scholarly journals The consequences of the COVID-19 pandemic in nurses in the pre-hospital emergency syste

Rescue Press ◽  
2021 ◽  
Vol 1 (1) ◽  
pp. 1-1
Author(s):  
Walter De Luca ◽  
Yari Barnabino ◽  
Flavio Gheri ◽  
Enrico Lucenti
Keyword(s):  
Mental Health ◽  
Traumatic Stress ◽  
Emergency Services ◽  
Disaster Mental Health ◽  
Post Traumatic Stress ◽  
Hospital Emergency ◽  
Post Traumatic ◽  
Respiratory Assistance ◽  
The Impact

Introduction The COVID-19 pandemic has highlighted the crucial role of nurses and their commitment to their work in facing the situation. Italy has seen a substantial increase in the number of requests for respiratory assistance, and nurses employed on emergency vehicles have been overwhelmed by the situation, with psychological and physical repercussions such as depression and Post Traumatic Stress Disease (PTSD). The study aims to assess the impact of the pandemic on nurses in the Local Emergency System (SET). Method Depression and PTSD via “Screening Questionnaire for Disaster Mental Health”. The questionnaire was distributed among Italian SET nurses with non-probability sampling between 1 December 2020 and 31 January 2021. Results A total of 441 Italian nurses participated in the study, with an average age of 43.28 years (SD ± 9.38) and average working experience in EMS of 11.68 years (SD ± 7.98). 6.12% of the participants worked in an Operations Centre (CO), 72.34% worked in local emergency services and 21.54% worked in both settings. 17.01% of the sample were at high risk for PTSD and 15.65% for depression.

scholarly journals Exploring the impact of COVID-19 and restrictions to daily living as a result of social distancing within veterans with pre-existing mental health difficulties

2020 ◽  
pp. bmjmilitary-2020-001622 ◽  
Author(s):  
Dominic Murphy ◽  
C Williamson ◽  
J Baumann ◽  
W Busuttil ◽  
N T Fear
Keyword(s):  
Mental Health ◽  
Social Support ◽  
Post Traumatic Stress Disorder ◽  
Traumatic Stress ◽  
Stress Disorder ◽  
Post Traumatic Stress ◽  
Increased Risk ◽  
Mental Health Difficulties ◽  
Post Traumatic ◽  
The Impact

IntroductionData are emerging showing the adverse consequences on mental health of the general public due to the COVID-19 pandemic. Little is known about the needs of veterans with pre-existing mental health difficulties during the COVID-19 pandemic.MethodsData were collected through a cross-sectional online survey from a randomly selected sample (n=1092) of military veterans who have sought help for mental health difficulties from a veteran-specific UK-based charity. The response rate was 25.2% (n=275). Participants were asked to complete a range of standardised mental health outcomes (post-traumatic stress disorder (PTSD): Post-traumatic Stress Disorder Checklist, common mental health difficulties (CMDs): 12-Item General Health Questionnaire, difficulties with anger: 5-Item Dimensions of Anger Reactions—Revised and alcohol misuse: Alcohol Use Disorders Identification Test) and endorse a list of potential stressors related to changes to daily life resulting from COVID-19. Regression analyses were fitted to explore predictors of mental health severity.ResultsIt was observed that symptoms of common mental disorder and PTSD (69.3% and 65.0%, respectively) were the most commonly reported to have been exacerbated by the pandemic. Lack of social support and reporting increasing numbers of stressors related to COVID-19 were consistently associated with increasing severity of a range of mental health difficulties.ConclusionsOur findings suggest veterans who had pre-existing mental health difficulties prior to the outbreak of COVID-19 may be at increased risk of experiencing CMDs as a result of the pandemic. Intervening to improve levels of social support and offering practical guidance to better manage any additional stressors relating to the pandemic may provide strategies to help reduce the burden of mental health symptoms.

scholarly journals INTERSECTIONS OF WAR TRAUMA, CULTURE, AND SOCIOANALYSIS IN MENTAL HEALTH INTERVENTION FOR POST-TRAUMATIC STRESS

2011 ◽  
Vol 2 (3/4) ◽  
pp. 432
Author(s):  
Athena Madan
Keyword(s):  
Mental Health ◽  
Power Systems ◽  
Traumatic Stress ◽  
War Trauma ◽  
Self Control ◽  
Post Traumatic Stress ◽  
Post Colonial ◽  
Post Traumatic ◽  
Therapeutic Encounter ◽  
The Impact

<p class="Default">“Refugee war trauma” is a poor adjunct to post-traumatic stress, lacking context for a civilian survivor of war. The “therapeutic mission”, or consolidating a therapeutic agenda with political reconstitution, has its tensions: Such founders embody politics of “emotionology” (Humphrey, 2005, p. 205) bound largely to pharmaceuticals, from a land of “freedom” (where emphasis is on market) and “democracy” (where emphasis is on autonomy of choice, not accountability). Additionally, how people “cope” or “solve problems” is not universal: Therapy speaks of self-empowerment, self-actualisation, and self-control; reconciliation speaks of collective citizenship, national participation, and group reform. Instituting participation in rituals that ‘help” according to predefined norms of an American prescription to suffering speaks more to the globalisation of the American psyche (Watters, 2010; Venne, 1997) than of humanitarian relief. This paper looks at the absence of cultural and socio-political specificities within the dominant discourse on “war trauma”, that are however of ultimate relevance for people affected by war. Using a case example from my own practice with a Rwandan woman living now in Canada, I question the “helpfulness” of post-traumatic stress treatment with this instance of refugee war trauma, and the impact of power systems in mental health care. How can the therapeutic encounter, given its genesis in Eurocentric, patriarchal, enlightenment thought, pause to better consider its potential for injury, especially within contexts of post-colonial genocide? How to avoid a new “mission to civilise”? What tensions to note as the advent of “trauma counselling” seeks more global application and transnational legitimacy?</p>

scholarly journals Effetti della pandemia COVID-19 negli infermieri del sistema di emergenza pre-ospedaliera

Rescue Press ◽  
2021 ◽  
Vol 01 (01) ◽  
pp. 1
Author(s):  
Walter De Luca ◽  
Flavio Gheri ◽  
Enrico Lucenti ◽  
Yari Barnabino
Keyword(s):  
Mental Health ◽  
Traumatic Stress ◽  
Disaster Mental Health ◽  
Post Traumatic Stress ◽  
Allo Studio ◽  
Screening Questionnaire ◽  
Post Traumatic

La pandemia da COVID-19 ha fatto emergere il ruolo cruciale degli infermieri e il loro impegno nel fronteggiare tale situazione. L’Italia ha mostrato un incremento sostanziale di richieste di soccorso per patologie respiratorie e il personale infermieristico impiegato sui mezzi di soccorso è stato travolto dalla situazione con conseguenti ripercussioni psicofisiche quali depressione e Post Traumatic Stress Disease (PTSD). Lo studio mira a valutare l’impatto dell’emergenza pandemica sugli infermieri del Sistema di Emergenza Territoriale (SET). Metodo Analisi di depressione e PTSD mediante “Screening Questionnaire for Disaster Mental Health”. Il questionario è stato distribuito tra gli infermieri italiani afferenti al SET con campionamento non probabilistico tra il 1° dicembre 2020 e il 31 gennaio 2021. Risultati Hanno partecipato allo studio 441 infermieri italiani con età media 43,28 anni (DS ± 9,38), l’esperienza lavorativa media nel SET è 11,68 anni (DS ± 7,98). Il 6,12% dei partecipanti lavora presso una Centrale Operativa (CO), il 72,34% è impegnato nel soccorso territoriale e il 21,54% opera in entrambi i setting. Il 17,01% del campione è ad alto rischio per PTSD e il 15,65% per depressione. Discussione Il campione è costituito da infermieri generalmente esperti nel soccorso territoriale. Il rischio di PTSD e depressione rientra nei range individuati in letteratura. L’analisi per setting operativo ha evidenziato un maggior rischio di sviluppare PTSD per gli infermieri che svolgono attività di CO, con valori quasi doppi rispetto a chi opera solo sui mezzi di soccorso. Il personale con poca esperienza nel SET risulta soggetto a maggiori esiti per le 2 sintomatologie. Conclusione Il personale inesperto e quello impegnato nelle CO è risultato maggiormente vittima di PTSD e depressione. È essenziale attuare piani per permettere al personale del SET di superare tali situazioni di criticità e prevenirle. PAROLE CHIAVE Emergency Nurse, pandemia, COVID-19, emergenza territoriale, PTSD, depressione

scholarly journals A Survey of Psychological Symptoms One Month Post Discharge in Patients Infected with COVID 19

2021 ◽  
Vol 10 (34) ◽  
pp. 2884-2887
Author(s):  
Ajay Kumar Joopaka ◽  
Molanguri Umashankar ◽  
Pingali Srilakshmi ◽  
Pradeep Sharma Telkapalli ◽  
Chinni Krishna Banoth ◽  
...  
Keyword(s):  
Mental Health ◽  
Psychological Distress ◽  
Post Traumatic Stress Disorder ◽  
Traumatic Stress ◽  
Stress Disorder ◽  
Psychological Symptoms ◽  
Post Traumatic Stress ◽  
Event Scale ◽  
Post Traumatic ◽  
The Impact

BACKGROUND Corona virus disease or the (COVID 19) has caused mental health problems in the general population, in people infected and hospitalised for the disease and in patients who have recovered from the disease physically but continue to suffer from lingering mental health problems. Studies have shown stress, depression, and anxiety in one third of the survivors. Similarly post-traumatic stress disorder has been reported to be around 13 % in the survivors of COVID 19. In this study, we wanted to assess the psychological symptoms in the survivors of Covid 19 patients, one month post discharge and also assess various factors associated with the same. METHODS A cross sectional telephonic survey of the patients one month following discharge was done to understand the psychological problems. Sociodemographic data was recorded on a semi structured proforma, whereas psychological distress was recorded on patient health questionnaire - 4 (PHQ - 4) and the post-traumatic stress disorder (PTSD) was screened for by the impact of event scale revised (IES - R). RESULTS Of the 200 patients evaluated, 46.8 % scored above 20 on the impact of event scale which was considered to be a positive screen for post-traumatic stress disorder. Moderate psychological distress was reported by 10.5 % and severe by 7.5 % as measured by PHQ - 4. Being married, having other family members effected by the infection and deaths in the family were some of the factors that were significantly associated with psychological distress and symptoms of post-traumatic stress disorder. CONCLUSIONS Continued mental health support needs to be extended to members who are considered to have recovered and discharged from the hospital following the COVID 19 infection. KEY WORDS COVID 19, Psychological Symptoms, Post-Traumatic Stress Disorder

scholarly journals The Impact of Natural Disaster on Mental Health of Victims Lives: Systematic Review

2020 ◽  
Vol 2 (3) ◽  
pp. 65-85
Author(s):  
Kristia Novia ◽  
Tita Hariyanti ◽  
Laily Yuliatun
Keyword(s):  
Mental Health ◽  
Systematic Review ◽  
Natural Disasters ◽  
Natural Disaster ◽  
Post Traumatic Stress Disorder ◽  
Traumatic Stress ◽  
Stress Disorder ◽  
Post Traumatic Stress ◽  
Post Traumatic ◽  
The Impact

Natural disasters are still a matter of the world until today. The events pose not only physical impact but also psychological impacts that leave deep sorrow and fear. The survivors of the disaster felt they were at a very unsettled condition, felt very fearful, felt agitated for uncertain circumstances, and became very easily panicked until they could experience anxiety, depression, and post-traumatic stress disorder (PTSD). This systematic review aims to identify the impact–effects often posed by natural disasters on the soul health of survivors. Data searching is done on the Proquest, Pubmed, Science Direct, Sage, and Scopus databases that were converged in the 2013 to 2019 ranges. The psychological impact experienced by the victims after natural disaster events are depression, post-traumatic stress disorder (PTSD), fear, suicide experiments, and other mental health disorders such as mood changes and a loss of interest in an activity. Natural disasters can hurt the mental health of the victims. If the psychological problems that occur to the victims are not immediately addressed, the victims will fall on more mental severe disorder conditions.

The lasting mental health effects of Hurricane Sandy on residents of the Rockaways

2016 ◽  
Vol 14 (4) ◽  
pp. 269 ◽  
Author(s):  
Rebecca M. Schwartz, PhD ◽  
Patricia Rothenberg, BA ◽  
Samantha M. Kerath, MS ◽  
Bian Liu, PhD ◽  
Emanuela Taioli, MD, PhD
Keyword(s):  
Mental Health ◽  
Substance Use ◽  
Tobacco Use ◽  
Traumatic Stress ◽  
Hurricane Sandy ◽  
Post Traumatic Stress ◽  
Illicit Substance ◽  
Post Traumatic ◽  
The Impact ◽  
Hurricane Exposure

 Objective: To examine the impact of Hurricane Sandy on the mental health and substance use of residents of the Rockaways, which is a lower income, ethnically diverse region of NYC that was devastated by the hurricane. Design: Prospective, cross sectional. Setting: Rockaways, Queens, NYC community residents. Participants: From October 2013 to April 2015, 407 adult residents of the Rockaways completed self-report, validated measures of depression, anxiety, and post-traumatic stress symptoms as well as indicators of substance use (alcohol, illicit substance, and tobacco use) and exposure to Hurricane Sandy. Main Outcome Measures: Depression, anxiety, post-traumatic stress, alcohol use, illicit substance use, and tobacco use. Results: Differences in exposure scores on outcomes were compared using Wilcoxon tests. Associations between hurricane exposure (categorized into “personal” and “property” exposure) and outcomes were investigated using logistic regression, adjusting for demographic covariates, mental health history, and time since hurricane. The study participants were predominately female (57.5 percent) and black (63.9 percent) and average age was 44.7 years. Multivariable results showed that property exposure scores were positively associated with increased risks of mental health difficulties across all three mental health symptom outcomes, but not substance use. Increased personal and total exposures were also significantly associated with increased Posttraumatic Stress Disorder symptoms. Substance use variables were not significantly associated with any of the hurricane exposure indicators. Conclusions: The present study quantifies the lasting impact that Hurricane Sandy has had on the mental health of Rockaways residents indicating the need for continued recovery efforts and increased mental health service provision in this vulnerable region. 

scholarly journals Social ecology interventions for post-traumatic stress disorder: what can we learn from child soldiers?

2013 ◽  
Vol 203 (3) ◽  
pp. 165-167 ◽  
Author(s):  
Brandon Kohrt
Keyword(s):  
Mental Health ◽  
Post Traumatic Stress Disorder ◽  
Traumatic Stress ◽  
Social Ecology ◽  
Stress Disorder ◽  
Child Soldiers ◽  
Trauma Survivors ◽  
Post Traumatic Stress ◽  
Post Traumatic

SummaryResearch with child soldiers is crucial to improving mental health services after war. This research also can illuminate innovative approaches to treating post-traumatic stress disorder (PTSD) among adult soldiers, veterans and other trauma survivors in high-income countries. A key contribution is the role of social ecology for trauma-healing interventions.

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