scholarly journals Prevalence and related factors of post-traumatic stress disorder among medical staff members exposed to H7N9 patients

2017 ◽  
Vol 4 (1) ◽  
pp. 63-67 ◽  
Author(s):  
Liling Tang ◽  
Lingling Pan ◽  
Liping Yuan ◽  
Lei Zha
Keyword(s):  
Post Traumatic Stress Disorder ◽  
Traumatic Stress ◽  
Medical Staff ◽  
Stress Disorder ◽  
Post Traumatic Stress ◽  
Related Factors ◽  
Staff Members ◽  
Post Traumatic

scholarly journals Identifying Trajectories and Predictors of Response to Psychotherapy for Post-Traumatic Stress Disorder in Adults: A Systematic Review of Literature

2019 ◽  
pp. 070674371987560 ◽  
Author(s):  
Michelle Dewar ◽  
Alison Paradis ◽  
Christophe A. Fortin
Keyword(s):  
Systematic Review ◽  
Post Traumatic Stress Disorder ◽  
Traumatic Stress ◽  
Stress Disorder ◽  
Individual Variability ◽  
Therapeutic Interventions ◽  
Valuable Insight ◽  
Post Traumatic Stress ◽  
Related Factors ◽  
Post Traumatic

Objective: There exists considerable individual variability in the development and progression of pathological stress reactions after experiencing trauma, as well as in individuals’ response to psychological interventions. Yet until recently, such individual differences had not been considered when evaluating the efficacy of therapeutic interventions for post-traumatic stress disorder (PTSD). This systematic review aims to examine the emerging literature on this subject and, specifically, to identify trajectories and predictors of psychotherapeutic response in adults with PTSD. Method: Four databases were searched using specific keywords without date or language restrictions. For each study, independent reviewers systematically evaluated whether it met eligibility criteria and assessed risk of bias. For included studies, reviewers completed data extraction using standard formats. Those examining how subgroups of adults respond to therapy for clinical PTSD using trajectory modeling were deemed eligible. Demographic, PTSD, clinical, and trauma-related factors associated to particular trajectories were also examined. Results: Of the 1,727 papers identified, 11 were included in this analysis. Of these studies, six focused on military-related traumas and five on civilian ones. Although studies found between two and five trajectories, most supported a three-trajectory model of response categorized as responders, nonresponders, and subclinical participants. Over 22 predictors of treatment trajectories were examined. Comorbid depression, anxiety, and alcohol abuse were the strongest predictors of poor therapeutic response. Age, combat exposure, social support, and hyperarousal were moderate predictors. Conclusion: This review provides valuable insight into the treatment of PTSD, as it supports the heterogeneous trajectories of psychotherapeutic responses and provides avenues for the development of interventions that consider individual-level factors in treatment response.

scholarly journals Post-Traumatic Distress and Burnout Among Chinese School Teachers: The Mediating Role of Forgiveness

2021 ◽  
Vol 12 ◽  
Author(s):  
Yabing Wang ◽  
Man Cheung Chung ◽  
Siqi Fang
Keyword(s):  
Psychological Distress ◽  
Post Traumatic Stress Disorder ◽  
Traumatic Stress ◽  
Stress Disorder ◽  
Post Traumatic Stress ◽  
School Teachers ◽  
Related Factors ◽  
Work Related ◽  
Post Traumatic ◽  
K 12

PurposeTeachers’ mental health is concerning due to high stress at work. Its association with job-related stressors has been well-documented. Little is known; however, about how traumatic life events and trauma reactions might contribute to their psychological distress. This paper is to explore whether Post-traumatic Stress Disorder (PTSD) following past traumatic event would predict burnout and psychiatric co-morbidity among Chinese k-12 school teachers and whether this prediction would be mediated by forgiveness after controlling for work-related factors.MethodsTwo hundred and seventy-nine Chinese teachers (F = 223, M = 56) from primary and secondary schools completed demographic information, Post-traumatic Stress Disorder Checklist for DSM-5 (PCL-5), Heartland Forgiveness Scale (HFS), General Health Questionnaire-28 (GHQ-28), Maslach Burnout Inventory-Educator’s Survey (MBI-ES), and a series of measures assessing work-related factors.ResultsStructured equation modeling (SEM) showed that after controlling for work-related factors, PTSD following past trauma was positively associated with burnout and general psychological problems but negatively associated with levels of forgiveness. Forgiveness carried the impact of PTSD onto burnout rather than general psychological distress.ConclusionTo conclude, regardless of the level of stress experienced from working in school, primary and secondary teachers with PTSD from past trauma found it more difficult forgiving which in turn could affect their levels of burnout.

scholarly journals Longitudinal Trajectories of Post Traumatic Stress Disorder(PTSD) in Medical Staff After Outbreak of Coronavirus (COVID-19) in China

2021 ◽  
Author(s):  
Han Sheng ◽  
Rong Wang ◽  
Ming Yao ◽  
Qinghe Zhou ◽  
Zhihong Zhu ◽  
...  
Keyword(s):  
Post Traumatic Stress Disorder ◽  
Traumatic Stress ◽  
Medical Staff ◽  
Stress Disorder ◽  
Close Contact ◽  
Psychological Problems ◽  
Ptsd Symptoms ◽  
Post Traumatic Stress ◽  
Post Traumatic

Abstract Background: In the novel coronavirus disease (COVID-19) pandemic, medical staff is the main force for aiding in the control of the rapid spread. They have to risk lives to undertake the high-pressure task which may cause immediate and long-term psychological problems. This study aims to explore the trajectories of post-traumatic stress disorder (PTSD) over time after the outbreak and determine predictors associated with each trajectory. Methods: 448 medical workers participated in the investigation and completed the Posttraumatic Stress Disorder Self-Rating Scale (PTSD-SS) for the first PTSD screening at 1 month after the outbreak and 259 (57.81%) of them finished the second round at 12 months. According to whether the medical staff had close contact with the COVID-19 patient, participants were divided into close contact group (CC group) and non-close contact group (non-CC group). While in each group, subgroups were created based on the time-varying changes of developing PTSD. Distinct patterns of PTSD symptom trajectories were established according to the different development of PTSD in respective subgroup. Then, repeated-measure analysis of variance(ANOVA), bivariate and multivariate logistic regressions were used to examine predictors for trajectory membership.Results: Four trajectories of PTSD symptoms were found both in CC and non-CC group, namely, resilience (25.28%, 45.24%, respectively), recovery (36.26%, 32.74%, respectively), chronic (16.48%, 10.71%, respectively), and delayed (21.98%, 11.31%, respectively). ANOVA revealed that PTSD scores were significantly changed through time both in CCs and non- CCs. With bivariate and multivariate analyses, several socio-demographic predictors and work experience related factors were found in the CC group, while limited ones in the non-CC group. This means that although the trajectory trends are similar between these two groups, the methods of psychological intervention may need to be treated differently. Furthermore, CC group had less resilient individuals (p=0.002) and more delayed PTSD sufferers (p=0.022) compared with non-CC medical staff, which suggest that CCs were more likely to experience PTSD course and encounter long-term psychological problems.Conclusions: A considerable number of medical personnel have long-term PTSD, both in CC group and non-CC group, which deserve public attention. Identified factors may indicate preventive and treatment interventions for medical workers with PTSD symptoms.

scholarly journals Post-Traumatic Stress Disorder and Related Factors in Parents of Children With Cancer in South-East of Iran

2012 ◽  
Vol 14 (12) ◽  
pp. 776-81 ◽  
Author(s):  
Majid Naderi ◽  
Mahboubeh Firouzkoohi Moghadam ◽  
Mahdiyeh Hamzenejad ◽  
Abolfazl Emamdadi ◽  
Hossein Karami
Keyword(s):  
Post Traumatic Stress Disorder ◽  
Traumatic Stress ◽  
Stress Disorder ◽  
Post Traumatic Stress ◽  
Children With Cancer ◽  
Related Factors ◽  
East Of Iran ◽  
Post Traumatic

scholarly journals Childhood maltreatment, juvenile disorders and adult post-traumatic stress disorder: a prospective investigation

2013 ◽  
Vol 44 (9) ◽  
pp. 1937-1945 ◽  
Author(s):  
N. Breslau ◽  
K. C. Koenen ◽  
Z. Luo ◽  
J. Agnew-Blais ◽  
S. Swanson ◽  
...  
Keyword(s):  
Post Traumatic Stress Disorder ◽  
Traumatic Stress ◽  
Childhood Maltreatment ◽  
Stress Disorder ◽  
Post Traumatic Stress ◽  
Related Factors ◽  
History Of ◽  
Health And Development ◽  
Post Traumatic ◽  
The Impact

BackgroundWe examine prospectively the influence of two separate but potentially inter-related factors in the etiology of post-traumatic stress disorder (PTSD): childhood maltreatment as conferring a susceptibility to the PTSD response to adult trauma and juvenile disorders as precursors of adult PTSD.MethodThe Dunedin Multidisciplinary Health and Development Study (DMHDS) is a birth cohort (n = 1037) from the general population of New Zealand's South Island, with multiple assessments up to age 38 years. DSM-IV PTSD was assessed among participants exposed to trauma at ages 26–38. Complete data were available on 928 participants.ResultsSevere maltreatment in the first decade of life, experienced by 8.5% of the sample, was associated significantly with the risk of PTSD among those exposed to adult trauma [odds ratio (OR) 2.64, 95% confidence interval (CI) 1.16–6.01], compared to no maltreatment. Moderate maltreatment, experienced by 27.2%, was not associated significantly with that risk (OR 1.55, 95% CI 0.85–2.85). However, the two estimates did not differ significantly from one another. Juvenile disorders (ages 11–15), experienced by 35% of the sample, independent of childhood maltreatment, were associated significantly with the risk of PTSD response to adult trauma (OR 2.35, 95% CI 1.32–4.18).ConclusionsSevere maltreatment is associated with risk of PTSD response to adult trauma, compared to no maltreatment, and juvenile disorders, independent of earlier maltreatment, are associated with that risk. The role of moderate maltreatment remains unresolved. Larger longitudinal studies are needed to assess the impact of moderate maltreatment, experienced by the majority of adult trauma victims with a history of maltreatment.

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