Examination and Follow-up War Related Posttraumatic Stress Disorder (PTSD) and Prolonged Posttraumatic Stress Syndrome (PTSS) by Telepsychiatry Service

2009 ◽  
Vol 24 (S1) ◽  
pp. 1-1
Author(s):  
M. Stojakovic ◽  
B. Stojakovic
Keyword(s):  
Posttraumatic Stress Disorder ◽  
Posttraumatic Stress ◽  
Rating Scale ◽  
Stress Disorder ◽  
Psychiatric Patients ◽  
Posttraumatic Stress Syndrome ◽  
Symptoms Of Depression ◽  
Stress Syndrome ◽  
Wide Range

Background and aims:This study was examination by Telepsychiatry and E-consalting of war related posttraumatic stress disorder (PTSD).Methods:The subjects were 114 male psychiatric patients by Telepsychiatry and e-consulting with war-related PTSD by videoconferencing via broadband ADSL and WADSL by 768 kbps. Posttraumatic stress syndrome-PTSS scale and 20-item Zung self rating scale was used to assess state measures of symptom severity.Results:The symptoms of prolonged PTSS (posttraumatic stress syndrome) with duration between six moths and two years had been founded at 84(73,68%) and 30(26,32%) of patients had no PTSS. Symptoms of depression had been found at 72(63,15%) patients. The enduring personality exchange after catastrophic expiriense (F62.0), had been found at 15(13,15%) patients (P< 0.01); symptoms of depression had been found at 54(47,36%) patients after two years.Conclusions:Telepsychiatry service and e-consalting it is able to serve not only PTSD but also wide range of other patient population. Continued examination and follow-up evolution of PTSD symptoms by Telepsychiatry service may be important in predicting the eventual development of depressive symptoms and precipitation of F62.0 enduring personality exchange after catastrophic expiriense in the war related PTSD.

E-CONSALTING BY TELEPSYCHIATRIC SERVICES AND WAR RELATED POSTTRAUMATIC STRESS DISORDER

Psymedica ◽  
2010 ◽  
Vol 1 (1-2) ◽  
Author(s):  
Milan Stojaković ◽  
Bogdan Stojaković
Keyword(s):  
Posttraumatic Stress Disorder ◽  
Posttraumatic Stress ◽  
Rating Scale ◽  
Stress Disorder ◽  
Psychiatric Patients ◽  
Ptsd Symptoms ◽  
Posttraumatic Stress Syndrome ◽  
Stress Syndrome ◽  
Wide Range

BACKGROUND AND AIMS: This study was examination e-consalting by Telepsychiatry of war related posttraumatic stress disorder(PTSD),METHODS; Patients with PTSD have different symptoms.The authors' objective is to analize component of symptoms in PTSD.The subjects were 180 male psychiatric patients by Telepsychiatry and e-consulting with war relatedPTSD by videoconferencing via broadband ADSL by 2 Mbps. Posttraumatic stress syndrome-PTSSscale and 20-item.Zung self-rating scale was used to assess state measures of symptom severity,RESULTS: The symptoms of prolonged PTSS (posttraumatic stress syndrome) with duration betweensix moths and two years had been founded at 138 (76,7 %) and 42 (23,3 %) of patients had no PTSS:symptoms of depression had been found at 148 (82,2 %) patients. The enduring personality exchangeafter catastrophic expiriense (P62.0), had been found at 25 (13,8 %) patients (P< 0,01); symptoms ofdepression had been found at 61 (33.8 %) patients after two years,CONCLUSIONS: Evolution of PTSD symptoms and continued examination and follow-up by Telepsychiatry service and e-consalting may be important in predicting the eventual development ofdepressive symptoms and precipitation of F 62.0 enduring personality exchange after catastrophicexperience in the war related PTSD. Consequently.Telepsychiatry service and e-consalting it is able toserve not only PTSD but also wide range of other patient.

scholarly journals Predicting violence in veterans with posttraumatic stress disorder

2009 ◽  
Vol 66 (1) ◽  
pp. 13-21 ◽  
Author(s):  
Aleksandar Jovanovic ◽  
Dusica Lecic-Tosevski ◽  
Maja Ivkovic ◽  
Aleksandar Damjanovic ◽  
Miroslava Jasovic-Gasic
Keyword(s):  
Posttraumatic Stress Disorder ◽  
Posttraumatic Stress ◽  
Interrater Reliability ◽  
Combat Veterans ◽  
Stress Disorder ◽  
Predictive Accuracy ◽  
Physical Violence ◽  
Psychiatric Patients ◽  
Violent Behavior

Background/Aim. Frequent expression of negative affects, hostility and violent behavior in individuals suffering from posttraumatic stress disorder (PTSD) were recognized long ago, and have been retrospectively well documented in war veterans with PTSD who were shown to have an elevated risk for violent behavior when compared to both veterans without PTSD and other psychiatric patients. The aim of this study was to evaluate the accuracy of clinical prediction of violence in combat veterans suffering from PTSD. Methods. The subjects of this study, 104 male combat veterans with PTSD were assessed with the Historical, Clinical and Risk Management 20 (HCR-20), a 20-item clinicianrated instrument for assessing the risks for violence, and their acts of violence during one-year follow-up period were registered based on bimonthly check-up interviews. Results. Our findings showed that the HCR-20, as an actuarial measure, had good internal consistency reliability (? = 0.82), excellent interrater reliability (Interaclass Correlation ICC = 0.85), as well as excellent predictive validity for acts of any violence, non-physical violence or physical violence in the follow-up period (AUC = 0.82-0.86). The HCR-20 also had good interrater reliability (Cohen's kappa = 0.74), and acceptable predictive accuracy for each outcome criterion (AUC = 0.73-0.79). Conclusion. The results of this research confirm that the HCR-20 may also be applied in prediction of violent behavior in the population of patients suffering from PTSD with reliability and validity comparable with the results of previous studies where this instrument was administered to other populations of psychiatric patients.

Intervening on Persistent Posttraumatic Stress Disorder: Rumination-Focused Cognitive and Behavioral Therapy in a Population of Young Survivors of the 1994 Genocide in Rwanda

2009 ◽  
Vol 23 (2) ◽  
pp. 107-113 ◽  
Author(s):  
Vincent Sezibera ◽  
Nady Van Broeck ◽  
Pierre Philippot
Keyword(s):  
Posttraumatic Stress Disorder ◽  
Posttraumatic Stress ◽  
Behavioral Intervention ◽  
Rating Scale ◽  
Stress Disorder ◽  
Behavioral Therapy ◽  
Ptsd Symptoms ◽  
Young Survivors ◽  
Cognitive And Behavioral Therapy

This study assessed the outcome of a brief rumination-focused cognitive and behavioral intervention in treating posttraumatic stress disorder (PTSD) symptoms among Rwandan adolescent survivors of the 1994 genocide. All participants (54.5% female, N = 22) aged between 15 and 18 years (M = 16.55, SD = 0.96) met criteria for PTSD as assessed by the PTSD self-rating scale (UCLA PTSD index). Measures included questionnaires assessing PTSD, depression, and somatization. Data were obtained at four points: (1) 11 years after the genocide (baseline), (2) 13 years after the genocide (pretreatment), (3) posttreatment (2 weeks after the treatment), and (4) follow-up (2 months after the treatment). PTSD symptoms increased between baseline and pretreatment. The intervention was associated with a reduction in PTSD symptoms, with gains maintained at follow-up.

Posttraumatic Stress Syndrome-like Symptoms among AIDS Caregivers

1988 ◽  
Vol 63 (2) ◽  
pp. 656-658 ◽  
Author(s):  
Ashton D. Trice
Keyword(s):  
Posttraumatic Stress Disorder ◽  
Posttraumatic Stress ◽  
Stress Disorder ◽  
Full Time ◽  
Posttraumatic Stress Syndrome ◽  
Stress Syndrome ◽  
Extended Care ◽  
Aids Caregivers

Interviews were conducted with 43 mothers of AIDS fatalities 2 or 3 years following their sons' deaths. Eighty-four percent of the mothers who devoted full-time care to their sons for substantial periods of time showed a cluster of symptoms normally associated with Posttraumatic Stress Disorder. Only 8% of those who did not engage in extended care experienced three or more of these symptoms.

EMDR Treatment of Past Domestic Violence: A Clinical Vignette

2009 ◽  
Vol 3 (3) ◽  
pp. 192-197 ◽  
Author(s):  
Kristin M. Phillips ◽  
Blanche Freund ◽  
Joanne Fordiani ◽  
Rachel Kuhn ◽  
Gail Ironson
Keyword(s):  
Domestic Violence ◽  
Posttraumatic Stress Disorder ◽  
Posttraumatic Stress ◽  
Outcome Measures ◽  
Stress Disorder ◽  
Ptsd Symptoms ◽  
Symptoms Of Depression ◽  
The Third

This case study describes the use of eye movement desensitization and reprocessing (EMDR) for a woman who met criteria for posttraumatic stress disorder (PTSD) related to past domestic violence. Outcome measures were used to assess the client’s symptoms at intake, after the third and sixth active EMDR sessions, and at 1- and 3-month follow-ups. In addition to the use of outcome measures, at 3-month follow-up the client was evaluated by a therapist who was blind to the type of treatment the client had received. Results indicated that after nine active sessions of EMDR, the client no longer met criteria for PTSD and no longer endorsed symptoms of depression or intrusive thoughts. Thus, EMDR was successful in treating PTSD symptoms associated with past domestic violence, and effects were maintained at 3-month follow-up.

Childbirth and Posttraumatic Stress Responses

2006 ◽  
Vol 22 (4) ◽  
pp. 259-267 ◽  
Author(s):  
Eelco Olde ◽  
Rolf J. Kleber ◽  
Onno van der Hart ◽  
Victor J.M. Pop
Keyword(s):  
Posttraumatic Stress Disorder ◽  
Posttraumatic Stress ◽  
Stress Responses ◽  
Rating Scales ◽  
Rating Scale ◽  
Stress Disorder ◽  
Traumatic Experience ◽  
Event Scale ◽  
Self Rating ◽  
The Impact

Childbirth has been identified as a possible traumatic experience, leading to traumatic stress responses and even to the development of posttraumatic stress disorder (PTSD). The current study investigated the psychometric properties of the Dutch version of the Impact of Event Scale-Revised (IES-R) in a group of women who recently gave birth (N = 435). In addition, a comparison was made between the original IES and the IES-R. The scale showed high internal consistency (α = 0.88). Using confirmatory factor analysis no support was found for a three-factor structure of an intrusion, an avoidance, and a hyperarousal factor. Goodness of fit was only reasonable, even after fitting one intrusion item on the hyperarousal scale. The IES-R correlated significantly with scores on depression and anxiety self-rating scales, as well as with scores on a self-rating scale of posttraumatic stress disorder. Although the IES-R can be used for studying posttraumatic stress reactions in women who recently gave birth, the original IES proved to be a better instrument compared to the IES-R. It is concluded that adding the hyperarousal scale to the IES-R did not make the scale stronger.

Three- to Four-Year Follow-Up to an Open Trial of Nefazodone for Combat-Related Posttraumatic Stress Disorder

2002 ◽  
Vol 14 (4) ◽  
pp. 215-221 ◽  
Author(s):  
Michael Hertzberg ◽  
Michelle Feldman ◽  
Jean Beckham ◽  
Scott Moore ◽  
Jonathan Davidson
Keyword(s):  
Posttraumatic Stress Disorder ◽  
Posttraumatic Stress ◽  
Stress Disorder ◽  
Open Trial

scholarly journals A Preliminary Experimental Examination of the Effect of Emotion Dysregulation and Impulsivity on Risky Behaviors Among Women With Sexual Assault–Related Posttraumatic Stress Disorder

2014 ◽  
Vol 38 (6) ◽  
pp. 914-939 ◽  
Author(s):  
Nicole H. Weiss ◽  
Matthew T. Tull ◽  
Kim L. Gratz
Keyword(s):  
Posttraumatic Stress Disorder ◽  
Sexual Assault ◽  
Posttraumatic Stress ◽  
Sexual Behaviors ◽  
Emotion Dysregulation ◽  
Stress Disorder ◽  
Risky Behaviors ◽  
Wide Range ◽  
To Receive

Posttraumatic stress disorder (PTSD) is associated with a wide range of risky behaviors (e.g., substance use and risky sexual behaviors); however, few studies have examined mechanisms that may underlie risky behaviors in this population. The present study utilized a prospective experimental design to examine the effects of emotion dysregulation and impulsivity on risky behaviors across time. Thirty women with sexual assault–related PTSD were randomly assigned to receive emotion modulation (EM), impulsivity reduction (IR), or healthy living (HL; comparison condition) skills trainings. Participants completed measures of emotion dysregulation, impulsivity, and risky behaviors pre-manipulation and 1-month post-manipulation. Participants in the EM and IR conditions reported a significant reduction in risky behaviors from pre- to post-manipulation relative to the HL condition. Changes in emotion dysregulation from pre- to post-manipulation fully accounted for reductions in risky behaviors over time. Results provide preliminary experimental support for the role of emotion dysregulation in risky behaviors.

Standard EMDR Protocol for Alcohol and Substance Dependence Comorbid With Posttraumatic Stress Disorder: Four Cases With 12-Month Follow-Up

2016 ◽  
Vol 10 (1) ◽  
pp. 33-46 ◽  
Author(s):  
Claire Kullack ◽  
Jonathan Laugharne
Keyword(s):  
Posttraumatic Stress Disorder ◽  
Substance Use ◽  
Alcohol Dependence ◽  
Posttraumatic Stress ◽  
Substance Use Disorders ◽  
Substance Dependence ◽  
Stress Disorder ◽  
Case Series ◽  
Post Traumatic Stress

This report begins with a summary of the literature regarding the theoretical models behind the comorbid relationship between posttraumatic stress disorder and substance use disorders and the various modified addiction protocols formulated to assist in treating these disorders. This case series outlines the effect that the standard eye movement desensitization and reprocessing (EMDR) protocol had on alcohol and substance dependence for 4 patients who attended our Post Traumatic Stress Clinic in Fremantle, Western Australia, primarily for treatment for posttraumatic stress disorder. Patients were assessed for substance use disorders using the Mini International Neuropsychiatric Interview Plus prior to, immediately after, and 12 months after completing EMDR therapy. Results indicate that the standard EMDR protocol was successful in reducing alcohol and substance use. Prior to treatment, 3 patients met criteria for alcohol dependence and 1 met criteria for substance dependence. At 12-month follow-up, 3 out of 4 clients did not meet the diagnostic criteria for current alcohol dependence or current substance dependence. The implications of these findings are discussed with reference to theories of comorbid posttraumatic stress disorder and substance use disorder and the modified EMDR protocols developed for patients with substance dependence.

Embitterment in war veterans with posttraumatic stress disorder (PTSD)

2017 ◽  
Vol 41 (S1) ◽  
pp. S359-S360 ◽  
Author(s):  
D. Sabic ◽  
A. Sabic
Keyword(s):  
Posttraumatic Stress Disorder ◽  
Posttraumatic Stress ◽  
Health Center ◽  
Rating Scale ◽  
Stress Disorder ◽  
World Health ◽  
Control Group ◽  
War Veterans ◽  
Significant Difference ◽  
And Control

The aim of this study was to analyse frequency of embitterment in war veterans with Posttraumatic stress disorder (PTSD) as well as the potential impact of embitterment on the development of chronic PTSD.Patients and methodsIt was analyzed 174 subjects (from Health Center Zivinice/mental health center) through a survey conducted in the period from March 2015 to June 2016, of which 87 war veterans with PTSD and control subjects 87 war veterans without PTSD. The primary outcome measure was the post-traumatic embitterment disorder self-rating scale (PTED Scale) who contains 19 items designed to assess features of embitterment reactions to negative life events. Secondary efficacy measures included the clinician-administered PTSD scale–V (CAPS), the PTSD checklist (PCL), the combat exposure scale (CES), the Hamilton depression rating scale (HAM-D), the Hamilton anxiety rating scale (HAM-A) and the World health organization quality of life scale (WHOQOL-Bref). All subjects were male. The average age of patients in the group war veterans with PTSD was 52.78 ± 5.99. In the control group, average age was 51.42 ± 5.98. Statistical data were analyzed in SPSS statistical program.ResultsComparing the results, t-tests revealed significant difference between group veterans with PTSD and control group (t = −21,21, P < 0.0001). War veterans group with PTSD (X = 51.41, SD = 8,91), control group (X = 14.39, SD = 13.61).ConclusionEmbitterment is frequent in war veterans with PTSD.Disclosure of interestThe authors have not supplied their declaration of competing interest.

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