The Long-Term Psychiatric Consequences of Accidental Injury

1988 ◽  
Vol 153 (6) ◽  
pp. 810-818 ◽  
Author(s):  
Ulrik Malt
Keyword(s):  
Psychiatric Disorders ◽  
Depressive Disorders ◽  
Rating Scale ◽  
General Health Questionnaire ◽  
Self Report ◽  
Accidental Injury ◽  
Impact Of Event Scale ◽  
Event Scale ◽  
Clinical Interviews

One hundred and seven accidentally injured adults were studied while in hospital and assessed prospectively twice more in a mean period of 28 months. The patients were studied by means of taped clinical interviews, including the Comprehensive Psycho-pathological Rating Scale (which includes the Montgomery-åsberg Depression Rating Scale), and several self-report measures of distress (Schedule of Recent Life Events, General Health Questionnaire, Impact of Event Scale and State Anxiety Inventory) at the three assessments. The total incidence of psychiatric disorders considered to be caused by the accident during the follow-up period was 22.4%. The incidence of non-organic psychiatric disorders caused by the accident was 16.8% at the first follow-up and 9.3% at the final follow-up. Depressive disorders of different severity were most often seen. Only one patient suffered from a posttraumatic stress disorder during the follow-up, and none at the final follow-up (DSM-III). Organic mental disorders were diagnosed in 9.3% of the patients. In 5.6% of the patients this was the only disorder.

Predicting PTSD in trauma survivors: prospective evaluation of self-report and clinician-administered instruments

1997 ◽  
Vol 170 (6) ◽  
pp. 558-564 ◽  
Author(s):  
Arieh Y. Shalev ◽  
Sara. Freedman ◽  
Tuvia Peri ◽  
Dalia Brandes ◽  
Tali Sahar
Keyword(s):  
Self Report ◽  
Trauma Survivors ◽  
Trauma Recovery ◽  
Impact Of Event Scale ◽  
Event Scale ◽  
Clinical Interviews ◽  
Hospital Emergency Room ◽  
Mississippi Scale ◽  
Ptsd Scale ◽  
Better Than

BackgroundThis study examined the ability of commonly used questionnaires and a structured clinical interview to predict PTSD in recent trauma survivors.MethodHorowitz's Impact of Event Scale (IES), Speilberger's State Anxiety (SANX) and the Peri Traumatic Dissociation Questionnaire (PDEQ) were administered one week post-trauma to 239 traumatised individuals recruited from a general hospital emergency room. The IES, the SANX, the civilian version of the Mississippi Scale for Combat Related PTSD (MISS), and the Clinician Administered PTSD Scale (CAPS) were administered one month and four months post-trauma. Receiver operator characteristic (ROC) analysiswas used with these data.ResultsAll questionnaires were better than chance at predicting PTSD. The so called PTSD questionnaires (IES and MISS) were not better than the more general ones. No difference in predictive value was found when questionnaires were carried outone week or one month after a trauma. Recovery was better predicted than PTSD, and the CAPS was better than the questionnaires.DiscussionThe use of psychometrics and clinical interviews to predict PTSD should be guided by clinical relevance and by the availability of resources.

scholarly journals Phone-based outpatients’ follow-up in mental health centers during the COVID-19 quarantine

2020 ◽  
pp. 002076402097973
Author(s):  
Alessandro Gentile ◽  
Julio Torales ◽  
Marcelo O’Higgins ◽  
Pamela Figueredo ◽  
Joao Mauricio Castaldelli-Maia ◽  
...  
Keyword(s):  
Mental Health ◽  
Rating Scales ◽  
Rating Scale ◽  
Stable Phase ◽  
Impact Of Event Scale ◽  
Event Scale ◽  
Catchment Areas ◽  
The Impact ◽  
Large Catchment

Background: The current COVID-19 pandemic is affecting mental health of global population and, particularly, of people suffering from preexisting mental disorders. Aims: This study aims to report on findings from a phone-based clinical follow-up conducted in two large catchment areas in Italy and Paraguay, during the COVID-19 lockdown, in order to provide psychiatric assessments and measure the level of stress related to the quarantine in a large sample of psychiatric outpatients. Methods: A clinical phone-based follow-up has been conducted in two large catchment areas in the province of Chieti (Vasto, Italy) and City of Asunción (Paraguay), during the COVID-19 national lockdown. The following rating scales have been employed: Hamilton Anxiety Rating Scale (HAM-A); Hamilton Depression Rating Scale (HAM-D); 18-items Brief Psychiatric Rating Scale (BPRS-18). The psychological distress related to the outbreak has been assessed employing the Impact of Event Scale – Revised (IES-R). Results: A total of 110 outpatients were consecutively included and followed among those reporting a stable phase of illness before the COVID-19 lockdown. Findings confirmed a significant increase of general psychopathology, anxiety and fear as well as mild levels of stress related to the quarantine. Also, significant weight gain during the lockdown was detected among patients. Conclusions: This study confirmed the impact of COVID-19 lockdown on mental health of people suffering from psychiatric disorders and may also add evidence on the employment of digital psychiatry in the current pandemic.

Volunteers and professional rescue workers: Traumatization and adaptation after an avalanche disaster

2014 ◽  
Vol 12 (6) ◽  
pp. 457 ◽  
Author(s):  
Helga Arnfridur Haraldsdóttir, Cand Psych ◽  
Drifa Gudmundsdóttir, PhD ◽  
Eugenia Romano, MSc ◽  
Edda Björk Þórðardóttir, BA ◽  
Berglind Guðmundsdóttir, MSc ◽  
...  
Keyword(s):  
Rating Scale ◽  
Coping Styles ◽  
General Health Questionnaire ◽  
Post Traumatic Stress ◽  
Impact Of Event Scale ◽  
Event Scale ◽  
Rescue Workers ◽  
The Social ◽  
Post Traumatic ◽  
The Impact

Objective: To compare the degree of traumatization and adaptation in professional and volunteer rescue workers after two snow avalanches. Method: Questionnaires including demographic questions, the Social Readjustment Rating Scale, the Rescue Workers Questionnaire, the General Health Questionnaire, the Impact of Event Scale, and the Coping Styles Questionnaire were answered by rescue workers (n = 168).Results: In several areas, professional rescuers had stronger fears than volunteers, all the same, volunteers were significantly more anxious and met criteria for PTSD caseness more often than professionals.Conclusion: The findings suggest that voluntary rescue workers suffer from post-traumatic stress disorder symptoms more often than professionals following demanding rescue missions.

scholarly journals A controlled follow-up study of adolescents exposed to a school shooting – Psychological consequences after four months

2011 ◽  
Vol 26 (8) ◽  
pp. 490-497 ◽  
Author(s):  
L. Suomalainen ◽  
H. Haravuori ◽  
N. Berg ◽  
O. Kiviruusu ◽  
M. Marttunen
Keyword(s):  
General Health Questionnaire ◽  
Female Gender ◽  
School Shooting ◽  
Psychological Consequences ◽  
Long Term Effects ◽  
Psychiatric Disturbance ◽  
Impact Of Event Scale ◽  
Event Scale ◽  
Posttraumatic Distress

AbstractBackgroundIn November 2007, a student shot eight people and himself at Jokela High School, Finland. This study aims to evaluate the long-term effects of exposure to a school shooting among adolescents.MethodAssociations between psychological outcomes and background factors were analysed and compared with “comparison students” four months after the incident. A questionnaire including Impact of Event Scale (IES) and General Health Questionnaire (GHQ-36) was used.ResultsHalf of the females and a third of the males suffered from posttraumatic distress. High level of posttraumatic distress (IES ≥ 35), predicting PTSD, was observed in 27% of the females and 7% of the males. The odds ratio was 6.4 (95% confidence interval 3.5–10.5) for having high levels of posttraumatic distress. Severe or extreme exposure and female gender were found to increase the risk. Forty-two percent of the females and 16% of the males had psychiatric disturbance (GHQ ≥ 9). Severe or extreme exposure, older age and female gender increased the risk. Perceived support from family and friends was found to be protective.ConclusionsThe observed risk and protective factors were similar to earlier studies. Follow-up will be essential in identifying factors predicting persisting trauma-related symptoms in adolescence.

Profiles of Psychosocial and Clinical Functioning in Adolescence and Risk for Later Depression

2019 ◽  
Author(s):  
Thomas M Olino ◽  
Daniel Klein ◽  
John Seeley
Keyword(s):  
Psychosocial Functioning ◽  
Adolescent Depression ◽  
Depressive Disorders ◽  
Self Report ◽  
Initial Assessment ◽  
Predictive Utility ◽  
Regression Methods ◽  
History Of ◽  
History Of Depression

Background: Most studies examining predictors of onset of depression focus on variable centered regression methods that focus on effects of multiple predictors. In contrast, person-centered approaches develop profiles of factors and these profiles can be examined as predictors of onset. Here, we developed profiles of adolescent psychosocial and clinical functioning among adolescents without a history of major depression. Methods: Data come from a subsample of participants from the Oregon Adolescent Depression Project who completed self-report measures of functioning in adolescence and completed diagnostic and self-report measures at follow-up assessments up to approximately 15 years after baseline. Results: We identified four profiles of psychosocial and clinical functioning: Thriving; Average Functioning; Externalizing Vulnerability and Family Stress; and Internalizing Vulnerability at the baseline assessment of participants without a history of depression at the initial assessment in mid- adolescence. Classes differed in the likelihood of onset and course of depressive disorders, experience of later anxiety and substance use disorders, and psychosocial functioning in adulthood. Moreover, the predictive utility of these classes was maintained when controlling for multiple other established risk factors for depressive disorders. Conclusions: This work highlights the utility of examining multiple factors simultaneously to understand risk for depression.

scholarly journals Unhappy While Depressed: Examining the Dimensionality, Reliability and Validity of the Subjective Happiness Scale in a Spanish Sample of Patients with Depressive Disorders

2021 ◽  
Vol 18 (20) ◽  
pp. 10964
Author(s):  
Albert Feliu-Soler ◽  
Javier de de Diego-Adeliño ◽  
Juan V. Luciano ◽  
Ioseba Iraurgi ◽  
Carlo Alemany ◽  
...  
Keyword(s):  
Depressive Disorder ◽  
Construct Validity ◽  
Psychometric Properties ◽  
Internal Consistency ◽  
Depressive Disorders ◽  
Rating Scale ◽  
Self Report ◽  
Clinical Samples ◽  
Subjective Happiness ◽  
Subjective Happiness Scale

Despite the considerable amount of research evidence on the significant role of subjective happiness on mental health, there is no psychometric study of the Subjective Happiness Scale (SHS) in psychiatric samples. This study was aimed at exploring the psychometric properties of the SHS in a Spanish sample of patients with depressive disorders. Participants were 174 patients with a depressive disorder (70% diagnosed as major depressive disorder) who completed the SHS, the Quick Inventory of Depressive Symptomatology-Self Report (QIDS-SR16), and the EQ-5D Visual Analogue Scale (EQ-5D VAS). Depressive symptoms were also assessed by means of the 17-item Hamilton Depression Rating Scale (HDRS17) and the Clinical Global Impression-Severity (CGI-S) Scale. Dimensionality, internal consistency reliability, construct validity, and responsiveness to change of the SHS were examined. Confirmatory factor analysis replicated the original one-factor structure of the scale. The SHS exhibited good-to-excellent results for internal consistency (α = 0.83) and for convergent [EQ-5D VAS (r = 0.71)] and divergent [QIDS-SR16 (r = −0.72), HDRS17 (r = −0.60) and CGI-S (r = −0.61)] construct validity. The ability of the SHS to differentiate between depression severity levels as well as its responsiveness to clinical change were both highly satisfactory (p < 0.001 in both cases). The SHS retained the soundness of psychometric properties showed in non-clinical samples in a sample of patients with depressive disorders, which supports its use as a reliable and valid outcome measure in the treatment of such disorders.

Couples Facing the Birth of a Newborn with a Congenital Anomaly: PTSD Symptoms in the First Year

2018 ◽  
Vol 35 (12) ◽  
pp. 1168-1172 ◽  
Author(s):  
Francesca Bevilacqua ◽  
Francesco Morini ◽  
Antonio Zaccara ◽  
Chiara De Marchis ◽  
Annabella Braguglia ◽  
...  
Keyword(s):  
First Year ◽  
Stressful Situation ◽  
Ptsd Symptoms ◽  
Impact Of Event Scale ◽  
Event Scale ◽  
Stress Symptoms ◽  
Parental Gender ◽  
Set Up ◽  
The Impact

Objective The objective of this study was to assess the presence of posttraumatic stress disorder (PTSD) symptoms in parental couples of newborn requiring early surgery at 6 and 12 months after birth. Study Design A longitudinal study was set up from January 2014 to June 2015. As a measure of PTSD, we used the Italian version of the Impact of Event Scale—Revised (IES-R). Results Thirty-four couples form the object of the study. At 6 months, half of mothers (52.9%) and fathers (44.1%) reported traumatic stress symptoms above the clinical cutoff. Percentages remained stable at 12 months. When parental gender and length of follow-up were compared with two-factor analysis of variance, none had an impact on IES-R score, nor an interaction between these factors was found. A significant correlation of IES-R total score was present within the couple both at 6 and 12 months (6 months—r: 0.6842, p < 0.0001 and 12 months—r: 0.4045, p = 0.0177). Conclusion Having a child with a repaired malformation represents a complex prolonged stressful situation with persistent burden for both parents who are at high risk of developing PTSD symptoms.

Early Psychological Reactions in a Group of Individuals with Pre-existing and Enduring Mental Health Difficulties Following a Major Coach Accident

1996 ◽  
Vol 169 (4) ◽  
pp. 430-433 ◽  
Author(s):  
Helen L. Chubb ◽  
Jonathan I. Bisson
Keyword(s):  
Mental Health ◽  
Depressive Disorders ◽  
Depression Scale ◽  
Chronic Schizophrenia ◽  
Post Traumatic Stress ◽  
Psychological Sequelae ◽  
Impact Of Event Scale ◽  
Event Scale ◽  
Mental Health Difficulties ◽  
The Impact

BackgroundThe impact of major trauma on individuals with pre-existing and enduring mental health difficulties is poorly understood.MethodTwenty individuals with pre-existing and enduring mental health difficulties were assessed with the Clinician Administered Post Traumatic Stress Disorder Scale, the 28-item version of the GHQ, the Hospital Anxiety and Depression Scale, and the Impact of Event Scale between four and eight weeks after their involvement in a major coach accident.ResultsTen (50%) individuals satisfied the full DSM–IV criteria for a diagnosis of PTSD. The questionnaire scores indicated a high level of psychological suffering among the group. On dividing the sample into those individuals with previous diagnoses of anxiety or depressive disorders and those with a previous diagnosis of chronic schizophrenia, the schizophrenia group displayed less marked psychological sequelae on all measures.ConclusionThere was a high incidence of early psychological sequelae among the group as a whole. Some diagnoses (e.g. depression and anxiety) may predispose to psychological sequelae while others (e.g. chronic schizophrenia) may not.

scholarly journals Prevalence of psychiatric disorder and the need for psychiatric care in Northern Ireland

2002 ◽  
Vol 181 (3) ◽  
pp. 214-219 ◽  
Author(s):  
Pamela Mcconnell ◽  
Paul Bebbington ◽  
Roy Mcclelland ◽  
Kate Gillespie ◽  
Sharon Houghton
Keyword(s):  
Northern Ireland ◽  
Psychiatric Disorder ◽  
Psychiatric Disorders ◽  
Depressive Disorders ◽  
Social Deprivation ◽  
Psychiatric Treatment ◽  
General Health Questionnaire ◽  
Second Phase ◽  
Two Phase ◽  
Care Assessment

BackgroundThis is the first report on the epidemiology of psychiatric disorders and needs for psychiatric treatment in the District of Derry, Northern Ireland.AimsTo assess the prevalence of psychiatric disorder and the needs for treatment in the general population of Derry.MethodThe sample was drawn at random with a two-phase design using the General Health Questionnaire (GHQ–28) during the first phase, and the Schedules for Clinical Assessment in Neuropsychiatry (SCAN) with the Needs for Care Assessment (NFCAS–C) in the second phase.ResultsThe second phase (n=307) gave a weighted 1-month prevalence of hierarchically ordered ICD–10 psychiatric disorders of 7.5% and a 1-year prevalence of 12.2%. The equivalent prevalences for depressive disorders were 2.4% and 6.0%, respectively, and those for anxiety states were 3.5% and 3.7%. Only a quarter of needs for treatment were met, with the situation being better for depression than for anxiety.ConclusionsThe rates of psychiatric disorder in Derry were even higher than those reported by a similar survey in inner London. This almost certainly reflects the very high levels of social deprivation in the District. Needs for treatment were often unmet.

Reliability, Criterion and Concurrent Validity of the Farsi Translation of DIVA-5: A Semi-Structured Diagnostic Interview for Adults With ADHD

2020 ◽  
pp. 108705472093081
Author(s):  
Lida Zamani ◽  
Zahra Shahrivar ◽  
Javad Alaghband-Rad ◽  
Vandad Sharifi ◽  
Elham Davoodi ◽  
...  
Keyword(s):  
Adult Adhd ◽  
Rating Scale ◽  
Diagnostic Interview ◽  
Self Report ◽  
Validity And Reliability ◽  
Clinical Interviews ◽  
Hyperactivity Disorder ◽  
Dsm 5 ◽  
Psychiatric Outpatient Clinic ◽  
Adult Outpatient

Objectives: This study evaluated the psychometrics of the Farsi translation of diagnostic interview for attention-deficit hyperactivity disorder (ADHD) in adults (DIVA-5) based on DSM-5 criteria. Methods: Referrals to a psychiatric outpatient clinic ( N = 120, 61.7% males, mean age 34.35 ± 9.84 years) presenting for an adult ADHD (AADHD) diagnosis, were evaluated using the structured clinical interviews for DSM-5 (SCID-5 & SCID-5-PD) and the DIVA-5. The participants completed Conner’s Adult ADHD Rating Scale-Self Report-Screening Version (CAARS-S-SV). Results: According to the SCID-5 and DIVA-5 diagnoses, 55% and 38% of the participants had ADHD, respectively. Diagnostic agreement was 81.66% between DIVA-5/SCID-5 diagnoses, 80% between SCID-5/CAARS-S-SV, and 71.66% between DIVA-5/CAARS-S-SV. Test–retest and inter-rater reliability results for the DIVA-5 were good to excellent. Conclusion: Findings support the validity and reliability of the Farsi translation of DIVA-5 among the Farsi-speaking adult outpatient population.

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