Centrality of Illness: A Preliminary Application of the Centrality of Event Scale to Chronic Illness

2011 ◽  
Author(s):  
Philip A. Burke ◽  
Clare M. Lewandowski ◽  
Steven L. Lancaster
Author(s):  
Kamlesh Kumari Sharma ◽  
Ravneet Kaur ◽  
Muthuvenkatachalam Srinivasan ◽  
Siddarth Sarkar ◽  
Kalaivani Mani ◽  
...  

Background: In the wake of the pandemic of coronavirus disease 2019, there are reports of its impact on psychological wellbeing of the health care workers.Methods:   This cross-sectional survey was conducted in June 2020 in a tertiary care hospital in Delhi, India among conveniently sampled 93 participants i.e. doctors and nurses directly engaged in clinical activities in COVID-19 designated areas. A self-administered questionnaire through Google forms elicited symptoms of depression, anxiety, insomnia, and distress measured using the 9-item patient health questionnaire, 7-item generalized anxiety disorder scale, 7-item insomnia severity index, and 22-item impact of event scale-revised respectively.Results: Majority (53.8%) of the participants were male and their mean age was 30.2 years.  Most (72%) were nurses, the rest being doctors.  A substantial proportion of the participants had depression (47.4% of the sample), anxiety (29.0%), insomnia (32.3%) and distress (22.6%). Symptoms were disproportionately higher in female and single participants, nurses; those with history of chronic illness, staying in institute provided temporary accommodation, working on regular basis and perceiving lack of adequate personal protective equipment. Taking prophylactic hydroxychloroquine was associated with lower symptom rates.Conclusions: This survey revealed a considerable prevalence of mental health outcomes in HCWs demonstrating an association with age, gender; marital, professional and employment status, history of chronic illness, access to PPE, stay at institute provided temporary accommodation and prophylactic hydroxychloroquine use.


Diagnostica ◽  
2011 ◽  
Vol 57 (2) ◽  
pp. 84-98 ◽  
Author(s):  
Annette F. Bölter ◽  
Julia Lange ◽  
Bernd Anger ◽  
Christian Geiser ◽  
Heinz-Martin Süß ◽  
...  

Zusammenfassung. Nach DSM-IV können lebensbedrohliche Erkrankungen wie Krebs eine Posttraumatische Belastungsstörung (PTSD) auslösen. Der Erfassung mit üblichen PTSD-Diagnoseinstrumenten wie der Impact-of-Event-Scale (IES-R) mangelt es jedoch an Validität. Methodik: Ein krebsspezifisches PTSD-Konzept wurde theoriebasiert entwickelt und über die IES-R sowie neu formulierte Items erfasst. 400 Rehabilitationspatienten mit heterogenen Tumordiagnosen und Diagnosestellung vor max. einem Jahr wurden untersucht. Faktorenanalytisch (CFA) wurde ein Screeninginstrument, der Fragebogen zur krebsspezifischen posttraumatischen Belastung (PTB-KS), entwickelt. Der Reliabilitätsanalyse folgte eine Konstruktvalidierung. Ergebnis: Die statistischen Analysen unterstützen die Modellannahmen (χ2/df = 2.28; CFI = .960; RMSEA = .057). Der PTB-KS umfasst auf vier Skalen Intrusionen und Vermeidung (IES-R), krebsspezifische Belastung sowie Fehlanpassung. Reliabilität und konvergente Validität sind zufriedenstellend, die diskriminante Validität ist nicht hinreichend gesichert. Diskussion: Das erweiterte diagnostische Modell verbessert die Erfassung von posttraumatischer Belastung bei Krebspatienten. Aus klinischer Sicht eignet es sich trotz methodischer Einschränkungen als Screeninginstrument.


2006 ◽  
Vol 22 (4) ◽  
pp. 259-267 ◽  
Author(s):  
Eelco Olde ◽  
Rolf J. Kleber ◽  
Onno van der Hart ◽  
Victor J.M. Pop

Childbirth has been identified as a possible traumatic experience, leading to traumatic stress responses and even to the development of posttraumatic stress disorder (PTSD). The current study investigated the psychometric properties of the Dutch version of the Impact of Event Scale-Revised (IES-R) in a group of women who recently gave birth (N = 435). In addition, a comparison was made between the original IES and the IES-R. The scale showed high internal consistency (α = 0.88). Using confirmatory factor analysis no support was found for a three-factor structure of an intrusion, an avoidance, and a hyperarousal factor. Goodness of fit was only reasonable, even after fitting one intrusion item on the hyperarousal scale. The IES-R correlated significantly with scores on depression and anxiety self-rating scales, as well as with scores on a self-rating scale of posttraumatic stress disorder. Although the IES-R can be used for studying posttraumatic stress reactions in women who recently gave birth, the original IES proved to be a better instrument compared to the IES-R. It is concluded that adding the hyperarousal scale to the IES-R did not make the scale stronger.


1997 ◽  
Author(s):  
K. L. Weiss ◽  
R. S. Marvin ◽  
R. C. Pianta
Keyword(s):  

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