`Becoming human again': Exploring connections between nature and recovery from stress and post-traumatic distress

The phenomena and trajectory of mourning as a normal adaptive process are differentiated from clinical depression, avoidant and complicated grief, post-traumatic distress disorder, and other forms of pathological grief. Anticipatory grief can be a particular challenge during palliative care. The family is recognized as the major source of social support and the environment in which grief is shared with others. Key risk factors for pathological bereavement outcomes can be identified on admission to palliative care, permitting preventive models of psychological care to be used through palliative care into bereavement. Models of therapy include supportive-expressive, interpersonal, cognitive behavioural, family focused, and specific therapy for complicated grief. Pharmacotherapy can judiciously accompany psychotherapy. Life-cycle issues include bereaved children, siblings, parents, and grief for the very elderly. Grief can be stigmatized and ambiguous in special circumstances, yet positive growth is a desirable outcome from any loss.

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How do people cope with post traumatic distress after an accident? The role of psychological, social and spiritual coping in Malaysian Muslim patients

Developments in Qualitative Psychotherapy Research ◽

10.4324/9780429464249-13 ◽

2018 ◽

pp. 181-198

Author(s):

Rafidah Bahari ◽

Muhammad Najib Mohamad Alwi ◽

Nasrin Jahan ◽

Muhammad Radhi Ahmad ◽

Ismail Mohd Saiboon

Keyword(s):

Spiritual Coping ◽

Post Traumatic ◽

Traumatic Distress

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Post traumatic distress symptoms following spinal cord injury: a comparative review of European Samples

Spinal Cord ◽

10.1038/sj.sc.3101688 ◽

2004 ◽

Vol 43 (2) ◽

pp. 102-108 ◽

Cited By ~ 32

Author(s):

P Lude ◽

P Kennedy ◽

M Evans ◽

Y Lude ◽

A Beedie

Keyword(s):

Spinal Cord ◽

Spinal Cord Injury ◽

Distress Symptoms ◽

Comparative Review ◽

Cord Injury ◽

Post Traumatic ◽

Traumatic Distress

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Readiness to reconcile and post-traumatic distress in German survivors of wartime rapes in 1945

International Psychogeriatrics ◽

10.1017/s1041610214002695 ◽

2015 ◽

Vol 27 (5) ◽

pp. 857-864 ◽

Cited By ~ 3

Author(s):

S. Eichhorn ◽

N. Stammel ◽

H. Glaesmer ◽

T. Klauer ◽

H. J. Freyberger ◽

...

Keyword(s):

Psychological Treatment ◽

Therapeutic Process ◽

Traumatic Experiences ◽

Future Research ◽

Psychological Consequences ◽

Post Traumatic Stress ◽

Rape Survivors ◽

Post Conflict ◽

Post Traumatic ◽

Traumatic Distress

ABSTRACTBackground:Sexual violence and wartime rapes are prevalent crimes in violent conflicts all over the world. Processes of reconciliation are growing challenges in post-conflict settings. Despite this, so far few studies have examined the psychological consequences and their mediating factors. Our study aimed at investigating the degree of longtime readiness to reconcile and its associations with post-traumatic distress within a sample of German women who experienced wartime rapes in 1945.Methods:A total of 23 wartime rape survivors were compared to age- and gender-matched controls with WWII-related non-sexual traumatic experiences. Readiness to reconcile was assessed with the Readiness to Reconcile Inventory (RRI-13). The German version of the Post-traumatic Diagnostic Scale (PDS) was used to assess post-traumatic stress disorder (PTSD) symptomatology.Results:Readiness to reconcile in wartime rape survivors was higher in those women who reported less post-traumatic distress, whereas the subscale “openness to interaction” showed the strongest association with post-traumatic symptomatology. Moreover, wartime rape survivors reported fewer feelings of revenge than women who experienced other traumatization in WWII.Conclusions:Our results are in line with previous research, indicating that readiness to reconcile impacts healing processes in the context of conflict-related traumatic experiences. Based on the long-lasting post-traumatic symptomatology we observed that our findings highlight the need for psychological treatment of wartime rape survivors worldwide, whereas future research should continue focusing on reconciliation within the therapeutic process.

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Children's narrative memory for accidents and their post-traumatic distress

Applied Cognitive Psychology ◽

10.1002/acp.1294 ◽

2007 ◽

Vol 21 (7) ◽

pp. 821-838 ◽

Cited By ~ 34

Author(s):

Richard O'Kearney ◽

Joanne Speyer ◽

Justin Kenardy

Keyword(s):

Post Traumatic ◽

Traumatic Distress

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Psychological impact of COVID-19 pandemic on healthcare workers in a highly burdened area of north-east Italy

Epidemiology and Psychiatric Sciences ◽

10.1017/s2045796020001158 ◽

2020 ◽

Vol 30 ◽

Author(s):

A. Lasalvia ◽

C. Bonetto ◽

S. Porru ◽

A. Carta ◽

S. Tardivo ◽

...

Keyword(s):

Healthcare Workers ◽

Psychological Impact ◽

Hospital Staff ◽

Psychological Problems ◽

Administrative Staff ◽

Healthcare Staff ◽

North East ◽

Post Traumatic ◽

Traumatic Distress ◽

The Impact

Abstract Aims Healthcare workers exposed to coronavirus 2019 (COVID-19) patients could be psychologically distressed. This study aims to assess the magnitude of psychological distress and associated factors among hospital staff during the COVID-19 pandemic in a large tertiary hospital located in north-east Italy. Methods All healthcare and administrative staff working in the Verona University Hospital (Veneto, Italy) during the COVID-19 pandemic were asked to complete a web-based survey from 21 April to 6 May 2020. Symptoms of post-traumatic distress, anxiety and depression were assessed, respectively, using the Impact of Event Scale (IES-R), the Self-rating Anxiety Scale (SAS) and the Patient Health Questionnaire (PHQ-9). Personal socio-demographic information and job characteristics were also collected, including gender, age, living condition, having pre-existing psychological problems, occupation, length of working experience, hospital unit (ICUs and sub-intensive COVID-19 units vs. non-COVID-19 units). A multivariable logistic regression analysis was performed to identify factors associated with each of the three mental health outcomes. Results A total of 2195 healthcare workers (36.9% of the overall hospital staff) participated in the study. Of the participants, 35.7% were nurses, 24.3% other healthcare staff, 16.4% residents, 13.9% physicians and 9.7% administrative staff. Nine per cent of healthcare staff worked in ICUs, 8% in sub-intensive COVID-19 units and 7.6% in other front-line services, while the remaining staff worked in hospital units not directly engaged with COVID-19 patients. Overall, 63.2% of participants reported COVID-related traumatic experiences at work and 53.8% (95% CI 51.0%–56.6%) showed symptoms of post-traumatic distress; moreover, 50.1% (95% CI 47.9%–52.3%) showed symptoms of clinically relevant anxiety and 26.6% (95% CI 24.7%–28.5%) symptoms of at least moderate depression. Multivariable logistic regressions showed that women, nurses, healthcare workers directly engaged with COVID-19 patients and those with pre-existing psychological problems were at increased risk of psychopathological consequences of the pandemic. Conclusions The psychological impact of the COVID-19 pandemic on healthcare staff working in a highly burdened geographical of north-east Italy is relevant and to some extent greater than that reported in China. The study provides solid grounds to elaborate and implement interventions pertaining to psychology and occupational health.

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