scholarly journals A-11 The Contribution of Psychological Stress to Adolescent Post-Concussive Symptoms Across Recovery

2020 ◽  
Vol 35 (6) ◽  
pp. 784-784
Author(s):  
T Tarkenton ◽  
C Presley ◽  
T Meredith-Duliba ◽  
T Caze ◽  
L Hynan ◽  
...  
Keyword(s):  
Psychological Stress ◽  
Sport Injury ◽  
Initial Visit ◽  
Post Traumatic Stress ◽  
Stress Symptoms ◽  
Traumatic Amnesia ◽  
Ptsd Checklist ◽  
Post Traumatic ◽  
Linear Regressions

Abstract Objective The aim of this study was to explore whether less commonly explored injury factors account for variance in post-concussive symptoms across recovery. Method Participants aged 12–18 (n = 440) who reported to clinic within 14 days of concussion sustained in either sport injury, MVA, fall, or hit were selected from the ConTex registry. A PCS log, PHQ-8, and GAD-7 were completed at initial visit and 3-month follow-up. Separate hierarchical linear regressions determined predictors of PCS scores at both time points. Demographic, premorbid, injury, and psychological factors were entered in Step 1–4, respectively. A sample subset completed the PTSD Checklist (PCL-5) at initial (n = 58) and 3-month visits (n = 27). Exploratory analyses added the PCL-5 to determine whether post-traumatic stress symptoms contributed to the model. Results At initial visit, sex, post-traumatic amnesia (PTA), PHQ-8, and GAD-7 significantly predicted PCS total scores (p < .001), accounting for 43% of the variance. At 3-month follow-up, PTA dropped out of the model, and psychiatric history and mechanism of injury became significant, explaining an additional 15% of the variance in PCS scores (R2 = .58, p < .001). In exploratory analyses, when PCL-5 scores were added to the final models, demographic, premorbid, and injury factors did not remain significant, and the PCL-5 significantly contributed to the variance in PCS scores at both initial (p = .01) and 3-month follow-up (p < .001). Conclusions Psychological stress and context of injury may be strong predictors of PCS in addition to demographic and premorbid factors. These findings warrant continued investigation of less explored injury factors contribution to initial mTBI presentation and recovery.

Short-term follow-up of post-traumatic stress symptoms in motor vehicle accident victims

1995 ◽  
Vol 33 (4) ◽  
pp. 369-377 ◽  
Author(s):  
Edward B. Blanchard ◽  
Edward J. Hickling ◽  
Alisa J. Vollmer ◽  
Warren R. Loos ◽  
Todd C. Buckley ◽  
...  
Keyword(s):  
Traumatic Stress ◽  
Motor Vehicle ◽  
Motor Vehicle Accident ◽  
Post Traumatic Stress ◽  
Short Term ◽  
Vehicle Accident ◽  
Stress Symptoms ◽  
Post Traumatic

scholarly journals Hospital workers mental health during the COVID-19 pandemic: methods of data collection and characteristics of study sample in a university hospital in Milan (Italy)

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
A Fattori ◽  
F Cantù ◽  
A Comotti ◽  
V Tombola ◽  
E Colombo ◽  
...  
Keyword(s):  
Risk Factors ◽  
Traumatic Stress ◽  
University Hospital ◽  
Psychological Wellbeing ◽  
Post Traumatic Stress ◽  
Hospital Workers ◽  
Stress Symptoms ◽  
Post Traumatic ◽  
Psychological Impairment

Abstract Background The COVID-19 pandemic is currently a severe challenge for healthcare workers, with a considerable impact on their mental health. In order to focus preventive and rehabilitation measures it’s fundamental to identify risk factors of such psychological impairment. We designed an observational longitudinal study to systematically examine the psychological wellbeing of all employees in a large University Hospital in Italy, using validated psychometric scales in the context of the occupational physician’s health surveillance, in collaboration with Psychiatric Unit. Methods The study started after ethical approval in August 2020. For each worker, the psychological wellbeing is screened in two steps. The first level questionnaire collects sociodemographic characteristics, personal and occupational COVID-19 exposure, worries and concerns about COVID-19, general psychological discomfort (GHQ-12), post-traumatic stress symptoms (IES-R) and anxiety (GAD-7). Workers who score above the cut-off in at least one scale are further investigated by the second level questionnaire composed by PHQ-9, DES-II and SCL-90. If second level shows psychological impairments, we offer individual specialist treatment (third level). We plan to follow-up all subjects to monitor symptoms and possible chronicization; we aim to investigate potential risk factors through univariate analysis and multivariate logistic regressions. Results Preliminary results refer to a sample of 550 workers who completed the multi-step evaluation from August to December 2020, before vaccination campaign started. The participation rate was 90%. At first level screening, 39% of the subjects expressed general psychological discomfort (GHQ-12), 22% post-traumatic stress symptoms (IES-R), and 21% symptoms of anxiety (GAD-7). Women, nurses, younger workers, subjects with COVID-19 working exposure and with an infected family member showed significantly higher psychological impairment compared to colleagues. After the second level screening, 12% and 7% of all workers showed, respectively, depressive and dissociative symptoms; scorings were significantly associated with gender and occupational role. We are currently extending sample size and evaluating subjects over a period of further 12 months. Conclusions The possibility to perform a systematic follow-up of psychological wellbeing of all hospital workers, directly or indirectly exposed to pandemic consequences, constitutes a unique condition to detect individual, occupational, and non-occupational risk factors for psychological impairment in situations of prolonged stress, as well as variables associated with symptoms chronicization.

Stepped and Standard Care for Childhood Trauma

2015 ◽  
Vol 27 (6) ◽  
pp. 653-663 ◽  
Author(s):  
Alison Salloum ◽  
Brent J. Small ◽  
John Robst ◽  
Michael S. Scheeringa ◽  
Judith A. Cohen ◽  
...  
Keyword(s):  
Behavioral Therapy ◽  
Stepped Care ◽  
Post Traumatic Stress ◽  
Related Data ◽  
Stress Symptoms ◽  
Parental Treatment ◽  
Post Traumatic ◽  
Intent To Treat ◽  
Delivery Approach

Objective: This study explored the feasibility of stepped care trauma-focused cognitive behavioral therapy (SC-TF-CBT) relative to TF-CBT with children (aged 8–12). Method: Children ( N = 33) with post-traumatic stress symptoms (PTSS) were randomly assigned (2:1) to SC-TF-CBT or TF-CBT. SC-TF-CBT consisted of Step 1, parent-led therapist-assisted treatment, and Step 2 (nine TF-CBT sessions). TF-CBT consisted of 12 therapist-directed sessions. Baseline, post-Step 1, posttreatment, and 3-month follow-up assessments occurred. Cost-related data were collected throughout the treatment. Results: In all, 64% (intent-to-treat) to 82% (completers) responded to Step 1. Group × Time interactions were not statistically significant for PTSS ( p = .888), severity ( p = .576), and internalizing ( p = .862)/externalizing ( p = .974) symptoms, indicating comparable improvements in outcomes across both conditions. There were no significant differences in parental treatment credibility ( p = .440), expectations ( p = .664), and satisfaction ( p = .768). SC-TF-CBT total costs were significantly lower than TF-CBT (Effect Size [ES] = 1.61, confidence interval [CI] = [0.65, 2.59], p < .0001). Conclusion: Step 1 may be a viable service delivery approach although further research is needed.

scholarly journals Prevalence and predictors of post-traumatic stress symptoms in adolescent and young adult cancer survivors: a 1-year follow-up study

2012 ◽  
Vol 22 (8) ◽  
pp. 1798-1806 ◽  
Author(s):  
Minyoung Kwak ◽  
Brad J. Zebrack ◽  
Kathleen A. Meeske ◽  
Leanne Embry ◽  
Christine Aguilar ◽  
...  
Keyword(s):  
Traumatic Stress ◽  
Adolescent And Young Adult ◽  
Post Traumatic Stress ◽  
Young Adult Cancer Survivors ◽  
Follow Up Study ◽  
Stress Symptoms ◽  
Adult Cancer Survivors ◽  
Post Traumatic ◽  
Young Adult Cancer

scholarly journals Short-term health-related quality of life, physical function and psychological consequences of severe COVID-19

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Luca Carenzo ◽  
Alessandro Protti ◽  
Francesca Dalla Corte ◽  
Romina Aceto ◽  
Giacomo Iapichino ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Hospital Discharge ◽  
Post Traumatic Stress ◽  
Short Term ◽  
Stress Symptoms ◽  
Related Quality ◽  
Health Related ◽  
Post Traumatic

Abstract Background Survivors of severe COVID-19 are at risk of impaired health-related quality of life (HRQoL) and persistent physical and psychological disability after ICU and hospital discharge. The subsequent social burden is a major concern. We aimed to assess the short-term HRQoL, physical function and prevalence of post-traumatic stress symptoms of invasively mechanically ventilated COVID-19 patients treated in our ICU. Methods Prospective, observational cohort study in a follow-up clinic. Patients completed a 6-min walking test (6MWT) to assess their cardio-pulmonary function around 2 months (early follow-up) from hospital discharge, the EQ-5D-5L questionnaire for quality of life assessment around 2 months and at 6 months from hospital discharge and an anonymous web-based Impact of Event Scale-Revised (IES-R) questionnaire for Post-Traumatic Stress symptoms at 2 months. Results 47 patients attended our follow-up program, mean age 59 ± 10 years, median pre-morbid Clinical Frailty Scale (CFS) 2 [2–3]. The median distance walked in 6 min was 470 [406–516] m, 83 [67–99]% of the predicted value. Overall 1 out 3 patients and 4/18 (22%) among those with a good functional baseline prior to COVID-19 (CFS of 1 or 2) had lower (84%) than predicted 6MWT. EQ-5D-5L quality of life VAS was 80 [70–90] out of 100 at early follow-up with a slight improvement to 85 [77.5–90] at 6 months. Mobility, self-care and usual activities improved between the two timepoints, while pain/discomfort and depression/anxiety did not improve or got worse. The IES-R total score was greater than the threshold for concern of 1.6 in 27/41(66%) respondents. Conclusions Patients recovering from severe COVID-19 requiring invasive mechanical ventilation surviving hospital discharge present with early mild to moderate functional impairment, mildly reduced quality of life from hospital discharge with an overall improvement of mobility, self-care and the ability of performing usual activities, while a worsening of pain and depression/anxiety symptoms at 6 months and a large proportion of symptoms of post-traumatic distress soon after hospital discharge.

scholarly journals Testimony method to ameliorate post-traumatic stress symptoms

2004 ◽  
Vol 184 (3) ◽  
pp. 251-257 ◽  
Author(s):  
Victor Igreja ◽  
Wim C. Kleijn ◽  
Bas J. N. Schreuder ◽  
Janie A. Van Dijk ◽  
Margot Verschuur
Keyword(s):  
Rural Communities ◽  
Traumatic Stress ◽  
Control Group ◽  
Case Group ◽  
Post Traumatic Stress ◽  
Post Intervention ◽  
Stress Symptoms ◽  
Post Traumatic ◽  
Positive Intervention

BackgroundThe effectiveness of the testimony method has not been established in rural communities with survivors of prolonged civil war.AimsTo examine the effectiveness and feasibility of a testimony method to ameliorate post-traumatic stress symptoms.MethodParticipants (n=206) belonged to former war zones in Mozambique. They were divided into a case (n= 137) and a non-case group (n=69). The case group was randomly divided into an intervention (n=66) and a control group (n=71). Symptoms were measured during baseline assessment, post-intervention and at an 11-month follow-up.ResultsPost-intervention measurements demonstrated significant symptom reduction in both the intervention and the control group. No significant differences were found between the intervention and the control group. Follow-up measurements showed sustained lower levels of symptoms in both groups, and some indications of a positive intervention effect in women.ConclusionsA remarkable drop in symptoms could not be linked directly to the intervention. Feasibility of the intervention was good, but controlling the intervention in a small rural community appeared to be a difficult task to accomplish.

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