Posttraumatic Stress Symptoms in a Population of Rural Children in South Africa

1999 ◽  
Vol 85 (2) ◽  
pp. 646-650 ◽  
Author(s):  
Karl Peltzer

The purpose of the study was to identify exposure to experiences such as violence and the consequences for health in children in a rural South African community. The stratified random sample included 148 children below 17 yr., which comprised 68 (46%) boys and 80 (54%) girls in the age range of 6 to 16 years ( M = 12.1 yr., SD = 3.1). Their ethnicity was Northern Sotho. The interviews included the Children's Posttraumatic Stress Disorder Inventory and the Reporting Questionnaire for Children. The experiences could be grouped into either traumatic or other events. 99 (67%) had directly or vicariously experienced a traumatic event which included witnessing someone killed or seriously injured, serious accident, violent or very unexpected death or suicide of loved one, sexual abuse or rape of relative or friend, violent crime, child abuse, and other life-threatening situations. Scores on the Children's Posttraumatic Stress Disorder Inventory of 17 (8.4%) fulfilled the criterion for posttraumatic stress disorder. 71% had more than one score and 53% had more than four scores on the Reporting Questionnaire for Children. Posttraumatic stress symptoms were significantly related to age and experiences such as those mentioned above.

CNS Spectrums ◽  
2006 ◽  
Vol 11 (2) ◽  
pp. 118-126 ◽  
Author(s):  
Sukru Emre

AbstractPosttraumatic stress symptoms have been shown to occur in pediatric and adult solid-organ transplant recipients. The presence of these symptoms is associated with non-adherence to medications, increased distress, and poor outcome. Because posttraumatic stress disorder is treatable and because a transplant operation usually is an “anticipated trauma,” it is possible to address posttraumatic stress disorder symptoms in transplant recipients and attempt to prevent their development. Under my direction, the pediatric liver transplant program at Mount Sinai Medical Center in NewYork City created research and clinical programs to address posttraumatic stress symptoms and their consequences. Specifically, the focus on non-adherence to immunosuppressive medications in transplant recipients who are distressed and their parents. This article begins with a review of the data that led to the decision to start these programs. I then present the basic elements that are in place, in this particular program, to address patients' needs. I end this review with preliminary outcome data that illustrate the potential impact of such an integrated approach to patient care on medical outcomes.


2021 ◽  
Author(s):  
Bjørn Ole Reid ◽  
Lars Eide Næss-Pleym ◽  
Karin Elvenes Bakkelund ◽  
Jostein Dale ◽  
Oddvar Uleberg ◽  
...  

Abstract Background Posttraumatic Stress Disorder (PTSD) has been shown to be elevated among first responders (Emergency Medical Services, fire service, police force) compared to the general population. Examining the prevalence of mental health issues in a work force with an elevated occupational risk is fundamental towards ensuring their wellbeing and implementing safeguard measures. The goal of this study is therefore to report the prevalence of depression, anxiety, posttraumatic development, and PTSD in Norwegian ambulance personnel. Methods This study is a cross-sectional, anonymous, web-based survey (Questback®), performed among operative personnel employed in the Emergency Medical Services in the Regional Health Trust of Central Norway between 18. February and 9. April 2021. The study was sent to 1052 eligible participants. Questions reported demographic data, a traumatic events exposure index, Patient Health Questionnaire-9 (Depression), Generalized Anxiety Disorder-7 scale, Posttraumatic symptom scale (PTSD) and Posttraumatic change scale. Results The response rate in this study was 45.5 % (n=479/1052). The mean age of respondents was 37.1 years (std. 11.1) and 52.8 % (n=253) were male. Of the respondents, 80.6% (n=386) were married or had a partner, and 91.6% (n=439) reported having access to a peer support programme, with 34.9% (n=167) reporting that they had utilized peer support. In this study, 5 % (n=24) showed a prevalence of manifest posttraumatic stress disorder symptoms, while 8.6 % (n=41) reported moderate to severe depression and 2.9 % (n=14) presented moderate to severe symptoms of general anxiety. Of the respondents, 77.2 % (n=370) reported personal growth because of their work experiences. Conclusions This study indicates that Norwegian ambulance personnel report a prevalence of posttraumatic stress symptoms and depression, which is slightly higher for men, and lower for the female proportion in this study, when compared to an adult Norwegian population. The vast majority of respondents reported personal growth because of their work experience, and both the degree of peer support and having a partner seem to influence levels of posttraumatic stress and -development.


2016 ◽  
Vol 34 (4) ◽  
pp. 315-326 ◽  
Author(s):  
Lukoye Atwoli ◽  
Dan J. Stein ◽  
Andrew King ◽  
Maria Petukhova ◽  
Sergio Aguilar-Gaxiola ◽  
...  

2017 ◽  
Vol 74 (2) ◽  
pp. 135 ◽  
Author(s):  
Richard A. Bryant ◽  
Mark Creamer ◽  
Meaghan O’Donnell ◽  
David Forbes ◽  
Alexander C. McFarlane ◽  
...  

2015 ◽  
Vol 24 (9) ◽  
pp. 1246-1254 ◽  
Author(s):  
Zachary Adams ◽  
Thomas Adams ◽  
Kirstin Stauffacher ◽  
Howard Mandel ◽  
Zhewu Wang

Objective: To address the nature of associations between ADHD symptoms and posttraumatic stress disorder (PTSD) psychopathology in adult military veterans. Method: Ninety-five combat veterans, with PTSD ( n = 63) and without PTSD ( n = 32), were recruited for this study. PTSD was assessed with the Clinician-Administered PTSD Scale (CAPS) and ADHD was assessed with Connors’ Adult ADHD Rating Scale−Self-Report: Short Version (CAARS-S:S). Results: PTSD participants endorsed greater hyperactivity or restlessness, inattention or memory problems, and impulsivity or emotional lability scores than participants without PTSD. Among PTSD participants, inattention or memory problems and impulsivity or emotional lability were significant predictors of total PTSD symptoms, but only inattention or memory problems significantly predicted PTSD symptoms when other ADHD symptom clusters were considered simultaneously. Conclusion: Our data suggest that inattention may serve as a risk factor for posttraumatic stress symptoms following combat exposure.


Author(s):  
Bjørn Ole Reid ◽  
Lars Eide Næss-Pleym ◽  
Karin Elvenes Bakkelund ◽  
Jostein Dale ◽  
Oddvar Uleberg ◽  
...  

Abstract Background Posttraumatic stress disorder (PTSD) has been shown to be elevated among first responders (Emergency Medical Services, fire service, police force) compared to the general population. Examining the prevalence of mental health issues in a work force with an elevated occupational risk is fundamental towards ensuring their wellbeing and implementing safeguard measures. The goal of this study is therefore to report the prevalence of depression, anxiety, posttraumatic development, and PTSD in Norwegian ambulance personnel. Methods This study is a cross-sectional, anonymous, web-based survey (Questback®), performed among operative personnel employed in the Emergency Medical Services in the Regional Health Trust of Central Norway between 18. February and 9. April 2021. The study was sent to 1052 eligible participants. Questions reported demographic data, a traumatic events exposure index, Patient Health Questionnaire-9 (Depression), Generalized Anxiety Disorder-7 scale, Posttraumatic symptom scale (PTSD) and Posttraumatic change scale. Results The response rate in this study was 45.5% (n = 479/1052). The mean age of respondents was 37.1 years (std. 11.1) and 52.8% (n = 253) were male. Of the respondents, 80.6% (n = 386) were married or had a partner, and 91.6% (n = 439) reported having access to a peer support programme, with 34.9% (n = 167) reporting that they had utilized peer support. In this study, 5% (n = 24) showed a prevalence of manifest posttraumatic stress disorder symptoms, while 8.6% (n = 41) reported moderate to severe depression and 2.9% (n = 14) presented moderate to severe symptoms of general anxiety. Of the respondents, 77.2% (n = 370) reported personal growth because of their work experiences. Conclusions This study indicates that Norwegian ambulance personnel report a prevalence of posttraumatic stress symptoms and depression, which is slightly higher for men, and lower for the female proportion in this study, when compared to an adult Norwegian population. The vast majority of respondents reported personal growth because of their work experience, and both the degree of peer support and having a partner seem to influence levels of posttraumatic stress and -development.


2011 ◽  
Vol 109 (1) ◽  
pp. 47-58 ◽  
Author(s):  
Pablo Vera-Villarroel ◽  
Karem Celis-Atenas ◽  
Natalia Córdova-Rubio ◽  
Izabela Zych ◽  
Gualberto Buela-Casal

Posttraumatic stress disorder (PTSD) is an anxiety disorder in which an individual re-experiences a traumatic event, avoids situations related to it, and shows excessive arousal. The disorder appears after experiencing a life-threatening event, such as a war or a natural disaster. Thus, the validation of tests which assess the disorder after the earthquake on February 27, 2010, in Chile is crucial for its evaluation and subsequent intervention. The present study includes psychometric data for the Posttraumatic Stress Disorder Checklist–Civilian version (PCL–C) on a sample of 509 survivors of the disaster. Values indicate good psychometric properties of the questionnaire.


1998 ◽  
Vol 83 (1) ◽  
pp. 331-335 ◽  
Author(s):  
Isao Fukunishi

This study examined posttraumatic stress symptoms and depressive symptoms in mothers of children with burn injuries from accidentally falling into a bathtub filled with hot water. Subjects were 16 pairs, children with burn injuries and their mothers. Psychiatric interviews were administered to the mothers to check the presence or absence of mental disorders. The severity of mothers' depressive symptoms was rated on the Hamilton Depression Scale. Prevalence rates of DSM-IV posttraumatic stress disorder and major depression were 6.3% and 0% in children with burn injury and 12.5% and 18.8% in their mothers, respectively. For three symptoms of posttraumatic stress disorder (intense distress at similar event, restricted range of affect, and hypervigilance), prevalence rates were significantly higher for the mothers than for the children. Ratings of the three symptoms of posttraumatic stress disorder for the mothers were significantly and positively correlated with scores for guilt feelings. Compared with children with burn injury, mothers are prone to posttraumatic stress symptoms mixed with guilt feelings for children with burn injury.


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