Greater prevalence of post-traumatic stress disorder and depression in deployed Canadian Armed Forces personnel at risk for moral injury

2018 ◽  
Vol 137 (4) ◽  
pp. 342-354 ◽  
Author(s):  
A. Nazarov ◽  
D. Fikretoglu ◽  
A. Liu ◽  
M. Thompson ◽  
M. A. Zamorski
Author(s):  
Aleksandra Truszczyńska-Baszak ◽  
Monika Guszkowska ◽  
Emilia Dadura ◽  
Adam Tarnowski

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.


Author(s):  
Herbert Hendin

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.


2000 ◽  
Vol 84 (5) ◽  
pp. 666P-667P
Author(s):  
C. Jones ◽  
P. Skirrow ◽  
R.D. Griffiths ◽  
G. Humphris ◽  
S. Dawson ◽  
...  

Author(s):  
Jan Grimell

This article continues to build on the biblical combat veteran types (BCVTs) which were recently presented as a tool to describe and understand biblical combat veterans through the lenses of post-traumatic stress disorder and moral injury. The purpose of this article is to connect the BCVTs with real-life cases so as to show the potential usefulness of the biblical types. This article further develops a model for pastoral care which integrates this tool.


2020 ◽  
Vol 48 (11) ◽  
pp. 1572-1579 ◽  
Author(s):  
Emilie Wawer ◽  
Marie Viprey ◽  
Bernard Floccard ◽  
Mohamed Saoud ◽  
Fabien Subtil ◽  
...  

2020 ◽  
Vol 216 (3) ◽  
pp. 127-128 ◽  
Author(s):  
Edgar Jones

SummaryMoral injury, characterised by guilt, shame and self-condemnation, is conceptualised either as an adjunct to post-traumatic stress disorder or as a new syndrome. Studies of symptoms and potentially morally injurious events have produced a possible definition and informed the design of rating scales. The current challenge remains the design of effective interventions. Because moral injury relates to ethical behaviour, the meaning attached to events and perceptions of the self, moral philosophy and spirituality could contribute to the design of treatments.


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