scholarly journals Trauma Symptomatology in Patients Successfully Treated for Pituitary Adenoma

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. A637-A637
Author(s):  
Jessica Diller Kovler ◽  
Daniel Prevedello

Abstract The emotional symptomatology accompanying pituitary adenomas has long been recognized, though research has been scant, varied, and more focused on studies related to quality of life. The present study sought to better codify the psychological presentation of pituitary adenoma patients through the lens of trauma and PTSD symptomatology. 128 patients who were successfully treated for pituitary adenoma were recruited from the Wexner School of Medicine at Ohio State University. Ranging in age from 23 to 74, the participants’ mental health functioning was assessed by the Posttraumatic Stress Disorder Checklist for DSM-5 (PCL-5), the Brief Symptom Inventory (BSI), and the Dissociative Experiences Scale (DES). The findings of this pilot study showed that the rate of traumatization (PTSD) for pituitary adenoma patients was significantly higher than that of the general population. With regard to comorbid trauma-related mental health impairment, our results demonstrated that when moderated by sex, pituitary adenoma patients had significantly higher psychopathology than the non-clinical population. Replicating the existing research, there was a significant positive correlation between trauma symptoms and trauma-related psychopathology in patients successfully treated for pituitary adenoma. Overall, the results of this study demonstrate the traumatic nature of this disease and the need for applied clinical intervention. Further research is needed to replicate these findings, in light of potential selection bias and sample size.

2019 ◽  
Vol 10 (3) ◽  
pp. 175-182
Author(s):  
Larissa Osete Souza ◽  
Gabriel Candido Paiva ◽  
Maíra Bonafé Sei

O presente artigo configura-se como um relato de experiência acerca de um grupo aberto destinado ao atendimento de crianças com até 11 anos de idade. As atividades são realizadas semanalmente na Clínica Psicológica da Universidade Estadual de Londrina, com duração de uma hora e 30 minutos, por meio de um projeto de extensão. Tendo em vista a experiência na coordenação da atividade, objetiva-se apresentar os desafios e desdobramentos na condução de um grupo aberto e heterogêneo com crianças. Nota-se que, embora essa modalidade de intervenção clínica não atenda a queixas específicas dos participantes, tem proporcionando a interação entre as crianças, a identificação de riscos quanto ao desenvolvimento infantil e a promoção da saúde mental com obtenção de benefícios terapêuticos em decorrência do compartilhamento de vivências e dificuldades. Todavia, o setting grupal, aberto e heterogêneo, exigiu o manejo dos coordenadores para integrar crianças em idades diferentes. Os responsáveis demandavam uma cura para as queixas ou diagnósticos prévios, sendo necessário pontuar que o grupo não tinha este objetivo, mas poderia conceder benefícios na melhora do quadro. Ademais, a constante entrada e saída de membros gerava rupturas na formação de vínculo, fato que demandou constante intervenção dos coordenadores, no sentido de pontuar este movimento. Palavras-chave: Vínculos grupais; Extensão Universitária; Infância; Saúde mental        Open group of children: What are the possibilities for coexistence and intervention?   Abstract: The present article is an experience report about an open group for children up to 11 years old. The activities happened weekly in the Psychological Clinic of the State University of Londrina (Londrina, Brazil), lasting about one hour and 30 minutes, through an extension project. From the coordination experience in the groups, the objective is to present the challenges and consequences in the management of an open and heterogeneous children group. Although this modality of clinical intervention does not attend specific complaints of the participants, it has provided interaction among the children, the identification of risks in the child development, and the promotion of mental health with therapeutic benefits, as a result of sharing experiences and difficulties. However, the open and heterogeneous group setting required the coordinators' management to integrate children of different ages. The parents or guardians demanded a cure for the complaints with previous diagnoses, and it should be noted that the group did not have this goal, but could grant other benefits and possibly improve the current condition. Also, the constant entry and exit of members created ruptures in the formation of bonds, a fact that demanded a constant intervention of the coordinators. Keywords: Group Bounds; University Extension; Childhood; Mental health   Grupo abierto de niños: ¿Cuáles son las posibilidades de convivencia e intervención?   Resumen: El presente artículo se configura como un relato de experiencia sobre un grupo abierto destinado a la atención de niños de hasta 11 años de edad. Las actividades se realizan semanalmente en la Clínica Psicológica de la Universidad Estatal de Londrina (Londrina, Brasil), con una duración de una hora y 30 minutos, por medio de un proyecto de extensión. Con vistas a la experiencia en la coordinación del grupo, se pretende presentar los desafíos y desdoblamientos en la conducción de un grupo abierto y heterogéneo con niños. Se observa que, aunque esta modalidad de intervención clínica no atiende a quejas específicas de los participantes, tiene proporcionando la interacción entre los niños, la identificación de riesgos en cuanto al desarrollo infantil, la promoción de la salud mental, con obtención de beneficios terapéuticos, en consecuencia del compartir de vivencias y dificultades. Sin embargo, el entorno grupal abierto y heterogéneo requirió la gestión de coordinadores para integrar a niños de diferentes edades. Los tutores exigieron una cura para las quejas o los diagnósticos anteriores, y debe tenerse en cuenta que el grupo no tenía este objetivo, pero podría proporcionar beneficios para mejorar la condición. Además, la entrada y salida constante de los miembros generó rupturas en la formación del vínculo, un hecho que exigió la intervención constante de los coordinadores, para puntuar este movimiento. Palabras-clave: Lazos de grupo; Extensión Universitaria; Infancia; Salud mental


2020 ◽  
Author(s):  
Anthony D Mancini

In this commentary, I argue that the mental health impact of COVID-19 will show substantial variation across individuals, contexts, and time. Further, one key contributor to this variation will be the proximal and long-term impact of COVID-19 on the social environment. In addition to the mental health costs of the pandemic, it is likely that a subset of people will experience improved social and mental health functioning.


Author(s):  
Victoria Ruzhenkova ◽  
Irina Sheremet’eva ◽  
Viktor Ruzhenkov

Stress negatively affects the mental health of students, causes anxiety and depression, leads to poor academic performance, lowers level of professional training and success in the future. The purpose of the research is to study the state of mental health of medical students to develop recommendations for the prevention of maladaptation. Materials and methods. 252 5-year students aged 20–29 (22 ± 1,1) years, 168 (66,7 %) females and 84 (33,3 %) males (137 students of Belgorod State University and 115 of Altay State Medical University (ASMU)) were examined by medico-sociological and psychometric methods. Results. It was established that every fifth student of the Belgorod State University and every third of the ASMU did not enter the medical university on their own initiative. Less than half (43 %) of Belgorod State University students and 30.4 % of the ASMU ones are convinced that the choice of profession was correct, 35 and 37.4 % are, consequently, completely disappointed with it. Students of Belgorod State University dealt with training stress factors poorer and, as a result, have more pronounced mental symptoms of training stress, difficulties in organizing the daily regimen, irregular nutrition, and fear of the future. Regardless of the region of studying, the number of students not committed to the medical profession, after 5 years of study, is more than 3 times higher among those who enter the university not on their own initiative. Students of the ASMU hit substances, skipped classes, played computer games and took sedative drugs more often to overcome academic stress. The degree of anxiety before the exams in students of Belgorod State University was higher (9 points) than in their peers from the State Medical University (7 points). An extremely high (8–10 points) level of anxiety before exams was characteristic of 75,9 and 44,3 % of students, respectively. The former were more likely to experience clinically significant panic attacks: 27,7 and 6,1 %. Conclusion. Given the high incidence of social phobia (19,1–24,1 %), depression (22,6–32,2 %) and anxiety (21,9– 27,8 %) among medical students, the development and implementation of psycho-correctional programs aimed at the formation of adaptive ways to overcome stress, reduce anxiety and depression is required. This will prevent the development of psychosomatic disorders and addictions.


Author(s):  
Zachary L. Mannes ◽  
Erin G. Ferguson ◽  
Nicole Ennis ◽  
Deborah S. Hasin ◽  
Linda B. Cottler

Over 80% of National Football League (NFL) retirees experience daily pain. Pain acceptance is an important psychological construct implicated in the intensity of chronic pain, though these findings have not been extended to NFL retirees. Therefore, the current study examined the association between pain acceptance and pain intensity among former NFL athletes. NFL retirees (N = 90) recruited from 2018 to 2019 completed questionnaires that assessed pain, substance use, and NFL career information. Multiple linear regression examined the association between current pain acceptance and pain intensity while adjusting for other risk factors of pain. NFL retirees reported average scores of 33.31 (SD = 10.00), and 2.18 (SD = 2.40) on measures of pain acceptance and pain intensity, respectively. After covariate adjustment, greater pain acceptance (β = −0.538, p < .001) was associated with lower pain intensity. These findings can further inform the behavioral and mental health care of retired NFL athletes.


2021 ◽  
Author(s):  
Kathryn M Bell ◽  
Diane Holmberg

Amidst the ongoing COVID-19 pandemic, people are facing heightened uncertainty about the future and increasing rates of psychological distress. Intolerance of uncertainty (IU) and perceived COVID-19 threat may be contributing to mental health problems. This study investigated changes in mental health problems prior to and during the first two pandemic waves in the U.S., and the extent to which IU and perceived COVID-19 threat predicted these problems. MTurk participants (n=192; 50% women) were recruited from a pre-pandemic study in December 2019/January 2020 for a follow-up study on COVID-19 experiences, across five timepoints between April and August 2020. IU, perceived COVID-19 threat, and mental health problems (i.e., worry, COVID-19 fear, and trauma symptoms) were assessed. On average, mental health problems were not elevated, relative to pre-pandemic levels, and remained stable across time. Heightened IU and perceived COVID-19 threat were associated with more mental health problems. Surprisingly, objective measures of COVID-19 threat (e.g., state case rates) showed no associations with IU, and were slightly negatively correlated with psychological distress and perceived threat. Pre-existing mental health symptoms, IU and perceived COVID-19 threat may foster vulnerability to mental health problems during the pandemic, more so than objective threat levels.


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