scholarly journals Posttraumatic Stress Disorder, Depression, and Alcohol and Tobacco Use in Public Health Workers After the 2004 Florida Hurricanes

2013 ◽  
Vol 7 (1) ◽  
pp. 89-95 ◽  
Author(s):  
Carol S. Fullerton ◽  
Jodi B.A. McKibben ◽  
Dori B. Reissman ◽  
Ted Scharf ◽  
Kathleen M. Kowalski-Trakofler ◽  
...  
Keyword(s):  
Public Health ◽  
Posttraumatic Stress Disorder ◽  
Posttraumatic Stress ◽  
Tobacco Use ◽  
Stress Disorder ◽  
Health Workers ◽  
High Exposure ◽  
Work Demand ◽  
Health Burden ◽  
Probable Depression

AbstractObjectiveWe examined the relationship of probable posttraumatic stress disorder (PTSD), probable depression, and increased alcohol and/or tobacco use to disaster exposure and work demand in Florida Department of Health workers after the 2004 hurricanes.MethodsParticipants (N = 2249) completed electronic questionnaires assessing PTSD, depression, alcohol and tobacco use, hurricane exposure, and work demand.ResultsTotal mental and behavioral health burden (probable PTSD, probable depression, increased alcohol and/or tobacco use) was 11%. More than 4% had probable PTSD, and 3.8% had probable depression. Among those with probable PTSD, 29.2% had increased alcohol use, and 50% had increased tobacco use. Among those with probable depression, 34% indicated increased alcohol use and 55.6% increased tobacco use. Workers with greater exposure were more likely to have probable PTSD and probable depression (ORs = 3.3 and 3.06, respectively). After adjusting for demographics and work demand, those with high exposure were more likely to have probable PTSD and probable depression (ORs = 3.21 and 3.13). Those with high exposure had increased alcohol and tobacco use (ORs = 3.01 and 3.40), and those with high work demand indicated increased alcohol and tobacco use (ORs = 1.98 and 2.10). High exposure and work demand predicted increased alcohol and tobacco use, after adjusting for demographics, work demand, and exposure.ConclusionsWork-related disaster mental and behavioral health burden indicate the need for additional mental health interventions in the public health disaster workforce.(Disaster Med Public Health Preparedness. 2013;7:89-95)

scholarly journals Public health clinical demonstration project for smoking cessation in veterans with posttraumatic stress disorder

2010 ◽  
Vol 35 (1) ◽  
pp. 19-22 ◽  
Author(s):  
Eric A. Dedert ◽  
Sarah M. Wilson ◽  
Patrick S. Calhoun ◽  
Scott D. Moore ◽  
Kim W. Hamlett-Berry ◽  
...  
Keyword(s):  
Public Health ◽  
Posttraumatic Stress Disorder ◽  
Smoking Cessation ◽  
Posttraumatic Stress ◽  
Stress Disorder ◽  
Demonstration Project

Pharmacy considerations in tobacco cessation for patients suffering from posttraumatic stress disorder

2013 ◽  
Vol 2 (7) ◽  
pp. 195-201
Author(s):  
Allen Ayala ◽  
Melanie Geer
Keyword(s):  
Posttraumatic Stress Disorder ◽  
Posttraumatic Stress ◽  
Tobacco Use ◽  
Post Traumatic Stress Disorder ◽  
Traumatic Stress ◽  
Tobacco Cessation ◽  
Stress Disorder ◽  
Post Traumatic Stress ◽  
Post Traumatic ◽  
Different Populations

Multiple studies have associated post traumatic stress disorder (PTSD) with variable and high rates of smoking documented in different populations. This article will cover the neurobiology behind tobacco use, and its implications in those with PTSD. Discussion on cessation programs (e.g., effectiveness, drug interactions), and controversy over the use of varenicline will also be discussed.

Mental Health Burden after Injury: It Is about More Than Just Posttraumatic Stress Disorder

2019 ◽  
Vol 229 (4) ◽  
pp. S302
Author(s):  
Juan P. Herrera-Escobar ◽  
Ewelina Stanek ◽  
Kaye Lu ◽  
Kelsey R. Han ◽  
Sabrina E. Sanchez ◽  
...  
Keyword(s):  
Mental Health ◽  
Posttraumatic Stress Disorder ◽  
Posttraumatic Stress ◽  
Stress Disorder ◽  
Health Burden

Posttraumatic Stress Disorder and Mental Distress Following the 2004 and 2005 Florida Hurricanes

2019 ◽  
Vol 13 (1) ◽  
pp. 44-52 ◽  
Author(s):  
Carol S. Fullerton ◽  
Holly B. Herberman Mash ◽  
Leming Wang ◽  
Joshua C. Morganstein ◽  
Robert J. Ursano
Keyword(s):  
Posttraumatic Stress Disorder ◽  
Posttraumatic Stress ◽  
Collective Efficacy ◽  
Mental Distress ◽  
Stress Disorder ◽  
Health Workers ◽  
Storm Damage ◽  
Logistic Regression Models ◽  
Community Strength ◽  
Frequent Mental Distress

AbstractObjectiveCommunity characteristics, such as perceived collective efficacy, a measure of community strength, can affect mental health outcomes following disasters. We examined the association of perceived collective efficacy with posttraumatic stress disorder (PTSD) and frequent mental distress (14 or more mentally unhealthy days in the past month) following exposure to the 2004 and 2005 hurricane seasons.MethodsParticipants were 1486 Florida Department of Health workers who completed anonymous questionnaires that were distributed electronically 9 months after the 2005 hurricane season. Participant ages ranged from 20 to 79 years (mean, 48; SD, 10.7), and the majority were female (79%), white (75%), and currently married (64%). Fifty percent had a BA/BS degree or higher.ResultsIn 2 separate logistic regression models, each adjusted for individual sociodemographics, community socioeconomic characteristics, individual injury/damage, and community storm damage, lower perceived collective efficacy was significantly associated with a greater likelihood of having PTSD (OR, 0.93; 95% CI, 0.90-0.96), and lower collective efficacy was significantly associated with frequent mental distress (OR, 0.94; 95% CI, 0.92-0.96).ConclusionsPrograms enhancing community collective efficacy may be a significant part of prevention practices and possibly lead to a reduction in the rate of PTSD and persistent distress postdisaster. (Disaster Med Public Health Preparedness. 2019;13:44–52).

scholarly journals Posttraumatic stress disorder and tobacco use: A systematic review and meta-analysis

2018 ◽  
Vol 84 ◽  
pp. 238-247 ◽  
Author(s):  
Irene Pericot-Valverde ◽  
Rebecca J. Elliott ◽  
Mollie E. Miller ◽  
Jennifer W. Tidey ◽  
Diann E. Gaalema
Keyword(s):  
Systematic Review ◽  
Posttraumatic Stress Disorder ◽  
Posttraumatic Stress ◽  
Tobacco Use ◽  
Stress Disorder ◽  
Meta Analysis

Deployment stress, tobacco use, and postdeployment posttraumatic stress disorder: Gender differences.

2016 ◽  
Vol 8 (2) ◽  
pp. 123-126 ◽  
Author(s):  
Sandra J. Japuntich ◽  
Kristin Gregor ◽  
Suzanne L. Pineles ◽  
Jaimie L. Gradus ◽  
Amy E. Street ◽  
...  
Keyword(s):  
Gender Differences ◽  
Posttraumatic Stress Disorder ◽  
Posttraumatic Stress ◽  
Tobacco Use ◽  
Stress Disorder

scholarly journals Patterns of Co-Occurring Addictions, Posttraumatic Stress Disorder, and Major Depressive Disorder in Detoxification Treatment Seekers: Implications for Improving Detoxification Treatment Outcomes

2019 ◽  
Author(s):  
RaeAnn Elizabeth Anderson ◽  
Bryce Hruska ◽  
Alec P. Boros ◽  
Christopher J. Richardson ◽  
Douglas L. Delahanty
Keyword(s):  
Posttraumatic Stress Disorder ◽  
Substance Use ◽  
Major Depressive Disorder ◽  
Depressive Disorder ◽  
Treatment Outcomes ◽  
Posttraumatic Stress ◽  
Tobacco Use ◽  
Stress Disorder ◽  
Major Depressive ◽  
Treatment Seekers

Background and Objectives: Poly-substance use and psychiatric comorbidity are common among individuals receiving substance detoxification services. Posttraumatic stress disorder (PTSD) and major depressive disorder (MDD) are the most common co-occurring psychiatric disorders with substance use disorder (SUD). Current treatment favors a one-size-fits-all approach to treating addiction focusing on one substance or one comorbidity. Research examining patterns of substance use and comorbidities can inform efforts to effectively identify and differentially treat individuals with co-occurring conditions. Methods: Using latent class analysis, the current study identified four patterns of PTSD, MDD, and substance use among 375 addiction treatment seekers receiving medically supervised detoxification. Results: The four identified classes were: 1) a PTSD-MDD-Poly SUD class characterized by PTSD and MDD occurring in the context of opioid, cannabis, and tobacco use disorders; 2) an MDD-Poly SUD class characterized by MDD and alcohol, opioid, tobacco, and cannabis use disorders; 3) an alcohol-tobacco class characterized by alcohol and tobacco use disorders; and 4) an opioid-tobacco use disorder class characterized by opioid and tobacco use disorders. The observed classes differed on gender and clinical characteristics including addiction severity, trauma history, and PTSD/MDD symptom severity. Discussion and Conclusions: The observed classes likely require differing treatment approaches. For example, people in the PTSD-MDD-Poly SUD class would likely benefit from treatment approaches targeting anxiety sensitivity and distress tolerance, while the opioid-tobacco class would benefit from treatments that incorporate motivational interviewing. Appropriate matching of treatment to class could optimize treatment outcomes for polysubstance and comorbid psychiatric treatment seekers. These findings also underscore the importance of well-developed referral networks to optimize outpatient psychotherapy for detoxification treatment-seekers to enhance long-term recovery, particularly those that include transdiagnostic treatment components.

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