Psychological Consequences of the Enniskillen Bombing

1990 ◽  
Vol 156 (4) ◽  
pp. 479-482 ◽  
Author(s):  
P. S. Curran ◽  
P. Bell ◽  
A. Murray ◽  
G. Loughrey ◽  
R. Roddy ◽  
...  
Keyword(s):  
Post Traumatic Stress Disorder ◽  
Traumatic Stress ◽  
Stress Disorder ◽  
Psychological Injury ◽  
Physical Injury ◽  
Psychological Consequences ◽  
Post Traumatic Stress ◽  
Post Traumatic ◽  
One Year

Eleven people were killed and 60 injured in the Enniskillen bombing of November 1987. Survivors were psychologically appraised six months and one year later. At six months 50% had developed post-traumatic stress disorder (PTSD). This group comprised more females than males. However, all victims had high scores on the GHQ. We found no correlation between psychological injury (as measured by the GHQ) and physical injury (as measured by the ISS), calling into question previous assertions.

scholarly journals One-year clinical outcomes following theta burst stimulation for post-traumatic stress disorder

2019 ◽  
Vol 45 (6) ◽  
pp. 940-946 ◽  
Author(s):  
Nicholas J. Petrosino ◽  
Mascha van ’t Wout-Frank ◽  
Emily Aiken ◽  
Hannah R. Swearingen ◽  
Jennifer Barredo ◽  
...  
Keyword(s):  
Transcranial Magnetic Stimulation ◽  
Clinical Outcomes ◽  
Post Traumatic Stress Disorder ◽  
Traumatic Stress ◽  
Magnetic Stimulation ◽  
Stress Disorder ◽  
Post Traumatic Stress ◽  
Post Traumatic ◽  
One Year ◽  
Theta Burst

AbstractTheta burst transcranial magnetic stimulation (TBS) is a potential new treatment for post-traumatic stress disorder (PTSD). We previously reported active intermittent TBS (iTBS) was associated with superior clinical outcomes for up to 1-month, in a sample of fifty veterans with PTSD, using a crossover design. In that study, participants randomized to the active group received a total of 4-weeks of active iTBS, or 2-weeks if randomized to sham. Results were superior with greater exposure to active iTBS, which raised the question of whether observed effects persisted over the longer-term. This study reviewed naturalistic outcomes up to 1-year from study endpoint, to test the hypothesis that greater exposure to active iTBS would be associated with superior outcomes. The primary outcome measure was clinical relapse, defined as any serious adverse event (e.g., suicide, psychiatric hospitalization, etc.,) or need for retreatment with repetitive transcranial magnetic stimulation (rTMS). Forty-six (92%) of the initial study’s intent-to-treat participants were included. Mean age was 51.0 ± 12.3 years and seven (15.2%) were female. The group originally randomized to active iTBS (4-weeks active iTBS) demonstrated superior outcomes at one year compared to those originally randomized to sham (2-weeks active iTBS); log-rank ChiSq = 5.871, df = 1, p = 0.015; OR = 3.50, 95% CI = 1.04–11.79. Mean days to relapse were 296.0 ± 22.1 in the 4-week group, and 182.0 ± 31.9 in the 2-week group. When used, rTMS retreatment was generally effective. Exploratory neuroimaging revealed default mode network connectivity was predictive of 1-year outcomes (corrected p < 0.05). In summary, greater accumulated exposure to active iTBS demonstrated clinically meaningful improvements in the year following stimulation, and default mode connectivity could be used to predict longer-term outcomes.

scholarly journals Psychological consequences of traumatic upper limb peripheral nerve injury: A systematic review

Hand Therapy ◽  
2016 ◽  
Vol 22 (1) ◽  
pp. 35-45 ◽  
Author(s):  
Caroline Miller ◽  
Aimie L Peek ◽  
Dominic Power ◽  
Nicola R Heneghan
Keyword(s):  
Peripheral Nerve ◽  
Nerve Injury ◽  
Upper Limb ◽  
Post Traumatic Stress Disorder ◽  
Traumatic Stress ◽  
Peripheral Nerve Injury ◽  
Stress Disorder ◽  
Psychological Consequences ◽  
Post Traumatic Stress ◽  
Post Traumatic

Introduction Traumatic upper limb peripheral nerve injuries significantly impact individuals’ function and ability to return to work. Patients with peripheral nerve injury experience ongoing psychological impairments for which they are not routinely treated. The aim of this review was to investigate the psychological consequences of traumatic upper limb peripheral nerve injury. Methods A systematic review of MEDLINE, Embase, PsycINFO, CINAHL, AMED, BNI, the Cochrane libraries and grey literature up to October 2015 was undertaken. Two reviewers independently assessed methodological quality in accordance with Cochrane Collaboration recommendations. Eligibility criteria comprised: adults or adolescents with traumatic upper limb peripheral nerve injury using any measurement of psychological well-being. Results Six studies ( n = 245) met the inclusion criteria. Methodological quality varied widely. Evidence of post-traumatic stress disorder at one month, which decreased over time, was reported in three studies. Two studies found a statistically significant correlation between the early presence of post-traumatic stress disorder and reduction in function at 12 or more months. Limited information was available on anxiety, depression and mental quality of life. Combined nerve injuries (in two studies) had significantly higher levels of post-traumatic stress disorder, at one month, compared to those with an isolated nerve injury. Conclusion There is some evidence of early post-traumatic stress disorder following traumatic upper limb peripheral nerve injury, which may have an impact on functional outcome. However, high-quality studies using prospective cohorts are required to further evaluate the psychological aspects associated with this traumatic injury.

Psychological consequences and daily life adjustment for victims of intimate partner violence

2022 ◽  
pp. 009121742110505
Author(s):  
Roser Cirici Amell ◽  
Aloma Riera Soler ◽  
Jesus Cobo ◽  
Joan Miquel Soldevilla Alberti
Keyword(s):  
Mental Health ◽  
Post Traumatic Stress Disorder ◽  
Traumatic Stress ◽  
Partner Violence ◽  
Stress Disorder ◽  
Psychological Consequences ◽  
Post Traumatic Stress ◽  
Daily Lives ◽  
Female Victims ◽  
Post Traumatic

Introduction Intimate partner violence (IPV) is a distressing reality worldwide. Victims of IPV usually experience long-term mental health disorders and maladjustments in their daily lives. Aims To examine the prevalence of depression, anxiety, and post-traumatic stress disorder in female victims of IPV that participated in a public mental health care program, and to analyze the relationships between the type of IPV exposure, its psychological consequences, and daily life adjustment. Method Up to 164 female victims of IPV referred by their primary care doctors to the Adult Mental Health Casntre of Sant Cugat del Vallès (Barcelona) between 2010 and 2016 were evaluated using several tests (Index of Spouse Abuse - ISA, Beck Depression Inventory - BDI-II, Sate-Trait Anxiety Inventory - STAI, the Maladjustement Scale - MS, and the Severity Symptom Scale for Post-traumatic Stress Disorder - EGS). Results Of the 164 referred women, 102 (62.2%) agreed to participate (mean age 44.98 years, range 19–71) and 73% scored above the cut-off point in the physical IPV dimension (ISA). Moreover, 73% had depression symptoms, 77% trait anxiety, and 87% state anxiety altered scores. Prevalence of post-traumatic stress disorder was also high (87%). IPV interfered significantly in all the aspects of the daily lives of 92% of the sample. Conclusions The participants of the study experienced many psychological symptoms and a high level of interference with all aspects of their daily lives. These consequences were of similar magnitude amongst victims of emotional abuse compared to those who suffered physical violence.

Medium-Term Course of Disaster Victims

1995 ◽  
Vol 167 (2) ◽  
pp. 228-232 ◽  
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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