Post-traumatic Mania Symptoms: About One Case

2017 ◽  
Vol 41 (S1) ◽  
pp. S724-S725
Author(s):  
H. El Kefi ◽  
I. Beldi ◽  
W. Krir ◽  
C. Benchikh Brahim ◽  
S. Eddif ◽  
...  
Keyword(s):  
Terrorist Attack ◽  
Post Traumatic Stress ◽  
Psychological Reactions ◽  
Manic Symptoms ◽  
Induced Mood ◽  
History Of ◽  
Post Traumatic ◽  
Competing Interest ◽  
Significant Regression

IntroductionPsychotraumatism can constitute for some people a real existential fracture, a real upheaval of the psychic organization.Immediate psychological reactions can vary from one-off and temporary reactions to far more severe and sometimes enduring reactions.Material and methodsWe collected the case of a patient who was hospitalised in April 2015 for manic symptoms in the immediate aftermath of a terrorist attack, with a review of the literature.Clinical caseThis is Mr. A. F., aged 38, with a personal history of AVP and a shooting wound following a terrorist attack. He had presented a psychomotor instability and an exaltation of the mood in the immediate aftermath of an ambush.Behavioural problems were identified by the psychiatric team during the group debriefing conducted at the HMPIT emergency room. During his hospitalisation, a chemotherapy based on thymoregulators, neuroleptics and anxiolytics was introduced.The evolution was marked by a significant regression of the manic syndrome after ten days, and the installation of a post-traumatic stress condition (PTSD). At the end of eight months, the patient was able to resume his work with long-term thymoregulatory treatment, a ban on weapons and safety posts.ConclusionManic episodes are rarely observed as an immediate post-traumatic reaction. Their occurrence does not prevent the subsequent installation of PTSD. Has psychic trauma revealed a latent psychosis? Is it a trauma-induced mood disorder?Disclosure of interestThe authors have not supplied their declaration of competing interest.

Violence suffered by women before her incarceration: Integrative literature review

2017 ◽  
Vol 41 (S1) ◽  
pp. s906-s907
Author(s):  
E. Scherer ◽  
Z. Scherer ◽  
F. Pessoa ◽  
N.P. Scherer
Keyword(s):  
Women’S Health ◽  
Women's Health ◽  
Violence Against Women ◽  
Post Traumatic Stress ◽  
History Of ◽  
Post Traumatic ◽  
History Of Violence ◽  
Competing Interest ◽  
Effects Of Violence ◽  
Biological Differences

IntroductionThe complex phenomenon of violence against women is determined by gender relations that, from a historical and social construction of female and male, and the biological differences which gives unequal power between men and women. This results in increased vulnerability of women, exposing them to physical, psychological and sexual violence. The history of violence in the early life of trapped women can contribute to their involvement in crimes and misdemeanors.ObjectiveTo review the production of national and international scientific knowledge about the effects of violence on women's health before her incarceration.AimsMeet the publications about the consequences of violence on women's health before she was imprisoned.MethodIntegrative review of scientific literature to answer: “What are the implications of violence on women's health before their incarceration?” Studies of the last 5 years delimited in the databases LILACS, PUBMED and PsycInfo. Selected primary studies with women incarcerated people over 18 years, in Portuguese, English and Spanish language. Excluded studies that addressed violence inside the prison and wife as perp. An instrument for identification of studies and their categorization was used.ResultsSixteen selected articles that have addressed the prevalence of post-traumatic stress disorder, suicide, drug abuse, sexual abuse and re-victimization (where the abuser was usually a family member or intimate partner).ConclusionThere is a lack of a specific instrument to investigate the occurrence of violence against women before being arrested. Scientific and policy initiatives are required to develop specific intervention strategies for women incarcerated victimized before prison.Disclosure of interestThe authors have not supplied their declaration of competing interest.

Repeated Programmed Hospitalizations (RPH) in the Care of French Military Suffering for War Post-traumatic Psychiatric Disorders: Interests and Limitations

2017 ◽  
Vol 41 (S1) ◽  
pp. S727-S727
Author(s):  
G. Thomas ◽  
E. Le Pape ◽  
E. Py-Leroy ◽  
E. Mele ◽  
G. Tourinel
Keyword(s):  
Group Dynamics ◽  
Integrative Model ◽  
Therapeutic Effects ◽  
Post Traumatic Stress ◽  
Psychiatric Illnesses ◽  
French Military ◽  
Post Traumatic ◽  
Administrative Procedures ◽  
Competing Interest

IntroductionThe long-term management of psychiatric wounded patients with prolonged disorders requires a rethinking of our practice of care.ObjectivesThe aim is to propose an integrative model of all valid therapies in the post-traumatic-stress disorder while taking care of comorbidities and ensuring patient support in the different administrative procedures that permit reconstruction. Repeated short-term hospitalizations can meet this objective by mobilizing resources, creating group dynamics, restoring a space of safety, allowing a rupture with the environment, preventing recurrence of crises, and by encouraging the histicization of trauma by the temporal sequences of intra/extra-hospitalisation repetition.MethodWe propose, by means of a review of the literature, to discuss on a psychopathological level the interest and limits of this mode of care.ResultsThis work reveals the specific therapeutic effects of repeated programmed hospitalizations, which constitute a new modality of institutional psychotherapy.ConclusionRethinking the place of hospitalisation in the management of psychiatric illnesses can be useful to all psychiatrists who follow patients with chronic and co-morbid disease.Disclosure of interestThe authors have not supplied their declaration of competing interest.

scholarly journals Suicide among Scottish military veterans: follow-up and trends

2021 ◽  
pp. oemed-2021-107713
Author(s):  
Beverly P Bergman ◽  
Daniel F Mackay ◽  
Jill P Pell
Keyword(s):  
Older Women ◽  
Military Veterans ◽  
Female Veterans ◽  
Veterans Health ◽  
Post Traumatic Stress ◽  
Increased Risk ◽  
History Of ◽  
Post Traumatic

ObjectivesThe risk of suicide among UK military veterans remains unclear. Few recent studies have been undertaken, and most studies found no clear evidence of increased risk. We used data from the Trends in Scottish Veterans Health cohort to investigate suicides up to 2017 in order to examine whether there have been any changes in the long-term pattern of veteran suicides since our earlier study to 2012, and to compare trends in the risk of suicide among veterans with matched non-veterans.MethodRetrospective cohort study of 78 000 veterans and 253 000 non-veterans born between 1945 and 1995, matched for age, sex and area of residence, using survival analysis to examine the risk of suicide in veterans in comparison with non-veterans overall and by subgroup, and to investigate associations with specific mental health conditions.ResultsUp to 37 years of follow-up, 388 (0.5%) veterans and 1531 (0.6%) non-veterans died from suicide. The risk of suicide among veterans did not differ from non-veterans overall. Increased risk among early service leavers was explained by differences in deprivation, and the previously reported increased risk in female veterans is now confined to older women. Suicide was most common in the fifth decade of life, and around 20 years postservice. A history of mood disorder or post-traumatic stress disorder was non-significantly more common in veterans.ConclusionsVeterans are not at increased risk of suicide overall. The highest risk for both men and women is in middle age, many years after leaving service.

Long-term psychopathology changes among the injured and members of the community after a massive terrorist attack

2011 ◽  
Vol 26 (8) ◽  
pp. 513-517 ◽  
Author(s):  
L. Ferrando ◽  
S. Galea ◽  
E. Sainz Cortón ◽  
C. Mingote ◽  
E. García Camba ◽  
...  
Keyword(s):  
Panic Disorder ◽  
Post Traumatic Stress Disorder ◽  
Traumatic Stress ◽  
Terrorist Attack ◽  
Post Traumatic Stress ◽  
Random Samples ◽  
Community Residents ◽  
Post Traumatic ◽  
Different Levels

AbstractBackground and aimTo document long-term prevalence trends and changes in Post-Traumatic Stress Disorder (PTSD), Current Major Depression (MD), Agoraphobia, Generalized Anxiety Disorder (GAD), and Panic Disorder, in two groups of people with different levels of exposure to a massive terrorist attack.MethodsCohort study. Two random samples of people exposed to a terrorist attack, the injured (n = 127) and community residents (n = 485) were followed and assessed, 2 and 18 months after the event.ResultsAmong the injured, 2 and 18 months after the attack, the prevalences were respectively, PTSD: 44.1% and 34%, MD: 31.5% and 23.7%, Agoraphobia: 23.8% and 20.7%, GAD: 13.4% and 12.4% and Panic Disorder: 9.4% and 11.3%. The corresponding figures among residents were PTSD: 12.3% and 3.5%, MD: 8.5% and 5.4%, Agoraphobia: 10.5% and 8.7%, GAD: 8.6%, and 8.2% and Panic Disorder 2.1% and 2.7%.ConclusionsTwo months after the event, the prevalence of mental disorders among both injured and residents was higher than expected levels at baseline conditions. Eighteen months after the event, psychopathological conditions did not change significantly among the injured but returned to the expected baseline rates among community residents.

scholarly journals Psychological disturbance associated with sexual abuse in people with learning disabilities

2003 ◽  
Vol 183 (5) ◽  
pp. 451-456 ◽  
Author(s):  
Heather Sequeira ◽  
Patricia Howlin ◽  
Shiela Hollins
Keyword(s):  
Sexual Abuse ◽  
Learning Disabilities ◽  
Behavioural Problems ◽  
Controlled Study ◽  
Post Traumatic Stress ◽  
Psychological Disturbance ◽  
Psychological Reactions ◽  
Adults With Learning Disabilities ◽  
History Of ◽  
Post Traumatic

BackgroundThe association between sexual abuse, mental health and behavioural problems in people with learning disabilities has not previously been examined in a controlled study.AimsTo identify symptoms of psychological disturbance in adults with and without a confirmed history of sexual abuse.MethodThe study used a matched (1:1) case–control design comparing 54 adults who had experienced sexual abuse with 54 adults with no reported history of abuse. The two groups were selected from a community population of adults with learning disabilities living in residential care, and compared for selected psychiatric diagnoses and for scores on measures of disturbed behaviour.ResultsSexual abuse was associated with increased rates of mental illness and behavioural problems, and with symptoms of post-traumatic stress. Psychological reactions to abuse were similar to those observed in the general population, but with the addition of stereotypical behaviour. The more serious the abuse, the more severe the symptoms that were reported.ConclusionsThe study provides the first evidence from a controlled study that sexual abuse is associated with a higher incidence of psychiatric and behavioural disorder in people with learning disabilities.

scholarly journals Paternal and maternal long-term psychological outcomes after uterine artery embolization for severe post-partum hemorrhage

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Maude Bernasconi ◽  
Béatrice Eggel-Hort ◽  
Antje Horsch ◽  
Yvan Vial ◽  
Alban Denys ◽  
...  
Keyword(s):  
Post Traumatic Stress Disorder ◽  
Traumatic Stress ◽  
Uterine Artery Embolization ◽  
Stress Disorder ◽  
Post Partum ◽  
Post Traumatic Stress ◽  
Artery Embolization ◽  
Increased Risk ◽  
Post Traumatic

AbstractThis study intend to compare the long-term psychological impact (depression, post-traumatic stress disorder) on both partners between patients that underwent uterine artery embolization (UAE) for post-partum hemorrhage (PPH) and uneventful deliveries. Women who experienced severe PPH treated by UAE in our institution between 2003 and 2013 were identified in our obstetrical database. These cases were matched to controls with uneventful deliveries. Matching criteria were maternal age, parity, ethnicity, year of delivery, birthweight, gestational age and mode of delivery. Patients and their partners completed validated questionnaires measuring post-traumatic stress (TSQ), as well as depression symptoms (MINI). A total of 63 cases of PPH and 189 matched controls (1:3) participated in a study exploring gynecological and obstetrical outcomes. With a mean of 8 years post-index delivery, patients after PPH showed increased risk of depression (p = 0.015) and post-traumatic stress disorder (22.2% versus 4.8%, p < 0.005) compared to controls. PPH remains strongly associated with post-traumatic stress disorder, even after adjustment for depression (adjusted odds ratio 5.1; 95% confidence intervals 1.5–17.5). Similarly, partners of patients with PPH showed a propensity to depression (p = 0.029) and post-traumatic stress disorder (11.5% versus 1.5%, p = 0.019). In conclusion, both women and their partners are at increased risk of long-term psychological adverse outcomes after PPH. Couples may benefit from psychological support.

Sign in / Sign up

Export Citation Format

Share Document