Posttraumatic Stress Disorder

Author(s):  
David M. Benedek ◽  
Gary H. Wynn

Posttraumatic stress disorder (PTSD) may develop after exposure to a traumatic event (or events) such as interpersonal violence, disasters, war, or terrorism. PTSD is characterized by specific symptoms organized into core clusters, including reexperience, hyperarousal, avoidance, and negative alterations in mood and cognition. Although these symptoms may resolve without any intervention, they may also progress to a chronic, debilitating state. The characteristics of the disorder as described, as are the incidence and prevalence of PTSD and subgroups that may be at greater risk. The fact that many persons exposed to traumatic events do not develop lasting symptoms of PTSD (or PTSD at all) is explained through a discussion of risk and protective factors. Last, brief reviews of diagnostic assessments and current noncomplementary/nonalternative treatments supported by practice guidelines and clinical consensus are described.

2016 ◽  
Vol 37 (1) ◽  
pp. 31-39 ◽  
Author(s):  
Nicole L. Hofman ◽  
Austin M. Hahn ◽  
Christine K. Tirabassi ◽  
Raluca M. Gaher

Abstract. Exposure to traumatic events and the associated risk of developing Posttraumatic stress disorder (PTSD) symptoms is a significant and overlooked concern in the college population. It is important for current research to identify potential protective factors associated with the development and maintenance of PTSD symptoms unique to this population. Emotional intelligence and perceived social support are two identified protective factors that influence the association between exposure to traumatic events and PTSD symptomology. The current study examined the mediating role of social support in the relationship between emotional intelligence and PTSD symptoms. Participants included 443 trauma-exposed university students who completed online questionnaires. The results of this study indicated that social support mediates the relationship between emotional intelligence and reported PTSD symptoms. Thus, emotional intelligence is significantly associated with PTSD symptoms and social support may play an integral role in the relationship between emotional intelligence and PTSD. The current study is the first to investigate the role of social support in the relationship between emotional intelligence and PTSD symptoms. These findings have important treatment and prevention implications with regard to PTSD.


Journalism ◽  
2017 ◽  
Vol 19 (9-10) ◽  
pp. 1308-1325 ◽  
Author(s):  
Mina Lee ◽  
Eun Hye Ha ◽  
Jung Kun Pae

This study investigated posttraumatic stress disorder (PTSD) symptoms on Korean journalists and the contributing variables. Predicting variables included the exposure to traumatic events, coping strategy, social support, optimism, negative beliefs, and the journalists’ occupational perspectives. A total of 367 Korean journalists participated in the survey. The findings revealed that, first, Korean journalists had suffered severely from PTSD symptoms according to the prevalence rate. Second, the extent of traumatic event exposure, the length of career, the use of dysfunctional coping strategy, a lack of social support, and negative beliefs were identified as significantly related variables. Finally, occupational perspectives showed meaningful associations with development of the symptoms. This study provided an empirical analysis of Korean journalists’ experiences of traumatic events and psychological stress for the first time.


2019 ◽  
Vol 16 (1) ◽  
Author(s):  
Brooklyn Levine ◽  
Helen M. Land ◽  
Erica L. Lizano

Traumatic events can have significant physical, psychological, and neurological effects on an individual. Posttraumatic stress disorder (PTSD) is a psychological condition that can result from experiencing or witnessing a traumatic event. Women have a higher risk of PTSD than men do, and because PTSD has been shown to increase the risk of suicidal ideations and behavior, homicidal behavior, and general violence in the community and in the home, women are at a great risk (Levine & Land, 2014). This paper explores the use of dance/movement therapy (DMT) as an intervention to treat women suffering with PTSD. Examining the connection between the body, the mind, and the brain for individuals who have experienced traumatic events helps to highlight how multifaceted treatment methods for PTSD, such as DMT, can be more effective. Semi-structured phone interviews were conducted with 15 dance/movement therapists about the use of DMT with women experiencing PTSD. Using methods rooted in content and thematic analysis, the present study examined the emergent theme of intervention tools and tactics. The results highlight the core elements of the intervention that may be integrated into social work practice, in an effort to better support women with PTSD.


SLEEP ◽  
2020 ◽  
Vol 43 (Supplement_1) ◽  
pp. A406-A406
Author(s):  
T Maeder ◽  
C Daffre ◽  
K I Oliver ◽  
N B Lasko ◽  
J Seo ◽  
...  

Abstract Introduction Nightmares are a frequent and disturbing symptom of posttraumatic stress disorder (PTSD). They are associated with sleep disruption and increased psychopathology. There is growing evidence that different types of nightmares may differ in their effects on psychopathology. Previous findings suggest that nightmares that are close replications of the experienced traumatic event might be especially important in the development of PTSD. This study investigated trauma-related (replicative) and non-trauma-related (non-replicative) nightmares as predictors of PTSD in a civilian sample. Methods Participants were recruited from the general public of the greater Boston area. The sample consisted of 108 participants who had experienced a psychological trauma in the past 2 years (e.g. sexual or physical assaults and accidents). The criteria for PTSD were met by 49% of participants. PTSD diagnosis was assessed using the Structured Clinical Interview for DSM-IV-TR Axis I Disorders-Non-Patient Edition. Participants received an Actiwatch 2 (Philips Respironics, Bend, OR) and a sleep diary for sleep measurements over an average of 14 consecutive nights. The diary included a prospective nightmare assessment and an item assessing the relatedness of each nightmare to traumatic events. Logistic regression analyses were performed with PTSD as the categorical outcome variable. Results Our analyses showed that replicative nightmares were the only statistically significant predictor of PTSD (OR = 1.2, p = .027), while controlling for age, sex, time since the traumatic event, and actigraphy total sleep time and minutes awake after sleep onset. All of these variables, including non-replicative nightmares, did not significantly predict PTSD in our analyses. Conclusion This study confirms and adds to the existing knowledge of nightmares and the importance of the degree to which they replicate the trauma in the development of PTSD. These findings underline the potential role of specific nightmare treatments after traumatic events, with a special focus on replicative nightmares. Support R01MH109638


2020 ◽  
pp. 135910532093419
Author(s):  
Sydney C Timmer-Murillo ◽  
Joshua C Hunt ◽  
Timothy Geier ◽  
Karen J Brasel ◽  
Terri A deRoon-Cassini

The current study examined how the injured trauma survivor screen (ITSS), a hospital-administered screener of posttraumatic stress disorder (PTSD) and depression, differentially predicted PTSD symptom cluster severity. Participants from a Level 1 trauma center ( n = 220) completed the ITSS while inpatient and PTSD symptoms were assessed one-month post discharge. Perceived life threat and intentionality of injury were key predictors of avoidance, re-experiencing, and hyperarousal symptom clusters. However, negative alterations in mood and cognition cluster seemed best predicted by mood and cognitive risk factors. Therefore, the ITSS provides utility in differentially predicting symptom clusters and treatment planning after traumatic injury.


Science ◽  
2012 ◽  
Vol 338 (6103) ◽  
pp. 79-82 ◽  
Author(s):  
Steven M. Southwick ◽  
Dennis S. Charney

Human responses to stress and trauma vary widely. Some people develop trauma-related psychological disorders, such as posttraumatic stress disorder (PTSD) and depression; others develop mild to moderate psychological symptoms that resolve rapidly; still others report no new psychological symptoms in response to traumatic stress. Individual variability in how animals and humans respond to stress and trauma depends on numerous genetic, developmental, cognitive, psychological, and neurobiological risk and protective factors.


Author(s):  
Dusko Stupar ◽  
Dejan Stevanovic ◽  
Panos Vostanis ◽  
Olayinka Atilola ◽  
Paulo Moreira ◽  
...  

Abstract Background Exposure to traumatic events in childhood is associated with the development and maintenance of various psychiatric disorders, but most frequently with posttraumatic stress disorder (PTSD). The aim of this study was to evaluate the types of traumatic events experienced and the presence and predictors of PTSD symptoms among adolescents from the general population from ten low- and middle-income countries (LMICs). Methods Data were simultaneously collected from 3370 trauma-exposed adolescents (mean age = 15.41 [SD = 1.65] years, range 12–18; 1465 (43.5%) males and 1905 (56.5%) females) in Brazil, Bulgaria, Croatia, Indonesia, Montenegro, Nigeria, the Palestinian Territories, the Philippines, Romania, and Serbia, with Portugal, a high-income country, as a reference point. The UCLA PTSD Reaction Index for the DSM-5 (PTSD-RI-5) was used for the assessment of traumatic events and PTSD symptoms. Results The most frequently reported traumatic events were death of a close person (69.7%), witnessing violence other than domestic (40.5%), being in a natural disaster (34.4%) and witnessing violent death or serious injury of a close person (33.9%). In total, 28.5% adolescents endorsed two to three DSM-5 PTSD criteria symptoms. The rates of adolescents with symptoms from all four DSM-5 criteria for PTSD were 6.2–8.1% in Indonesia, Serbia, Bulgaria, and Montenegro, and 9.2–10.5% in Philippines, Croatia and Brazil. From Portugal, 10.7% adolescents fall into this category, while 13.2% and 15.3% for the Palestinian Territories and Nigeria, respectively. A logistic regression model showed that younger age, experiencing war, being forced to have sex, and greater severity of symptoms (persistent avoidance, negative alterations in cognitions and mood, and alterations in arousal and reactivity) were significant predictors of fulfilling full PTSD criteria. Conclusions Nearly every third adolescent living in LMICs might have some PTSD symptoms after experiencing a traumatic event, while nearly one in ten might have sufficient symptoms for full DSM-5 PTSD diagnosis. The findings can inform the generation of PTSD burden estimates, allocation of health resources, and designing and implementing psychosocial interventions for PTSD in LMICs.


2019 ◽  
Vol 283 ◽  
pp. 34-44
Author(s):  
Virginie C. Perizzolo ◽  
Cristina Berchio ◽  
Dominik A. Moser ◽  
Cristina Puro Gomez ◽  
Marylène Vital ◽  
...  

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