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.

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.

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.

Long-Term Pharmacotherapy for Post-Traumatic Stress Disorder

CNS Drugs ◽  
2006 ◽  
Vol 20 (6) ◽  
pp. 465-476 ◽  
Author(s):  
Lori L Davis ◽  
Elizabeth C Frazier ◽  
Raela B Williford ◽  
Jason M Newell
Keyword(s):  
Post Traumatic Stress Disorder ◽  
Traumatic Stress ◽  
Stress Disorder ◽  
Post Traumatic Stress ◽  
Post Traumatic

Chronic pain: Sources framing of post-traumatic stress in The New York Times

2019 ◽  
Vol 13 (3) ◽  
pp. 336-351
Author(s):  
Barbara Barnett ◽  
Tien T Lee
Keyword(s):  
New York ◽  
Traumatic Stress ◽  
New York Times ◽  
Post Traumatic Stress ◽  
News Stories ◽  
Negative Thoughts ◽  
Post Traumatic ◽  
Public Policy Decisions

Post-traumatic stress (PTS) is a common reaction after witnessing a violent event, and individuals who have experienced trauma may relive the event, avoid people or situations that remind them of the trauma, or experience negative thoughts and hyperarousal. When symptoms persist, an individual may receive a medical diagnosis of Post-Traumatic Stress Disorder (PTSD). While nearly eight million Americans, including combat veterans, have PTSD in a given year, few studies have explored how the condition is represented in the mass media. This content analysis examines sources’ characterization of PTSD in New York Times articles. Results show that news stories framed PTSD as a long-term problem, with little chance for recovery, a frame that could negatively affect public policy decisions.

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