scholarly journals Factors Affecting Secondary Traumatic Stress Disorder among Search and Rescue Team in Makassar

Author(s):  
Sri Rahayu ◽  
Elly Lilianty Sjattar ◽  
Tuti Seniwati

Introduction: Disaster is an unwanted event and usually occur suddenly and is accompanied by many victims. Disasters can have many impacts, both physical and psychological. The psychological impact that can arise on disaster victims is called Post Traumatic Stress Disorder (PTSD). Not only on the victim, the person who served as a helper also can have psychological disorders. Psychological disorders in these helpers are called Secondary Traumatic Stress Disorder (STSD). This study was aimed to  identify factors that influence the incidence STSD the Search and Rescue (SAR) teams in universities and BASARNAS Makassar. Method: This research is a quantitative study with a cross-sectional approach using total sampling techniques the samples in this study were all sar and basrnas member (n=60) who agreed to be the respondent and have involved in rescue activity on one last year. Data is collected by distributing questionnaires. Questionnaires used were Secondary Traumatic Stress Scale and Crisis Support Scale.  The statistical test used Chi square test, Mann-Whitney U test and logistic regression analysis. Result: The study showed that there was a relationship between the frequency of exposure, social support, and the length of work (p<0,05) and the incidence of STSD. However, the type of exposure has no significant relationship with the incidence of STSD. Conclusion: Social support is the most significant factor compared to the frequency of exposure, the type of disaster and length of work / joining. This research is expected to provide additional information on STSD risk factors. For future researchers, in order to examine other variables which is trauma history and coping mechanism the SAR team to experience symptoms of STSD

2020 ◽  
Vol 6 (2) ◽  
Author(s):  
Osman Mahmoudi ◽  
Mohammad Rauf Amini

Background: The post-traumatic stress disruption checklist (PCL) is a reliable self-assessment measure for post-traumatic stress disorder (PTSD). Recently, the PCL has been updated based on the DSM-5 criteria for PTSD Objectives: The present study aimed to determine the psychometric properties and diagnostic capability of the PCL as a screening tool in an earthquake-stricken population in Kermanshah, Iran. Methods: This cross-sectional study was conducted on 200 injured earthquake victims in Sales and Javanrud counties. The subjects were selected via purposive sampling. The PCL was translated into Kurdish (Surani), and trained interviewers run the translated version for 200 individuals manifesting the symptoms of post-earthquake stress in the earthquake-stricken cities of Javanrud and Sales located in Kermanshah province. After two weeks, 100 participants were randomly selected, and the questionnaire was completed again. Results: The internal consistency of the PCL (α = 85%) was indicative of the validity of the checklist. The Youden’s index with the cutoff point of 23 was considered optimal for the PCL tool. The diagnostic values of sensitivity and specificity were estimated at 0.82 and 0.81, respectively (P < 0.001). In addition, the test-retest results were equal after two weeks (α = 87%), indicating the high reliability of the checklist. Conclusions: According to the results, the PCL is a sensitive and accurate tool for assessing the status of PTSD in disaster victims and accidents and could be used in the screening of PTSD in the health monitoring programs for these victims.


2020 ◽  
pp. bmjmilitary-2020-001622 ◽  
Author(s):  
Dominic Murphy ◽  
C Williamson ◽  
J Baumann ◽  
W Busuttil ◽  
N T Fear

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.


2020 ◽  
Vol 8 (18) ◽  

The purpose of this review study is to examine the psychological effects of the COVID-19 outbreak on individuals in different groups. When the literature is examined, it can be stated that this epidemic causes negative emotional reactions such as anxiety, fear, and anger in adults, increases stress levels, increases their susceptibility to psychological disorders such as anxiety disorders, depressive disorders, posttraumatic stress disorder, and causes suicidal thoughts and insomnia. It can be stated that fear and anxiety are experienced intensely in children and adolescents, anxiety disorders increase, and their parents need to make explanations appropriate to their children's cognitive levels to prevent these disorders. It is indicated that health workers struggling with the epidemic on the field have symptoms related to anxiety disorders, post-traumatic stress disorder, and depressive disorders. They experience sleep disorders and their effective problem-solving skills decrease due to the stress and conflicts they experience. In the light of this information, it can be thought that it is important that health authorities and the media emphasize issues such as raising awareness about symptoms related to psychological disorders, activities that support psychological health, and the importance of receiving psychological support when necessary. In the last part of the study, it was aimed to make suggestions for future research about pandemic related psychological disorders in our country. In this context, it has been suggested that studies can be carried out related to exposure to traumatic contents in the media, curfew, how being in certain age groups affect individuals, the effectiveness of primary and secondary prevention interventions and various psychological interventions, and the effective use of social support mechanisms in the pandemic process. Keywords COVID-19, psychological effects, psychological disorders, clinical psychology, post traumatic stress disorder


2020 ◽  
Vol 13 (1) ◽  
pp. 213-222
Author(s):  
Nandang Rusmana ◽  
Anne Hafina ◽  
Dodi Suryana

Background: This study was motivated by the failure of coping and adaptation to traumatic experiences that cause a wide, deep, and long-term snowball effect that may not be reversible. Objective: This study aims to test the effectiveness of the implementation of group play therapy in dealing with post-traumatic stress disorder (PTSD) victims of natural disasters in three provinces in Indonesia. Materials and Methods: The study employed an explanatory mixed methods design. The procedures and steps taken in this study refer to the research and development cycle. The subjects and objects of the study were 106 male and 92 female preadolescent students of junior high school in three provinces in Indonesia. Results: Traumatic counselling through group play therapy techniques has the effect of reducing post-traumatic stress disorder on victims of the tsunami disaster in three provinces in Indonesia. The first study conducted in Lombok West Nusa Tenggara province obtained the results of the calculation of the value μ2 = 0.021 for the value of μ1> 0.05. The second study in Palu, Central Sulawesi Province obtained the results of the calculation of the value of μ2 = 0.018 for the value of μ1> 0.05, and the third study in Anyer, Banten province obtained the results of the calculation of the value of µ2 = 0.011 for the value of µ1 > 0.05. Conclusion: Teaching and practising the skills of traumatic counselling using using Group Play Therapy can handle PTSD victims of natural disasters that significantly change victims.


Author(s):  
Hariri El Mehdi ◽  
Sellouti Mohamed ◽  
Nguadi Jaouad ◽  
Chhoul Hakima

Introduction : Odontophobia is a complex anxiety disorder related to excessive fear of dental care. Of multifactorial origin, it affects more females than males at all ages. Odontophobia can also be associated with other disorders, namely post-traumatic stress disorder (PTSD), which is recognized in refugees from civil wars. Materials and methods : Descriptive and analytical cross-sectional epidemiological study, carried out during February 2020 at the Syrian refugee camp in Zaatari, Jordan, involving 200 consultants at the dental office to assess their degree of odontophobia and to determine the risk factors associated with this disorder, particularly post-traumatic stress disorder (PTSD). Results : The authors collated 200 subjects of which 125 (62.5%) were phobic with a corah score (> or = to 13) and 75 (37.5%) were non-phobic with a corah score (< to 13). The sex ratio was statistically different between the two populations with a predominance of female sex (p=0.025). odontophobia is also related to the length of time spent in Syria during the civil war, it is observed more in 96 (48%) patients who spent between (13 and 24 months) (p=0.017). Similarly, odontophobia is influenced by post-traumatic stress disorder in its severe form (p=0.011). Conclusion: Descriptive and analytical observational epidemiological study showing the high prevalence of odontophobia among Syrian refugees consulting at the dental office of the Moroccan military medical-surgical hospital in Zaatari camp in Jordan and its influence by post-traumatic stress disorder (PTSD).


Author(s):  
Khalid Astitene ◽  
Hassan Aguenaou ◽  
Laila Lahlou ◽  
Amina Barkat

Aim: After a traumatic event, the person can develop post-traumatic stress disorder (PTSD), the purpose of the study is to assess the prevalence of PTSD in adolescents in public middle schools of the prefecture of Salé in Morocco and study anxiety and depression which are the comorbid disorders of the PTSD. The survey was carried out from March to June 2017. Methods: 523 students were selected by the cross-sectional method from fifteen schools that were randomly selected, the age of the students vary between 12 and 17 years. For the survey, standardized questionnaires (the socio-demographic data, the Life Events Checklist, the CPTS-RI (Children's Post Traumatic Stress Reaction Index), the STAIY (State Trait Inventory Anxiety Form Y) and the CDI (Children Depression Inventory) were used which were filled in by the students. Results: The prevalence of PTSD was 70.4% in the students who have PTSD. We found that the prevalence in boys was 46.74%, while in girls it was 53.26%. In addition to that, 81% of students found to be anxious and 51.8% of students have depression. Conclusion: There is a high prevalence of post traumatic stress disorder among adolescents, there are practical implications for the support and care of these adolescents.


2020 ◽  
Author(s):  
Maria Malliarou ◽  
Dimitra Tsapakidi ◽  
Mairi Gouva ◽  
Evaggelia Kotrotsiou ◽  
Athanasios Nikolentzos ◽  
...  

Abstract Background The number of refugees and displaced people who have been forced to migrate due to war, mass violence and political instability has reached unprecedented levels. The objective of this study was to assess the degree of depression, resilience and post-traumatic stress disorder (PTSD) in asylum-seeker war refugees, temporally stationed in Larisa, Central Greece, through self-administered questionnaire. Simple regression, Pearson’s correlation coefficient and one-way Anova was used.Methods A cross-sectional study carried out with asylum-seeker war refugees residing in Larisa at a number of apartments rented and ran by the UNHCR and the municipality of Larisa. For the data collection PHQ-9 questionnaire, CD-RISC questionnaire and Harvard Trauma questionnaire (HTQ) were used. Descriptive statistics were applied, as well as Cronbach’s alpha coefficient.Results A total of 64 immigrants (40 males and 23 females, 1-mssing value) agreed to participate in the research. The mean age was 35.72 (SD 7.45), 35 respondents were classified as increased PTSD (scores > 2.5). The results showed a physically and exhausted sample, with marginal mental strength (Mean = 59.38%), fluctuating between moderate (N% = 28.10%) and severe depression (N% = 28.10%). About one in two participants (N% = 54.70%) showed signs of post-traumatic stress disorder PTSD, reporting traumatic experiences that mainly involved immediate events of violence, i.e. beating, while there were very few cases of sexual abuse or violence. A key factor in the formulation of PTSD, depression and Mental Stress Indicators was found to be age but limited to 43 years.Conclusion This study revealed that the refugees of the sample are tired, after being absent and idle for about 2 years from their homeland, in a marginal state of collapse. The most important event-hope that sustains its moderate resilience is the grant of asylum and the hope of arrival in the country of destination.


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