Prevalence, Risk, and Correlates of Posttraumatic Stress Disorder Across Ethnic and Racial Minority Groups in the United States

Posttraumatic stress among pediatric critical care physicians in the United States in association with coronavirus disease 2019 patient care experiences. Our objective was to assess the prevalence of posttraumatic stress (PTS) and its association with COVID-19 patient care experiences among pediatric critical care physicians. Our study was a cross-sectional study of pediatric critical care physicians in the United States. We measured PTS which included posttraumatic stress disorder (PTSD) and subthreshold posttraumatic stress disorder (SubPTSD) using validated PTSD Checklist- 5 survey tool. Association of PTS with COVID-19 patient care experiences was analyzed using regression analysis. Prevalence of PTS was noted in 120 among 294 pediatric critical care physicians (41%; 95% CI, 35-47%). The predominant symptoms were that of hyperarousal and feelings of negative cognition and mood. Among our physicians with PTS, 19% had PTSD and 81% had SubPTSD. Demographic and practice characteristics were not significant for increased PTS on regression analysis. Posttraumatic stress was significantly associated with physicians testing positive or taking time off for COVID-19 illness, self-isolation, fear of infecting their loved ones, families scared of being infected, feeling helpless, patients expressing fears of dying, having pre-existing depression, anxiety, or insomnia, working beyond comfort level of training and having thoughts of quitting (p < 0.05). Thoughts of quitting was associated with the highest significant increase in PTS scores (coefficient:11.643; 95% CI:8.551,14.735; P < 0.01) followed by feeling of helplessness (coefficient:11.055; 95% CI: 8.484,13.624; P < 0.01) and need for additional medications for depression, anxiety and insomnia (coefficient: 10.980; 95% CI: 4.970, 16.990; P < 0.01). Posttraumatic stress is high in pediatric critical care physicians and is associated with various COVID-19 patient care experiences. Thoughts of quitting was associated with highest increase in posttraumatic stress score which could have major implications for the workforce in the future. Subthreshold posttraumatic stress disorder should be recognized, and mental health issues of pediatric critical care physicians addressed.

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Forms of Intimate Partner Rape Experienced by Latinas With and Without Posttraumatic Stress Disorder

Partner Abuse ◽

10.1891/1946-6560.10.1.59 ◽

2019 ◽

Vol 10 (1) ◽

pp. 59-76 ◽

Cited By ~ 2

Author(s):

Emily T. Carey ◽

Maria M. Galano ◽

Sara F. Stein ◽

Hannah M. Clark ◽

Andrew C. Grogan-Kaylor ◽

...

Keyword(s):

United States ◽

Posttraumatic Stress Disorder ◽

Posttraumatic Stress ◽

Stress Disorder ◽

The United States ◽

Intimate Partner ◽

Health Concern ◽

Significant Difference ◽

The Relationship ◽

Intimate Partner Rape

Intimate partner violence (IPV) affects a large proportion of women in the United States and is a serious public health concern. Rates of IPV are even higher for Latinas in the United States. Approximately, 10% of women experience intimate partner rape in their lifetime, and IPV and intimate partner rape have been strongly linked to the development of posttraumatic stress disorder (PTSD). However, little research has been done to distinguish different forms of intimate partner rape and their effects. This study examined intimate partner rape for 94 Spanish-speaking Latinas with and without a diagnosis of PTSD. Two forms of rape were assessed, physically forced rape and psychologically coerced rape, and 39% of the women were diagnosed with PTSD. A logistic regression (N = 62) was used to assess the relationship between PTSD and forms of rape. Results indicated that Latinas with PTSD reported more physically forced rape than Latinas without a diagnosis of PTSD. No significant difference in PTSD diagnosis was found for psychologically coerced rape. Future research should focus on investigating factors that potentially mediate the relationship between physically forced rape and PTSD.

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