scholarly journals Families’ Perceptions of Distress Due to Posttraumatic Stress Disorder at the End-of-Life Among Veterans (776)

2009 ◽  
Vol 37 (3) ◽  
pp. 574
Keyword(s):  
Posttraumatic Stress Disorder ◽  
Posttraumatic Stress ◽  
End Of Life ◽  
Stress Disorder

End-of-Life-Related Factors Associated with Posttraumatic Stress and Prolonged Grief in Parentally Bereaved Adolescents

2020 ◽  
pp. 003022282096376
Author(s):  
Megan Weber Falk ◽  
Anette Alvariza ◽  
Ulrika Kreicbergs ◽  
Josefin Sveen
Keyword(s):  
Posttraumatic Stress Disorder ◽  
Posttraumatic Stress ◽  
End Of Life ◽  
Stress Disorder ◽  
Ptsd Symptoms ◽  
Related Factors ◽  
Prolonged Grief Disorder ◽  
Prolonged Grief ◽  
Parentally Bereaved ◽  
Significant Difference

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.

Posttraumatic stress disorder at the end of life: Extant research and proposed psychosocial treatment approach

2011 ◽  
Vol 9 (4) ◽  
pp. 407-418 ◽  
Author(s):  
David B. Feldman
Keyword(s):  
Posttraumatic Stress Disorder ◽  
Posttraumatic Stress ◽  
End Of Life ◽  
Stress Disorder ◽  
Treatment Approach ◽  
Traumatic Event ◽  
Healthcare Providers ◽  
Life Review ◽  
Psychosocial Treatment

AbstractAccording to some estimates, 84% of people experience a traumatic event during their lives (Vrana & Lauterbach, 1994), and 15% to 24% then develop posttraumatic stress disorder (PTSD). Many carry with them lasting effects of trauma as they age and enter the last phase of life. PTSD manifests in unique ways at the end of life, possibly disrupting factors associated with a positive dying process, including social support, medical communication, life review, and acceptance of death. Terminally ill people with PTSD may suffer more emotional distress, lower quality of life, and poorer medical prognosis than those without PTSD. Unfortunately, healthcare providers may not be trained to address this issue. This article reviews the literature concerning how PTSD may affect the end of life and proposes an intervention model based on a palliative care philosophy.

Posttraumatic Stress Disorder and End-of-Life Care

2018 ◽  
Author(s):  
Kristen H. Sorocco ◽  
Kristi L. Bratkovich ◽  
Whalen JoAnne ◽  
David B. Feldman
Keyword(s):  
Posttraumatic Stress Disorder ◽  
Posttraumatic Stress ◽  
End Of Life ◽  
End Of Life Care ◽  
Stress Disorder ◽  
Life Care

Treatment of posttraumatic stress disorder at the end-of-life: Application of the stepwise psychosocial palliative care model

2013 ◽  
Vol 12 (3) ◽  
pp. 233-243 ◽  
Author(s):  
David B. Feldman ◽  
Kristen H. Sorocco ◽  
Kristi L. Bratkovich
Keyword(s):  
Posttraumatic Stress Disorder ◽  
Palliative Care ◽  
Posttraumatic Stress ◽  
End Of Life ◽  
Stress Disorder ◽  
Evidence Based ◽  
Care Model ◽  
New Approach ◽  
Behavioral Techniques ◽  
Complex Settings

AbstractObjectives:Feldman (2011) has proposed a new approach to the treatment of posttraumatic stress disorder (PTSD) in individuals at the end-of-life known as Stepwise Psychosocial Palliative Care (SPPC). This approach helps to compensate for the disadvantages of existing PTSD interventions with regard to treating patients with life-limiting and terminal illnesses by employing a palliative care philosophy. The model relies on cognitive and behavioral techniques drawn from evidence-based approaches to PTSD, deploying them in a stage-wise manner designed to allow for interventions to track with patents’ needs and prognoses. Because this model is relatively new, we seek to explore issues related to its implementation in the complex settings in which providers encounter patients at the end-of-life. We also seek to provide concrete guidance to providers regarding the management of PTSD at the end-of-life in diverse palliative care settings.Methods:We examine three specific cases in which the SPPC model was utilized, highlighting particular treatment challenges and strategies. These case studies provide information regarding the SPPC model's application to patients in two distinct palliative care settings—a palliative care consult team and an inpatient palliative care unit.Results:The SPPC model's stage-wise approach allows for its flexible use given a variety of constraints related to setting and patient issues.Significance of results:The SPPC model provides an alternative to existing psychosocial treatments for PTSD that may be more appropriate for patients at the end of life.

Posttraumatic Stress Disorder at the End of Life

2006 ◽  
Vol 9 (1) ◽  
pp. 213-218 ◽  
Author(s):  
David B. Feldman, ◽  
Vyjeyanthi S. Periyakoil
Keyword(s):  
Posttraumatic Stress Disorder ◽  
Posttraumatic Stress ◽  
End Of Life ◽  
Stress Disorder

Posttraumatic Stress Disorder Exacerbates Emotional Complaints but not Cognitive Impairments in Individuals Suffering from Postconcussional Disorder after Mild Traumatic Brain Injury

2015 ◽  
Vol 26 (1) ◽  
pp. 35-50 ◽  
Author(s):  
Sara C. Schroeder ◽  
Ronald M. Ruff ◽  
Lutz Jäncke
Keyword(s):  
Traumatic Brain Injury ◽  
Posttraumatic Stress Disorder ◽  
Brain Injury ◽  
Posttraumatic Stress ◽  
Mild Traumatic Brain Injury ◽  
Test Performance ◽  
Stress Disorder ◽  
Negative Impact ◽  
Neuropsychological Test ◽  
Composite Scale

The aim of this study was to examine the effect of posttraumatic stress disorder (PTSD) on (a) neuropsychological test performance and (b) self-reported emotional complaints within individuals suffering from postconcussional disorder (PCD) after a mild traumatic brain injury (MTBI). A two-group comparative research design was employed. Two MTBI samples with and without PTSD were assessed with a neuropsychological test battery and the Ruff Neurobehavioral Inventory (RNBI). On the neurocognitive test performances no significant between group differences were found, but the MTBI group with PTSD endorsed a significantly greater number of emotional complaints, especially in the RNBI subscales of anxiety and depression. The patients with PTSD also endorsed a significantly greater number of premorbid sequelae in the RNBI emotional composite scale as well as the RNBI premorbid subscales of pain, anxiety and abuse. In sum, PTSD has a negative impact on emotional but not cognitive functioning within individuals suffering from PCD after a mild TBI.

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