scholarly journals Post-Traumatic and Psychopathological Symptoms of a Person with Victim Identity Who Survived a Car Accident

2021 ◽  
Vol 10 (1) ◽  
pp. 80-99
Author(s):  
O.O. Andronnikova ◽  
Yu.M. Zabrodin

The paper analyzes the post-traumatic and psychopathological symptomatology of a person with victim identity in people who have survived a car accident. The article presents the materials of an empirical study obtained on a sample of people who had a car accident and who asked for psychological help for a subsequent violation of adaptation. The study involved 204 respondents aged 25 to 50 years, divided into groups based on the presence of signs of post-traumatic stress. The first group consisted of persons with pronounced post-traumatic symptoms (139 people, 78% of them are women), the second group consisted of persons without pronounced post-traumatic symptoms (65 people, 64% of women). The study used the following methods: the Questionnaire of dispositional self-attentiveness, a modified form of the Freiburg Personality Inventory (FPI), the Meaning-in-Life Orientations test developed by D.A. Leontiev, the COPE Inventory, which assesses the characteristics of responding to difficulties in everyday life situations, the Victim Personality Identity Scale, the Impact of Event Scale-R, and the Symptom Check List-90-Revised. The results obtained allow us to conclude that victim identity is a component of a personality with pronounced post-traumatic and psychopathological symptoms. Other components of personality in the structure of experiencing post-traumatic stress are intrapersonal conflict, personality crisis, and fixation on a traumatic event, which aggravate psychopathological symptoms when experiencing a car accident.

1991 ◽  
Vol 21 (1) ◽  
pp. 85-91 ◽  
Author(s):  
Anthony Feinstein ◽  
Ray Dolan

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.


Author(s):  
Charlotte Léonard ◽  
Anaëlle Charriau-Perret ◽  
Guillaume Debaty ◽  
Loïc Belle ◽  
Cécile Ricard ◽  
...  

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.


2011 ◽  
Vol 26 (S2) ◽  
pp. 142-142
Author(s):  
C. Carmassi ◽  
C. Socci ◽  
M. Corsi ◽  
I. Pergentini ◽  
E. Massimetti ◽  
...  

IntroductionAround 9–20% of bereaved individuals experience symptoms of complicated grief (CG) associated with significant distress and impairment. Increasing research has been focused on identifying the distinctive set of psychiatric symptoms that characterize this condition with respect to major depression, corroborating the need to include this syndrome in the forthcoming DSM-V as a distinctive diagnosis. Vulnerability to CG has been rooted in attachment disturbances and authors reported that symptoms of separation anxiety in childhood should be considered as predictors of CG onset in adulthood.ObjectivesTo date no study explored symptoms of adult separation anxiety among patients with CG with respect to healthy control subjects (HC).AimsTo explore adult separation anxiety and mood spectrum symptoms in patients with CG with respect to HC.Methods53 patients with CG and 50 control subjects were recruited, Department of Psychiatry, University of Pisa. Assessments: SCID-I/P, the Inventory of Complicated Grief (ICG), the Adult Separation Anxiety Questionnaire (ASA-27), the Work and Social Adjustment Scale (WSAS), the Impact of Event Scale (IES) and the Mood Spectrum-Self Report (MOODS-SR) lifetime version.ResultsPatients with CG reported significantly higher scores on the MOODS-SR, ASA_27, IES and WSAS with respect to controls. The scores on the ASA_27 were more strongly associated with IES scores with respect to other scales.ConclusionsOur results suggest a correlation between adult separation anxiety and CG onset after the loss of a loved one in adulthood, with a possible correlation to a post-traumatic stress symptomatology. Further studies are needed.


2007 ◽  
Vol 55 (1) ◽  
pp. 71-90 ◽  
Author(s):  
Joanne Cacciatore

This research study explores the effects of support groups on traumatic stress responses of women experiencing stillbirth. Women ( N = 47) responded to a mixed method questionnaire. Quantitative results utilizing the Impact of Event Scale Revised demonstrate that women who attend support group, when controlling for time, had fewer post traumatic stress symptoms than did the women who did not attend support group. Qualitative results elucidate the role of support groups in managing grief, suggesting that connectivity with other like women may be a useful strategy in reducing problematic psychological outcomes.


2021 ◽  
Vol 10 (34) ◽  
pp. 2884-2887
Author(s):  
Ajay Kumar Joopaka ◽  
Molanguri Umashankar ◽  
Pingali Srilakshmi ◽  
Pradeep Sharma Telkapalli ◽  
Chinni Krishna Banoth ◽  
...  

BACKGROUND Corona virus disease or the (COVID 19) has caused mental health problems in the general population, in people infected and hospitalised for the disease and in patients who have recovered from the disease physically but continue to suffer from lingering mental health problems. Studies have shown stress, depression, and anxiety in one third of the survivors. Similarly post-traumatic stress disorder has been reported to be around 13 % in the survivors of COVID 19. In this study, we wanted to assess the psychological symptoms in the survivors of Covid 19 patients, one month post discharge and also assess various factors associated with the same. METHODS A cross sectional telephonic survey of the patients one month following discharge was done to understand the psychological problems. Sociodemographic data was recorded on a semi structured proforma, whereas psychological distress was recorded on patient health questionnaire - 4 (PHQ - 4) and the post-traumatic stress disorder (PTSD) was screened for by the impact of event scale revised (IES - R). RESULTS Of the 200 patients evaluated, 46.8 % scored above 20 on the impact of event scale which was considered to be a positive screen for post-traumatic stress disorder. Moderate psychological distress was reported by 10.5 % and severe by 7.5 % as measured by PHQ - 4. Being married, having other family members effected by the infection and deaths in the family were some of the factors that were significantly associated with psychological distress and symptoms of post-traumatic stress disorder. CONCLUSIONS Continued mental health support needs to be extended to members who are considered to have recovered and discharged from the hospital following the COVID 19 infection. KEY WORDS COVID 19, Psychological Symptoms, Post-Traumatic Stress Disorder


2021 ◽  
Vol 12 ◽  
Author(s):  
Chiara Davico ◽  
Ada Ghiggia ◽  
Daniele Marcotulli ◽  
Federica Ricci ◽  
Federico Amianto ◽  
...  

Aim: The coronavirus disease 2019 (COVID-19) pandemic has abruptly changed the life of millions as travel and social contacts have been severely restricted. We assessed the psychological impact of COVID-19 on adults and children, with special attention to health care workers (HCWs).Methods: A self-rated online survey, including the Impact of Event Scale-Revised (IES-R) for adults and the Children Revised Impact of Event Scale-Revised-13 items (CRIES-13) for their 8–18-year-old offspring, was conducted in Italy on March 20–26, 2020. Linear mixed-effects models were applied to the data, accounting for age, sex, education, and other demographic characteristics.Results: Data were available from 2,419 adults (78.4% females, mean age 38.1 ± SD 13.1 years; 15.7% HCW) and 786 children (50.1% male, mean age 12.3 ± 3.2 years). Median (IQR) IES-R score was 30.0 (21.0–40.0), corresponding to mild psychological impact, with 33.2% reporting severe psychological impact. IES-R was lower in HCWs (29.0) than non-HCWs (31.0), but HCWs directly involved in COVID-19 care had higher scores [33.0 (26.0–43.2)] than uninvolved HCWs [28.0 (19.0–36.0)]. Median CRIES-13 score was [21.0 (11.0–32.0)], with 30.9% of the children at high risk for post-traumatic stress disorder. Parent and child scores were correlated.Conclusions: Up to 30% of adult and children in the pandemic area are at high risk for post-traumatic stress disturbances. The risk is greater for HCWs directly involved in COVID-19 care and for their children.


2020 ◽  
pp. 135910452098002
Author(s):  
Ioanna Giannopoulou ◽  
Clive Richardson ◽  
Danai Papadatou

In our prospective study, 168 adolescents exposed directly or indirectly to the same traumatic event—a fatal school bus accident—in which seven students were killed instantly, were assessed for post-traumatic stress, depression and grief symptoms at 2- and 18-months post-accident. Prevalence rates of likely PTSD and depression were noted across all types of physical proximity exposure: 77.6% and 48.1% respectively in the indirectly exposed group, 79.4% and 47.1% respectively in the directly in-the-area exposed group, and 77.8% and 42.1% respectively in the directly in-bus exposed group. One-fifth experienced high and unremitting levels of grief symptoms over time (“persistent grief”); 17% with initially high levels of grief symptoms showed a decrease at 18 months but were still within the low medium range (“towards recovery”); 39% with initially medium/high grief symptoms reported low levels of grief at the follow-up (“recovery”); and 23% of the participants experienced grief symptoms that remained persistently low (“resilient”). The absence of both PTSD and depression at 18 months predicted adjustment to loss, whereas the absence of depression at 18 months predicted a recovering course of grief. The findings highlight the impact of high levels of post-traumatic stress and depression symptoms on the long-term persistent grief outcome.


2012 ◽  
Vol 9 (1) ◽  
pp. 20-22
Author(s):  
M. S. Tareen ◽  
C. McDowell ◽  
K. Naqvi ◽  
A. Bashir ◽  
P. Keenan ◽  
...  

In the aftermath of the major earthquake that hit Pakistan in 2005, there appeared to be a paucity of psychometric tools validated in Urdu. It was decided to translate the Impact of Event Scale - Revised (IES-R) so as to obtain an internationally validated and recognised psychometric tool for use in research into post-traumatic stress disorder. The resulting Urdu and English versions of the IES-R were compared for linguistic, conceptual and scale equivalence. The Urdu version of the IES-R (UIES-R) can be used for clinical, psychological trauma populations in Pakistan with evidence of good reliability and satisfactory validity. In trauma research in Pakistan the UIES-R will be an extremely useful psychometric tool.


2020 ◽  
pp. 070674372097085
Author(s):  
Barbara S. E. Verstraeten ◽  
Guillaume Elgbeili ◽  
Ashley Hyde ◽  
Suzanne King ◽  
David M. Olson

Objective: Following disasters, perinatal women are vulnerable to developing post-traumatic stress disorder (PTSD)-like symptoms. Little is known about protective factors. We hypothesized that peritraumatic stress would predict PTSD-like symptoms in pregnant and postpartum women and would be moderated by social support and resilience. Method: Women ( n = 200) who experienced the 2016 Fort McMurray Wood Buffalo wildfire during or shortly before pregnancy completed the Peritraumatic Distress Inventory (PDI), Peritraumatic Dissociative Experiences Questionnaire, and the Impact of Event Scale-Revised for current PTSD-like symptoms. They also completed scales of social support (Social Support Questionnaire-Short Form) and resilience (Connor-Davidson Resilience Scale). Results: Greater peritraumatic distress ( r = 0.56) and dissociative experiences ( r = 0.56) correlated with more severe PTSD-like symptoms. Greater social support satisfaction was associated with less severe post-traumatic stress symptoms but only when peritraumatic distress was below average; at more severe levels of PDI, this psychosocial variable was not protective. Conclusions: Maternal PTSD-like symptoms after a wildfire depend on peritraumatic distress and dissociation. Higher social support satisfaction buffers the association with peritraumatic distress, although not when peritraumatic reactions are severe. Early psychosocial interventions may protect perinatal women from PTSD-like symptoms after a wildfire.


2000 ◽  
Vol 14 (2_suppl1) ◽  
pp. S5-S12 ◽  
Author(s):  
J. R. T. Davidson

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.


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