Posttraumatic stress reactions over time: The battlefield, homecoming, and long-term course.

Author(s):  
Jennifer J. Vasterling ◽  
Erin S. Daly ◽  
Matthew J. Friedman
2020 ◽  
Author(s):  
Elise Boersma-van Dam ◽  
Rens van de Schoot ◽  
Rinie Geenen ◽  
Iris M. Engelhard ◽  
Nancy E. Van Loey

Abstract BackgroundPartners of burn survivors may develop posttraumatic stress disorder (PTSD) symptoms in the aftermath of the burn event. This longitudinal study examined the prevalence, course and potential predictors of partners’ PTSD symptoms up to 18 months postburn.MethodsParticipants were 111 partners of adult burn survivors. In a multicenter study, PTSD symptoms were assessed with the Impact of Event Scale-Revised (IES-R) during hospitalization of the burn survivor, and subsequently at 3, 6, 12 and 18 months postburn. Partners’ appraisal of threat to the burn survivor’s life, anger, guilt and level of rumination were assessed in the hospital as potential predictors of (long-term) PTSD symptoms in an exploratory piecewise latent growth model.ResultsAt the time of hospitalisation, 30% of the partners reported acute PTSD symptoms in the clinical range, which decreased to 4% at 18 months postburn. Higher acute PTSD symptoms were related to the presence of perceived life threat and higher levels of anger, guilt, and rumination. Over time, mean levels of PTSD symptoms decreased, especially in partners with high levels of acute PTSD symptoms, perceived life threat and rumination. From 3 months onward, PTSD symptoms decreased less in partners of more severely burned survivors. At 18 months postburn, higher levels of PTSD symptoms were related to more severe burn injuries and initial perception of life threat.ConclusionsOne in three partners of burn survivors reported clinical levels of acute PTSD symptoms shortly after the hospital admission, of which the majority recovered over time. This study showed that perceived life threat, feelings of anger and guilt, and rumination may indicate the presence of acute PTSD symptoms, whereas more severe burns and initial perception of life threat predict long-term PTSD symptom levels. The results highlight the need to offer psychological help to partners to alleviate acute elevated stress levels, which in turn may enhance the quality of support partners can provide to the burn survivor.


2007 ◽  
Author(s):  
Miranda Olff ◽  
Mirjam Nijdam ◽  
Kristin Samuelson ◽  
Julia Golier ◽  
Mariel Meewisse ◽  
...  

Water Policy ◽  
2005 ◽  
Vol 7 (5) ◽  
pp. 469-483
Author(s):  
Tishya Chatterjee

In conditions of severe water-pollution and dormant community acceptance of accumulating environmental damage, the regulator's role goes beyond pollution prevention and more towards remediation and solutions based on the community's long-term expectations of economic benefits from clean water. This paper suggests a method to enable these benefits to become perceptible progressively, through participatory clean-up operations, supported by staggered pollution charges. It analyses the relevant literature on pollution prevention and applies a cost-based “willingness to pay” model, using primary basin-level data of total marginal costs. It develops a replicable demand-side approach imposing charge-standard targets over time in urban-industrial basins of developing countries.


Author(s):  
Halil Kaya ◽  
Gaurango Banerjee

The paper examines the Sarbanes-Oxley (2002) Acts immediate impact on board composition and characteristics as well as possible reversals in its impact over time. Effects on directors age and tenure are analyzed over the 2001-06 sample period. Female participation in corporate boards is also studied in the pre-SOX and post-SOX periods. The dual roles of directors in being a member of the board as well as serving as either CEO, CFO, Chairman, Co-Chair, Founder, or Lead Director of their respective companies is also examined. We observe a short-term impact of SOX on board compositions due to changes seen in board characteristics between 2001 (pre-SOX), and 2003-05 short-term period (post-SOX). Also, we observe a reversal of board characteristics in 2006 to pre-SOX levels implying that the effects of SOX on board composition were short-lived, and needs to be monitored over time to ensure adherence to corporate accountability guidelines over the long-term.


2021 ◽  
pp. 194016122110252
Author(s):  
Sebastián Valenzuela ◽  
Daniel Halpern ◽  
Felipe Araneda

Despite widespread concern, research on the consequences of misinformation on people's attitudes is surprisingly scant. To fill in this gap, the current study examines the long-term relationship between misinformation and trust in the news media. Based on the reinforcing spirals model, we analyzed data from a three-wave panel survey collected in Chile between 2017 and 2019. We found a weak, over-time relationship between misinformation and media skepticism. Specifically, initial beliefs on factually dubious information were negatively correlated with subsequent levels of trust in the news media. Lower trust in the media, in turn, was related over time to higher levels of misinformation. However, we found no evidence of a reverse, parallel process where media trust shielded users against misinformation, further reinforcing trust in the news media. The lack of evidence of a downward spiral suggests that the corrosive effects of misinformation on attitudes toward the news media are less serious than originally suggested. We close with a discussion of directions for future research.


2021 ◽  
pp. 089020702110173
Author(s):  
Nadin Beckmann ◽  
Damian P Birney ◽  
Amirali Minbashian ◽  
Jens F Beckmann

The study aimed to investigate the status of within-person state variability in neuroticism and conscientiousness as individual differences constructs by exploring their (a) temporal stability, (b) cross-context consistency, (c) empirical links to selected antecedents, and (d) empirical links to longer term trait variability. Employing a sample of professionals ( N = 346) from Australian organisations, personality state data together with situation appraisals were collected using experience sampling methodology in field and repeatedly in lab-like settings. Data on personality traits, cognitive ability, and motivational mindsets were collected at baseline and after two years. Contingent (situation contingencies) and non-contingent (relative SD) state variability indices were relatively stable over time and across contexts. Only a small number of predictive effects of state variability were observed, and these differed across contexts. Cognitive ability appeared to be associated with state variability under lab-like conditions. There was limited evidence of links between short-term state and long-term trait variability, except for a small effect for neuroticism. Some evidence of positive manifold was found for non-contingent variability. Systematic efforts are required to further elucidate the complex pattern of results regarding the antecedents, correlates and outcomes of individual differences in state variability.


Sign in / Sign up

Export Citation Format

Share Document