Early Detection of Patients at Risk of Developing a Post-Traumatic Stress Disorder After an ICU Stay*

2020 ◽  
Vol 48 (11) ◽  
pp. 1572-1579 ◽  
Author(s):  
Emilie Wawer ◽  
Marie Viprey ◽  
Bernard Floccard ◽  
Mohamed Saoud ◽  
Fabien Subtil ◽  
...  
Keyword(s):  
At Risk ◽  
Early Detection ◽  
Post Traumatic Stress Disorder ◽  
Traumatic Stress ◽  
Stress Disorder ◽  
Post Traumatic Stress ◽  
Icu Stay ◽  
Patients At Risk ◽  
Post Traumatic

scholarly journals Prognostic factors of post-traumatic stress disorder risk in patients with surgical treatment of hip acetabular fracture. Original study

2021 ◽  
Author(s):  
Aleksandra Truszczyńska-Baszak ◽  
Monika Guszkowska ◽  
Emilia Dadura ◽  
Adam Tarnowski
Keyword(s):  
At Risk ◽  
Post Traumatic Stress Disorder ◽  
Psychological Health ◽  
Traumatic Stress ◽  
Acetabular Fracture ◽  
Functional Disability ◽  
Stress Disorder ◽  
Harris Hip Score ◽  
Post Traumatic Stress ◽  
Post Traumatic

AbstractThe aim of the study was to assess the risk of developing post-traumatic stress disorder in patients after hip acetabular fracture surgery. The study involved 42 patients fulfilling inclusion criteria. Physical ability levels of the patients were determined with the Harris Hip Score, and modified Merle d’Aubigné scale. High risk of post-traumatic stress disorder was assessed with the PTSD-C questionnaire. Patients had in PTSD-C questionnaire 42.86 ± 28,10 points. In Harris Hip Score 63.64 ± 16.06, in Merle scale 11.10 ± 2.82, that was poor results in both scales. Positive correlation with age reached the level of tendency (ρ = 0.294; p = 0.059). Patients at risk of PTSD were in worse functional state measured by HHS (U = 136.0; p = 0.034) and Merle scale (U = 132.0; p = 0.026) and they were older (U = 147.5; p = 0.068). The groups differed significantly in gender ratio (χ2 = 4.01; p = 0.045). Women (8/10) were more often than men (14/32) at risk of PTSD. Patients after surgical fixation of the acetabulum experience significant functional disability. Increased level of disability after fracture and surgery, older age and female sex make patients vulnerable to PTSD. It is advisable to make medical staff who treat accident victims aware towards aspects which may be related to disorders of the patients’ psychological health.

Post-traumatic stress disorder and risk for suicide in combat veterans

2021 ◽  
pp. 269-274
Author(s):  
Herbert Hendin
Keyword(s):  
At Risk ◽  
Military Personnel ◽  
Post Traumatic Stress Disorder ◽  
Traumatic Stress ◽  
Psychodynamic Psychotherapy ◽  
Combat Veterans ◽  
Stress Disorder ◽  
Post Traumatic Stress ◽  
Post Traumatic ◽  
Not At Risk

Post-traumatic stress disorder (PTSD) is a condition associated with suicide in both military personnel and combat veterans. Most veterans with PTSD, however, are not at risk of suicide. The major factor distinguishing those who attempted or were preoccupied with suicide is persistent severe guilt over behaviour in combat while emotionally out of control. A 12-session short-term, psychodynamic psychotherapy, presented here in this chapter, showed promise of success in dissipating the guilt from combat-related actions in veterans of the war in Vietnam. Preliminary work with combat veterans of the wars in Iraq and Afghanistan indicates it may be equally successful in treating them.

Heart Rate Variability, Sleep, and the Early Detection of Post-traumatic Stress Disorder

2018 ◽  
pp. 253-263 ◽  
Author(s):  
Geert J. M. van Boxtel ◽  
Pierre J. M. Cluitmans ◽  
Roy J. E. M. Raymann ◽  
Martin Ouwerkerk ◽  
Ad J. M. Denissen ◽  
...  
Keyword(s):  
Heart Rate ◽  
Heart Rate Variability ◽  
Early Detection ◽  
Post Traumatic Stress Disorder ◽  
Traumatic Stress ◽  
Stress Disorder ◽  
Post Traumatic Stress ◽  
Post Traumatic

scholarly journals Predicting intensive care relatives at risk of post traumatic stress disorder

2000 ◽  
Vol 84 (5) ◽  
pp. 666P-667P
Author(s):  
C. Jones ◽  
P. Skirrow ◽  
R.D. Griffiths ◽  
G. Humphris ◽  
S. Dawson ◽  
...  
Keyword(s):  
At Risk ◽  
Intensive Care ◽  
Post Traumatic Stress Disorder ◽  
Traumatic Stress ◽  
Stress Disorder ◽  
Post Traumatic Stress ◽  
Post Traumatic

scholarly journals Predictors of post-traumatic stress disorder following critical illness: A mixed methods study

2017 ◽  
Vol 18 (4) ◽  
pp. 289-293 ◽  
Author(s):  
Ceri E Battle ◽  
Karen James ◽  
Tom Bromfield ◽  
Paul Temblett
Keyword(s):  
Critical Illness ◽  
Post Traumatic Stress Disorder ◽  
Traumatic Stress ◽  
Stress Disorder ◽  
Apache Ii ◽  
Apache Ii Score ◽  
Post Traumatic Stress ◽  
Icu Stay ◽  
Post Traumatic ◽  
The Uk

Purpose Post-traumatic stress disorder has been reported in survivors of critical illness. The aim of this study was to investigate the predictors of post-traumatic stress disorder in survivors of critical illness. Materials and methods Patients attending the intensive care unit (ICU) follow-up clinic completed the UK-Post-Traumatic Stress Syndrome 14-Questions Inventory and data was collected from their medical records. Predictors investigated included age, gender, Apache II score, ICU length of stay, pre-illness psychopathology; delirium and benzodiazepine administration during ICU stay and delusional memories of the ICU stay following discharge. Results A total of 198 patients participated, with 54 (27%) patients suffering with post-traumatic stress disorder. On multivariable logistic regression, the significant predictors of post-traumatic stress disorder were younger age, lower Apache II score, pre-illness psychopathology and delirium during the ICU stay. Conclusions The predictors of post-traumatic stress disorder in this study concur with previous research however a lower Apache II score has not been previously reported.

scholarly journals Resilience: Protective Factors for Depression and Post Traumatic Stress Disorder among African American Women?

2017 ◽  
Vol 9 ◽  
pp. 12-29 ◽  
Author(s):  
K. B. Holden ◽  
N. D. Hernandez ◽  
G. L. Wrenn ◽  
A. S. Belton
Keyword(s):  
At Risk ◽  
Mental Illness ◽  
African American ◽  
African American Women ◽  
Post Traumatic Stress Disorder ◽  
Traumatic Stress ◽  
Protective Factor ◽  
Stress Disorder ◽  
Post Traumatic Stress ◽  
Post Traumatic

There is a great need to carefully examine issues that may elevate one’s risk for mental illness and develop strategies to mitigate risk and cultivate resilience.  African Americans, specifically African American women (AAW), are disproportionately affected by mental illness, including depression and post-traumatic stress disorder (PTSD).  Higher rates of PTSD among AAW may be explained by significant rates of trauma exposure.  Higher resiliency in individuals with mental illnesses is associated with better treatment response/outcomes.  An examination of two (2) promising psycho-educational curricula for AAW at risk for depression and PTSD supports consideration of resilience as a protective factor among this population.  Strengthening psychological resilience among diverse AAW at risk for depression and/or PTSD may serve as a protective factor for symptom severity.  Multidimensional prevention and intervention strategies should incorporate culturally-centered, gender-specific, and strengths-based (resilience) models of care to help encourage mental health help-seeking and promotion of wellness for AAW.

scholarly journals Psychological distress during the COVID-19 pandemic in France: a national assessment of at-risk populations

2020 ◽  
Vol 33 (6) ◽  
pp. e100349
Author(s):  
Benjamin Chaix ◽  
Guillaume Delamon ◽  
Arthur Guillemassé ◽  
Benoît Brouard ◽  
Jean-Emmanuel Bibault
Keyword(s):  
At Risk ◽  
Psychological Distress ◽  
Post Traumatic Stress Disorder ◽  
Traumatic Stress ◽  
Stress Disorder ◽  
Traumatic Events ◽  
Specific Effect ◽  
Post Traumatic Stress ◽  
Increased Risk ◽  
Post Traumatic

BackgroundLockdowns were implemented to limit the spread of COVID-19. Peritraumatic distress (PD) and post-traumatic stress disorder have been reported after traumatic events, but the specific effect of the pandemic is not well known.AimThe aim of this study was to assess PD in France, a country where COVID-19 had such a dramatic impact that it required a country-wide lockdown.MethodsWe recruited patients in four groups of chatbot users followed for breast cancer, asthma, depression and migraine. We used the Psychological Distress Inventory (PDI), a validated scale to measure PD during traumatic events, and correlated PD risk with patients’ characteristics in order to better identify the ones who were the most at risk.ResultsThe study included 1771 participants. 91.25% (n=1616) were female with a mean age of 32.8 (13.71) years and 7.96% (n=141) were male with a mean age of 28.0 (8.14) years. In total, 38.06% (n=674) of the respondents had psychological distress (PDI ≥14). An analysis of variance showed that unemployment and depression were significantly associated with a higher PDI score. Patients using their smartphones or computers for more than 1 hour a day also had a higher PDI score (p=0.026).ConclusionPrevalence of PD in at-risk patients is high. These patients are also at an increased risk of developing post-traumatic stress disorder. Specific steps should be implemented to monitor and prevent PD through dedicated mental health policies if we want to limit the public health impact of COVID-19 in time.Trial registration numberNCT04337047.

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