scholarly journals Parental Psychological Flexibility as a Mediating Factor of Post-Traumatic Stress Disorder in Children after Hospitalization or Surgery

Author(s):  
Amichai Ben-Ari ◽  
Roy Aloni ◽  
Shiri Ben-David ◽  
Fortu Benarroch ◽  
Daniella Margalit

Background: Illness, surgery, and surgical hospitalization are significant stressors for children. Children exposed to such medical events may develop post-traumatic medical syndrome (PMTS, pediatric medical traumatic stress) that could slow their physical and emotional recovery. Objective: This study examined the relationship between the level of parental psychological resilience and the development of PMTS in young children. Method: We surveyed 152 parents of children aged 1–6 who were admitted to the pediatric surgery department. Parents completed questionnaires in two phases. In the first phase, one of the parents completed the Acceptance and Action Questionnaire (AAQ-ll) and the Parental Psychological Flexibility (PPF) Questionnaire. In the second phase, about three months after discharge, the same parent completed the Young Child PTSD (Post Traumatic Stress Disorder) Checklist (YCPC) and the UCLA (Los Angeles, CA, USA) PTSD Reaction Index for DSM-5 Parent/Caregiver Version for Children Age 6 Years and Younger Evaluating Post-traumatic Disorder. In addition, the parent completed a Posttraumatic Stress Diagnostic Scale (PDS) questionnaire to assess the existence of post-traumatic symptoms in the parents. Results: The findings indicate that (1) a parent’s psychological flexibility is significantly associated with the level of personal distress (r = −0.45, p < 0.001), (2) a parents’ level of distress is significantly correlated with the child’s level of PTMS, and (3) a parent’s level of psychological flexibility is a significant mediating factor between the level of parental post-traumatic distress and the child’s level of PTMS. Conclusions: A parent’s psychological flexibility may act as a protective factor against the development of the child’s mental distress after hospitalization or surgery.

Author(s):  
Khalid Astitene ◽  
Hassan Aguenaou ◽  
Laila Lahlou ◽  
Amina Barkat

Aim: After a traumatic event, the person can develop post-traumatic stress disorder (PTSD), the purpose of the study is to assess the prevalence of PTSD in adolescents in public middle schools of the prefecture of Salé in Morocco and study anxiety and depression which are the comorbid disorders of the PTSD. The survey was carried out from March to June 2017. Methods: 523 students were selected by the cross-sectional method from fifteen schools that were randomly selected, the age of the students vary between 12 and 17 years. For the survey, standardized questionnaires (the socio-demographic data, the Life Events Checklist, the CPTS-RI (Children's Post Traumatic Stress Reaction Index), the STAIY (State Trait Inventory Anxiety Form Y) and the CDI (Children Depression Inventory) were used which were filled in by the students. Results: The prevalence of PTSD was 70.4% in the students who have PTSD. We found that the prevalence in boys was 46.74%, while in girls it was 53.26%. In addition to that, 81% of students found to be anxious and 51.8% of students have depression. Conclusion: There is a high prevalence of post traumatic stress disorder among adolescents, there are practical implications for the support and care of these adolescents.


2011 ◽  
Author(s):  
Laura K. Murray ◽  
Judith Bass ◽  
Elwyn Chomba ◽  
Mwiya Imasiku ◽  
Donald Thea ◽  
...  

2002 ◽  
Vol 17 (8) ◽  
pp. 451-458 ◽  
Author(s):  
Michael Brune ◽  
Christian Haasen ◽  
Michael Krausz ◽  
Oktay Yagdiran ◽  
Enrique Bustos ◽  
...  

SummaryThe severity of traumatization seems to correlate with a more severe course of post-traumatic stress disorder (PTSD) (and other post-traumatic disorders), while firm belief systems have been found to be a protective factor against post-traumatic disorders. This study sought to determine the role of belief systems in the outcome of psychotherapy for traumatized refugees. The charts of 141 consecutively treated refugees were evaluated retrospectively. A firm belief system was found to be an important predictor for a better therapy outcome. The importance of a firm belief system as a coping factor, which should be used as an instrument in therapy, is discussed. © 2002 Éditions scientifiques et médicals Elsevier SAS


Sari Pediatri ◽  
2016 ◽  
Vol 17 (6) ◽  
pp. 441
Author(s):  
Putu Dian Savitri Irawan ◽  
Soetjiningsih Soetjiningsih ◽  
IGA Trisna Windiani ◽  
I Gst Ag Sugitha Adnyana ◽  
IGA Endah Ardjana

Latar belakang. Stres pascatrauma (post traumatic stress disorder atau PTSD) merupakan suatu gangguan psikiatri fungsi sosial seseorang.Universitas California Los Angeles (UCLA) mengembangkan serangkaian self-report kuesioner yang disebut PTSD Reaction Index(PTSD-RI) untuk deteksi dini gangguan tersebut. Namun, kuesioner tersebut belum pernah digunakan di Indonesia.Tujuan. Mengetahui reliabilitas instrumen post traumatic stress disoder reaction index (PTSD-RI) versi remaja, prevalensi, serta faktoryang berhubungan dengan PTSD.Metode. Penelitian potong lintang dilaksanakan di enam SMUN di Denpasar. Digunakan kuesioner PTSD-RI versi remaja yangtelah diterjemahkan ke dalam Bahasa Indonesia. Digunakan uji α Cronbach untuk menilai reliabilitas PTSD-RI. Analisis statistikmenggunakan uji chi-square dan multivariat regresi logistik.Hasil. Terdapat 300 pelajar SMUN yang mengikuti penelitian. Enam puluh orang (20%) dengan tersangka PTSD. ReliabilitasPTSD-RI baik (koefisien α 0,94). Tipe kepribadian tertutup sebagai faktor risiko PTSD [RP 3,55 (IK95% 1,46-8,66), p=0,01].Keluarga yang harmonis [RP 0,35 (IK95% 0,08-0,78), p=0,02], adanya dukungan keluarga [RP 0,13 (IK95% 0,03-0,50), p=0,01],adanya dukungan sosial [RP 0,25 (IK95% 0,09-0,68), p=0,01], serta trauma tunggal [RP 0,02 (IK95% 0,14- 0,82), p=0,01] berperansebagai faktor protektif PTSD.Kesimpulan. Instrumen PTSD-RI memiliki reliabilitas yang baik sehingga dapat digunakan di Indonesia. Prevalensi PTSD padaremaja di Denpasar sebesar 20%.


2011 ◽  
Vol 5 (1) ◽  
pp. 24 ◽  
Author(s):  
Laura K Murray ◽  
Judith Bass ◽  
Elwyn Chomba ◽  
Mwiya Imasiku ◽  
Donald Thea ◽  
...  

2020 ◽  
Vol 21 (15) ◽  
pp. 5355
Author(s):  
Einat Levy-Gigi ◽  
Reut Donner ◽  
George A. Bonanno

Servicemen are exposed to high levels of stress as part of their daily routine, however, studies which tested the relationship between stress and clinical symptoms reached inconsistent results. The present study examines the role of expressive flexibility, which was determined according to the ability to enhance or suppress either negative or positive emotional expression in conflictual situations, as a possible moderator between stress and Post-Traumatic Stress Disorder (PTSD) symptoms. A total of 82 active-duty firefighters (all men, age range = 25–66, M = 33.59, SD = 9.56, range of years in duty service = 2–41, M = 14.37, SD = 11.79), with different duty-related repeated traumatic exposure, participated in the study. We predicted and found that firefighters with low, but not high, expressive flexibility showed a significant positive correlation between duty-related traumatic exposure and PTSD symptomology (t(81) = 3.85, p < 0.001). Hence, the greater the exposure the higher level of symptoms they exhibited. In addition, we found a difference between the moderating roles of suppressing positive and negative emotional expression, as high but not low, ability to suppress the expression of negative emotions (t(81) = 1.76, p > 0.05), as low but not high, ability to suppress the expression of positive emotions (t(81) = 1.6, p > 0.05), served as a protective factor in buffering the deleterious effect of repeated traumatic exposure. The results provide a pivotal support for the growing body of evidence that a flexible emotional profile is an adaptive one, in dealing with negative life events. However, while there is a need to update behavior, the direction of the adaptive update may differ as a function of valance.


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