scholarly journals Health care practitioners’ views of the support women, partners, and the couple relationship require for birth trauma: current practice and potential improvements

2020 ◽  
Vol 21 ◽  
Author(s):  
Amy Delicate ◽  
Susan Ayers ◽  
Sarah McMullen
Keyword(s):  
Health Care ◽  
Online Survey ◽  
Birth Trauma ◽  
Couple Relationship ◽  
Post Traumatic Stress ◽  
Stress Symptoms ◽  
Health Care Practitioners ◽  
Post Traumatic ◽  
Women Partners ◽  
The Impact

Abstract Aim: To examine health care practitioners’ views of the support women, partners, and the couple relationship require when affected by birth trauma, barriers to gaining such support, and potential improvements. Background: Ongoing distress following psychologically traumatic childbirth, also known as birth trauma, can affect women, partners, and the couple relationship. Birth trauma can lead to post traumatic stress symptoms (PTSS) or disorder (PTSD). Whilst there is a clear system of care for a PTSD diagnosis, support for the more prevalent experience of birth trauma is not well-defined. Method: An online survey of health care practitioners’ views of the support parents require for birth trauma, barriers to accessing support, and potential improvements. Practitioners were recruited in 2018 and the sample for the results presented in the article ranged from 95 to 110. Results: Practitioners reported differing needs of support for women, partners, and the couple as a unit. There was correlation between practitioners reporting having the skills and knowledge to support couples and feeling confident in giving support. The support most commonly offered by practitioners to reduce the impact on the couple relationship was listening to the couple. However practitioners perceived the most effective support was referral to a debriefing service. Practitioners observed several barriers to both providing support and parents accessing support, and improvements to birth trauma support were suggested. Conclusions: Practitioners indicate that some women, partners, and the couple as a unit require support with birth trauma and that barriers exist to accessing effective support. The support that is currently provided often conflicts with practitioners’ perception of what is most effective. Practitioners indicate a need to improve the identification of parents who need support with birth trauma, and more suitable services to support them.

scholarly journals Perceived Workplace Interpersonal Support Among Workers of the Fukushima Daiichi Nuclear Power Plants Following the 2011 Accident: The Fukushima Nuclear Energy Workers’ Support (NEWS) Project Study

2017 ◽  
Vol 12 (4) ◽  
pp. 460-463 ◽  
Author(s):  
Sho Takahashi ◽  
Jun Shigemura ◽  
Yoshitomo Takahashi ◽  
Soichiro Nomura ◽  
Aihide Yoshino ◽  
...  
Keyword(s):  
Traumatic Stress ◽  
Post Traumatic Stress ◽  
Interpersonal Support ◽  
Disaster Workers ◽  
Nuclear Disaster ◽  
Stress Symptoms ◽  
Post Traumatic ◽  
Fukushima Daiichi ◽  
The Impact ◽  
Post Disaster

AbstractObjectiveThe 2011 Fukushima Daiichi nuclear accident was the worst nuclear disaster since Chernobyl. The Daiichi workers faced multiple stressors (workplace trauma, victim experiences, and public criticism deriving from their company’s post-disaster management). Literatures suggest the importance of workplace interpersonal support (WIS) in enhancing psychological health among disaster workers. We sought to elucidate the role of their demographics, disaster-related experiences, and post-traumatic stress symptoms on perceived WIS.MethodsWe analyzed self-report questionnaires of 885 workers 2-3 months post-disaster. We used sociodemographic and disaster exposure-related variables and post-traumatic stress symptoms (measured by the Impact of Event Scale-Revised) as independent variables. We asked whether WIS from colleagues, supervisors, or subordinates was perceived as helpful, and used yes or no responses as a dependent variable. Logistic regression analyses were performed to assess correlates of WIS.ResultsOf the participants, one-third (34.7%) reported WIS. WIS was associated with younger age (20-28 years [vs 49-], adjusted odds ratio [aOR]: 3.25, 95% CI: 1.99-5.32), supervisory work status (aOR: 2.30, 95% CI: 1.35-3.92), and discrimination or slur experience (aOR: 1.65, 95% CI: 1.08-2.53).ConclusionsEducational programs focusing on WIS might be beneficial to promote psychological well-being among nuclear disaster workers, especially younger workers, supervisors, and workers with discrimination experiences. (Disaster Med Public Health Preparedness. 2018;12:460–463)

scholarly journals How Is the History of Early Traumatic Exposure Associated With the Psychopathological Outcomes of COVID-19 Related Lockdown and Subsequent Re-opening in People With Eating Disorders?

2021 ◽  
Vol 12 ◽  
Author(s):  
Giammarco Cascino ◽  
Francesca Marciello ◽  
Giovanni Abbate-Daga ◽  
Matteo Balestrieri ◽  
Sara Bertelli ◽  
...  
Keyword(s):  
Eating Disorders ◽  
Online Survey ◽  
Negative Impact ◽  
Traumatic Experiences ◽  
Post Traumatic Stress ◽  
General Psychopathology ◽  
Stress Symptoms ◽  
Traumatic Exposure ◽  
History Of ◽  
Post Traumatic

The negative impact of COVID-19 pandemic on people with Eating Disorders (EDs) has been documented. The aim of this study was to evaluate whether a history of traumatic experiences during childhood or adolescence was associated with a higher degree of psychopathological worsening during COVID-19 related lockdown and in the following re-opening period in this group of people. People with EDs undergoing a specialist ED treatment in different Italian services before the spreading of COVID-19 pandemic (n = 312) filled in an online survey to retrospectively evaluate ED specific and general psychopathology changes after COVID-19 quarantine. Based on the presence of self-reported traumatic experiences, the participants were split into three groups: patients with EDs and no traumatic experiences, patients with EDs and childhood traumatic experiences, patients with EDs and adolescent traumatic experiences. Both people with or without early traumatic experiences reported retrospectively a worsening of general and ED-specific psychopathology during the COVID 19-induced lockdown and in the following re-opening period. Compared to ED participants without early traumatic experiences, those with a self-reported history of early traumatic experiences reported heightened anxious and post-traumatic stress symptoms, ineffectiveness, body dissatisfaction, and purging behaviors. These differences were seen before COVID-19 related restrictions as well as during the lockdown period and after the easing of COVID-19 related restrictions. In line with the “maltreated ecophenotype” theory, these results may suggest a clinical vulnerability of maltreated people with EDs leading to a greater severity in both general and ED-specific symptomatology experienced during the exposure to the COVID-19 pandemic.

scholarly journals Psychosocial factors associated with postpartum psychological distress during the Covid-19 pandemic: a cross-sectional study.

2020 ◽  
Author(s):  
Luca Ostacoli ◽  
Stefano Cosma ◽  
Federica Bevilacqua ◽  
Paola Berchialla ◽  
Marialuisa Bovetti ◽  
...  
Keyword(s):  
Psychological Distress ◽  
Attachment Style ◽  
Traumatic Stress ◽  
Protective Factor ◽  
Post Traumatic Stress ◽  
Childbirth Experience ◽  
Stress Symptoms ◽  
Epidemic Area ◽  
Post Traumatic ◽  
The Impact

Abstract Background Trauma, natural and man-made catastrophic events can be predictors of postpartum psychological distress. In a public health response due to coronavirus disease 2019 outbreak, the Italian government imposed a lockdown from March 9 to May 3. This extraordinary situation may have been challenging for maternal psychological health. The aim of this study was to investigate the prevalence of depressive and post-traumatic stress symptoms in women giving birth during the Covid-19 pandemic and its associations with quarantine measures, obstetrical factors, and relational attachment style. Methods Women who gave birth in a high-volume obstetric/gynaecological medical centre located in an epidemic area during the Covid-19 pandemic (March 8 to June 15) were asked to complete an online survey about their childbirth experience and the perceived effect of the pandemic. The Edinburgh Postnatal Depression Scale (EPDS), the Impact of Event Scale-Revised (IES-R), and the Relationship Questionnaire (RQ) were administered to assess levels of postpartum depressive and post-traumatic stress symptoms (PTSS) and relational style of attachment, respectively. Multivariate analysis was applied to identify associations between quarantine measures, childbirth experience, attachment style, and EPDS and IES-R scores.Results The survey was completed by 163 women (response rate 60.8%). The prevalence of depressive symptoms was 44.2% (EPDS cut-off score ≥11) and the PTSS rate was 42.9% (IES-R cut-off score ≥24). Dismissive and fearful avoidant attachment styles were significantly associated with the risk of depression and PTSS, respectively. Perceived pain during birth was a risk factor for postpartum depression. Perceived support provided by healthcare staff was a protective factor against depression and PTSS. Another protective factor against PTSS was quiet on the ward due to the absence of hospital visitors. Conclusion This study reports a high prevalence of postpartum depressive and PTSS in women who gave birth during the Covid-19 pandemic. Postnatal psychological distress seemed to be associated more with the prenatal experience and other individual factors than with the pandemic hospital restrictions. Early detection during pregnancy of an insecure attachment style is fundamental to provide targeted preventive and therapeutic psychological interventions.

scholarly journals Psychological Impact of the COVID-19 Pandemic on Adults and Their Children in Italy

2021 ◽  
Vol 12 ◽  
Author(s):  
Chiara Davico ◽  
Ada Ghiggia ◽  
Daniele Marcotulli ◽  
Federica Ricci ◽  
Federico Amianto ◽  
...  
Keyword(s):  
High Risk ◽  
Sex Education ◽  
Traumatic Stress ◽  
Online Survey ◽  
Psychological Impact ◽  
Post Traumatic Stress ◽  
Impact Of Event Scale ◽  
Event Scale ◽  
Post Traumatic ◽  
The Impact

Aim: The coronavirus disease 2019 (COVID-19) pandemic has abruptly changed the life of millions as travel and social contacts have been severely restricted. We assessed the psychological impact of COVID-19 on adults and children, with special attention to health care workers (HCWs).Methods: A self-rated online survey, including the Impact of Event Scale-Revised (IES-R) for adults and the Children Revised Impact of Event Scale-Revised-13 items (CRIES-13) for their 8–18-year-old offspring, was conducted in Italy on March 20–26, 2020. Linear mixed-effects models were applied to the data, accounting for age, sex, education, and other demographic characteristics.Results: Data were available from 2,419 adults (78.4% females, mean age 38.1 ± SD 13.1 years; 15.7% HCW) and 786 children (50.1% male, mean age 12.3 ± 3.2 years). Median (IQR) IES-R score was 30.0 (21.0–40.0), corresponding to mild psychological impact, with 33.2% reporting severe psychological impact. IES-R was lower in HCWs (29.0) than non-HCWs (31.0), but HCWs directly involved in COVID-19 care had higher scores [33.0 (26.0–43.2)] than uninvolved HCWs [28.0 (19.0–36.0)]. Median CRIES-13 score was [21.0 (11.0–32.0)], with 30.9% of the children at high risk for post-traumatic stress disorder. Parent and child scores were correlated.Conclusions: Up to 30% of adult and children in the pandemic area are at high risk for post-traumatic stress disturbances. The risk is greater for HCWs directly involved in COVID-19 care and for their children.

The impact of torture on post-traumatic stress symptoms in war-affected Tamil refugees and immigrants

2002 ◽  
Vol 43 (1) ◽  
pp. 49-55 ◽  
Author(s):  
Derrick Silove ◽  
Zachary Steel ◽  
Patrick McGorry ◽  
Vanessa Miles ◽  
Juliette Drobny
Keyword(s):  
Traumatic Stress ◽  
Post Traumatic Stress ◽  
Stress Symptoms ◽  
Post Traumatic ◽  
The Impact

Veterans and Shelter Dogs: Examining the Impact of a Dog-Walking Intervention on Physiological and Post-Traumatic Stress Symptoms

Anthrozoös ◽  
2020 ◽  
Vol 33 (2) ◽  
pp. 225-241 ◽  
Author(s):  
Cheryl A. Krause-Parello ◽  
Erika Friedmann ◽  
Kelly Blanchard ◽  
Megan Payton ◽  
Nancy R. Gee
Keyword(s):  
Traumatic Stress ◽  
Post Traumatic Stress ◽  
Dog Walking ◽  
Walking Intervention ◽  
Stress Symptoms ◽  
Shelter Dogs ◽  
Post Traumatic ◽  
The Impact

Post-traumatic stress symptoms following sniper attacks: Effects of television viewing and identification with victims

2018 ◽  
Vol 13 (1) ◽  
pp. 29-36 ◽  
Author(s):  
Holly B. Herberman Mash, PhD ◽  
Carol S. Fullerton, PhD ◽  
Robert J. Ursano, MD
Keyword(s):  
Posttraumatic Stress ◽  
Traumatic Stress ◽  
Online Survey ◽  
Peritraumatic Dissociation ◽  
Post Traumatic Stress ◽  
Tv Viewing ◽  
Impact Of Event Scale ◽  
Event Scale ◽  
Stress Symptoms ◽  
Post Traumatic

Objective: A series of sniper attacks in the Washington, DC, area left 10 people dead and three wounded. The authors examined the relationship of sniper-related television (TV) viewing, identification with victims, and peritraumatic dissociation to posttraumatic stress symptoms.Methods: Participants were 1,238 DC residents (ages 18-90, M = 41.7; 51 percent female; 68 percent White) who completed an online survey including items assessing identification, amount of TV, peritraumatic dissociation, and post-traumatic stress symptoms. Identification was measured by assessing to what extent participants identified victims as similar to themselves, a friend, or a family member. Peritraumatic dissociation and post-traumatic stress symptoms were assessed with the Peritraumatic Dissociative Experiences Questionnaire and Impact of Event Scale-Revised. Relationships of TV viewing, identification, and peritraumatic dissociation to post-traumatic stress symptoms were examined by univariable and multivariable regressions and variable interactions.Results: Female gender and higher levels of TV viewing, identification, and peritraumatic dissociation were each related to greater post-traumatic stress symptoms. After adjusting for gender and the predictor variables, higher TV viewing was associated with posttraumatic stress symptoms (B = 0.72, p 0.01, ΔR2 = 0.05). Participants with greater identification (B = 0.85, p 0.001, ΔR2 = 0.08) and peritraumatic dissociation (B = 1.58, p 0.001, ΔR2 = 0.39) reported more post-traumatic stress symptoms. Among those with both high (B = 1.19, p 0.001) and low TV viewing, identification was associated with post-traumatic stress symptoms. Among those reporting low TV viewing, this association was greater for those who experienced more peritraumatic dissociation (B = −0.09, p 0.001).Conclusions: Trauma-related TV viewing, which may stimulate identification and peritraumatic dissociation, is an important consideration in understanding development of post-traumatic stress symptoms.

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