scholarly journals Pain syndrome in patients with gunshot wounds of the limbs and post-traumatic stress disorders

2021 ◽  
Vol 17 (7) ◽  
pp. 24-31
Author(s):  
Yu.L. Kuchyn ◽  
V.R. Horoshko

During the fighting in Eastern Ukraine, the number of patients with gunshot wounds to the extremities is about 64 %. Treatment of post-traumatic stress disorder in these patients fails in 82.1 % of cases. The reason for these results is the high incidence of chronic pain syndrome and treatment-resistance post-traumatic stress disorder. In 30–40 % of cases, treatment of pain syndrome in patients with gunshot wounds and post-traumatic stress disorders does not lead to a positive effect. In the future, reconstructive surgery must be performed in 35–40 % of cases.

1990 ◽  
Vol 24 (1) ◽  
pp. 29-36 ◽  
Author(s):  
Christopher Tennant ◽  
Jeffrey H. Streimer ◽  
Helen Temperly

We compared a random sample of Australian Vietnam veteran inpatients suffering from Post Traumatic Stress Disorder (PTSD) (N=13) with veteran inpatients with other neurotic diagnoses. Those with PTSD had experienced substantially higher levels of combat stress, were more likely to have manifested conduct disorder in childhood, and had poorer work adjustment. Only three had been diagnosed as having traumatic or war neuroses by their original treating psychiatrist in the Veterans Affairs Department. Post traumatic stress disorder (or war neurosis) has possibly been under-diagnosed by treating psychiatrists in the Veterans Affairs Department, especially in the pre-DSM-III era.


2021 ◽  
Vol 273 ◽  
pp. 10020
Author(s):  
Fayzura Semenova ◽  
Svetlana Bostanova ◽  
Maryam Tetueva ◽  
Dianna Akbayeva

In modern conditions, achieving high results in sports for professional athletes is associated with enormous physical and mental stress. This situation is aggravated by the fierce competition in the sports arena, which requires the manifestation of motor abilities at the level of the limit of human capabilities, provoking a constant stressful atmosphere and placing increased demands on the personal and professional qualities of modern athletes. The scientific article discusses the dependence of personal characteristics and features of the manifestation of post-traumatic stress disorders in professional athletes; sports competitions have a strong impact on the emotional status of an athlete. The main stress factor in the sports activity of an athlete is considered to be traumatization, i.e. getting physical and psychological injuries, which affects not only the sports career, but also leads to serious post-traumatic disorders. We assume that in the body of a professional athlete who is in a stressful environment for a long time (training, competitions), psychosomatic reactions occur that cause post-traumatic stress disorder, and also that the features of the course of this disorder depend on the personal characteristics of athletes. Post-traumatic stress disorder is a severe mental condition that occurs as a result of single or repeated events that have a super — powerful negative impact on the individual's psyche.


2017 ◽  
Vol 4 (2) ◽  
Author(s):  
Sadaf Anjum Masoodi ◽  
Prof. Shahina Maqbool

There has been a worrying trend in Kashmir i.e. the growth of posttraumatic stress disorder, a mental condition which is affecting people for more than two decades. The continuous political uncertainty, insecurity from armed forces; natural calamities are the contributory factors.  And it is found that Post Traumatic Stress Disorder (PTSD) is on the rise in Kashmir Valley after the worst ever floods hit the state few months back. Psychiatrists in Srinagar opine that there has been a remarkable increase in the number of patients who were suffering from “early symptoms” of PTSD.  Post Traumatic Stress Disorder is a condition that develops after an individual expose through a terrifying ordeal that involves physical harm or the threat of a physical harm. The condition develops amongst the people who may have gone through some physical harm or might have witnessed their loved ones or the people around them being harmed. The trauma affects people in three ways: negative, neutral and positive. Under the positive category, the affected person somehow gets encouraged and takes up challenges. Their condition does not make any difference to them. Highly stressful events or major life traumas (such as serious illness, road traffic accident, death of a relative or loved one, unemployment, divorce, etc.) can lead to a variety of  behavioral, psychological and emotional negative outcomes to the disruptive and aversive conditions (Taku, Cann, Tedeschi, & Calhoun, 2009). The positive side of the trauma is that it also leads to growth. This phenomenon has been recognized as a distinct construct – posttraumatic growth (Tedeschi & Calhoun, 1996), implying ‘‘positive psychological change experienced as a result of the struggle with highly challenging life circumstances’’ (Tedeschi & Calhoun, 2004, p. 1). Positive change has been noted in the literature by various authors and referred to in diverse terms – among others, benefit-finding (Affleck & Tennen, 1996), stress-related growth (Park, Cohen, & Murch, 1996), adversarial growth (Linley & Joseph, 2004), flourishing (Ryff & Singer, 1998), and thriving (O’Leary & Ickovics, 1995).  The main objective of the paper is to discuss the role of Islam with special reference to Qur’an and Sunna in posttraumatic Growth among violence victims in Kashmir valley India. Islamic practices such as prayer and listening Qur’an plays important role in coping with traumatic disorders. Islamic values and beliefs can be beneficial in overcoming traumatic life events and seeking posttraumatic Growth. The Holy Qur’an teaches us “The truly righteous — are those who endure with fortitude misfortune, hardship and peril. That is, who are patient in poverty and affliction, and in time of war” (2:178).


Author(s):  
M Sadeghi khorashad ◽  
E Rezaieyan ◽  
A Abdolahnezhad

Introduction: Firefighters are at high risk of developing post-traumatic stress disorder (PTSD), and that Quality of Life (QoL) is seriously compromised in individuals who have PTSD. This study was designed to assess the relationship between post-traumatic stress disorders and quality of life among firefighters. Materials and Methods: In this analytical and cross-sectional study, all firefighters in Birjand city were selected by census method (N = 96) in 2018. PTSD and QoL status was assessed by the Persian version of the Mississippi (Eshel) and WHOQOL-BREF questionnaires, respectively. Using Cronbach's α, the Iranian version of these two scales' internal reliability has been reported to be 0.92 and more than 0.7, respectively. Data analysis using SPSS software version 21 and independent T-test, ANOVA, Tukey's test, and Pearson correlation coefficient were used for statistical analysis. Results: The results showed that most firefighters (70.5%) were suffered from moderate PTSD symptoms (79.2± 11.7). Based on the self-report scale, 53.7% of the firefighters rated their quality of life as Good, and 43.2% of the firefighters were satisfied with their health. Statistical analysis showed that there is a statistically significant inverse relationship between PTSD score and areas of mental health (P = 0.03), social relations (P = 0.002), and environmental health (P = 0.004). Between PTSD score and physical health, no statistically significant relationship was found (P = 0.08). Conclusion: This study has proven a high rate of PTSD among firefighters and its negative correlation with the quality of their life. However, most firefighters rated their health and quality of life as good. Implementing strategies to combat mental disorders among firefighters improves the quality of their life and increases their job productivity.


2014 ◽  
Vol 4 (2) ◽  
pp. 91-97 ◽  
Author(s):  
Megan Tomas

Sleep disturbances are very common in patients suffering from post-traumatic stress disorder (PTSD) and can have various negative sequelae, including worsening of perceived levels of stress, depression, and suicidal ideation. Although PTSD treatment can lead to improved sleep in some patients, there are a number of patients whose sleep disturbances do not remit even after treatment and can persist long after the original trauma. There are various non-pharmacological and pharmacological treatment modalities that have been studied. Non-pharmacological therapies include image rehearsal therapy (IRT), cognitive behavioral therapy for insomnia (CBTI), prolonged exposure (PE), and eye-movement desensitization and reprocessing (EMDR). Pharmacological studies include alpha-1-adrenergic receptor antagonists, alpha-adrenergic agonists, selective serotonin reuptake inhibitors (SSRIs), selective norepinephrine reuptake inhibitors (SNRIs), tricyclic antidepressants (TCAs) monoamine oxidase inhibitors (MAOIs), other antidepressants, atypical antipsychotics, benzodiazepines, sedative hypnotics, and antiepileptics. The therapies with the most evidence to support their use are Image Rehearsal Therapy (IRT) and the alpha-1-adrenergic receptor antagonist, prazosin.


HUMANITARIUM ◽  
2019 ◽  
Vol 41 (1) ◽  
pp. 168-178
Author(s):  
Yulianna Yasenchuk

The article outlines the main aspects of provision of rehabilitation services for servicemen and participants in the antiterrorist operation. The concept of psychological rehabilitation in the context of a systematic approach is considered in details and its main features are formed. Special attention is paid to the study of previous work, to the mechanism of providing rehabilitation services to all servicemen. In the context of the current tasks, the legal base on this issue, the approved and priority initiatives was investigated. The most frequent distribution among the demobilized soldiers of antiterrorist operation is occupied by people with the main characteristics of post-traumatic stress disorder. The percentage correlation with such features in 2015-2017 was investigated and the main aspects of the mechanism of ensuring the full maintenance of social support were formed.Military actions and the conduct of the antiterrorist operation led to increase in the number of psychological stress disorders among the military. In the course of work we managed to find out that since the beginning of the antiterrorist operation and to date, the system of psychological rehabilitation of the military is gradually improving, but the question remains its effective functioning and compliance with world standards.After returning to a peaceful life, soldiers should be involved in rehabilitation activities and receive comprehensive complex rehabilitation in accordance with individual programs.The question was also raised on the issue of soldiers with post-traumatic stress, who had undergone rehabilitation and rehabilitation and required long-term social support. The most effective in reducing the impact of post-traumatic stress disorder is the integration of the soldiers’ negative experience in order to use it for personal growth, self-development, self-realization.


2019 ◽  
Vol 5 (1) ◽  
pp. 63-66
Author(s):  
Trima Gurung ◽  
Damaru Prasad Paneru

Children and adolescents are more prone to developing Post Traumatic Stress Disorders. Objective of this study was to assess the magnitude of Post Traumatic Stress Disorder and associated factors among secondary level students in Chautara Municipality, Nepal. A cross sectional study was conducted among 249 secondary level students. Data were collected using population proportionate sampling method along with UCLA PTSD RI with 31 questionnaires DSM V tool was used to assess the PTSD symptom. Questionnaire was design to obtain socio demographic factor and earthquake exposure. Factor associated with PTSD development was assessed through chi square and binary logistic regression. Mean age of respondents was 15.42±1.079 years. Majority of them were middle adolescents (74.3%) and 25.7 percent were early adolescents. More than half of respondents were female 54.6 percent. This study revealed that PTSD was found to be among 27(10.8%) respondents and dissociative subtype PTSD was among 14(5.6%) respondents. Age was significantly associated with development of PTSD. Earthquake exposures like financial constraints after earthquake food deficiency displacement due to earthquake was the major factors associated with PTSD development. Psychological tutorship for PTSD is found to be protective factors for PTSD development in adolescents. PTSD was quite high among the secondary level students after six month of earthquake in Chautara municipality, Sindupalchwok district and psychological tutorship and humanitarian program for traumatized students could prevent development of PTSD. Key words: Post traumatic stress disorder; Associated factors; Earthquake; Secondary levels students


2021 ◽  
Vol 09 ◽  
Author(s):  
Kenneth Blum ◽  
Edward J. Modestino ◽  
David Baron ◽  
Raymond Brewer ◽  
P. K. Thanos ◽  
...  

Introduction: Polymorphic gene variants, particularly the genetic determinants of low dopamine function (hy-podopaminergia), are known to associate with Substance Use Disorder and a predisposition to PTSD. Addiction research and molecular genetic applied technologies supported by the National Institutes of Health (NIH) have revealed the com-plex functions of brain reward circuitry and its crucial role in addiction and PTSD symptomatology. Discussion: It is noteworthy that Israeli researchers compared mice with a normal immune system with mice lacking adaptive immunity and found that the incidence of PTSD increased several-fold. It is well established that raising endor-phinergic function increases immune response significantly. Along these lines, Blum’s work has shown that D-Phenylalanine (DPA), an enkephalinase inhibitor, increases brain endorphins in animal models and reduces stress in hu-mans. Enkephalinase inhibition with DPA treats Post Traumatic Stress Disorder (PTSD) by restoring endorphin function. The Genetic Addiction Risk Score (GARS) can characterize relevant phenotypes, genetic risk for stress vulnerability vs. resilience. GARS could be used to pre-test military enlistees for adaptive immunity or as part of PTSD management with customized neuronutrient supplementation upon return from deployment. Conclusion: Based on GARS values, with particular emphasis on enhancing immunological function, pro-dopamine regu-lation may restore dopamine homeostasis. Recognition of the immune system as a “sixth sense” and assisting adaptive immunity with Precision Behavioral Management (PBM), accompanied by other supportive interventions and therapies, may shift the paradigm in treating stress disorders.


2021 ◽  
Vol 36 (4) ◽  
pp. 191-206
Author(s):  
Leisa L. Marshall ◽  
Renée L. Hayslett

OBJECTIVE: To review the clinical manifestations and treatment of post-traumatic stress disorder (PTSD) in adults and older people. DATA SOURCES: Articles indexed in PubMed, Embase, psychology databases, and the Cochrane library over the past 10 years using the key words "post-traumatic stress disorder," "stress disorders," and "post-traumatic stress disorder and treatment." STUDY SELECTION AND DATA EXTRACTION: Sixty-seven publications were reviewed and criteria supporting the primary objective were used to identify useful resources. DATA SYNTHESIS: The literature included practice guidelines; review articles; original research articles; and product prescribing information for the clinical manifestations, diagnosis, and treatment of PTSD. CONCLUSION: Psychotherapy is the first-line therapy for PTSD. Pharmacologic therapy is recommended, as second-line therapy, for adults living with PTSD who do not have access to psychotherapy or refuse psychotherapy. Pharmacologic therapy may also be considered in cases of partial, or no, response to psychotherapy. Current guidelines recommend prescribing one of 3 selective serotonin-reuptake inhibitors, either fluoxetine, paroxetine, or sertraline, or prescribing the serotonin norepinephrine reuptake inhibitor venlafaxine, for adult patients who do not have access to psychotherapy or prefer not to use psychotherapy. Unfortunately, these recommended medications have additional cautions for use in older people so may not be appropriate for many older people living with PTSD. Therapy for older people should be tailored to patient-specific symptoms, with careful consideration of the potential benefits and risks of the therapy and coexisting medical conditions of each patient.


2016 ◽  
Vol 8 (3) ◽  
pp. 237
Author(s):  
Ebtesam Jasemi Zergani ◽  
Farah Naderi

<p>The present study aims at investigating the effectiveness of music on quality of life and anxiety symptoms of the veterans with post traumatic stress disorder in Bustan hospital of Ahvaz City. 40 persons were selected by simple random sampling method from the aforementioned population. The research design was an experimental one of type pretest-posttest with control group. Quality of Life inventory SF-36 (2005) and Spielberger Anxiety inventory (2005) were used for collecting the data. After selecting groups randomly, pretest was implemented on both experiment group (20 persons) and control group (20 persons). Then, music therapy intervention was implemented on the experiment group during 20 sessions each of which with 45 minutes. At the end of subject program, both groups were given posttest. Data were analyzed by using the multivariate covariance analysis. Results showed that presenting music can affect quality of life and anxiety symptoms of the veterans with posttraumatic stress disorders and this effect remained stable after one month of follow-up. Therefore, presenting music can be effective in treating the veterans with stress disorders after the accident.</p>


Sign in / Sign up

Export Citation Format

Share Document