scholarly journals Correlation Between Psychological Rumination and Symptoms of Traumatic Stress in Patients with Mild Paralysis in Acute Phase of Stroke: A Cross-sectional Study

2020 ◽  
Author(s):  
Tetsuya Okihara ◽  
Kohei Koizumi ◽  
Hidetoshi Takahashi ◽  
Mayumi Suzuki ◽  
Tomonori Takeda ◽  
...  

Abstract Background: Research shows that post-traumatic stress symptoms (PTSS) are common in survivors of acute life-threatening illnesses, and rumination is considered to be associated with PTSS. Additionally, post-stroke symptoms of post-traumatic stress disorder (sPTSD) usually manifest as a type of anxiety disorder after a stroke. This study investigated the prevalence of sPTSD and the relationship between PTSS and rumination.Methods: The participants comprised 29 patients admitted to the Saitama Medical University International Medical Center within one week after experiencing a stroke. The Impact of Event Scale-Revised Japanese version (IES-R-J) and Leuven Adaptation of the Rumination on Sadness Scale Japanese version (LARSS-J) were employed for the evaluation of PTSS, sPTSD, and rumination.Results: The 29 patients (15 males, mean age: 63 ± 11 years) were classified as follows: 17 patients with cerebral infarction, 10 patients with cerebral hemorrhage, and 2 patients with subarachnoid hemorrhage. The ratio of persons with sPTSD (IES-R-J total score > 25) was 34% (10 patients). A significant positive correlation was found between PTSS and rumination (r = 0.460, p < 0.05).Conclusion: The findings indicated that approximately 30% of acute stroke patients experienced sPTSD, and that the severity of PTSS is related to rumination.

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 12 ◽  
Author(s):  
Suzaily Wahab ◽  
Li Ling Yong ◽  
Wei Keong Chieng ◽  
Myristica Yamil ◽  
Noor Azah Sawal ◽  
...  

Background: Natural disasters may physically and psychologically affect individuals and their surrounding community. This study determines the prevalence of post-traumatic stress (PTS) symptoms and its association with maladaptive trauma-related cognition and resilience among adolescents post-earthquake.Materials and Methods: Data were collected, in this cross-sectional study, during an intervention program post-earthquake held in a state high school located at Lombok, Indonesia. The study sample engaged students 14–19 years of age using the purposive sampling method. The questionnaires used to measure PTS symptoms, maladaptive trauma-related cognition, and resilience were Children's Revised Impact of Event Scale-13 (CRIES-13), Child Post-Traumatic Cognitions Inventory (CPTCI), and Child and Youth Resilience Measure-Revised (CYRM-R), respectively.Results: The prevalence of PTS symptoms was 69.9%. Among the respondents, 61.37% were female and 56.48% had mothers with lower educational levels. Using multiple linear regression, the final predictors of PTS symptoms were excessive reactions (e.g., wailing loudly, miserable shrieking) of proxy during earthquake (β = 3.283, p = 0.005), maladaptive trauma-related cognition (β = 0.224, p = 0.002), and resilience (β = 0.192, p &lt; 0.001) with female gender (β = 7.350, p &lt; 0.001) as a control variable. Through simple linear regression, victims who witnessed injury or death during the earthquake (p = 0.003), had a proxy died during the earthquake (p = 0.01), and trapped victims or those who had difficulty escaping (p = 0.01) were identified to potentially predict the occurrence of PTS symptoms, warranting further study.Conclusion: The presence of excessive proxy reactions during the earthquake, maladaptive trauma-related cognition, and resilience in adolescents exposed to a natural disaster are worth targeting and prioritizing in future post-disaster interventions.


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.


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.


2021 ◽  
Vol 7 (1) ◽  
pp. 14-20
Author(s):  
Ioannis Ilias ◽  
Vassiliki Mantziou ◽  
Efstratios Vamvakas ◽  
Efstathia Kampisiouli ◽  
Maria Theodorakopoulou ◽  
...  

Abstract Introduction Healthcare professionals who are directly involved in the diagnosis, treatment, and general care of patients with SARS-CoV-2 are at risk of developing adverse psychological reactions. A cross-sectional study of healthcare professionals aimed to determine the impact of the SARS-CoV-2 pandemic on the mental health of healthcare professionals in two of the largest referral hospitals in Athens, Greece. Methods The study was conducted in the two largest SARS-CoV-2 referral hospitals in Athens, Greece. An assessment and the interrelationship of post-traumatic stress disorder, using the Impact of Event Scale-Revised [IES-R]) and burnout, using the Maslach Burnout Inventory [MBI]) was carried out. Results A total of 162 subjects were enrolled in the study. Fifty-six (35%) had an IES-R score > 33, suggesting post-traumatic stress disorder. Forty-nine (30%) had an MBI score > 27. Seventy-five (46%) had a personal accomplishment score of < 33 and 46 (28%) had a depersonalization score >10. Stepwise backward logistic regression revealed that the only independent variable that was retained regarding the presence of post-traumatic stress disorder was the emotional exhaustion score of the MBI (at a cut-off of 24 in this scale, the 95% CI of the odds ratio for the presence of post-traumatic stress disorder was 1.077-1.173). Conclusions In this sample of first-line Greek healthcare professionals against SARS-CoV-2, most of them were proven to be quite resilient to this challenge. One-third of them had post-traumatic stress disorder, which depended on their degree of emotional exhaustion. Healthcare professionals, as represented by this study, performed their duties without feeling helpless and developing adverse psychological reactions.


2004 ◽  
Vol 19 (3) ◽  
pp. 226-234 ◽  
Author(s):  
Anders Jonsson ◽  
Kerstin Segesten

AbstractIntroduction:This study investigated the prevalence of post-traumatic stress symptoms among professional ambulance personnel in Sweden and investigated the question: “Does self-knowledge have influence on how well one copes with the effects of daily work exposure from such events?” Little is known about the variables that might be associated with post-traumatic stress symptoms in highrisk occupational groups such as ambulance service groups.Methods:Data were gathered from ambulance personnel by means of an anonymous questionnaire. Survey responses of 362 ambulance personnel from the county of Västra Götaland were analyzed. A correlation was established between post-traumatic symptoms using the impact of event scale (IES-15) and the Professional Self-Description Form (PSDF).Results:Of those who reported a traumatic situation, 21.5% scored ≥ 26 on the IES-15 subscale. Scores >26 indicate “PTSD caseness”. There were significant differences on PSDF subscales between those presenting with or without posttraumatic symptoms.Conclusions:The mental health and emotional well-being of ambulance personnel appear to be compromised by accident and emergency work. The high prevalence of PTSD symptoms in ambulance personnel indicates an inability to cope with post-traumatic stress caused by daily work experiences.


2016 ◽  
Vol 23 (3) ◽  
pp. 185-192 ◽  
Author(s):  
Vilija Malinauskienė ◽  
Lina Bernotaitė

Background. The Impact of Event Scale-Revised (IES-R) is often used as a  self-report instrument for symptoms of post-traumatic stress (PTS). The objective of this study was to explore the reliability and validity of the Lithuanian IES-R in a sample of employees with exposure to workplace bullying in different occupations. Materials and methods. The  original IES-R was translated into Lithuanian, and the  comparability of content was verified through back-translation procedures. 294 employees with exposure to workplace bullying (52 teachers from the secondary schools of Kaunas, 56 family physicians, 101 nurses of internal medicine departments, 40 waiters, and 45 seafarers) were administered the  Lithuanian IES-R and the  General Health Questionnaire  –  12 (GHQ-12) in order to verify some aspects of convergent validity. The  exploratory factor analysis was used to verify the construct validity of the IES-R. Results. The reliability of the Lithuanian version of the IES-R was verified. Cronbach’s α of the total scale was 0.95. Exploratory factor analysis showed a clear factor structure with three independent dimensions: intrusion, avoidance and hyperarousal. Cronbach’s α for subscales of intrusion, avoidance and hyperarousal were 0.89, 0.85, and 0.88, respectively. The convergent validity was supported by positive correlations between the subscales (intrusion, avoidance, hyperarousal) and the GHQ-12. Conclusions. The results suggest that the self-reported Lithuanian IES-R is a valid instrument for assessing the dimensions of post-traumatic stress, has good psychometric properties, and may be applied in prolonged trauma-exposed populations.


1969 ◽  
Vol 3 (2) ◽  
pp. 373-378
Author(s):  
KHURSHAID AHMAD ◽  
HAMID HUSSAIN ◽  
HAYAT MUHAMMAD KHAN ◽  
ZIA-U-REHMAN ◽  
NAEEMULLAH ◽  
...  

OBJECTIVES: our study was to study the impact of terrorism on the people of Khyber Pukhtunkhwa handto assess the post traumatic effects of terrorism, in particular the Post Traumatic Stress Disorder anddepression in the people of Khyber Pukhtoonkhwa.METHODS: A descriptive, cross sectional study design was conducted in KPK from May 2011 toSeptember 2011.In this study subjects were people of KPK including IDPs, shopkeepers, students. Selfadministered questionnaires were filled by a sample of 450 respondents.RESULTS: The results showed that out of 51.2% people affected, 23.6% people had Post Traumatic StressDisorder and 6.9% were suffering from depression. 20.7% people were suffering from both Anxiety andDepression. 48.2% people were unaffected. SPSS and MS-Excel were used for the analysis of data.CONCLUSION: The study concludes that a majority of people in KPK were suffering from PostTraumatic Stress Disorder and depression due to constant threat of terrorism. These people have beenaffected in one or more ways. Some have lost their business and shelter and some have been personallyexposed to terrorism. These people who are positive for anxiety and depression need to be targeted forcounseling. Moreextensive research is needed in this area.KEYWORDS: Post Traumatic Stress Disorder, Depression and Terrorism


Psichologija ◽  
2006 ◽  
Vol 33 ◽  
Author(s):  
Evaldas Kazlauskas ◽  
Danutė Gailienė ◽  
Vėjūnė Domanskaitė-Gota ◽  
Jelena Trofimova

Tyrimo tikslas yra plačiai traumų psichologijos tyrimuose naudojamos potrauminio streso įvertinimo metodikos – Įvykio poveikio skalės – revizuotos versijos (IES-R) adaptavimas Lietuvoje. Ištyrus 406 asmenis, patyrusius per gyvenimą nors vieną trauminį įvykį, nustatyta, kad metodikos struktūra ir patikimumas yra artimas angliškosios versijos rodikliams. IES-R metodikos lietuviškosios versijos subskalių Cronbacho alpha lygi 0,82–0,88, visos IES-R metodikos alpha lygi 0,93. IES-R metodikos lietuviškoji versija parengta taikyti Lietuvoje.Pagrindiniai žodžiai: potrauminis stresas, įvykio poveikio skalė, metodikos. PSYCHOMETRIC PROPERTIES OF THE LITHUANIAN VERSION OF THE IMPACT OF EVENT SCALE–REVISED (IES-R)Evaldas Kazlauskas, Danutė Gailienė, Vėjūnė Domanskaitė-Gota, Jelena Trofimova SummaryObjective: The impact of Event Scale–Revised is widely used self-report measure for assessment of PTSD symptoms after a variety of traumatic events. The aim of this study was to examined the psychometric properties of the Lithuanian version of the Impact of Event Scale–Revised.Method: A non-clinical population sample of 406 young adults participated in the study. All participants were exposed to at least one life-time traumatic event meeting A criteria of PTSD according to DSM-IV. Traumatic experiences were assessed using the list of life-time traumatic experiences.Results: The Lithuanian version of Impact of Event Scale–Revised has a good internal consistency. The coefficient alpha for the instrusion subscale was .88, for avoidance subscale alpha .82, and for hyperarousal subscale alpha .85. The Coefficient alpha for the total of Impact of Event Scale–Revised was .93. Subscale intercorrelations were: Intrusion with Avoidance r = .62, Intrusion with Hyperarousal r = .79, and Avoidance with Hyperarousal r = .60. A series of factor principal component analysis using varimax rotation with forced two-, three- and four- factor solutions was undertaken. The two-factor solution explained 49.1% of variance – comprising two gactors Instruction (including Hyperarousal) and Avoidance. The three-factor solution accounted for 54.8% of the variance consistent with three symptom criteria of PTSD: Intrusion, Hyperarousal and Avoidance. Items 2, 12 and 20 loaded on improper factors; item 7 did not load on any of the factors. The four-factor solution explained 59.5% of the variance, yielding four factors: Hyperarausal, Avoidance, Intrusion and Numbing.Conclusions: The Lithuanian version of Impact of Event Scale–Revised was found to have satisfactory psychometric properties. We conclude that the new self-report means of post-traumatic stress is adapted for useon Lithuanian population. Issues concerning norms of Impact of Event Scale–Revised and the limitations of the present study are discussed. Keywords: post-traumatic stress, Impact of Event Scale–Revised, Assessment methods.


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