scholarly journals The Role of Self-Compassion and Ego Strength on Secondary Post-Traumatic Stress Disorder in Wives of War Veterans

2020 ◽  
Vol 6 (4) ◽  
pp. 267-275
Author(s):  
Abdoulmaleki. L ◽  
Amiri. H ◽  
Hosseini SS ◽  
Borzoo Amirpour ◽  
Afshariniya K ◽  
...  
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.


2015 ◽  
Vol 7 (1) ◽  
Author(s):  
Ramadan Halimi ◽  
Emond Dragoti ◽  
Hidajete Halimi ◽  
Nazife Sylejmani-Hulaj ◽  
Sevdie Jashari-Ramadani

We aimed to assess, in socio-cultural context, the level of hatred and revenge in war veterans with post-traumatic stress disorder (PTSD). The sampling frame consisted of 215 Kosova War veterans, randomly selected. The Harvard Trauma Questionnaire was used to assess the prevalence of PTSD and Manchester Short Assessment of Life was used to assess social satisfactions. The participants were asked to declare the strength of feelings of hatred and revenge in the four preceding weeks by using four items scale: not at all, a little bit/sometimes, a lot and extremely. Willingness for action of veterans was assessed using three item scale: yes, no or maybe. A probability level of 0.05 was adopted to be considered as statistically significant for differences among groups. DSM-IV-TR criteria for PTSD (very similar to DSM-V) were met by 52.6% of veterans; the data have confirmed existence of thoughts and fantasies of revenge against opposing forces by 42.8% veterans; at the same level 42.8% manifested feelings of hatred. Fantasies of taking revenge<em> a lot</em> was recorded by 19.5% and <em>extremely</em> by 1.4% of veterans, while hateful thoughts at level a lot were likely expressed by 22.3% and <em>extreme</em> by 2.8% of veterans. It is important to note that 84.7% were confident to act based on their beliefs. Social-economic and cultural factors have played major role in the understanding of psychological problems of traumatized individuals with a direct impact on their ability to function socially. This study has confirmed the urgent need for the establishment of psychological rehabilitation programs as well as programs for the social and economic rehabilitation of War Veterans.


2007 ◽  
Vol 34 (1) ◽  
pp. 1-8 ◽  
Author(s):  
M. MUHVIĆ-UREK ◽  
I. UHAČ ◽  
Ž. VUKŠIĆ-MIHALJEVIĆ ◽  
D. LEOVIĆ ◽  
N. BLEČIĆ ◽  
...  

2018 ◽  
Vol 16 (1) ◽  
pp. 17-24
Author(s):  
Rajab Samadi ◽  
Emran Mohammad Razaghi Kashani ◽  
Maryam Kami ◽  
Omid Rezaei ◽  
◽  
...  

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