scholarly journals Prevalent posttraumatic stress disorder among emergency department personnel: rapid systematic review

2020 ◽  
Vol 7 (1) ◽  
Author(s):  
Diane I. N. Trudgill ◽  
Kevin M. Gorey ◽  
Elizabeth A. Donnelly
Keyword(s):  
Emergency Department ◽  
Posttraumatic Stress Disorder ◽  
Posttraumatic Stress ◽  
Stress Disorder ◽  
Research Review ◽  
Emergency Department Nurses ◽  
American Health Care ◽  
The Usa ◽  
Review Finding ◽  
Keyword Searches

Abstract This research review synthesized the evidence on the prevalence of posttraumatic stress disorder among emergency department personnel in Canada and the USA. No previous such synthesis, specific to this crucial aspect of North American health care had previously been published. Broad keyword searches of interdisciplinary research databases, both peer-reviewed and grey, retrieved 10 surveys published between 1996 and 2019. Their outcomes were synthesized with sample-weighted, pooled analyses. The most significant review finding was that one of every five such emergency care personnel met posttraumatic stress disorder diagnostic criteria; 18.6% (95% confidence interval 16.9, 20.4). However, this synthesis of generally small, nonprobability surveys with high nonparticipation rates, could only suggest that the prevalence of posttraumatic stress disorder is perhaps nearly two-fold greater among emergency department nurses (25.8%) than physicians (15.6%). Additionally, it seems that gender (being a woman) may play an important role in the relatively greater risk of nurses. Better controlled, more powerful probability surveys that examine the profession by gender interaction, are needed to affirm (or refute) these synthetic findings. Qualitative inquiries that tap into the key informing experiences of diverse emergency department personnel are also needed to best plan and implement their preventive and therapeutic care.

scholarly journals Posttraumatic Stress Disorder and HIV Risk Among Poor, Inner-City Women Receiving Care in an Emergency Department

2011 ◽  
Vol 101 (1) ◽  
pp. 120-127 ◽  
Author(s):  
Nabila El-Bassel ◽  
Louisa Gilbert ◽  
Danielle Vinocur ◽  
Mingway Chang ◽  
Elwin Wu
Keyword(s):  
Emergency Department ◽  
Posttraumatic Stress Disorder ◽  
Inner City ◽  
Posttraumatic Stress ◽  
Hiv Risk ◽  
Stress Disorder

scholarly journals Increased Skin Conductance Response in the Immediate Aftermath of Trauma Predicts PTSD Risk

2019 ◽  
Vol 3 ◽  
pp. 247054701984444 ◽  
Author(s):  
Rebecca Hinrichs ◽  
Sanne J. H. van Rooij ◽  
Vasiliki Michopoulos ◽  
Katharina Schultebraucks ◽  
Sterling Winters ◽  
...  
Keyword(s):  
Emergency Department ◽  
Posttraumatic Stress Disorder ◽  
Posttraumatic Stress ◽  
Skin Conductance ◽  
Skin Conductance Response ◽  
Stress Disorder ◽  
Traumatic Event ◽  
Growth Mixture Modeling ◽  
Subsequent Development ◽  
Posttraumatic Stress Disorder Symptoms

Background Exposure to a traumatic event leads to posttraumatic stress disorder in 10% to 20% of exposed individuals. Predictors of risk are needed to target early interventions to those who are most vulnerable. The objective of the study was to test whether a noninvasive mobile device that measures a physiological biomarker of autonomic nervous system activation could predict future posttraumatic stress disorder symptoms. Methods Skin conductance response was collected during a trauma interview in the emergency department within hours of exposure to trauma in 95 individuals. Trajectories of posttraumatic stress disorder symptoms over 12-month posttrauma were identified using latent growth mixture modeling. Results Skin conductance response was significantly correlated with the probability of being in the chronic posttraumatic stress disorder trajectory following trauma exposure in the emergency department (r = 0.489, p < 0.000001). Lasso regression with elastic net was performed with demographic and clinical measures obtained in the emergency department, demonstrating that skin conductance response was the most significant predictor of the chronic posttraumatic stress disorder trajectory (p < 0.00001). Conclusions This study is the first prospective study of posttraumatic stress disorder showing skin conductance response in the immediate aftermath of trauma predicts subsequent development of chronic posttraumatic stress disorder. This finding points to an easily obtained, and neurobiologically informative, biomarker in emergency departments that can be disseminated to predict the development of posttraumatic stress disorder.

Posttraumatic Stress Disorder Symptomatology and Comorbid Depressive Symptoms Among Abused Women Referred From Emergency Department Care

2005 ◽  
Vol 20 (6) ◽  
pp. 645-659 ◽  
Author(s):  
Sherry Lipsky ◽  
Craig A. Field ◽  
Raul Caetano ◽  
Gregory L. Larkin
Keyword(s):  
Emergency Department ◽  
Posttraumatic Stress Disorder ◽  
Posttraumatic Stress ◽  
Partner Violence ◽  
Stress Disorder ◽  
Depressive Symptomatology ◽  
Comorbid Depression ◽  
Emergency Department Care ◽  
Alcoholic Drinks ◽  
Ptsd Symptomatology

Posttraumatic stress disorder (PTSD) is common among victims of intimate partner violence (IPV) as is comorbid depression. Comorbid depression may exacerbate PTSD severity and chronicity. This study sampled female IPV victims from an urban emergency department to assess the relationship between PTSD symptomatology in the previous 12 months and current depressive symptomatology and to evaluate independent predictors of PTSD symptomatology. Half of respondents had symptoms consistent with PTSD. Those with PTSD symptomatology had significantly higher mean total depression scores and mean scores on 3 of 4 depression subscales than those without PTSD. Depressive symptomatology, being married, sexual IPV, severity of physical IPV, and partner’s consumption of 5 or more alcoholic drinks per occasion at least once a month independently predicted PTSD symptomatology. Our findings underscore the important roles these factors play in IPV-related PTSD and the need for prompt identification and intervention of those at risk.

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