The Assessment of Post-traumatic Stress Disorder for Workers' Compensation in Emergency Service Personnel

2013 ◽  
Vol 48 (6) ◽  
pp. 420-427
Author(s):  
Delphine Bostock Matusko ◽  
Richard I Kemp ◽  
Helen M Paterson ◽  
Richard A Bryant
Keyword(s):  
Post Traumatic Stress Disorder ◽  
Traumatic Stress ◽  
Emergency Service ◽  
Stress Disorder ◽  
Workers Compensation ◽  
Post Traumatic Stress ◽  
Service Personnel ◽  
Emergency Service Personnel ◽  
Post Traumatic

Objective predictors of delayed-onset post-traumatic stress disorder occurring after military discharge

2012 ◽  
Vol 42 (10) ◽  
pp. 2119-2126 ◽  
Author(s):  
C. R. Brewin ◽  
B. Andrews ◽  
J. Hejdenberg ◽  
L. Stewart
Keyword(s):  
Post Traumatic Stress Disorder ◽  
Traumatic Stress ◽  
Stress Disorder ◽  
Post Traumatic Stress ◽  
Post Discharge ◽  
Service Personnel ◽  
Objective Evidence ◽  
Externalizing Disorder ◽  
Military Discharge ◽  
Post Traumatic

BackgroundPost-traumatic stress disorder (PTSD) that develops after military personnel have been discharged may lead to severe impairment. We investigated whether personnel who develop PTSD after discharge can be identified by independent evidence of internalizing signs such as depression or of externalizing signs such as disciplinary offences while still serving.MethodVeterans in receipt of a war pension who only developed PTSD post-discharge were compared with matched veterans who developed PTSD in service or never suffered from PTSD. Contemporaneous medical and personnel records were searched for objective evidence of internalizing and externalizing disorder.ResultsService personnel who developed PTSD post-discharge were indistinguishable from controls with no PTSD on their psychiatric presentation in service. Those with post-discharge PTSD had significantly more disciplinary offences, specifically absence without leave, disobedience, and dishonesty, than the no-PTSD group, and this excess of offences was present before any exposure to trauma.ConclusionsThis is the first study to find objective evidence independent of self-report for the claimed link between externalizing disorder and vulnerability to PTSD. Early signs of externalizing disorders may play an important role in helping to identify service personnel at risk of PTSD after military discharge.

Training plus intensive consultation improves uptake and outcome expectations of prolonged exposure therapy among practitioners treating emergency service personnel with post-traumatic stress disorder

2019 ◽  
Vol 28 (3) ◽  
pp. 257-263
Author(s):  
Darryl Wade ◽  
Sonia Terhaag ◽  
Andrea Putica ◽  
Olivia Metcalf
Keyword(s):  
Post Traumatic Stress Disorder ◽  
Traumatic Stress ◽  
Emergency Service ◽  
Stress Disorder ◽  
Prolonged Exposure ◽  
Outcome Expectations ◽  
Evidence Based ◽  
Training Workshop ◽  
Post Traumatic Stress ◽  
Post Traumatic

Objective: Prolonged exposure (PE) therapy is an evidence-based psychological treatment of post-traumatic stress disorder (PTSD), yet uptake amongst practitioners is less than desirable. The aim of this study was to evaluate the efficacy of a PE training workshop plus intensive consultation programme to improve practitioners’ self-efficacy and outcome expectations as well as uptake of PE for emergency service patients with PTSD. Method: Forty-five psychologists attended a PE training workshop in Sydney. Participants completed questionnaires at pre- and post-workshop and six-month follow-up. Results: The findings suggest that participation in the programme was associated with improvements in practitioners’ beliefs in their ability to deliver PE to patients, an increase in their use of a range of PE components and an increase in their use of in vivo exposure with a greater proportion of patients. Conclusion: Effective training approaches for evidence-based treatments of PTSD should incorporate intensive consultation following training. Future studies should consider additional strategies to encourage practitioners to deliver PE to more patients with PTSD.

scholarly journals Impact of paternal deployment to the conflicts in Iraq and Afghanistan and paternal post-traumatic stress disorder on the children of military fathers

2018 ◽  
Vol 212 (6) ◽  
pp. 347-355 ◽  
Author(s):  
Nicola T. Fear ◽  
Ruth V. Reed ◽  
Sarah Rowe ◽  
Howard Burdett ◽  
David Pernet ◽  
...  
Keyword(s):  
Post Traumatic Stress Disorder ◽  
Traumatic Stress ◽  
Emergency Preparedness ◽  
Stress Disorder ◽  
Armed Forces ◽  
Well Being ◽  
Research Unit ◽  
Post Traumatic Stress ◽  
Service Personnel ◽  
Post Traumatic

BackgroundLittle is known about the social and emotional well-being of children whose fathers have been deployed to the conflicts in Iraq/Afghanistan or who have post-traumatic stress disorder (PTSD).AimsTo examine the emotional and behavioural well-being of children whose fathers are or have been in the UK armed forces, in particular the effects of paternal deployment to the conflicts in Iraq or Afghanistan and paternal PTSD.MethodFathers who had taken part in a large tri-service cohort and had children aged 3–16 years were asked about the emotional and behavioural well-being of their child(ren) and assessed for symptoms of PTSD via online questionnaires and telephone interview.ResultsIn total, 621 (67%) fathers participated, providing data on 1044 children. Paternal deployment to Iraq or Afghanistan was not associated with childhood emotional and behavioural difficulties. Paternal probable PTSD were associated with child hyperactivity. This finding was limited to boys and those under 11 years of age.ConclusionsThis study showed that adverse childhood emotional and behavioural well-being was not associated with paternal deployment but was associated with paternal probable PTSD.Declaration of interestN.T.F. is a trustee of the Warrior Programme, a charity supporting ex-service personnel and their families. She is also a member of the Independent Group Advising on the Release of Data (IGARD). S.W. is a trustee of Combat Stress, a charity supporting ex-service personnel and their families, and President of the Royal Society of Medicine. S.W. is partially funded by the National Institute for Health Research Health Protection Research Unit (NIHR HPRU) in Emergency Preparedness and Response at King's College London in partnership with Public Health England (PHE), in collaboration with the University of East Anglia and Newcastle University.

Sign in / Sign up

Export Citation Format

Share Document