Posttraumatic stress disorder symptoms and related factors after circumcision operation performed with general or local anesthesia

2017 ◽  
Vol 41 (S1) ◽  
pp. S428-S429
Author(s):  
B. Kozanhan ◽  
C. Kocaoğlu ◽  
M. Gunduz ◽  
O.F. Akca

ObjectiveElective circumcision operation for male children can affect their psychological status.AimWe aimed to investigate the traumatic effect of the circumcision procedure and the predictive factors that could contribute to this effect.MethodOne hundred and thirty-four children who admitted to urology and child surgery clinics to perform a circumcision procedure were included in the study. The whole group was divided into two groups including general anesthesia (GA) (n = 71) and local anesthesia (LA) (n = 63) groups. The procedure was performed under general and local anesthesia in the relevant groups. All of the participants filled the Child Depression invenTory (CDI), State (SA), and Trait (TA) Anxiety and Childhood Anxiety Sensitivity index (CASI) before the operation, and the Child Posttraumatic Stress Reaction index (CPSRI) 1 month after the operation.ResultsCDI, CASI and TA scores of the children were similar in both groups, however, SA scores of the LA group were higher than GA group (P < 0.001), and CPSRI scores of the GA group were higher than LA group (P = 0.04). When the other parameters were controlled in regression analysis, only CDI scores predicted CPSRI scores in LA group (P = 0.02), and TA scores predicted CPSRI scores in the GA group (P = 0.03).ConclusionChildren who witness the surgical procedure of the circumcision do not develop serious PTSD symptoms. In contrast, children who experience general anesthesia procedure during circumcision develop more serious PTSD symptoms than children operated with local anesthesia. Trait anxiety and depressive symptom severity may be important in developing PTSD symptoms after circumcision operation.Disclosure of interestThe authors have not supplied their declaration of competing interest.

2013 ◽  
Vol 42 (4) ◽  
pp. 342-346 ◽  
Author(s):  
Dejan S. Stevanovic ◽  
Wendy K. Silverman ◽  
Kristin A. Nichols-Lopez ◽  
Smiljka D. Popovic-Deusic ◽  
Milica M. Pejovic-Milovancevic

2020 ◽  
pp. 003022282096376
Author(s):  
Megan Weber Falk ◽  
Anette Alvariza ◽  
Ulrika Kreicbergs ◽  
Josefin Sveen

Posttraumatic stress disorder (PTSD) and prolonged grief disorder (PGD) are well-documented in parentally bereaved adolescents. Whether or not the parent’s death is perceived as traumatic may be influenced by several end-of-life-related factors. This study aimed to examine the associations between end-of-life-related factors, symptoms of posttraumatic stress disorder (PTSD), symptoms of prolonged grief disorder and PGD, and the association between PTSD and PGD. Mann-Whitney U tests and Spearman correlation were used to analyze the relationships between end-of-life-related factors, PTSD, and PGD. Regretting one’s decision to be present or not present at the time of death resulted in a significant difference in self-reported scores for PTSD, but not PGD.


2020 ◽  
pp. 003329412094822
Author(s):  
Nicole M. Caulfield ◽  
Rachel L. Martin ◽  
Aaron M. Norr ◽  
Daniel W. Capron

Background/Objectives One-half of all U.S. adults will experience at least one traumatic event, and of those, approximately 11% develop posttraumatic stress disorder (PTSD) symptoms. Despite efficacious treatments for PTSD, one-third of people diagnosed still express symptoms after treatment.Thus, it is important to identify underlying factors that may be associated with PTSD symptom clusters to improve treatment efficacy. One potential factor is anxiety sensitivity (AS), or “the fear of fear,” and includes three different subfactors: physical, cognitive, and social concerns, yet few studies have examined this association using the Anxiety Sensitivity Index-3. Method Participants included 65 undergraduate students from a Southeastern University who were elevated on anxiety sensitivity cognitive concerns and experienced at least one traumatic event. Participants completed measures of trauma exposure, anxiety sensitivity, posttraumatic stress symptoms, and suicidal ideation. Results Results revealed that AS physical symptoms had the most robust association with potential PTSD symptoms and individual PTSD symptom clusters with the exception of the avoidance and numbing cluster Conclusions These findings may help clarify the nature of the relationship between PTSD symptoms and AS using the most updated measure of AS (ASI-3).


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