Medium-Term Effects of a Train Derailment on the Physical and Psychological Health of Men

In July 2013, the derailment of a train caused the death of 47 people and the destruction of Lac-Mégantic’s downtown area (Canada). Three years after this event, a population survey was conducted among a representative sample of 800 adults, including 282 men. Several significant differences were observed among respondents of a survey based on their level of exposure to this tragedy, including their physical (changes in physical health) and psychological health (post-traumatic stress disorder, mood and anxiety disorders, psychological distress, signs of depression, consultation of social workers and psychologists) as well as their use of prescribed (anxiolytics and antidepressants) and nonprescribed drugs. Such results can be explained by the nature, magnitude, and cause of the event.

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

Current Psychology ◽

10.1007/s12144-021-01488-y ◽

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.

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Medium-Term Course of Disaster Victims

The British Journal of Psychiatry ◽

10.1192/bjp.167.2.228 ◽

1995 ◽

Vol 167 (2) ◽

pp. 228-232 ◽

Cited By ~ 14

Author(s):

C. Duggan ◽

J. Gunn

Keyword(s):

Post Traumatic Stress Disorder ◽

Traumatic Stress ◽

Stress Disorder ◽

Severe Trauma ◽

Consecutive Series ◽

Post Traumatic Stress ◽

Medium Term ◽

Disaster Victims ◽

Post Traumatic ◽

One Year

BackgroundOur aim was to describe the medium-term course (2–3 years) in a series of victims who had experienced severe trauma.MethodWe selected a consecutive series of 31 trauma victims and applied a structured clinical schedule (CAPS-2) to their psychiatric evaluations prepared for the court on two separate occasions approximately one year apart.ResultsPost-traumatic stress disorder and depression were the commonest diagnoses, occurring in 39% and 16% of the victims respectively when they were first assessed. Most had improved between the assessments and this was especially the case for the re-experiencing of the trauma and over-arousal, but less so for avoidance; 20% of subjects showed no improvement, often being handicapped by secondary psychiatric illness.ConclusionTraumatised victims generally showed recovery in the 2–3 years after the trauma, but this was slow and was not universal.

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Prevalence of Psychological Impacts on Healthcare Providers during COVID-19 Pandemic in Asia

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18179157 ◽

2021 ◽

Vol 18 (17) ◽

pp. 9157

Author(s):

Mohd Noor Norhayati ◽

Ruhana Che Yusof ◽

Mohd Yacob Azman

Keyword(s):

Post Traumatic Stress Disorder ◽

Psychological Health ◽

Traumatic Stress ◽

Stress Disorder ◽

Healthcare Providers ◽

Original Research ◽

Post Traumatic Stress ◽

Psychological Impacts ◽

Post Traumatic ◽

Anxiety Depression

COVID-19 has impacted people psychologically globally, including healthcare providers. Anxiety, depression, and stress are the most common impacts that have affected these people. Thus, this study was aimed to ascertain the estimated prevalence of psychological impacts among healthcare providers in the Asian region. A systematic search was performed in the MEDLINE, CINAHL, and Scopus databases for original research articles published between 2020 and April 2021. Only studies published in English were included. The quality of data was assessed using the Joanna Briggs Institute Meta-Analysis, and the analysis was performed using generic inverse variance with a random-effects model by Review Manager software. A total of 80 studies across 18 countries in Asia region were pooled to assess the data prevalence on anxiety (34.81% (95%CI: 30.80%, 38.83%)), depression (34.61% (95%CI: 30.87%, 38.36%)), stress (31.72% (95%CI: 21.25%, 42.18%)), insomnia (37.89% (95%CI: 25.43%, 50.35%)), and post-traumatic stress disorder (15.29% (95%CI: 11.43%, 19.15%)). Subgroup analyses were conducted across regions, type of healthcare providers, sex, and occupation. This review has identified a high prevalence of anxiety, depression, stress, and insomnia but a low prevalence of post-traumatic stress disorder among healthcare providers in Asia regions. Effective intervention support programs are urgently needed to improve psychological health of healthcare providers and maintaining the health system.

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Post-traumatic Stress Disorder and Associated Factors 1 Year After the Beginning of the COVID-19 Pandemic Among Chinese Residents

Frontiers in Psychiatry ◽

10.3389/fpsyt.2021.766127 ◽

2021 ◽

Vol 12 ◽

Author(s):

Xin Shen ◽

Shijiao Yan ◽

Heng Jiang ◽

Hui Cao ◽

Rowan Dowling ◽

...

Keyword(s):

Mental Health ◽

Infectious Diseases ◽

Post Traumatic Stress Disorder ◽

Psychological Health ◽

Traumatic Stress ◽

Stress Disorder ◽

Vulnerable Groups ◽

Post Traumatic Stress ◽

Post Traumatic

Background: By investigating the incidence of post-traumatic stress disorder (PTSD) among residents during a period of low transmission, this study reflects the long-term impact of coronavirus disease 2019 (COVID-19) and identify which categories of residents are more likely to develop PTSD due to an acute infectious disease crisis, facilitating the development of targeted strategies to protect mental health after outbreaks of similar acute infectious diseases in the future.Methods: A cross-sectional survey was conducted in China from 4 to 26 February 2021. A convenience sampling strategy was adopted to recruit participants. Participants were asked to complete the PTSD Checklist for DSM-5 (PCL-5). A multivariable linear stepwise regression analysis model was used to identify which factors were associated with PTSD in residents of China.Results: A total of 2,361 Chinese residents completed the questionnaire. The mean PCL-5 score for the respondents was 13.65 (SD = 8.66), with 219 (9.28%) patients having probable PTSD symptoms. Respondents who were female (β = 0.038), had a relative or friend who had contracted COVID-19 (β = 0.041), and had poor health (β = 0.184) had higher PCL-5 scores, while the population aged over 60 years (β = −0.063), who agreed that COVID-19 information was released in a timely manner (β = −0.347), who had experienced a relatively limited impact of COVID-19 on their life (β = −0.069), and who agreed that the local prevention initiatives were sophisticated (β = −0.165) had lower PTSD scores.Conclusions: Outbreaks of acute infectious diseases can have long-term psychological health effects in the general population. In addition, health policy makers need to be concerned about and implement measures to support the mental health of vulnerable groups.

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