Rand Toolkit Identifies Programs for Long-Term Recovery Among Children Exposed to Significant Traumatic Events

Keyword(s):  
2019 ◽  
Vol 75 (2) ◽  
pp. 233-246
Author(s):  
Stephanie Anderson ◽  
Brian Bourke

The authors make the argument that trauma journalism should be taught as part of the postsecondary curriculum in journalism schools. As part of that education, students will learn that coping with the psychological effects of repeated exposure to such events can have long-term impacts on their mental health. As Kohlberg and Rest found, students in college are at a pivotal point in their moral development. Education takes place as adolescents are developing key psychological skills, including moral and ethical decision-making. Collegiate journalists should be gaining these valuable reasoning skills as it relates to covering traumatic events.


2022 ◽  
pp. 164-189
Author(s):  
Ezgi Ildirim

School shootings are traumatic events that have detrimental impacts on children. Studies revealed that after the school shooting children can suffer from traumatic symptoms which cause difficulties in learning and relationships. Traumas negatively affect developing brain structures of the children which can lead to long-term problems. For that reason, the trauma sensitive schools (TSS) model, which aimed to provide safe and secure environments for children, can be helpful to support the children and to improve their well-being after the school shooting.


2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Livia Sacchi ◽  
Mariia Merzhvynska ◽  
Mareike Augsburger

Abstract Background Lifetime traumatic events are known to have a detrimental long-term impact on both mental and physical health. Yet, heterogeneity in the stress response regarding well-being in adults is not well understood. This study investigates effects of cumulative trauma on latent trajectories of two indices of well-being, subjective health and life satisfaction in a large representative sample by means of latent variable modelling techniques. Methods Data from the pairfam study wave 2–9, a longitudinal representative survey was used (N = 10,825). Individuals reported on lifetime trauma type exposure on wave 7 and indicated levels of life satisfaction and health at each wave. Different types of latent Variable Mixture Models were applied in an iterative fashion. Conditional models investigated effects of cumulative trauma load. Results The best fitting model indicated three latent trajectories for life, and four for health, respectively. Trauma load significantly predicted class membership: Higher exposure was associated with non-stable trajectories for both indices but followed complex patterns of both improving and decreasing life satisfaction and health. Trauma load also explained variability within classes. Conclusions The current study expands on evidence to the long-term development of health and life satisfaction in response to traumatic events from a latent variable modelling perspective. Besides detrimental effect, it also points to functional adaptation after initial decline and increased well-being associated with trauma exposure. Thus, response to traumatic stress is marked by great heterogeneity. Future research should focus on variables beyond exposure to trauma that can further identify individuals prone to trajectories of declining well-being.


1998 ◽  
Vol 10 (4) ◽  
pp. 681-698 ◽  
Author(s):  
MARK L. HOWE

It is argued that memory for traumatic events is similar to that for other distinctive, personally significant events regardless of whether they are affectively positive or negative. Examined in this light, the focus now shifts to the role of individual differences in neurobiological, social, cognitive, and constitutional factors that conspire to determine long-term retention of significant autobiographical experiences. What is known about these factors in determining memorability is reviewed, issues of measurement inadequacies discussed, and recommendations for further research outlined.


2020 ◽  
Vol 96 (1141) ◽  
pp. 711-717
Author(s):  
Ifat Ataullah ◽  
Alexandra Livesey

Facing an investigation into performance concerns can be one of the most traumatic events in a doctor’s career, and badly handled investigations can lead to severe distress. Yet there is no systematic way for National Health Service (NHS) Trusts to record the frequency of investigations, and extremely little data on the long-term outcomes of such action for the doctors. The document—Maintaining High Professional Standards in the Modern NHS (a framework for the initial investigation of concerns about doctors and dentists in the NHS)—should protect doctors from facing unfair or mismanaged performance management procedures, which include conduct, capability and health. Equally, it provides NHS Trusts with a framework that must be adhered to when managing performance concerns regarding doctors. Yet, very few doctors have even heard of it or know about the provisions it contains for their protection, and the implementation of the framework appears to be very variable across NHS Trusts. By empowering all doctors with the knowledge of what performance management procedures exist and how best practice should be implemented, we aim to ensure that they are informed participants in any investigation should it occur.


2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  

Abstract In recent years several European countries have been confronted with terrorist attacks. Since the Oklahoma City Bombing in 1995, there has been a growing evidence of trauma-research showing that survivors and witnesses of such attacks not only are affected physically, often with serous injuries, but also often experience severe mental health problems, such as PTSD, depression, or anxiety, which can take months or years to fade away. Moreover, such impact not only affect directly involved, but also indirectly involved persons (e.g. relatives of victims) and even the broader population. Terrorism has become a public health issue, challenging researchers to profoundly study determinants of terrorism as well as the ways of how to organise and install adequate preparedness before and proper responses and effective healthcare for populations in need after an attack. Until now, aftercare for people directly or indirectly affected by terrorist attacks and for the broader population gets rather little scientific attention. How did the health care services respond to such attacks? How should they respond and why? Were these services adequately prepared? Have survivors sought out help themselves? While there is an increasing body of knowledge on the association between a terrorist attack and PTSD, depression or other mental health problems, there is little known on the psychological aid that was given, and to whom this was given. In this workshop, research findings on aftercare after terrorism will be presented and discussed. Four researchers from three different European countries confronted with terrorist attacks in recent years (France, Belgium and Norway) will present their findings. Dr. Cécile Vuillermoz will present data on the immediate and long-term aftercare for civilians following the attacks on Charlie Hebdo in January 2015 in France, while Dr. Stephanie Vandentorren will present data on the psychosocial aid provided to directly exposed, witnesses and relatives after these attacks. Drs. Roel Van Overmeire will focus on the psychosocial aid offered to rescue workers shortly after the attacks in Belgium, and the months and years after. Finally, Dr. Lise Eilin Stene will give a presentation on current problems of healthcare in Europe in reaching those inflicted by terrorism and other traumatic events, while pointing to solutions and challenges for the future. Key messages More research is necessary to find adequate ways of reaching vulnerable people in need of psychosocial aid after terrorist attacks. More scientific insight is needed in the mental health impact of and the proper psychosocial aid response after large-scale traumatic events, in the direct aftermath as well as in the long term.


2008 ◽  
Vol 39 (3) ◽  
pp. 431-441 ◽  
Author(s):  
V. V. McCutcheon ◽  
A. C. Heath ◽  
E. C. Nelson ◽  
K. K. Bucholz ◽  
P. A. F. Madden ◽  
...  

BackgroundFew genetically informative studies have examined the effects of different types of trauma on risk for depression over time. The aim of the present study was to examine the relative contributions over time of assaultive trauma, non-assaultive trauma, and familial effects to risk for depression.MethodHistories of depression and trauma were obtained during structured diagnostic interviews with 5266 (mean age 29.9 years, s.d.=2.4) members of a volunteer Australian twin panel from the general population. Age at first onset of a DSM-IV major depressive episode was the dependent variable. Associations of depression with traumatic events were examined while accounting for the temporal sequence of trauma and depression and familial effects.ResultsAssaultive traumatic events that occurred during childhood had the strongest association with immediate and long-term risk for depression, and outweighed familial effects on childhood-onset depression for most twins. Although men and women endorsed equal rates of assaultive trauma, women reported a greater accumulation of assaultive events at earlier ages than men, whereas men reported a greater accumulation of non-assaultive events at all ages.ConclusionsEarly exposure to assaultive trauma can influence risk for depression into adulthood. Concordance for early trauma is a significant contributor to the familiality of early-onset depression.


2017 ◽  
Vol 62 (7) ◽  
pp. 465-472 ◽  
Author(s):  
Kirsten Marchand ◽  
Heather Palis ◽  
Jill Fikowski ◽  
Scott Harrison ◽  
Patricia Spittal ◽  
...  

Objective: This study aims to examine factors associated with suicidal ideation among people with opioid dependence and to explore whether these factors are gender-specific. Methods: Cross-sectional data were collected among long-term opioid-dependent individuals ( n = 176; 46.0% women). Lifetime histories of suicidal ideation were measured using the Composite International Diagnostic Interview, and additional data were collected regarding sociodemographic characteristics, drug use, health, and adverse life events. Multivariable logistic regression was used to determine the relationships between these variables and suicidal ideation for the full study sample and separately for women and men to explore the potential role of gender. Results: A total of 43.8% ( n = 77) of participants reported a lifetime history of suicidal ideation. Among those with suicidal ideation, 49.3% were women and the overall average age of first ideation was 19.82 years (SD, 11.66 years). Results from multivariable analyses showed that a history of depression, anxiety, and childhood emotional neglect and the number of lifetime traumatic events were significantly associated with higher odds of suicidal ideation. The gender-based analysis suggested that histories of depression and anxiety remained independently associated with lifetime suicidal ideation among women, whereas for men, childhood emotional neglect and the number of lifetime potentially traumatic events were independently associated with lifetime suicidal ideation. Conclusions: This study offers a critical first step to understanding factors associated with suicidal ideation among long-term opioid-dependent men and women and the potential importance of gender-sensitive approaches for suicidal behavior interventions. These data inform further research and clinical opportunities aiming to better respond to the psychological health needs of this population.


2003 ◽  
Vol 183 (1) ◽  
pp. 12-14 ◽  
Author(s):  
S. Wessely ◽  
M. Deahl

People who experience serious traumatic events may become distressed and are at risk of developing psychological illness. Because of the perceived need to ease the distress and to prevent chronicity, various forms of psychological therapy have been deployed. One such therapy is psychological debriefing. Some claim that it is helpful, others claim it may not do any good but at least it does no harm, but still others claim that it increases the risk of people developing long-term psychological symptoms following a traumatic event. Statutory agencies, charities and commercial organisations offer their services to victims following traumatic events. Fearing litigation, some companies require their employees to undergo debriefing following certain incidents. But is psychological debriefing the right treatment? Is it cost-effective? And what of the concerns that it may lead to long-term problems? Could litigation be joined because of exposure to psychological debriefing? We asked two experts who have published widely on the subject – Professor Simon Wessely and Professor Martin Deahl – to debate the proposition that psychological debriefing is a waste of time.


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