scholarly journals PTSD and bipolar II disorder in Fukushima disaster relief workers after the 2011 nuclear accident

2020 ◽  
Vol 13 (9) ◽  
pp. e236725
Author(s):  
Arinobu Hori ◽  
Yoshitake Takebayashi ◽  
Masaharu Tsubokura ◽  
Yoshiharu Kim
Keyword(s):  
Mental Health Problems ◽  
Disaster Relief ◽  
Ptsd Symptoms ◽  
Post Traumatic Stress ◽  
Bipolar Ii Disorder ◽  
Bipolar Ii ◽  
Long Time ◽  
Post Traumatic ◽  
Global Threat

The global threat posed by the COVID-19 pandemic has highlighted the need to accurately identify the immediate and long-term postdisaster impacts on disaster-relief workers. We examined the case of a local government employee suffering from post-traumatic stress disorder (PTSD) and bipolar II disorder following the Great East Japan Earthquake. The complex and harsh experience provoked a hypomanic response such as elated feelings with increased energy, decreased need for sleep and an increase in goal-directed activity, which allowed him to continue working, even though he was adversely affected by the disaster. However, 3.5 years later, when he suffered further psychological damage, his PTSD symptoms became evident. In addition to treating mood disorders, trauma-focused psychotherapy was required for his recovery. Thereafter, we considered the characteristics of mental health problems that emerge in disaster-relief workers, a long time after the disaster, and the conditions and treatments necessary for recovery.

scholarly journals Treatment of victims of trauma

2007 ◽  
Vol 13 (5) ◽  
pp. 358-368 ◽  
Author(s):  
Gwen Adshead ◽  
Scott Ferris
Keyword(s):  
Acute Stress ◽  
Stress Disorders ◽  
Ptsd Symptoms ◽  
Stress Reactions ◽  
Long Term Effects ◽  
Post Traumatic Stress ◽  
Acute And Chronic Stress ◽  
Post Traumatic ◽  
Traumatic Symptoms

Not all traumatic events cause post-traumatic stress disorder (PTSD), and people develop PTSD symptoms after events that do not seem to be overwhelmingly traumatic. In order to direct services appropriately, there is a need to distinguish time-limited post-traumatic symptoms and acute stress reactions (that may improve spontaneously without treatment or respond to discrete interventions) from PTSD, with its potentially more chronic pathway and possible long-term effects on the personality. In this article, we describe acute and chronic stress disorders and evidence about the most effective treatments.

When social media traumatizes teens

2018 ◽  
Vol 28 (5) ◽  
pp. 1169-1188 ◽  
Author(s):  
Bridget Christine McHugh ◽  
Pamela Wisniewski ◽  
Mary Beth Rosson ◽  
John M. Carroll
Keyword(s):  
Risk Exposure ◽  
Ptsd Symptoms ◽  
Post Traumatic Stress ◽  
Short Term ◽  
Content Type ◽  
Coping Responses ◽  
Online Risk ◽  
Post Traumatic ◽  
Explicit Content

Purpose The purpose of this paper is to examine the extent to which negative online risk experiences (information breaches, explicit content exposure, cyberbullying and sexual solicitations) cause post-traumatic stress disorder (PTSD) symptoms in adolescents. The study also explores whether teens’ short-term coping responses serve to mitigate PTSD or, instead, act as a response to stress from online events. Design/methodology/approach The study utilized a web-based diary design over the course of two months. Data were analyzed using hierarchical linear modeling with repeated measures. Findings The study confirmed that explicit content exposure, cyberbullying and sexual solicitations (but not information breaches) evoke symptoms of PTSD. Analyses also indicated that teens engage in active and communicative coping after they experience post-traumatic stress, regardless of risk type or frequency. Practical implications The authors found that teens took active measures to cope with online risks soon after they felt threatened (within a week). Actively coping with stressful situations has been shown to enhance adolescent resilience and reduce long-term negative effects of risk exposure. If these early coping behaviors can be detected, social media platforms may be able to embed effective interventions to support healthy coping processes that can further protect teens against long-term harm from exposure to online risks. Originality/value This is the first study to examine situational PTSD symptoms related to four types of adolescent online risk exposure within the week exposure occurred. By applying two competing theoretical frameworks (the adolescent resilience framework and transactional theory of stress), the authors show empirical evidence that suggests short-term coping responses are likely a stress reaction to PTSD, not a protective factor against it.

Quality of life and depression during hospitalization for hematopoietic stem cell transplantation to predict quality of life and post-traumatic stress disorder symptoms at 6 months post-transplant.

2015 ◽  
Vol 33 (29_suppl) ◽  
pp. 215-215
Author(s):  
Areej El-Jawahri ◽  
Harry VanDusen ◽  
Lara Traeger ◽  
Joel Fishbein ◽  
Tanya Keenan ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Stem Cell ◽  
Post Traumatic Stress Disorder ◽  
Traumatic Stress ◽  
Stress Disorder ◽  
Ptsd Symptoms ◽  
Post Traumatic Stress ◽  
Post Traumatic

215 Background: Patients undergoinghematopoietic stem cell transplantation (HCT) experience a steep deterioration in quality of life (QOL) and mood during hospitalization for HCT. The impact of this deterioration on patients’ long-term QOL and post-traumatic stress disorder (PTSD) symptoms is unknown. Methods: We conducted a prospective longitudinal study of patients hospitalized for HCT. At baseline (day-6), day+1, day+8, and 6 months post-HCT, we assessed QOL (Functional Assessment of Cancer Therapy-Bone Marrow Transplantation [FACT-BMT]) and mood (Hospital Anxiety and Depression Scale [HADS]). We used the PTSD Checklist to assess for PTSD symptoms at 6 months. We used multivariable linear regression models to identify predictors of QOL and PTSD symptoms at 6 months post-HCT. Results: We enrolled 97% (90/93) of consecutively eligible patients undergoing autologous (n = 30), myeloablative allogeneic (n = 30), or reduced intensity allogeneic (n = 30) HCT. Overall, patients’ QOL at 6 months (mean FACT-BMT: 110, 95%CI [104-116]) recovered to baseline pre-transplant values (mean FACT-BMT: 110, 95% CI [107-115]). At 6 months, 28.4% of participants met provisional diagnostic criteria for PTSD, and 43.3% had clinically significant depression. In multivariable regression analyses adjusting for baseline QOL, mood, other covariates, change in QOL and depression scores during hospitalization for HCT predicted impaired QOL (DQOL β = 1.13, P < 0.0001, D HADS-depression β = 2.51, P = 0.001) and PTSD symptoms (DQOL β = 0.50, P < 0.0001, DHADS-depression β = 1.22, P < 0.0001) at 6 months post-HCT. Conclusions: While patients’ overall QOL at 6 months post-HCT returned to baseline values, a significant proportion met provisional diagnostic criteria for PTSD and depression. The decline in QOL and increase in depressive symptoms during hospitalization for HCT were the most important predictors of long-term QOL impairment and PTSD symptoms. Future studies should evaluate whether interventions to improve QOL and reduce psychological distress during HCT may improve long-term QOL and reduce the risk of PTSD symptoms.

scholarly journals Post-Traumatic Outcomes among Survivors of the Earthquake in Central Italy of August 24, 2016. A Study on PTSD Risk and Vulnerability Factors

2021 ◽  
Author(s):  
Olimpia Pino ◽  
Annalisa Pelosi ◽  
Valentina Artoni ◽  
Massimo Mari
Keyword(s):  
Central Italy ◽  
Ptsd Symptoms ◽  
Post Traumatic Stress ◽  
Vulnerability Factors ◽  
Five Factors ◽  
Confirmatory Factor ◽  
Post Traumatic ◽  
Logistic Regressions ◽  
Estimate Prevalence

AbstractCentral Italy suffered from the earthquake of 2016 resulting in great damage to the community. The purpose of the present study was to determine the long-term traumatic outcomes among the population. A preliminary study aimed at obtaining the Italian translation of the first 16 item of HTQ IV part [1] which was administered, 20 months after the disaster, at 281 survivors. In backward stepwise logistic regressions models, we estimated among the respondent’s characteristics and event-related variables the best predictors of Post-Traumatic Stress Disorder (PTSD).A Confirmatory Factor Analysis (CFA) revealed a HTQ five-factors solution as best model, with satisfactory indexes of fit. HTQ held a positive correlation with both the SQD-P (r = .65, p < .05) and SQD-D subscales (r = .47, p < .05). ROC analysis suggested an area of .951 (95% CI = .917–.985) for the PTSD prediction. Basing on sensibility (.963) and specificity (.189), the best cut-off of 2.0 allowed discriminating for PTSD positive cases. After 20 months of the earthquake, the estimate prevalence of PTSD among the survivors is of 21.71% with a consistent and graded association between exposure variables and vulnerability factors (gender, age, exposure to death and home damage) and PTSD symptoms.

scholarly journals Longitudinal Trajectories of Post Traumatic Stress Disorder(PTSD) in Medical Staff After Outbreak of Coronavirus (COVID-19) in China

2021 ◽  
Author(s):  
Han Sheng ◽  
Rong Wang ◽  
Ming Yao ◽  
Qinghe Zhou ◽  
Zhihong Zhu ◽  
...  
Keyword(s):  
Post Traumatic Stress Disorder ◽  
Traumatic Stress ◽  
Medical Staff ◽  
Stress Disorder ◽  
Close Contact ◽  
Psychological Problems ◽  
Ptsd Symptoms ◽  
Post Traumatic Stress ◽  
Post Traumatic

Abstract Background: In the novel coronavirus disease (COVID-19) pandemic, medical staff is the main force for aiding in the control of the rapid spread. They have to risk lives to undertake the high-pressure task which may cause immediate and long-term psychological problems. This study aims to explore the trajectories of post-traumatic stress disorder (PTSD) over time after the outbreak and determine predictors associated with each trajectory. Methods: 448 medical workers participated in the investigation and completed the Posttraumatic Stress Disorder Self-Rating Scale (PTSD-SS) for the first PTSD screening at 1 month after the outbreak and 259 (57.81%) of them finished the second round at 12 months. According to whether the medical staff had close contact with the COVID-19 patient, participants were divided into close contact group (CC group) and non-close contact group (non-CC group). While in each group, subgroups were created based on the time-varying changes of developing PTSD. Distinct patterns of PTSD symptom trajectories were established according to the different development of PTSD in respective subgroup. Then, repeated-measure analysis of variance(ANOVA), bivariate and multivariate logistic regressions were used to examine predictors for trajectory membership.Results: Four trajectories of PTSD symptoms were found both in CC and non-CC group, namely, resilience (25.28%, 45.24%, respectively), recovery (36.26%, 32.74%, respectively), chronic (16.48%, 10.71%, respectively), and delayed (21.98%, 11.31%, respectively). ANOVA revealed that PTSD scores were significantly changed through time both in CCs and non- CCs. With bivariate and multivariate analyses, several socio-demographic predictors and work experience related factors were found in the CC group, while limited ones in the non-CC group. This means that although the trajectory trends are similar between these two groups, the methods of psychological intervention may need to be treated differently. Furthermore, CC group had less resilient individuals (p=0.002) and more delayed PTSD sufferers (p=0.022) compared with non-CC medical staff, which suggest that CCs were more likely to experience PTSD course and encounter long-term psychological problems.Conclusions: A considerable number of medical personnel have long-term PTSD, both in CC group and non-CC group, which deserve public attention. Identified factors may indicate preventive and treatment interventions for medical workers with PTSD symptoms.

scholarly journals Media Exposure and General Trust as Predictors of Post-traumatic Stress Disorder: Ten Years after the 5.12 Wenchuan Earthquake in China

2018 ◽  
Vol 15 (11) ◽  
pp. 2386 ◽  
Author(s):  
Lingnan He ◽  
Kaisheng Lai ◽  
Zhongxuan Lin ◽  
Zhihao Ma
Keyword(s):  
Post Traumatic Stress Disorder ◽  
Traumatic Stress ◽  
Media Exposure ◽  
Adult Survivors ◽  
Ptsd Symptoms ◽  
Post Traumatic Stress ◽  
General Trust ◽  
Post Traumatic ◽  
5.12 Wenchuan Earthquake

There is a paucity of literature on the roles of media exposure, general trust, and their interactions in long-term post-traumatic stress disorder (PTSD) symptoms after a natural disaster. Trying to address this knowledge gap, our study aimed to (a) investigate whether exposure to media coverage during the traumatic event and general trust directly affected adult survivors’ long-term PTSD symptoms 10 years after the 5.12 Wenchuan earthquake, and (b) to identify the potential differential pattern of the influence of media exposure on PTSD symptoms for adult survivors with various levels of general trust. Using cross-sectional methodology, we surveyed participants (N = 1000) recruited from six disaster-affected counties. We assessed PTSD symptoms, media exposure, general trust, demographic characteristics, socioeconomic status, and earthquake exposure. Data were analyzed descriptively and with Tobit regression analyses. Reversed relationships between general trust and PTSD were verified, whereas no direct links were found between media exposure and PTSD. Interaction tests revealed that media exposure alleviated PTSD for high-trust survivors, but aggravated PTSD for low-trust survivors. These results suggest that general trust building should be considered in post-disaster construction activities.

scholarly journals Risk factors of post-traumatic stress disorder 10 years after Wenchuan earthquake: a population-based case–control study

2021 ◽  
Vol 30 ◽  
Author(s):  
Bingqing Lu ◽  
Wenqi Zeng ◽  
Zhuyue Li ◽  
Jin Wen
Keyword(s):  
Risk Factors ◽  
Wenchuan Earthquake ◽  
Post Traumatic Stress Disorder ◽  
Traumatic Stress ◽  
Ptsd Symptoms ◽  
Post Traumatic Stress ◽  
The Wenchuan Earthquake ◽  
Post Traumatic ◽  
Control Study

Abstract Aims To investigate the prevalence of post-traumatic stress disorder (PTSD) symptoms in the hard-hit areas 10 years after the Wenchuan earthquake, and explore the risk factors of long-term PTSD among Wenchuan earthquake survivors. Methods A matched case–control study was conducted. The involving participants were from the hard-hit areas 10 years after the Wenchuan earthquake. The collected information includes demographic characteristics, socioeconomic status, behaviour habits, earthquake exposure, perceived social support, physical health and mental health. Mental health status was measured using the PTSD Checklist-Civilian Version (PCL-C). Respondents with PCL-C score ⩾38 were classified as cases, and then the cases and controls were matched based on age (±3 years) and community location according to a ratio of 1:3. Results We obtained 86 cases and 258 controls. After controlling for confounding factors, it was found that lower income (OR 2.42; 95% CI 1.16–5.03), chronic diseases (OR 3.00; 95% CI 1.31–6.88) and death of immediate families in the earthquake (OR 7.30; 95% CI 2.36–22.57) were significantly associated with long-term PTSD symptoms. Conclusion Even 10 years after the Wenchuan earthquake, the survivors in the hard-hit areas still suffered from severe mental trauma. Low income, chronic diseases and death of immediate families in the earthquakes are significantly associated with long-term PTSD symptoms. Interventions by local governments and health institutions to address these risk factors should be undertaken to promote the health of survivors.

Efficacy of Using Heart Rate Measurements as an Indicator to Monitor Anxiety Disorders: A Scoping Literature Review

2017 ◽  
Vol 61 (1) ◽  
pp. 1783-1787 ◽  
Author(s):  
Kunal Khanade ◽  
Farzan Sasangohar
Keyword(s):  
Heart Rate ◽  
Traumatic Stress ◽  
Ptsd Symptoms ◽  
Post Traumatic Stress ◽  
Heart Rates ◽  
Scoping Literature Review ◽  
Post Traumatic ◽  
Term Monitoring ◽  
Assessment Of Ptsd

Post-traumatic stress disorder (PTSD) is a prevalent disorder affecting veterans, first responders, children and others who have experienced traumatic events. Heart rate measures like resting heart rates along with heart rate accelerations are important measures to monitor the changes in the state of PTSD and other related disorders. A scoping review was conducted to investigate the efficacy of using heart rate (HR) measurements as reliable indicator for assessment of PTSD and other anxiety-related disorders. Findings show that while Heart Rate Variability (HRV) may provide a more robust measurement of PTSD and other anxiety-related symptoms, heart rate accelerations in response to traumatic reminders are reliable indicators. Changes in resting or basal heart rates show promise in long-term monitoring of PTSD symptoms.

scholarly journals Rational for conducting PTSD Researchand Challenges of Recruiting and Training Volunteers to Screen and Treat PTSD among the Nepal 2015 Earthquake Survivors

2015 ◽  
Vol 53 (199) ◽  
pp. 202-207 ◽  
Author(s):  
Arun Jha ◽  
Suraj Shakya
Keyword(s):  
Mental Health ◽  
Traumatic Stress ◽  
Mental Health Problems ◽  
Psychiatric Morbidity ◽  
Post Traumatic Stress ◽  
Short Term ◽  
Post Traumatic ◽  
Earthquake Survivors ◽  
And Training

Post-traumatic Stress Disorder is common psychiatric morbidity among earthquake survivors, and if untreated people suffer from it for years. Government of Nepal and NGOs provided various short-term mental health services to the victims of the 2015 earthquake in Nepal, but there was no plan or provision for long-term mental health problems. The prevalence of PTSD following natural disasters depends on various local factors requiring understanding and further investigation before identifying affordable evidence based interventions. This paper discusses the need for PTSD research among the survivors of the 2015 earthquake in Nepal, and describes the challenges and difficulties of recruiting and training PTSD volunteers.  Keywords: earthquake; narrative exposure therapy; Nepal; prevalence; PTSD.

scholarly journals Collective Trauma and Mental Health in Adolescents: A Retrospective Cohort Study of the Effects of Retraumatization

2021 ◽  
Vol 12 ◽  
Author(s):  
Hannah Pazderka ◽  
Matthew R. G. Brown ◽  
Vincent I. O. Agyapong ◽  
Andrew James Greenshaw ◽  
Caroline Beth McDonald-Harker ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Health Problems ◽  
Post Traumatic Stress ◽  
Trauma History ◽  
Symptom Profile ◽  
Trauma Informed ◽  
Post Traumatic ◽  
Informed Treatment ◽  
The Impact

In the wake of the massive Canadian wildfire of May 2016 in the area of Fort McMurray Alberta, we observed increased rates of mental health problems, particularly post-traumatic stress disorder (PTSD), in school-aged adolescents (ages 11–19). Surprisingly, we did not see these rates decline over the 3.5-year follow-up period. Additionally, our research suggested that the impact of this mass incident resulted in other unanticipated effects, including the finding that children who were not present for and relatively unaffected by the wildfire showed a similar PTSD symptom profile to children more directly involved, suggesting some degree of spillover or stress contagion. A potential explanation for these high rates in individuals who were not present could be undiagnosed retraumatization in some of the students. To investigate this possibility, we compared two groups of students: those who reported the wildfire as their most significant trauma (n = 740) and those who had their most significant trauma prior to the wildfire (n = 295). Those with significant pre-existing trauma had significantly higher rates of both depression and PTSD symptoms, although, unexpectedly the groups exhibited no differences in anxiety level. Taken together, this evidence suggests retraumatization is both longer-lasting and more widespread than might be predicted on a case-by-case basis, suggesting the need to reconceptualize the role of past trauma history in present symptomatology. These findings point to the need to recognize that crises instigated by natural disasters are mass phenomena which expose those involved to numerous unanticipated risks. New trauma-informed treatment approaches are required that incorporate sensitivity to the collective impact of mass crises, and recognize the risk of poorer long-term mental health outcomes for those who experienced trauma in the past.

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