scholarly journals AB0673 THE ROUTINE HEALTH CARE OF PATIENTS WITH RHEUMATIC DISEASES DURING THE PANDEMIC OF COVID-19

2021 ◽  
Vol 80 (Suppl 1) ◽  
pp. 1368.2-1368
Author(s):  
S. Mariem ◽  
M. Yasmine ◽  
S. Miladi ◽  
A. Fazaa ◽  
L. Souebni ◽  
...  
Keyword(s):  
Health Care ◽  
Rheumatic Diseases ◽  
Treatment Modalities ◽  
Protective Measures ◽  
Impact Of Event Scale ◽  
Event Scale ◽  
The Mean ◽  
Hospital Visits ◽  
High Level ◽  
The Impact

Background:The coronavirus pandemic poses a great threat to patients with rheumatic diseases (RD). Because of the state of immunodepression, they are perceived as vulnerable and at high risk of contracting the virus. This may lead to a delay in the health care routine.Objectives:The aim of our study was to assess the routine of patients with rheumatic diseases in the era of covid-19.Methods:We conducted a prospective study after the outbreak of Covid-19 including patients with RD: rheumatoid arthritis (RA) and Spondylarthritis (SpA). All of them were invited to answer a questionnaire about adherence to protective measures, health services, hospital visits, treatment modalities, as well as the level of satisfaction with the medical support or information received for COVID-19. We also evaluated the post-traumatic state (PTS) with the Impact of Event Scale-Revised (IES-R). A cut-off point fixed at 33 provided the best diagnostic accuracy for PTS. The level of significance was fixed at 0.05.Results:The study included 60 patients with a female predominance (sex ratio=1.7). The mean age was 51.3 ± 13.1 years [18-75] and the mean disease duration was 11.9 ±5.6 [1-23] years. Forty-two patients had RA and 18 patients had SpA. The majority of respondents were women (63.3%), married (81.7%), with a household size of 3–5 people (67.9%). The mean DASS depression and anxiety subscale was 9.5 ±7.6 [2-32] and 12.6 ± 8.2 [1-35] respectively. PTS was found in 25% of cases. Twenty-two patients stopped working in the second outbreak. The adherence to protective measures was as follows: compliance with lock-down (92.5%), adherence to stay home warnings (82%), wearing masks (96.3%), social distancing (68%), and washing hands immediately after sneezing (59.3%). Information was mainly sourced from both social media and the Internet in 78.2% of cases. Most of the patients were satisfied with the information provided and only 5 demanded more information about vaccination protocol. Of the patients having direct contact with a person affected with Covid-19 (20%), seven patients experienced symptoms. Three patients were diagnosed with SARS-COV2 and three other patients were hospitalized because of flares. The majority of the respondents (98.2%) had confidence in their own doctors’ ability to recognize Covid-19. The majority of patients (91%) were afraid of getting sick and 83.1% feared stigma and discrimination after the infection. Fifty patients did attend their consultation appointment and 13.3% had a phone consultation. About a third of patients (26.7%) of patients experienced a delay in treatment. A positive correlation was found between marital status and the fear of other family members getting Covid-19 (p=0.029). Patients who did not consult experienced more PTS and severe anxiety than those who did not delay hospital visits (p=0.07, p=0.04 respectively).Conclusion:Our study showed that during the outbreak of Covid-19, patients with RD exhibited a high level of protection towards the virus. Despite these precautionary measures, a delay in hospital routine was observed.Disclosure of Interests:None declared

Post-traumatic stress and growth among CPR survivors in the southeast of Iran

2018 ◽  
Vol 0 (0) ◽  
Author(s):  
Seyed Hamid Seyed Bagheri ◽  
Sedigheh Iranmanesh ◽  
Masoud Rayyani ◽  
Mahlagha Dehghan ◽  
Batool Tirgari ◽  
...  
Keyword(s):  
Traumatic Stress ◽  
Physical Disability ◽  
Valuable Insight ◽  
Post Traumatic Stress ◽  
Impact Of Event Scale ◽  
Event Scale ◽  
Post Traumatic Growth ◽  
Post Traumatic ◽  
The Mean ◽  
The Impact

AbstractBackgroundAlmost 7.2%–10.6% of patients survive CPR in Iran. Most of them experience post-traumatic stress disorder (PTSD) and post-traumatic growth (PTG). There are limited studies to assessing the correlation between these two psychological outcomes among CPR survivors.ObjectiveThis study aimed to examine the correlation between PTSD and PTG among CPR survivors in South-East Iran.SubjectsUsing Quota sampling, 163 CPR survivors in two provinces in the South-East of Iran were selected to participate in this study.MethodA descriptive-correlational study was used to fulfill the aim of the study. The impact of Event Scale-Revised (IES-R) for assessing PTSD and Post-traumatic growth questionnaires were used to assess PTG.ResultsThe mean score of PTSD was 39.89 and according to the cutoff point, 87.1% of participants suffered from PTSD. The mean score of PTG was 78.6. PTSD and PTG had significant negative correlation. The result of multi-variate logistic regression showed that only the PTG score predicted PTSD (Odds ratio = 0.79, CI = 0.72–0.87; and p < 0.001). The result of multi-variate linear regression indicated that PTSD, time passed since CPR, and physical disability caused by CPR predicted PTG score significantly.ConclusionThis study provides CPR survivors and health care personnel with some valuable insights about cultural aspects of PTSD and PTG among CPR survivors and that PTG is positively influenced by physical disability and time passed since CPR. CPR survivors may gain positive experience and valuable insight in group meetings and discussions with their counterparts.

scholarly journals Estimation of Prevalence and Comparing the Levels of Stress, Anxiety, Depression, and Psychological Impact Before and After COVID-19 Lockdown Among Front Line Health Care Workers

2022 ◽  
Vol 9 ◽  
pp. 237437352110698
Author(s):  
Sri Lakshmi Latha ◽  
Tina Priscilla ◽  
Sree Sudha TY ◽  
Ch. Saritha ◽  
Ashok Alimchandani ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Workers ◽  
Psychological Impact ◽  
Post Traumatic Stress ◽  
Impact Of Event Scale ◽  
Event Scale ◽  
Care Workers ◽  
Front Desk ◽  
Anxiety Depression ◽  
The Impact

The main objective of the study is to estimate the prevalence and compare the levels of psychological impact, anxiety, depression, and stress experienced by the frontline health care workers (HCWs) during the lockdown and post lockdown periods at Apollo Institute of Medical Sciences and Research, Hyderabad, India. All participants involved in the study were evaluated by using depression, anxiety and stress scale 21, the impact of event scale revised scale for post-traumatic stress disorder (PTSD), and a standardized questionnaire. During the lockdown period, the score for depression was observed mean scores to be more in front desk people (2.70) followed by pharmacists and technicians (2.60) and security (2.28) in the lockdown period. During the lockdown, the highest levels of anxiety were seen in security staff (4.72) and housekeeping (4.8), with a considerable increase after the lockdown situation. During the lockdown period, the mean score of pharmacists and technicians (10.33) were more stressed than other HCWs, and the second-highest levels of stress were observed in security (10.11) and front desk workers (10.09), respectively. Our results show that there was a worsening of the psychological impact of the pandemic and an increase in PTSD, stress, anxiety, and depression among HCWs. Female gender, pharmacists, and technicians were the most vulnerable group to develop psychiatric comorbidities.

Confirmatory Factor Analysis of the Impact of Event Scale - Revised

2007 ◽  
Author(s):  
Robert Orazem ◽  
Claire Hebenstreit ◽  
Daniel King ◽  
Lynda King ◽  
Arieh Shalev ◽  
...  
Keyword(s):  
Factor Analysis ◽  
Confirmatory Factor Analysis ◽  
Impact Of Event Scale ◽  
Event Scale ◽  
Confirmatory Factor ◽  
The Impact

scholarly journals Family Physicians’ Standpoint and Mental Health Assessment in the Light of COVID-19 Pandemic—A Nationwide Survey Study

2021 ◽  
Vol 18 (4) ◽  
pp. 2093
Author(s):  
Tina Vilovic ◽  
Josko Bozic ◽  
Marino Vilovic ◽  
Doris Rusic ◽  
Sanja Zuzic Furlan ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Perceived Stress ◽  
Depression Scale ◽  
Family Physicians ◽  
Knowledge Score ◽  
Well Being ◽  
Anxiety And Depression ◽  
Event Scale ◽  
The Impact

During the coronavirus disease 2019 (COVID-19) outbreak, family physicians (FPs) are the backbone of the healthcare system with considerable impact on the general population, and their well-being is of great importance. The aim of this investigation was to assess FPs mental health, as well as knowledge, attitudes and practices (KAPs) regarding the pandemic, and opinions on non-communicable disease (NCD) health care provided to patients. A cross-sectional study was carried out with a sample of 613 FPs. Anxiety and depression levels were estimated with the Hospital Anxiety and Depression Scale, subjective perceived stress with the Perceived Stress Scale, while trauma-related symptoms were assessed using the Impact on Event Scale-COVID19. KAPs toward the pandemic and opinions regarding NCD patients were evaluated with questionnaires accordingly. Results have shown that age (β = −0.02, p = 0.013) and personal risk of COVID‑19 (β = 1.05, p < 0.001) were significant independent correlates of the knowledge score. A total of 87.7% FPs expressed moderate/high perceived stress, 45.2% moderate/severe trauma-related symptoms, 60.4% borderline/abnormal anxiety levels, and 52.4% borderline/abnormal depression levels. Knowledge score was an independent predictor of perceived stress (β = −0.33, p = 0.023) and anxiety (β = −0.31, p = 0.006) levels. Limited accessibility to healthcare services and decreased number of newly-diagnosed NCD cases were mostly agreed on. The pandemic puts a considerable strain on FPs mental health, as well as on public health measures, due to the decreased overall quality of NCD patient health care. Educational programs may bridge the gaps between FPs’ knowledge. Thus lowering anxiety and improving patient care.

Perpetration-induced Traumatic Stress in Persons Who Euthanize Nonhuman Animals in Surgeries, Animal Shelters, and Laboratories

2005 ◽  
Vol 13 (3) ◽  
pp. 201-220 ◽  
Author(s):  
Pauleen Bennett ◽  
Vanessa Rohlf
Keyword(s):  
Social Support ◽  
Traumatic Stress ◽  
Related Factors ◽  
Impact Of Event Scale ◽  
Event Scale ◽  
Stress Symptoms ◽  
Nonhuman Animals ◽  
Related Stress ◽  
The Impact ◽  
Traumatic Symptoms

AbstractThis study explored possible identification of Perpetration-induced Traumatic Stress (PITS) in workers whose occupations required euthanizing nonhuman animals and determining whether event or person-related factors influenced symptoms. The sample included 148 animal workers: veterinarians, veterinary nurses, and research and animal shelter staff. The Impact of Event Scale-Revised (IES-R) assessed traumatic stress. Experimenters constructed additional scales measuring satisfaction with social support, participation in various types of training, and concern over animal death. More than 70% of participants reported affinity toward animals had strongly influenced their occupation selection. Half the sample perceived animal death—particularly euthanasia—as one of the least desirable jobs. Of the sample, 11% reported experiencing moderate levels of traumatic symptoms. The study found lower levels of euthanasia-related stress were associated with increased satisfaction with social support and length of time working with animals. Those who reported high levels of concern about animal death reported higher levels of euthanasia-related stress. The study found occupational context was not associated with different levels of euthanasia-related stress symptoms—even though reasons for administering euthanasia differed significantly between occupations.

scholarly journals Symptoms of PTSD in Frontline Journalists: A Retrospective Examination of 18 Years of War and Conflict

2018 ◽  
Vol 63 (9) ◽  
pp. 629-635 ◽  
Author(s):  
Anthony Feinstein ◽  
Jonas Osmann ◽  
Viral Patel
Keyword(s):  
New York ◽  
Civil Wars ◽  
Ptsd Symptoms ◽  
Impact Of Event Scale ◽  
Event Scale ◽  
The Balkans ◽  
War And Conflict ◽  
The Mean ◽  
Migration Crisis ◽  
Election Violence

Objective: The objective of the current study was to determine the frequency and severity of symptoms of posttraumatic stress disorder (PTSD) in journalists covering conflict. Methods: PTSD data (Impact of Event Scale–Revised) collected over an 18-year period from 684 conflict journalists were analyzed retrospectively for frequency and severity of reexperiencing, avoidance, and arousal symptoms. Conflicts covered were civil wars in the Balkans ( n = 140 journalists), 9/11 attack in New York City ( n = 46), Iraq war ( n = 84), Mexico drug wars ( n = 104), civil war in Syria ( n = 59), Kenya election violence/Al-Shabab terror ( n = 57), state-sanctioned media intimidation in Iran ( n = 114), and the current migration crisis in Europe ( n = 80). Results: The mean age of the sample was 38.59 (SD = 8.35) years, 461 (67%) journalists were men, and the mean duration of conflict work was 13.42 (SD = 7.74) years. The 5 most frequently endorsed symptoms were in the reexperiencing/intrusion category. Mean intrusion (1.31, SD = 0.97), avoidance (1.08, SD = 0.89), and arousal (1.07, SD = 0.96) scores for the entire sample were in the mild range. Being female and less educated independently predicted PTSD symptoms. Conclusions: PTSD phenomenology in a group of conflict journalists with well over a decade of frontline experience is dominated by reexperiencing symptoms. While symptom severity is for the most part mild, group means can obscure those individuals with significantly more severe difficulties.

Genuine versus Simulated Responses on the Impact of Event Scale

1984 ◽  
Vol 54 (2) ◽  
pp. 575-578 ◽  
Author(s):  
David V. Perkins ◽  
Jacob A. Tebes
Keyword(s):  
Construct Validity ◽  
Parental Death ◽  
Test Situation ◽  
Impact Of Event Scale ◽  
Event Scale ◽  
Demand Characteristics ◽  
Important Requirement ◽  
The Impact

Construct validity established for the Impact of Event Scale does not include evidence that the scale can distinguish genuine responses from simulated ones, an important requirement for cognitively “transparent” measures subject to systematic distortion by demand characteristics of the test situation. Comparison scores from 35 students coping with recent parental death and 30 randomly selected students instructed to respond as though they recently had a parent die indicated that, as predicted for this measure, simulated responses involved uniformly high endorsement of all items, while genuine responses were lower in magnitude and varied more from item to item. The scale appears to be adequately sensitive to differences between genuine and simulated responses.

scholarly journals Brainstem Quadruple Aberrant Hyperphosphorylated Tau, Beta-Amyloid, Alpha-Synuclein and TDP-43 Pathology, Stress and Sleep Behavior Disorders

2021 ◽  
Vol 18 (13) ◽  
pp. 6689
Author(s):  
Lilian Calderón-Garcidueñas ◽  
Ravi Philip Rajkumar ◽  
Elijah W. Stommel ◽  
Randy Kulesza ◽  
Yusra Mansour ◽  
...  
Keyword(s):  
Online Survey ◽  
Amyloid Β ◽  
Alpha Synuclein ◽  
Amyloid Β Peptide ◽  
Hyperphosphorylated Tau ◽  
Post Traumatic Stress ◽  
Impact Of Event Scale ◽  
Sleep Behavior ◽  
Event Scale ◽  
The Impact

Quadruple aberrant hyperphosphorylated tau (p-τ), amyloid-β peptide, alpha-synuclein and TDP-43 brainstem and supratentorial pathology are documented in forensic ≤40y autopsies in Metropolitan Mexico City (MMC), and p-τ is the major aberrant protein. Post-traumatic stress disorder (PTSD) is associated with an elevated risk of subsequent dementia, and rapid eye movement sleep behavior disorder (RBD) is documented in PD, AD, Lewy body dementia and ALS. This study aimed to identify an association between PTSD and potential pRBD in Mexico. An anonymous online survey of 4502 urban college-educated adults, 29.3 ± 10.3 years; MMC, n = 1865; non-MMC, n = 2637, measured PTSD symptoms using the Impact of Event Scale–Revised (IES-R) and pRBD symptoms using the RBD Single-Question. Over 50% of the participants had IES-R scores ≥33 indicating probable PTSD. pRBD was identified in 22.6% of the participants across Mexico and 32.7% in MMC residents with PTSD. MMC subjects with PTSD had an OR 2.6218 [2.5348, 2.7117] of answering yes to the pRBD. PTSD and pRBD were more common in women. This study showed an association between PTSD and pRBD, strengthening the possibility of a connection with misfolded proteinopathies in young urbanites. We need to confirm the RBD diagnosis using an overnight polysomnogram. Mexican women are at high risk for stress and sleep disorders.

scholarly journals Effect of Terrorist Attack of December 16, 2014 on Academic Performance of School Children of Peshawar

2018 ◽  
Vol 3 (2) ◽  
pp. 223-233
Author(s):  
Fatima Syed ◽  
Madiha Asghar ◽  
Gulshan Tara
Keyword(s):  
Academic Performance ◽  
Public School ◽  
Terrorist Attack ◽  
Study Participant ◽  
Sampling Technique ◽  
Traumatic Experience ◽  
Impact Of Event Scale ◽  
Event Scale ◽  
The Impact ◽  
Model School

The purpose of study was to determine the effect of traumatic events of December 16, 2014 on level of trauma of the children of Peshawar and the effect of traumatic experience their academics performance. Total sample consisted of two hundred (N=200) students with age range of 14-16 years (M=14.59, SD=1.128). Data was collected from the students of Army Public School and College System. Warsak road Peshawar and other three Schools on Warsak road included, Peshawar Public School, Peshawar Model School for Girls and Warsak Model School. Random sampling technique was used to recruit the study participant. Demographic information sheet, the Impact of Event Scale- Revised, Self-constructed questionnaire for measuring the Academic Performance of the students before and after traumatic experience of the students. Result showed that the terrorist attack effect the mental health of the students, students reported significant effect on their academic performance.

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