scholarly journals Posttraumatic Stress Disorder symptoms in persons involved in road accidents and paramedics

2021 ◽  
Vol 90 (2) ◽  
pp. e515
Author(s):  
Aleksandra Parobkiewicz ◽  
Michał Ziarko ◽  
Julia Krawczyk ◽  
Jagna Jasielska

Aim. The aim of the study was to assess the risk of posttraumatic stress disorder (PTSD) among persons involved in road accidents and paramedics. Little is known about similarity or difference of PTSD symptoms between these two groups involved in accident in voluntary and involuntary way. Material and Methods. Persons involved in road accidents (N = 78) and paramedics (N = 106) completed the Polish version of the Impact of Event Scale–Revised.Results. The percentage of those who reported PTSD symptoms was similar and insignificant among persons involved in road accidents (56%) and among paramedics (45%). A significant difference (p < 0,01) was observed between these groups, however. The total PTSD, intrusions, and avoidance were higher for persons involved in road accidents.Conclusions. Victims, perpetrators, and helpers in road accidents were at a similar risk of PTSD. Peritraumatic interventions are recommended for all these groups.

2008 ◽  
Vol 17 (6) ◽  
pp. 534-543 ◽  
Author(s):  
Karen Wallen ◽  
Wendy Chaboyer ◽  
Lukman Thalib ◽  
Debra K. Creedy

Background Admission to intensive care is often a sudden and unexpected event precipitated by a life-threatening condition, 2 determinants thought to influence the development of posttraumatic stress disorder. Objectives To identify the frequency of acute symptoms of posttraumatic stress disorder and to describe factors predictive of these symptoms in patients 1 month after discharge from intensive care. Methods In this prospective cohort study, all patients meeting the inclusion criteria during the study period were invited to participate. Participants completed the Impact of Event Scale-Revised, and demographic and clinical data were accessed from an intensive care unit database. Results During a 9-month period, 114 of 137 patients who met the inclusion criteria consented to participate in the study, and 100 (88%) completed it. The mean total score on the Impact of Event Scale-Revised was 17.8 (SD, 13.4; possible range, 0–88). A total of 13 participants (13%) scored higher than the cutoff score for clinical posttraumatic stress disorder. Neither sex nor length of stay was predictive of acute symptoms of post-traumatic stress disorder. In multivariate analysis, the only independent predictor of symptoms was age. Patients younger than 65 years were 5.6 times (95% confidence interval, 1.17–26.89) more likely than those 65 years and older to report symptoms. Conclusion The rate of symptoms of posttraumatic stress disorder 1 month after discharge from intensive care was relatively low. Consistent with findings of previous research, being younger than 65 years was the only independent predictor of symptoms.


Critical Care ◽  
2020 ◽  
Vol 24 (1) ◽  
Author(s):  
Megan M. Hosey ◽  
Jeannie-Marie S. Leoutsakos ◽  
Ximin Li ◽  
Victor D. Dinglas ◽  
O. Joseph Bienvenu ◽  
...  

2005 ◽  
Vol 10 (2) ◽  
pp. 124-135 ◽  
Author(s):  
Jan Strelau ◽  
Bogdan Zawadzki

Abstract. This study assesses the impact of temperament and trauma considered as predictors of Posttraumatic Stress Disorder (PTSD) symptoms experienced during flood and coal mining accidents. Five samples were studied - one comprised of coal miners who experienced a mining catastrophe (N = 52) and four samples of flood victims (N = 1041), including 562 females. PTSD symptoms were measured - depending on the sample under study - at different time periods (from 3 months to 3 years), and in two samples repeated measures were taken. For measuring symptoms of PTSD the PTSD-Factorial Version inventory constructed in our laboratory was applied. Temperamental traits were assessed by means of the Formal Characteristics of Behavior - Temperament Inventory. Intensity of trauma and prolonged trauma consequences were measured by means of an interview. For analyzing the data coefficients of correlation and hierarchical regression were used. In all samples such temperament traits as briskness and endurance act as buffers resulting in lowering the effect of trauma inducing events. On the other hand, perseverance and emotional reactivity act as augmenters that result in increasing the effect of experienced trauma. In all samples emotional reactivity was the best predictor of the intensity of PTSD symptoms. In samples in which measures of trauma were included both variables - trauma and emotional reactivity - contributed essentially as predictors of PTSD symptoms and this held true independent of whether PTSD was assessed 3 months, 15 months, or 3 years after experiencing the disaster (flood).


2021 ◽  
Vol 30 (1) ◽  
pp. 45-54
Author(s):  
Marta Prats Arimon ◽  
Montserrat Puig Llobet ◽  
Juan Roldán-Merino ◽  
Carmen Moreno-Arroyo ◽  
Miguel Ángel Hidalgo Blanco ◽  
...  

Background Communication is key to understanding the emotional state of critical care patients. Objective To analyze the effectiveness of the communicative intervention known as CONECTEM, which incorporates basic communication skills and augmentative alternative communication, in improving pain, anxiety, and posttraumatic stress disorder symptoms in critical care patients transported by ambulance. Methods This study had a quasi-experimental design with intervention and control groups. It was carried out at 4 emergency medical centers in northern Spain. One of the centers served as the intervention unit, with the other 3 serving as control units. The nurses at the intervention center underwent training in CONECTEM. Pretest and posttest measurements were obtained using a visual analog scale to measure pain, the short-version State-Trait Anxiety Inventory to measure anxiety, and the Impact of Event Scale to measure posttraumatic stress disorder symptoms. Results In the comparative pretest-posttest analysis of the groups, significant differences were found in favor of the intervention group (Pillai multivariate, F2,110 = 57.973, P &lt; .001). The intervention was associated with improvements in pain (mean visual analog scale score, 3.3 pretest vs 1.1 posttest; P &lt; .001) and posttraumatic stress disorder symptoms (mean Impact of Event Scale score, 17.8 pretest vs 11.2 posttest; P &lt; .001). Moreover, the percentage of patients whose anxiety improved was higher in the intervention group than in the control group (62% vs 4%, P &lt; .001). Conclusion The communicative intervention CONECTEM was effective in improving psychoemotional state among critical care patients during medical transport.


2017 ◽  
Vol 21 (4) ◽  
Author(s):  
Gabriela da Cunha Januário ◽  
Priscila do Carmo Freitas de Carvalho ◽  
Juliano Teixeira Moraes ◽  
Mariana Alvina dos Santos ◽  
Elucir Gir ◽  
...  

Abstract Objective: To track symptoms of posttraumatic stress disorder (PTSD) according to scores of the Impact of Event Scale-Revised (IES-R) in nursing staff exposed to accidents with biological material, from October 2014 to May 2016, in a philanthropic hospital in the state of Minas Gerais. Methods: Retrospective, descriptive study with a quantitative approach. Inferential analysis was performed using a 95% confidence interval, p ≤ 0.05. The data were collected considering all the ethical aspects described in resolution 466/2012. Results: The majority of workers were nursing technicians (52.5%), female (91.8%), with a mean age of 31.4 years (SD 7.5), the majority of exposures being percutaneous (60.7%). Of all individuals, 19.6% presented scores above 5.6, showing signs of PTSD. Individuals who had suffered accidents more than six months previously (p = 0.025) had significantly higher scores than those who had been exposure for less than three months. Conclusion: The study highlights the need for the use of validated instruments for the evaluation of fear, anxiety, stress, and other psychological reactions that characterize PTSD, as well as the provision of psychological care for workers exposed to biological material.


2011 ◽  
Vol 26 (S2) ◽  
pp. 778-778
Author(s):  
G. Fastovtsov ◽  
E. Sokolova

As an observation object for this research were taken veterans of local wars with posttraumatic stress disorder. Research materials were based at analysis of representative group, contains of 478 man, who were doing their military service at the areas of local armed conflicts with clinics of posttraumatic stress disorder. The main group contains of 344 man who committed an aggressive crime and passed an examining in Serbsky National Research Center for Social and Forensic psychiatry, Moscow. For the contrast group were taken 134 man, who were under the treatment in military hospitals.To educate specialty and estimate severity of posttraumatic stress disorder was used the Impact of Event Scale-Revised, IES-R. Reliable difference were received. Clinics of this disorder includes not only intrusion, avoidance and hyperarousal, but organic mental disorders also.This scale was officially accepted in Russian science academy. Intrusion scale contains of such factors as obsessive flashbacks at the influence of stress factors and nightmares. Avoidance scale includes attempts to avoid experience, connected with stress event and reactivity reduce. Symptoms of third scale includes irritability, tension, emotion instability, difficulties of attention concentration. For patients who committed crimes the level of intrusion and hyperarousal was reliably higher. No difference was found at the avoidance. For assessment of aggression risk were created special models, based on subscale IES-R. The results of regression analysis showed the predictors of criminal aggression. The research permits to make prognosis for criminal aggression as a complicated form of posttraumatic stress disorder.


2021 ◽  
pp. 008124632110318
Author(s):  
Victor Mwanamwambwa ◽  
Basil Joseph Pillay

The present study investigated posttraumatic stress disorder and psychological distress among Rwandan refugees living in the townships of Lusaka, Zambia. Refugees are often exposed to trauma and violence which leads to a wide range of psychological distress and mental disorders. Two hundred and sixty-seven refugees participated in the study. The sample consisted of older and younger adult refugees, 128 (47.9%) males and 139 (52.1%) females, from Lusaka. The Impact of Event Scale–Revised and the General Health Questionnaire-28 were administered to all participants. The study found that a significant number of participants reported posttraumatic stress disorder and psychological distress. About 76.8% endorsed posttraumatic stress disorder symptoms. In addition, 31.8% reported somatic symptoms, 36.7% anxiety or insomnia, 27.3% social dysfunction, and 22.8% severe depression. Lower education ( p < .01), larger family size ( p < .001), lack of financial support ( p < .05), and being unemployed ( p < .001) were positively associated with posttraumatic stress disorder and psychological distress. Intervention strategies aimed at improving the lives of refugees should be ongoing and must encompass a well-articulated, structured refugee policy that emphasizes mental health and psychological needs.


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