scholarly journals Emotional Personality Characteristics of Patients Diagnosed with Meningioma with Severe Post-Traumatic Stress

2018 ◽  
Vol 7 (4) ◽  
pp. 150-167
Author(s):  
N.E. Kharlamenkova ◽  
O.S. Zaitsev ◽  
D.A. Nikitina ◽  
A.N. Kormilitsyna

The results of the study on post-traumatic stress rates and individual indicators arising in response to the diagnosis of a life-threatening disease are being analyzed. The participants of the study are the patients of Burdenko National Medical Research Center of Neurosurgery, Ministry of Health of the Russian Federation (n = 25) diagnosed with meningioma. It has been shown that one of the psychological consequences of the diagnosis of “meningioma” is post-traumatic stress of different intensity rates. Increased depression, shyness and emotional lability are associated with high post-traumatic stress rates. The comparison of the triad of emotional-personal characteristics, social support indicators (according to the Psychological Safety Questionnaire) and basic assumptions (according to the World Assumptions Scale) made it possible to verify the research hypothesis. It has been revealed that high rates on depression and shyness scales (according to the Freiburg Personality Inventory) do not reflect the tendency to avoid social contact, but indirectly indicate the presence of auto-aggression or introverted orientation directed to oneself in people diagnosed with this disease.


2020 ◽  
Vol 116 (5) ◽  
pp. 110-120
Author(s):  
Nataliya E. Kharlamenkova ◽  
◽  
Dariya A. Nikitina ◽  

The article is devoted to the study of delayed (post-traumatic) stress caused by different types of stressful situations (death of a loved one, life-threatening diseases, traffic accidents, situations of physical and emotional violence) during early adulthood, the analysis of specific psychological markers of its intensity. The study involved 509 people (232 men and 277 women) aged 17 to 35 years (Me = 21; SD = 4,3). Methods: Posttraumatic Stress Disorder Checklist (PCL-5) in the Russian-language adaptation by N. V. Tarabrina and co-authors for the diagnosis of stressful events and their psychological consequences; the list of stress situations contained in the Life Events Checklist (LEC-5) for DSM-5; the Symptom Check List-90-r-Revised (SCL-90-R) technique in the Russian-language adaptation by N. V. Tarabrina and co-authors was used to evaluate psychopathological symptoms. It has been shown that the most severe in intensity posttraumatic stress causes situations that pose a threat to the physical and psychological well-being of a person at the same time (violence and life-threatening disease). Taking into account the level of mental trauma and the type of stressor, an analysis of a number of features of psychopathological symptoms was carried out. The results of the study made it possible to identify markers of severe post-traumatic stress, which were indicators of violation of contact with reality, expressed in distancing a person from the surrounding reality, distrust of the world, suspicion, phobic anxiety.



2020 ◽  
Vol 9 (2) ◽  
pp. 196-212
Author(s):  
N.E. Kharlamenkova ◽  
D.A. Nikitina

The article presents the results of the theoretical and empirical study of the psychological consequences of the different types of stressors impact on humans. A frequency analysis of extreme stressful events was carried out on the sample n=529 people (from 17 to 41 years old, 233 men and 296 women). In order to study the psychological consequences of certain types of stressors – natural disasters and life-threatening diseases influence, an analysis of post-traumatic stress and psychopathological symptoms was carried out in the part of the sample (n=90 people). The k-means cluster analysis divided the sample into three groups, the first of which included mainly respondents who indicated life-threatening diseases, and the third one – natural disasters; in the second group, events were distributed evenly. Comparison of different groups data allowed us to verify the hypothesis of the study. Revealed that the psychological consequences of natural disasters and life-threatening diseases differ in the level of post-traumatic stress and psychopathological symptoms – depression, anxiety, interpersonal sensitivity, paranoia and other symptoms, which are more pronounced in people with a severe somatic disease in anamnesis. The success of coping with psychological consequences of the various stressors influence is analyzed in the context of interpreting these consequences as a collective or individual trauma.



Vestnik RFFI ◽  
2019 ◽  
pp. 49-58
Author(s):  
Natalia E. Kharlamenkova ◽  
Daria A. Nikitina

This article presents the results of theoretical and empirical study of the psychological problems, which are arisen on the influence of high-intensity stressors on a personality. The post-traumatic stress, as a delayed complex response to a stress- or – a life-threatening disease, is considered as one of such consequences. On a sample of people (n = 39) diagnosed with meningioma (a benign tumor of the arachnoid mater), in the post-surgical period, a comprehensive psychological study was conducted using the interviewing and testing methods. The authors verified the hypothesis of a special configuration of personality characteristics and psychopathological symptoms at different levels of post-traumatic stress (PTS), caused by the reaction of the individual to the diagnosis of meningioma. The investigation demonstrates that at the high level of PTS such personality traits as depression, emotional lability, shyness and irritability are diagnosed, that are the most likely prerequisites for the development of psychopathological symptoms – depression, anxiety, paranoid ideation and psychoticism. It is concluded that the severe experience of post-traumatic stress, caused by the diagnosis of a life-threatening illness, systematically manifests itself at all levels of the individual functioning – organismal, psychological and social.



2010 ◽  
Vol 17 (1) ◽  
pp. 21-26 ◽  
Author(s):  
J. A. Haagsma ◽  
S. Polinder ◽  
H. Toet ◽  
M. Panneman ◽  
A. H. Havelaar ◽  
...  


Author(s):  
Peter Roy-Byrne ◽  
Murray B. Stein

There has been increasing recognition of the important and reciprocal relationship between medical illness and depressive and anxiety disorders. This chapter examines the interrelationship between medical illness and post-traumatic stress disorder (PTSD), a unique disorder with features of depression and anxiety, from multiple perspectives. Medical illness, especially acute, unexpected illness and injury, can serve as a life-threatening traumatic stressor that precipitates PTSD through multiple mechanisms. PTSD, and even traumatic exposure without subsequent PTSD, may increase the risk of a variety of medical illnesses, with the most-studied illness being cardiovascular disease. PTSD may also worsen the course and outcome of already existing medical illness. Extant research has not addressed the possibility that medical Illness may worsen the course or outcome of PTSD, but similar research has shown only limited effects of medical illness on depression and anxiety outcomes. These reciprocal relationships are thought to exert their effects through mutually reinforcing neurobiological mechanisms as well as through effects on health behaviors.



2005 ◽  
Vol 2 (4) ◽  
pp. 503-512 ◽  
Author(s):  
Javier Iribarren ◽  
Paolo Prolo ◽  
Negoita Neagos ◽  
Francesco Chiappelli

The stress that results from traumatic events precipitates a spectrum of psycho-emotional and physiopathological outcomes. Post-traumatic stress disorder (PTSD) is a psychiatric disorder that results from the experience or witnessing of traumatic or life-threatening events. PTSD has profound psychobiological correlates, which can impair the person's daily life and be life threatening. In light of current events (e.g. extended combat, terrorism, exposure to certain environmental toxins), a sharp rise in patients with PTSD diagnosis is expected in the next decade. PTSD is a serious public health concern, which compels the search for novel paradigms and theoretical models to deepen the understanding of the condition and to develop new and improved modes of treatment intervention. We review the current knowledge of PTSD and introduce the role of allostasis as a new perspective in fundamental PTSD research. We discuss the domain of evidence-based research in medicine, particularly in the context of complementary medical intervention for patients with PTSD. We present arguments in support of the notion that the future of clinical and translational research in PTSD lies in the systematic evaluation of the research evidence in treatment intervention in order to insure the most effective and efficacious treatment for the benefit of the patient.



Hand Therapy ◽  
2016 ◽  
Vol 22 (1) ◽  
pp. 35-45 ◽  
Author(s):  
Caroline Miller ◽  
Aimie L Peek ◽  
Dominic Power ◽  
Nicola R Heneghan

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.



BJPsych Open ◽  
2019 ◽  
Vol 5 (5) ◽  
Author(s):  
Trond Heir ◽  
Tore Bonsaksen ◽  
Tine Grimholt ◽  
Øivind Ekeberg ◽  
Laila Skogstad ◽  
...  

Background It has been suggested that countries with more resources and better healthcare have populations with a higher risk of post-traumatic stress disorder (PTSD). Norway is a high-income country with good public healthcare. Aims To examine lifetime trauma exposure and the point prevalence of PTSD in the general Norwegian population. Method A survey was administered to a national probability sample of 5500 adults (aged ≥18 years). Of 4961 eligible individuals, 1792 responded (36%). Responders and non-responders did not differ significantly in age, gender or urban versus rural residence. Trauma exposure was measured using the Life Events Checklist for the DSM-5. PTSD was measured with the PTSD Checklist for the DSM-5. We used the DSM-5 diagnostic guidelines to categorise participants as fulfilling the PTSD symptom criteria or not. Results At least one serious lifetime event was reported by 85% of men and 86% of women. The most common event categories were transportation accident and life-threatening illness or injury. The point prevalence of PTSD was 3.8% for men and 8.5% for women. The most common events causing PTSD were sexual and physical assaults, life-threatening illness or injury, and sudden violent deaths. Risk of PTSD increased proportionally with the number of event categories experienced. Conclusions High estimates of serious life events and correspondingly high rates of PTSD in the Norwegian population support the paradox that countries with more resources and better healthcare have higher risk of PTSD. Possible explanations are high expectations for a risk-free life and high attention to potential harmful mental health effects of serious life events. Declaration of interest None.



Author(s):  
Roser Cirici Amell ◽  
Aloma Riera Soler ◽  
Jesus Cobo ◽  
Joan Miquel Soldevilla Alberti

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.



2018 ◽  
Vol 164 (2) ◽  
pp. 127-129 ◽  
Author(s):  
Emeric Saguin ◽  
S Keou ◽  
C Ratnam ◽  
C Mennessier ◽  
H Delacour ◽  
...  

Rhabdomyolysis is a potential complication of psychotropic drugs use and may potentially lead to life-threatening complications, such as an acute renal failure. We describe the case of a 40-year-old military soldier suffering from post-traumatic stress disorder was admitted for an adaptation of his treatment. Mirtazapine was introduced and quetiapine increased. Two days later, the patient presented with severe rhabdomyolysis syndrome. Mirtazapine administration was paused and intravenous hydration commenced. Shortly after the creatine kinase levels decreased enabling mirtazapine to be reintroduced without complication. It is our opinion that 5-hydroxytryptamine 2a serotonergic receptors inhibition (related to mirtazapine and quetiapine) associated with muscle training was responsible for inducing rhabdomyolysis. This must be kept in mind when psychotropic medications are adjusted, especially in an athletic population such as military.



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