scholarly journals The Association Between Physical Violence Experience and Post-Traumatic Stress Disorder in Emergency Department Nurses: The Moderating Role of Isolation

Author(s):  
Sung Hee Lee ◽  
◽  
Min Kyong Kim ◽  
2020 ◽  
pp. 135-143

INTRODUCTION: Post-traumatic stress disorder (PTSD) is one of the adverse events occurring in people exposed to severe traumatic experiences, such as earthquakes. The devastating effects of such events and their associated losses are significantly higher in children and adolescents. The present study aimed to determine the effectiveness of cognitive rehabilitation on academic achievement with the moderating role of emotion regulation in earthquake-stricken adolescents with PTSD in Kermanshah. METHODS: This cross-sectional study was conducted based on a pre- and post-test design with control and experimental groups. Among the students who were diagnosed with PTSD in Kermanshah earthquake, 48 cases were selected and assigned to the control and experimental groups. Data collection instruments were Captainchr('39')s Log cognitive rehabilitation software, and motion Regulation Scale developed by Gratz and Roemer. Studentschr('39') academic achievement was judged based on the scores obtained from end-of-semester transcripts and teacherschr('39') evaluations. Data were analyzed in SPSS software (version 26). FINDINGS: Based on the results, cognitive rehabilitation is effective in the academic achievement of students with PTSD (P<0.01). Moreover, emotion regulation can moderate the effect of this method on academic achievement (P<0.05). CONCLUSION: As evidenced by the obtained results, cognitive rehabilitation can effectively strengthen cognitive abilities and components related to executive functions. In so doing, it enhances the educational performance of students with PTSD and brings them academic achievement


2021 ◽  
Author(s):  
Qadar Bakhsh Baloch ◽  
Verdah Qadar Baloch ◽  
Sourath Maher ◽  
Nadeem Iqbal ◽  
Syed Naseeb Shah ◽  
...  

Abstract The aim of this paper was to determine the correlation amid post-traumatic stress disorder (PTSD) and employee job performance with moderating role of spirituality among Police officials who experienced during the war on terror. Ninety seven personnel from Pakistan Security Forces, hospitalized as result of injuries in war against terror, were selected as study respondents and personally administered with the seventeen items questionnaire to measure PTSD symptoms. All the instruments administered to measure PTSD symptoms, employees’ performance and spiritualty were adopted. Andrew F. Hayes Process model was used to test the hypotheses derived from the study’s conceptual model as it was identical with the Andrew model (Hayes 2013) in which moderation is tested with one moderator that is spirituality. Correlation and Regression analysis were carried out by using SPSS. Moderation analysis checked the moderating effect of spirituality upon the relationship between PTSD and employees performance. The research concluded that PTSD negatively affects the job performance, however, spirituality reduces the negative outcomes of PTSD. The research found that the spirituality contributes positively to the psychological well-being of a person, thereby making one’s self more robust to tremor and harrowing engagement and subsiding the negative impacts of PTSD. Managerial implications and future direction were also discussed.


Author(s):  
Susanne Fischer ◽  
Tabea Schumacher ◽  
Christine Knaevelsrud ◽  
Ulrike Ehlert ◽  
Sarah Schumacher

Abstract Background Less than half of all individuals with post-traumatic stress disorder (PTSD) remit spontaneously and a large proportion of those seeking treatment do not respond sufficiently. This suggests that there may be subgroups of individuals who are in need of augmentative or alternative treatments. One of the most frequent pathophysiological findings in PTSD is alterations in the hypothalamic–pituitary–adrenal (HPA) axis, including enhanced negative feedback sensitivity and attenuated peripheral cortisol. Given the role of the HPA axis in cognition, this pattern may contribute to PTSD symptoms and interfere with key processes of standard first-line treatments, such as trauma-focused cognitive behavioural therapy (TF-CBT). Methods This review provides a comprehensive summary of the current state of research regarding the role of HPA axis functioning in PTSD symptoms and treatment. Results Overall, there is preliminary evidence that hypocortisolaemia contributes to symptom manifestation in PTSD; that it predicts non-responses to TF-CBT; and that it is subject to change in parallel with positive treatment trajectories. Moreover, there is evidence that genetic and epigenetic alterations within the genes NR3C1 and FKBP5 are associated with this hypocortisolaemic pattern and that some of these alterations change as symptoms improve over the course of treatment. Conclusions Future research priorities include investigations into the role of the HPA axis in day-to-day symptom variation, the time scale in which biological changes in response to treatment occur, and the effects of sex. Furthermore, before conceiving augmentative or alternative treatments that target the described mechanisms, multilevel studies are warranted.


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