scholarly journals Play Therapy Untuk anak-anak Korban Bencana Alam Yang Mengalami Trauma (Post Traumatic Stress Disorder/PTSD)

2016 ◽  
Vol 1 (2) ◽  
pp. 164-178
Author(s):  
Endah Nawangsih
Keyword(s):  
Play Therapy ◽  
Post Traumatic Stress Disorder ◽  
Traumatic Stress ◽  
Stress Disorder ◽  
Traumatic Event ◽  
Traumatic Experience ◽  
Post Traumatic Stress ◽  
The World ◽  
Post Traumatic ◽  
The Impact

Anywhere in the world, natural disasters events cause loss of life, moreover a deep sorrow and fear for the victims. They were in a state of very uneasy, very scared, never-ending anxiety, and become prone to panic. These conditions called post-traumatic stress disorder (PTSD) as a continuous maladaptive reaction to a traumatic experience. In contrast to adults, children are in a state highly vulnerable to the impact caused by a traumatic event. Children with PTSD may show confusion or agitation. This condition brings suffering prolonged, if not given proper treatment. It required a specific intervention design for children with PTSD namely Play Therapy techniques. This intervention is one way that can be used to understand the world of children through playing, so that when used in the right circumstances can be meaningful as physical activity as well as therapy.

Post-traumatic stress disorder and the association with overweight, obesity, and weight change among individuals exposed to the World Trade Center disaster, 2003–2016

2020 ◽  
pp. 1-10
Author(s):  
Erin Takemoto ◽  
Katherine R. Van Oss ◽  
Shadi Chamany ◽  
Jennifer Brite ◽  
Robert Brackbill
Keyword(s):  
Post Traumatic Stress Disorder ◽  
Traumatic Stress ◽  
Weight Change ◽  
Stress Disorder ◽  
World Trade Center ◽  
Post Traumatic Stress ◽  
The World ◽  
Trade Center ◽  
Post Traumatic ◽  
The Impact

Abstract Background Among Veterans, post-traumatic stress disorder (PTSD) has been shown to be associated with obesity and accelerated weight gain. Less is known among the general population. We sought to determine the impact of PTSD on body mass index (BMI) and weight change among individuals with exposure to the World Trade Center (WTC) disaster. Methods We examined individuals from the WTC Health Registry. PTSD symptoms were assessed on multiple surveys (Waves 1–4) using the PTSD Checklist-Specific. Three categories of post-9/11 PTSD were derived: no, intermittent, and persistent. We examined two outcomes: (1) Wave 3 BMI (normal, overweight, and obese) and (2) weight change between Waves 3 and 4. We used multivariable logistic regression to assess the association between PTSD and BMI (N = 34 958) and generalized estimating equations to assess the impact of PTSD on weight change (N = 26 532). Sex- and age-stratified analyses were adjusted for a priori confounders. Results At Wave 3, the observed prevalence of obesity was highest among the persistent (39.5%) and intermittent PTSD (36.6%) groups, compared to the no PTSD group (29.3%). In adjusted models, persistent and intermittent PTSD were consistently associated with a higher odds of obesity. Weight gain was similar across all groups, but those with persistent and intermittent PTSD had higher estimated group-specific mean weights across time. Conclusions Our findings that those with a history of PTSD post-9/11 were more likely to have obesity is consistent with existing literature. These findings reaffirm the need for an interdisciplinary focus on physical and mental health to improve health outcomes.

Trauma: The Impact of Post-Traumatic Stress Disorder

2000 ◽  
Vol 14 (2_suppl1) ◽  
pp. S5-S12 ◽  
Author(s):  
J. R. T. Davidson
Keyword(s):  
Post Traumatic Stress Disorder ◽  
Traumatic Stress ◽  
Suicide Attempts ◽  
Stress Disorder ◽  
Traumatic Event ◽  
Medical Profession ◽  
Social Consequences ◽  
Post Traumatic Stress ◽  
Post Traumatic ◽  
The Impact

Trauma has an enormous impact on both individuals and society as a whole. Recognition of the extent of this impact by the medical profession has been relatively slow but, with our growing appreciation of the prevalence of trauma exposure in civilian as well as combat populations, the true scale of trauma-related psychiatric consequences is beginning to emerge. It has been reported that more than 60% of men and 51% of women experience at least one traumatic event in their lifetimes. Of these, 8% and 20%, respectively, fall victim to post-traumatic stress disorder (PTSD) indicating that more women are at risk for developing PTSD. Individuals experience severe psychiatric stress that is compounded by significant comorbid illness. This impacts critically upon quality of life resulting in grave functional and emotional impairment. In addition, there is a detrimental cost to society with high financial and social consequences from the significantly elevated rates of hospitalization, suicide attempts and alcohol abuse.

scholarly journals Predictors of post-traumatic stress disorder following physical trauma: an examination of the stressor criterion

1991 ◽  
Vol 21 (1) ◽  
pp. 85-91 ◽  
Author(s):  
Anthony Feinstein ◽  
Ray Dolan
Keyword(s):  
Post Traumatic Stress Disorder ◽  
Traumatic Stress ◽  
Stress Disorder ◽  
Traumatic Event ◽  
Psychiatric Morbidity ◽  
Post Traumatic Stress ◽  
Event Scale ◽  
Physical Trauma ◽  
Post Traumatic ◽  
The Impact

SYNOPSISA prospective study documenting psychopathology was undertaken in 48 subjects exposed to a range of physical trauma, but whose injuries were of similar severity. No support was found for the DSM-III-R view correlating the severity of the stressor with the development of post-traumatic stress disorder (PTSD). Distress post injury (high scores on the impact of event scale), indicative of difficulty with cognitive assimilation of the traumatic event, was found to be highly predictive of psychiatric morbidity and PTSD at 6 months.

scholarly journals Analyzing the Impact of COVID-19 Trauma on Developing Post-Traumatic Stress Disorder among Emergency Medical Workers in Spain

2021 ◽  
Vol 18 (17) ◽  
pp. 9132
Author(s):  
Carmen M. Martínez-Caballero ◽  
Rosa M. Cárdaba-García ◽  
Rocío Varas-Manovel ◽  
Laura M. García-Sanz ◽  
Jorge Martínez-Piedra ◽  
...  
Keyword(s):  
Mental Health ◽  
Psychological Distress ◽  
Post Traumatic Stress Disorder ◽  
Traumatic Stress ◽  
Stress Disorder ◽  
Traumatic Event ◽  
Post Traumatic Stress ◽  
Emergency Medical ◽  
Post Traumatic ◽  
The Impact

The early stages of the COVID-19 pandemic presented the characteristics of a traumatic event that could trigger post-traumatic stress disorder. Emergency Medical Services workers are already a high-risk group due to their professional development. The research project aimed to analyse the impact of the COVID-19 pandemic on EMS professionals in terms of their mental health. For this purpose, we present a descriptive crosssectional study with survey methodology. A total of 317 EMS workers (doctors, nurses, and emergency medical technicians) were recruited voluntarily. Psychological distress, post-traumatic stress disorder, and insomnia were assessed. The instruments were the General Health Questionnaire-12 (GHQ-12), the Davidson Trauma Scale (DTS-8), and the Athens Insomnia Scale (AIS-8). We found that 36% of respondents had psychological distress, 30.9% potentially had PTSD, and 60.9% experienced insomnia. Years of work experience were found to be positively correlated, albeit with low effect, with the PTSD score (r = 0.133). Finally, it can be stated that the COVID-19 pandemic has been a traumatic event for EMS workers. The number of professionals presenting psychological distress, possible PTSD, or insomnia increased dramatically during the early phases of the pandemic. This study highlights the need for mental health disorder prevention programmes for EMS workers in the face of a pandemic.

scholarly journals Emotional Face Expressions in Post-Traumatic Stress Disorder

2007 ◽  
Author(s):  
Michael Houlihan ◽  
Ian Fraser ◽  
Meaghan Donahue ◽  
Monica Sharma ◽  
Wendy Bourque ◽  
...  
Keyword(s):  
Post Traumatic Stress Disorder ◽  
Traumatic Stress ◽  
Stress Disorder ◽  
Traumatic Event ◽  
Traumatic Experience ◽  
Clinical Group ◽  
Post Traumatic Stress ◽  
Clinical Tool ◽  
Increased Sensitivity ◽  
Post Traumatic

Post-traumatic Stress Disorder (PTSD) occurs following a severely traumatic event and is characterized by: re-experiencing, avoidance, emotional blunting and reactivity. Of particular interest to this study are emotional blunting, which is the reduced responsiveness to cues unrelated to the traumatic experience, and reactivity which is an increased sensitivity to eventrelated cues. In two studies, the N170 was recorded in response to emotional faces (happy, sad, angry, surprised, neutral) and objects. In each study, high and low scorers on the PTSD checklist formed two companion groups. Angry faces are considered a generalized threat and it was expected that the clinical group would show larger N170 (hyper-reactive) to these emotional expressions, while responses to the other emotions would be reduced (emotional blunting). Preliminary analysis suggests that both of these processes are present. Results will be discussed in terms of possible deficits in processing emotional information in PTSD as well as the development of a clinical tool to aid the diagnosis of PTSD.

scholarly journals Survivors of avalanche accidents: posttraumatic stress disorder symptoms and quality of life: a multicentre study

2021 ◽  
Vol 29 (1) ◽  
Author(s):  
Charlotte Léonard ◽  
Anaëlle Charriau-Perret ◽  
Guillaume Debaty ◽  
Loïc Belle ◽  
Cécile Ricard ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Post Traumatic Stress Disorder ◽  
Traumatic Stress ◽  
Stress Disorder ◽  
Traumatic Event ◽  
Post Traumatic Stress ◽  
Event Scale ◽  
Post Traumatic ◽  
The Impact

Abstract Background As any traumatic event, avalanches could trigger psychological disorders on survivors. Our objectives were to determine the prevalence of post-traumatic stress disorder among avalanche survivors and to evaluate post-traumatic stress disorder risks factors as well as the impact on quality of life. Methods A multicentre study was conducted in victims included in the North Alpine Avalanche Registry from 2014 to 2018. Data were collected through a standard questionnaire during semi-directed phone interviews. The primary outcome was the total score on the Impact of Event Scale Revised. Secondary outcomes were the Mental Component Scale and the Physical Component Scale scores of the Short Form 12 questionnaire. Results During the study period, 132 of 211 victims survived. Among the 107 victims included, 55 (51.4%) phone interviews were obtained. Six patients (10.9, 95% CI 1.76–20.05) had an Impact of Event Scale Revised score ≥ 33 indicating a strong probability for post-traumatic stress disorder. Median Mental Component Scale score was 39.0 (IQR 30.5–46.3) for post-traumatic stress disorder patients and 40.1 (IQR 36.5–43.4) for non post-traumatic stress disorder (p = 0.76). Median Physical Component Scale score was 39.4 (37.2–44.3) for post-traumatic stress disorder patients and 44.2 (39.1–46.8) for non post-traumatic stress disorder (p = 0.39). No significant difference in the quality of life in both populations was observed, and no independent risk factors of post-traumatic stress disorder was identified. Conclusion Avalanche accidents may induce post-traumatic stress disorders among survivors in a comparable prevalence to the most traumatic event already studied. Early recognition and preventive measures should be set up in order to reduce the psychological burden in these victims. Trial registration NCT03936738.

scholarly journals Childhood adversities and post-traumatic stress disorder: evidence for stress sensitisation in the World Mental Health Surveys

2017 ◽  
Vol 211 (5) ◽  
pp. 280-288 ◽  
Author(s):  
Katie A. McLaughlin ◽  
Karestan C. Koenen ◽  
Evelyn J. Bromet ◽  
Elie G. Karam ◽  
Howard Liu ◽  
...  
Keyword(s):  
Post Traumatic Stress Disorder ◽  
Traumatic Stress ◽  
Stress Disorder ◽  
Childhood Adversity ◽  
Traumatic Experience ◽  
Traumatic Experiences ◽  
Post Traumatic Stress ◽  
Childhood Adversities ◽  
The World ◽  
Post Traumatic

BackgroundAlthough childhood adversities are known to predict increased risk of post-traumatic stress disorder (PTSD) after traumatic experiences, it is unclear whether this association varies by childhood adversity or traumatic experience types or by age.AimsTo examine variation in associations of childhood adversities with PTSD according to childhood adversity types, traumatic experience types and life-course stage.MethodEpidemiological data were analysed from the World Mental Health Surveys (n = 27017).ResultsFour childhood adversities (physical and sexual abuse, neglect, parent psychopathology) were associated with similarly increased odds of PTSD following traumatic experiences (odds ratio (OR)=1.8), whereas the other eight childhood adversities assessed did not predict PTSD. Childhood adversity–PTSD associations did not vary across traumatic experience types, but were stronger in childhood-adolescence and early-middle adulthood than later adulthood.ConclusionsChildhood adversities are differentially associated with PTSD, with the strongest associations in childhood-adolescence and early-middle adulthood. Consistency of associations across traumatic experience types suggests that childhood adversities are associated with generalised vulnerability to PTSD following traumatic experiences.

scholarly journals Exploring the impact of COVID-19 and restrictions to daily living as a result of social distancing within veterans with pre-existing mental health difficulties

2020 ◽  
pp. bmjmilitary-2020-001622 ◽  
Author(s):  
Dominic Murphy ◽  
C Williamson ◽  
J Baumann ◽  
W Busuttil ◽  
N T Fear
Keyword(s):  
Mental Health ◽  
Social Support ◽  
Post Traumatic Stress Disorder ◽  
Traumatic Stress ◽  
Stress Disorder ◽  
Post Traumatic Stress ◽  
Increased Risk ◽  
Mental Health Difficulties ◽  
Post Traumatic ◽  
The Impact

IntroductionData are emerging showing the adverse consequences on mental health of the general public due to the COVID-19 pandemic. Little is known about the needs of veterans with pre-existing mental health difficulties during the COVID-19 pandemic.MethodsData were collected through a cross-sectional online survey from a randomly selected sample (n=1092) of military veterans who have sought help for mental health difficulties from a veteran-specific UK-based charity. The response rate was 25.2% (n=275). Participants were asked to complete a range of standardised mental health outcomes (post-traumatic stress disorder (PTSD): Post-traumatic Stress Disorder Checklist, common mental health difficulties (CMDs): 12-Item General Health Questionnaire, difficulties with anger: 5-Item Dimensions of Anger Reactions—Revised and alcohol misuse: Alcohol Use Disorders Identification Test) and endorse a list of potential stressors related to changes to daily life resulting from COVID-19. Regression analyses were fitted to explore predictors of mental health severity.ResultsIt was observed that symptoms of common mental disorder and PTSD (69.3% and 65.0%, respectively) were the most commonly reported to have been exacerbated by the pandemic. Lack of social support and reporting increasing numbers of stressors related to COVID-19 were consistently associated with increasing severity of a range of mental health difficulties.ConclusionsOur findings suggest veterans who had pre-existing mental health difficulties prior to the outbreak of COVID-19 may be at increased risk of experiencing CMDs as a result of the pandemic. Intervening to improve levels of social support and offering practical guidance to better manage any additional stressors relating to the pandemic may provide strategies to help reduce the burden of mental health symptoms.

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