the survivors of Koshe landslide, Addis Ababa, Ethiopia, 2018.DesignCommunity-based cross-sectional design.SettingKoshe landslide, Addis Ababa, Ethiopia.ParticipantsWe recruited 830 participants for interviews using the simple random sampling technique.MeasurementWe collected data by face-to-face interviews. The civilian version of the PTSD checklist was used to measure the symptoms of the disorder. The Perceived Stress Scale and the Oslo-3 social support instruments were used to assess the factors. Coded variables were entered into Epi data V.4.2 and exported to SPSS V.24 for analysis. Bivariate and multivariate logistic regressions with OR and 95% CI were employed.ResultA total of 830 participants were interviewed, with a response rate of 98.2%. The prevalence of PTSD was 37.3% with 95% CI 34.1 to 40.8. In the multivariate logistic regression, female sex (adjusted odds ratio (AOR)=1.74, 95% CI 1.21 to 2.50), divorce (AOR=2.08, 95% CI 1.26 to 3.43), sustained physical injury (AOR=8.28, 95% CI 5.04 to 13.61), history of mental illness (AOR=5.55, 95% CI 2.30 to 13.36), family history of mental illness (AOR=2.82, 95% CI 1.48 to 5.37), poor social support (AOR=3.64, 95% CI 1.99 to 6.69) and high perceived stress (AOR=3.08, 95% CI 1.43 to 6.64) were associated with PTSD.Conclusion and recommendationsThe prevalence of PTSD among the survivors of Koshe landslide was high. We recommend that an early PTSD-focused regular screening be carried out by trained health professionals; linkage with mental health service providers also needs to be considered.


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