scholarly journals El estrés y el consumo de alcohol durante la pandemia de la covid-19

Author(s):  
Wilson Lenin Andrade Chauvin

This work describes the relationship between stress and alcohol consumption during the period of social confinement established because of the COVID-19 pandemic. It starts from the premise that there is an increase in stress that encourages alcohol consumption among the18 to 55-year-old population. Social confinement constitutes an environment that contributes to raising stress levels, leading to post-traumatic stress disorder. This measure was applied to prevent the massive spread of the new virus, after the World Health Organization issued biosafety and disease control guidelines. A compilation of 47 academic articles published between March 2020 and November 2020 was carried out. The results show that from March to April there was an increase in alcohol consumption as a measure of self-medication to relax and calm down during this stressful situation, and that this was more prevalent among women and health personnel, whereas for the following months - May to June - alcohol consumption decreased. Keywords: covid-19/ stress/ alcohol consumption/ social confinement/ mental health.

Author(s):  
Andreas Maercker

Abstract Background The diagnosis of complex post-traumatic stress disorder (CPTSD) was proposed several decades ago by scientist-practitioners, almost parallel to the first description of the diagnosis of post-traumatic stress disorder (PTSD). In the previous International Classification of Diseases, version 10 (ICD-10) issued by the World Health Organization (WHO), this symptom constellation was termed ‘enduring personality change after catastrophic experience’. This diagnosis has not been clinically influential, nor has it been subjected to much research. Thus, in a multi-stage process of ICD-11 development, the diagnosis of CPTSD was developed. Methods This paper provides a review of the historical lines of development that led to the CPTSD diagnosis, as well as the results since the ICD-11 publication in 2018. Results The CPTSD diagnosis comprises the core symptoms of the – newly, narrowly defined – PTSD diagnosis, the three symptom groups of affective, relationship, and self-concept changes. The diagnosis is clinically easy to use in accordance with the WHO development goals for the ICD-11 and has shown good psychodiagnostic properties in various studies, including good discrimination from personality disorder with borderline pattern. Conclusion The scholarly use of the new diagnosis has resulted in an increasing number of published studies on this topic in the diagnostic and therapeutic fields.


2009 ◽  
Vol 40 (7) ◽  
pp. 1215-1223 ◽  
Author(s):  
A. Liedl ◽  
M. O'Donnell ◽  
M. Creamer ◽  
D. Silove ◽  
A. McFarlane ◽  
...  

BackgroundPain and post-traumatic stress disorder (PTSD) are frequently co-morbid in the aftermath of a traumatic event. Although several models attempt to explain the relationship between these two disorders, the mechanisms underlying the relationship remain unclear. The aim of this study was to investigate the relationship between each PTSD symptom cluster and pain over the course of post-traumatic adjustment.MethodIn a longitudinal study, injury patients (n=824) were assessed within 1 week post-injury, and then at 3 and 12 months. Pain was measured using a 100-mm Visual Analogue Scale (VAS). PTSD symptoms were assessed using the Clinician-Administered PTSD Scale (CAPS). Structural equation modelling (SEM) was used to identify causal relationships between pain and PTSD.ResultsIn a saturated model we found that the relationship between acute pain and 12-month pain was mediated by arousal symptoms at 3 months. We also found that the relationship between baseline arousal and re-experiencing symptoms, and later 12-month arousal and re-experiencing symptoms, was mediated by 3-month pain levels. The final model showed a good fit [χ2=16.97, df=12, p>0.05, Comparative Fit Index (CFI)=0.999, root mean square error of approximation (RMSEA)=0.022].ConclusionsThese findings provide evidence of mutual maintenance between pain and PTSD.


2017 ◽  
Vol 2 (1) ◽  
Author(s):  
Craig Cameron Hicks

Background: Post traumatic stress disorder (PTSD) and alcohol comorbidity is becoming a rising issue within the military veteran community highlighted by research indicating individuals diagnosed with PTSD are more likely to have a drinking problem [1]. The implementation of meditation as an alternative form of stress release was aimed at reducing PTSD symptomology and therefor reducing factors that lead to drinking.Methods: A single veteran was recruited to complete a two-week intervention. The participant completed a behavioural diary noting alcohol consumption and mood respectively. During the middle of the study, an interview was undertaken to determine reasons of alcohol consumption and potential reasons and motivations for the cessation of drinking.Results: A moderate correlation between using meditation as a tool to reduce alcohol consumption in veterans with PTSD however this was not significant. Conversely, meditation was able to reduce PTSD symptomology.Conclusions: These results indicate that an alternative to drinking can be implemented as a successful form of treatment. However, these findings are specific to this study and need to be amplified and reproduced to determine if it can be applied to the general population.


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