scholarly journals Iatrogenic trigeminal post-traumatic neuropathy: a retrospective two-year cohort study

2018 ◽  
Vol 47 (6) ◽  
pp. 789-793 ◽  
Author(s):  
Y. Klazen ◽  
F. Van der Cruyssen ◽  
M. Vranckx ◽  
M. Van Vlierberghe ◽  
C. Politis ◽  
...  
BMJ Open ◽  
2017 ◽  
Vol 7 (10) ◽  
pp. e015345 ◽  
Author(s):  
Tonje Holt ◽  
Tine Jensen ◽  
Grete Dyb ◽  
Tore Wentzel-Larsen

Objective and settingThe objective of this study was to provide knowledge about the emotional reactions in parents whose offspring experienced a mass shooting on Utøya island in Norway in 2011. The research questions included whether parents’ reactions were influenced by their offspring’s symptom level, age, living situation and parental gender.DesignThe study was designed as an open cohort study. The data were collected at two time points; 4–5 months and 14–15 months after the shooting.ParticipantsThe participants were 531 parents of youth exposed to the Utøya island attack.Outcome measuresThe Parental Emotional Reaction Questionnaire measured parents’ reactions, and University of California, Los Angeles Post-traumatic Stress Disorder Reaction Index measured youths' post-traumatic stress symptoms.ResultsParental emotional reactions were positively related to post-traumatic stress reactions in offspring at wave 1: Est.=0.20, 95% CI 0.10 to 0.30, p<0.001, over time (wave 1and wave 2 nested within individuals): Est.=0.23, CI 0.13 to 0.32, p<0.001, and at wave 2: Est.=0.26, CI 0.12 to 0.39, p<0.001. Youths’ age was not significantly related to parental emotional reactions, neither at wave 1: Est.=0.19, CI −0.40 to 0.77, p=0.531, over time: Est.=0.26, CI −0.27 to 0.79, p=328, nor at wave 2: Est.=0.32, CI −0.41 to 1.05, p=0.389. Mothers were more emotionally upset than fathers both at wave 1: Est.=−5.66, CI −7.63 to −3.69, p<0.001, over time: Est.=−5.36, CI −7.18 to −3.55, p<0.001, and at wave 2: Est.=−5.33, CI −7.72 to −2.53, p<0.001.ConclusionsThe findings suggest that parenting after trauma should be addressed in outreach programmes and in planning of healthcare services.


Midwifery ◽  
2016 ◽  
Vol 32 ◽  
pp. 87-92 ◽  
Author(s):  
Sarah De Schepper ◽  
Tinne Vercauteren ◽  
Jolein Tersago ◽  
Yves Jacquemyn ◽  
Filip Raes ◽  
...  

2021 ◽  
pp. 1-9
Author(s):  
Judith Allardyce ◽  
Anna-Clara Hollander ◽  
Syed Rahman ◽  
Christina Dalman ◽  
Stan Zammit

Abstract Background We aimed to examine the temporal relationships between traumatic events (TE), post-traumatic stress disorder (PTSD) and non-affective psychotic disorders (NAPD). Methods A prospective cohort study of 1 965 214 individuals born in Sweden between 1971 and 1990 examining the independent effects of interpersonal and non-interpersonal TE on incidence of PTSD and NAPD using data from linked register data (Psychiatry-Sweden). Mediation analyses tested the hypothesis that PTSD lies on a causal pathway between interpersonal trauma and NAPD. Results Increasing doses of interpersonal and non-interpersonal TE were independently associated with increased risk of NAPD [linear-trend incidence rate ratios (IRR)adjusted = 2.17 [95% confidence interval (CI) 2.02–2.33] and IRRadjusted = 1.27 (95% CI 1.23–1.31), respectively]. These attenuated to a relatively small degree in 5-year time-lagged models. A similar pattern of results was observed for PTSD [linear-trend IRRadjusted = 3.43 (95% CI 3.21–3.66) and IRRadjusted = 1.45 (95% CI 1.39–1.50)]. PTSD was associated with increased risk of NAPD [IRRadjusted = 8.06 (95% CI 7.23–8.99)], which was substantially attenuated in 5-year time-lagged analyses [IRRadjusted = 4.62 (95% CI 3.65–5.87)]. There was little evidence that PTSD diagnosis mediated the relationship between interpersonal TE and NAPD [IRRadjusted = 0.92 (percentile CI 0.80–1.07)]. Conclusion Despite the limitations to causal inference inherent in observational designs, the large effect-sizes observed between trauma, PTSD and NAPD in this study, consistent across sensitivity analyses, suggest that trauma may be a component cause of psychotic disorders. However, PTSD diagnosis might not be a good proxy for the likely complex psychological mechanisms mediating this association.


2021 ◽  
Vol 115 ◽  
pp. 103838
Author(s):  
Balazs Feher ◽  
Lisa-Franziska Spandl ◽  
Stefan Lettner ◽  
Christian Ulm ◽  
Reinhard Gruber ◽  
...  

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