The Assessment of Post-traumatic Stress Disorder with an Australian Vietnam Veteran Population: Preliminary Findings with Two New Instruments

1995 ◽  
Vol 12 (3) ◽  
pp. 145-150 ◽  
Author(s):  
Mark Creamer ◽  
Darren Chaffer

Preliminary data are provided on two new instruments in the field of traumatic stress, namely the Penn Inventory and the post-traumatic stress disorder (PTSD) module of the Composite International Diagnostic Interview (CIDI). The Penn Inventory is a 26-item self-report scale developed for use with a range of trauma populations. The CIDI-PTSD is a draft module currently being trialed and eventually to be included in the full version of the CIDI interview. Participants comprised 30 Australian Vietnam combat veterans, who also completed the Impact of Event Scale and the Mississippi Scale for PTSD (M-PTSD). The Penn Inventory demonstrated good congruent validity and was comparable to the M-PTSD in diagnostic accuracy. Both scales tended to overdiagnose. The CIDI-PTSD performed disappointingly, showing relatively low sensitivity and specificity. Implications for the appropriate use of these instruments are discussed.

2021 ◽  
Vol 10 (34) ◽  
pp. 2884-2887
Author(s):  
Ajay Kumar Joopaka ◽  
Molanguri Umashankar ◽  
Pingali Srilakshmi ◽  
Pradeep Sharma Telkapalli ◽  
Chinni Krishna Banoth ◽  
...  

BACKGROUND Corona virus disease or the (COVID 19) has caused mental health problems in the general population, in people infected and hospitalised for the disease and in patients who have recovered from the disease physically but continue to suffer from lingering mental health problems. Studies have shown stress, depression, and anxiety in one third of the survivors. Similarly post-traumatic stress disorder has been reported to be around 13 % in the survivors of COVID 19. In this study, we wanted to assess the psychological symptoms in the survivors of Covid 19 patients, one month post discharge and also assess various factors associated with the same. METHODS A cross sectional telephonic survey of the patients one month following discharge was done to understand the psychological problems. Sociodemographic data was recorded on a semi structured proforma, whereas psychological distress was recorded on patient health questionnaire - 4 (PHQ - 4) and the post-traumatic stress disorder (PTSD) was screened for by the impact of event scale revised (IES - R). RESULTS Of the 200 patients evaluated, 46.8 % scored above 20 on the impact of event scale which was considered to be a positive screen for post-traumatic stress disorder. Moderate psychological distress was reported by 10.5 % and severe by 7.5 % as measured by PHQ - 4. Being married, having other family members effected by the infection and deaths in the family were some of the factors that were significantly associated with psychological distress and symptoms of post-traumatic stress disorder. CONCLUSIONS Continued mental health support needs to be extended to members who are considered to have recovered and discharged from the hospital following the COVID 19 infection. KEY WORDS COVID 19, Psychological Symptoms, Post-Traumatic Stress Disorder


1991 ◽  
Vol 21 (1) ◽  
pp. 85-91 ◽  
Author(s):  
Anthony Feinstein ◽  
Ray Dolan

SYNOPSISA prospective study documenting psychopathology was undertaken in 48 subjects exposed to a range of physical trauma, but whose injuries were of similar severity. No support was found for the DSM-III-R view correlating the severity of the stressor with the development of post-traumatic stress disorder (PTSD). Distress post injury (high scores on the impact of event scale), indicative of difficulty with cognitive assimilation of the traumatic event, was found to be highly predictive of psychiatric morbidity and PTSD at 6 months.


2005 ◽  
Vol 186 (5) ◽  
pp. 423-426 ◽  
Author(s):  
Ruth E. Sumpter ◽  
Tom M. McMillan

BackgroundThe incidence of post-traumatic stress disorder (PTSD) after traumatic brain injury is unclear. One issue involves the validity of diagnosis using self-report questionnaires.AimsTo compare PTSD ‘caseness' arising from questionnaire self-report and structured interview.MethodParticipants (n=34) with traumatic brain injury were recruited. Screening measures and self-report questionnaires were administered, followed by the structured interview.ResultsUsing questionnaires, 59% fulfilled criteria for PTSD on the Post-traumatic Diagnostic Scale and 44% on the Impact of Events Scale, whereas using structured interview (Clinician-Administered PTSD Scale) only 3% were ‘cases'. This discrepancy may arise from confusions between effects of PTSD and traumatic brain injury.ConclusionsAfter traumatic brain injury, PTSD self-report measures might be used for screening but not diagnosis.


Author(s):  

Understanding the presence of post-traumatic stress disorder (PTSD) symptoms in quarantined/isolated individuals is essential for decreasing morbidity and mortality caused by the COVID-19 pandemic. However, there is a paucity of evidence quantifying PTSD status globally during confinement in quarantine/isolation facilities during COVID-19. Therefore, we aimed to assess the PTSD status and factors contributing to PTSD development in quarantined/isolated people during pandemic. Using the Impact of Event Scale-Revised (IES-R) scale, our multicentre, multinational, and cross-sectional online survey assessed the psychological impacts on the quarantine/isolation experience of participants suspected or confirmed to have COVID-19, their PTSD status, and various correlates with developing PTSD. We had 944 (35.33%) valid responses (51.1% from females), mostly from Asian countries (635, 71.4%), and 33.9% were healthcare workers. The number of quarantine days in the PTSD symptoms group (using the IES-R cutoff of 24 for symptomatic or full PTSD) was significantly shorter compared to the non-PTSD group (14 (range 14–40) vs. 14 (14–23.75), p = 0.031). Lower rates of PTSD symptoms were observed in participants practicing Buddhist religion than in participants having no religion (OR: 0.30; 95% CI: 0.13–0.68; p = 0.005); individuals with vocational training had a higher risk of developing PTSD symptoms (OR: 2.28 (1.04–5.15); p = 0.043) compared to university graduates. Individuals forced to be quarantined/isolated had higher odds of developing PTSD symptoms than those voluntarily quarantined/isolated (OR: 2.92 (1.84–4.74); p < 0.001). We identified several PTSD correlations among individuals quarantined/isolated during the COVID-19 pandemic, including religious practice, reason for quarantine/isolation, education level, and being a case of the infection. These findings can inform worldwide policies to minimize the adverse effects of such social control measures.


1991 ◽  
Vol 6 (3) ◽  
pp. 191-199 ◽  
Author(s):  
Catalina M. Arata ◽  
Benjamin E. Saunders ◽  
Dean G. Kilpatrick

Using a structured interview to obtain a lifetime history of criminal victimization, a community sample of 266 adult women who had experienced at least one incident of victimization was identified. These women were administered the Symptom Checklist-90-Revised, the Impact of Event Scale, and a structured clinical interview was used to identify Crime-Related Post-Traumatic Stress Disorder (CR-PTSD). A recently derived scale based on responses to items on the SCL-90-R was compared to the IES for predicting current diagnosis of Crime-Related Post-Traumatic Disorder. Both the scale and the IES were found to improve prediction of CR-PTSD above base rates and to perform in a similar manner. The utility of each of these scales as a screening measure is discussed.


Author(s):  
Charlotte Léonard ◽  
Anaëlle Charriau-Perret ◽  
Guillaume Debaty ◽  
Loïc Belle ◽  
Cécile Ricard ◽  
...  

Abstract Background As any traumatic event, avalanches could trigger psychological disorders on survivors. Our objectives were to determine the prevalence of post-traumatic stress disorder among avalanche survivors and to evaluate post-traumatic stress disorder risks factors as well as the impact on quality of life. Methods A multicentre study was conducted in victims included in the North Alpine Avalanche Registry from 2014 to 2018. Data were collected through a standard questionnaire during semi-directed phone interviews. The primary outcome was the total score on the Impact of Event Scale Revised. Secondary outcomes were the Mental Component Scale and the Physical Component Scale scores of the Short Form 12 questionnaire. Results During the study period, 132 of 211 victims survived. Among the 107 victims included, 55 (51.4%) phone interviews were obtained. Six patients (10.9, 95% CI 1.76–20.05) had an Impact of Event Scale Revised score ≥ 33 indicating a strong probability for post-traumatic stress disorder. Median Mental Component Scale score was 39.0 (IQR 30.5–46.3) for post-traumatic stress disorder patients and 40.1 (IQR 36.5–43.4) for non post-traumatic stress disorder (p = 0.76). Median Physical Component Scale score was 39.4 (37.2–44.3) for post-traumatic stress disorder patients and 44.2 (39.1–46.8) for non post-traumatic stress disorder (p = 0.39). No significant difference in the quality of life in both populations was observed, and no independent risk factors of post-traumatic stress disorder was identified. Conclusion Avalanche accidents may induce post-traumatic stress disorders among survivors in a comparable prevalence to the most traumatic event already studied. Early recognition and preventive measures should be set up in order to reduce the psychological burden in these victims. Trial registration NCT03936738.


2020 ◽  
Vol 3 (2) ◽  
pp. 123-134
Author(s):  
Rannisa Muslaini ◽  
Nanum Sofia

This study aims to determine the effectivity of dzikr on post traumatic stress disorder (PTSD) in Palu’s tsunami survivors on the past 2018. This research used experimental group and control group. Each groups consist of 5 participants. Dzikr training were given to the experimental group while control group were received the disaster education as placebo. The Impact of Event Scale-Revised (IES-R) was used to measure PTSD. Participants of this research were survivors of Palu’s tsunami, Muslims, lived in refugee barracs, and previously owned house near the coast. Based on anava mixed design analysis test, there is significant impact of dzikr training in experimental group compared to the control group with disaster education. Thus, Dzikr has been shown to reduce individual PTSD levels.


2018 ◽  
Vol 183 (5-6) ◽  
pp. e223-e231 ◽  
Author(s):  
Robin E Cushing ◽  
Kathryn L Braun ◽  
Susan W Alden, C-IAYT ◽  
Alan R Katz

Abstract Introduction Among veterans of post-9/11 conflicts, estimates of post-traumatic stress disorder (PTSD) range from 9% shortly after returning from deployment to 31% a year after deployment. Clinical and pharmaceutically based treatments are underutilized. This could be due to concerns related to lost duty days, as well as PTSD patients’ fears of stigma of having a mental health condition. Yoga has been shown to reduce PTSD symptoms in the civilian population, but few studies have tested the impact of yoga on veterans of post-9/11 conflicts. The purpose of this study is to test the impact of yoga on post-9/11 veterans diagnosed with PTSD. Materials and Methods Participants were 18 yr of age or older and veterans of post-9/11 conflicts. They had subthreshold or diagnostic-level PTSD related to their combat military service, as determined by a score of 30 or higher on the PTSD Checklist-Military version (PCL-M). Veterans participated in 60-min weekly yoga sessions for 6 wk taught by a Warriors at Ease-trained yoga instructor who is a, post-9/11 veteran. The yoga sessions incorporated Vinyasa-style yoga and a trauma-sensitive, military-culture informed approach advocated by two separate organizations: Warriors at Ease and Meghan's Foundation. Data were collected at baseline and again after 7 wk. The primary outcome was PCL-M score. Participants also completed the Patient Health Questionnaire, the Beck Anxiety Inventory, the Pittsburgh Sleep Quality Index, and the Mindful Attention Awareness Scale at both time points. Results Eighteen Operation Enduring Freedom, Operation Iraqi Freedom, and Operation New Dawn veterans completed the pre- and post-intervention self-report questionnaires. Age ranged from 26 to 62 yr (median = 43 yr), length of service ranged from 2 to 34 yr (median = 18.8 yr), and 13 (72.2%) had completed college. Decreased PTSD symptomatology was demonstrated in the three-symptom clusters represented in the PCL-M (i.e., hyperarousal, re-experiencing, and avoidance). In addition, the total score on the PCL-M decreased significantly, by both statistical and clinical measures. The participants also demonstrated improved mindfulness scores and reported decreased insomnia, depression, and anxiety symptoms. Conclusion This study demonstrates that a trauma-sensitive yoga intervention may be effective for veterans with PTSD symptoms, whether as stand-alone or adjunctive therapy. The impressive decrease in PTSD symptomatology may be due to the tailored military-specific nature of this intervention and the fact that it was led by a veteran of post-9/11 conflicts. More research is needed with a larger sample and a more diverse veteran population.


2005 ◽  
Vol 35 (1) ◽  
pp. 89-105 ◽  
Author(s):  
A. Marais ◽  
A. D. Stuart

The literature indicates that journalists, who have been exposed to traumatic situations, risk developing Post-traumatic Stress Disorder (PTSD). Certain temperament traits, such as neuroticism and compulsiveness, have been found to increase vulnerability to the development of PTSD amongst police officers. Few research studies have investigated temperament and a sense of coherence as factors mediating occupational stress in journalists exposed to trauma. The aim of this study was to address this dearth by investigating whether differences in the experience of trauma, temperament traits and a sense of coherence amongst journalists will influence the degree of PTSD experienced. The Impact of Event Scale-Revised was used to divide journalists into three groups, namely, those with minor reactions ( n=10), moderate reactions ( n=24) and severe reactions of clinical importance ( n=16). Analyses of variance followed by Scheffé post hoc multiple comparisons technique indicated statistically significant differences between the three groups regarding experience of trauma as measured by the Trauma Questionnaire, temperament traits as measured by the Zuckerman-Kuhlman Personality Questionnaire and sense of coherence as measured by the Sense of Coherence Questionnaire. The results show that various factors could have an impact on how journalists deal with the traumatic stories they cover, as well as their personal outcomes after covering these stories. Journalists who develop severe PTSD differ in terms of their perceptions of the trauma, temperament profiles and sense of coherence, which impacts on their way of coping with the traumatic situations they face daily.


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