The subjective effect of antipsychotic medication on trauma‐related thoughts, emotions, and physical symptoms: A qualitative study with people who have experienced childhood trauma and psychosis

2021 ◽  
Author(s):  
Ilias Kamitsis ◽  
Louise Harms ◽  
Sarah Bendall
Keyword(s):  
Qualitative Study ◽  
Childhood Trauma ◽  
Antipsychotic Medication ◽  
Physical Symptoms ◽  
Subjective Effect

Change processes related to long-term outcomes in eating disorders with childhood trauma: An explorative qualitative study.

2020 ◽  
Vol 67 (1) ◽  
pp. 51-65
Author(s):  
Malin E. Olofsson ◽  
Hanne W. Oddli ◽  
Asle Hoffart ◽  
Hanna P. Eielsen ◽  
KariAnne R. Vrabel
Keyword(s):  
Eating Disorders ◽  
Qualitative Study ◽  
Childhood Trauma ◽  
Change Processes ◽  
Long Term Outcomes

FC01-02 - Homelessness and experiences of psychological trauma in the western world: A research review and a qualitative study

2011 ◽  
Vol 26 (S2) ◽  
pp. 1811-1811
Author(s):  
E.C. Sundin
Keyword(s):  
Systematic Review ◽  
Qualitative Study ◽  
Childhood Trauma ◽  
Psychosocial Functioning ◽  
Psychological Trauma ◽  
Traumatic Experiences ◽  
Western World ◽  
Research Review ◽  
Physical And Mental Health ◽  
Structured Interviews

Over the last forty years, and particularly within the last decade, homelessness is recognised as a multifaceted problem. Homelessness is associated with poverty, because the ability to access employment is limited by the lack of a stable address. Secondly, homeless people often experience severe difficulties with housing related services, health services and education. These problems are often sustained or exacerbated by, e.g., poor physical and mental health and the need to support alcohol or drug dependencies. What role does traumatic events, in particular childhood trauma and abuse, have in the lives of the homeless? The negative effects of psychological trauma on psychosocial functioning and wellbeing in the general population are well documented; a quick review of the research on homelessness and trauma suggested that more work is needed.The objectives of this paper are to review research on homelessness and experiences of psychological trauma and evidence from a sample of single homeless adults.The aim of this paper is two-fold: to provide a systematic review of studies on the relationship between childhood trauma and homelessness and to present findings from a qualitative study of adult people who are homeless in London and Nottingham, UK.The systematic review examines research published in the Western world, 1990 - July 2010. The qualitative study collected data through semi-structured interviews with 103 single people, aged 18–69 years.A summary of the results from the review and qualitative study and guidance for further research on the relationships between traumatic experiences and homelessness will be provided.

A qualitative study of the experiences of women with metastatic breast cancer

2008 ◽  
Vol 6 (3) ◽  
pp. 249-258 ◽  
Author(s):  
Ruvanee P. Vilhauer
Keyword(s):  
Breast Cancer ◽  
Social Support ◽  
Metastatic Breast Cancer ◽  
Qualitative Study ◽  
Daily Activity ◽  
Metastatic Breast ◽  
Physical Symptoms ◽  
Online Support Group ◽  
Rich Description ◽  
Experiences Of Women

ABSTRACTObjective:My objective was to investigate the experiences of women diagnosed with metastatic breast cancer.Method:I did a qualitative study based on interview data. Fourteen women with metastatic breast cancer were recruited into a larger study of online support group use. Participants were interviewed by phone.Results:The women indicated that they experience distress because of concerns about body image, declines in aspects of their sexual lives, and worries about the effect of stress on their illness. The stress that worries these women comes from fear of dying, fear of disease progression and debilitation, the loss of their future, and practical concerns. The women were also likely to experience a decline in daily activity after being diagnosed with metastatic disease. They become less active because of the physical symptoms of the illness and the side effects of treatments, the medicalization of their lifestyle, their desire to avoid stressful situations, the constraints imposed by their social world, and the need to maintain disability benefits. Although women are often in need of emotional and material support from others after they are diagnosed, social support can decrease, both because women find it difficult to be open about the difficulties they face and because the responses of others are not adequately supportive. Distress and declines in daily activity and social support can feed into each other to create a vicious circle.Significance of results:This paper makes a significant contribution to the literature by providing a rich description of how metastatic breast cancer affects women. Further research, with more diverse samples, is needed in this understudied area.

scholarly journals M128. THE ASSOCIATION BETWEEN CHILDHOOD SEXUAL ABUSE AND OUTCOMES IN PATIENTS WITH SEVERE MENTAL ILLNESS

2020 ◽  
Vol 46 (Supplement_1) ◽  
pp. S184-S184
Author(s):  
Nomi Werbeloff ◽  
Johan Hilge Thygesen ◽  
Joseph Hayes ◽  
Essi Viding ◽  
David Osborn
Keyword(s):  
Mental Illness ◽  
Sexual Abuse ◽  
Substance Use ◽  
Electronic Health Records ◽  
Childhood Trauma ◽  
Antipsychotic Medication ◽  
Health Records ◽  
History Of ◽  
Self Harm ◽  
Electronic Health

Abstract Background Consistent evidence suggests that there is an association between childhood trauma and psychotic disorders. Exposure to childhood trauma among people with severe mental illness (SMI) is associated with a range of negative outcomes, including exacerbation of symptoms, higher rates of readmission and relapse, poorer levels of social and vocational functioning, substance use and self-harm (Grubaugh et al., 2011). We aimed to identify people with SMI and a history of CSA as recorded in electronic health records in a large mental healthcare provider in the UK, describe the clinical and functional characteristics these patients and compare their clinical outcomes (admissions, medication) to those of patients with no recorded history of CSA. Methods Data for this study were obtained from Camden & Islington NHS Foundation Trust using the Clinical Record Interactive Search (CRIS) tool. CRIS is an application developed to enable routinely collected electronic health records to be used in research. C&I NHS FT is a large mental health provider serving a geographic catchment area of two inner-city London boroughs, and approximately 470,000 residents. For purposes of this study we identified patients with an ICD-10 diagnosis of F20-F29 or F30-31 with at least one year of follow-up. We searched text records (clinical notes and documents) for keywords associated with CSA, using an iterative process of inclusion and exclusion rules. We then tested the positive predictive value of this search. We compared the demographic, clinical and functional characteristics of patients with and without a history of CSA using chi square tests. Next, we used logistic regression models to examine the outcomes of inpatient admission and receipt of antipsychotic medication among the study population. Results We identified 7,000 patients with SMI, of which 619 (8.8%) hade a recorded history of CSA. Patients with a recorded history of CSA were more likely to be female (63.8% vs. 43.3%), single (76.9% vs. 66.5%), of white ethnic origin (66.4% vs. 54.3%) than their counterparts without CSA. There was no difference in the distribution of social deprivation between the groups. Major depressive disorder, posttraumatic stress disorder and personality disorders were all more prevalent in patients with CSA (13.4% vs. 7.6%, 4.7% vs. 1.4%, and 22.0% vs. 5.8%, respectively). Higher rates of moderate-severe psychotic symptoms, depressed mood, self-harm, substance use and aggression were also evident in this group, as were problems with relationships and accommodation. There was a 2-fold increase in the odds of inpatient admissions in patients with a history of CSA than in those without (adjusted OR=1.95, 95% CI: 1.64–2.33), and they were more likely to have spent at least 10 days a year as inpatients (adjusted OR=1.32, 95% CI: 1.07–1.62). Similarly, patients with a history of CSA were more likely to be prescribed antipsychotic medication (adjusted OR=2.48, 95% CI: 1.69–3.66), and more likely to be given over 75% of the maximum recommended dose (adjusted OR=1.72, 95% CI: 1.44–2.04). Discussion The current study used routinely recorded data from electronic health records to identify a history of childhood sexual abuse in patients with SMI. Consistent with previous findings, the study demonstrated that exposure to childhood trauma is associated with negative clinical and functional outcomes in these patients. Clinicians working with patients with SMI should be trained and skilled at assessing childhood adversity, and addressing such adversity in the clinical setting.

The collaborative management of antipsychotic medication and its obstacles: A qualitative study

2020 ◽  
Vol 247 ◽  
pp. 112811 ◽  
Author(s):  
Ángel Martínez-Hernáez ◽  
Asun Pié-Balaguer ◽  
Mercedes Serrano-Miguel ◽  
Nicolás Morales-Sáez ◽  
Andrea García-Santesmases ◽  
...  
Keyword(s):  
Qualitative Study ◽  
Antipsychotic Medication ◽  
Collaborative Management

scholarly journals Family Experience With Pierre Robin Sequence: A Qualitative Study

2020 ◽  
Vol 57 (6) ◽  
pp. 736-745 ◽  
Author(s):  
Jonathan R. Skirko ◽  
Sarah Hatch Pollard ◽  
Stacey Slager ◽  
Man Hung ◽  
Charlene Weir
Keyword(s):  
Qualitative Study ◽  
Well Being ◽  
Physical Symptoms ◽  
Pierre Robin Sequence ◽  
Structured Interviews ◽  
Robin Sequence ◽  
Mandibular Distraction Osteogenesis ◽  
Knowledge Competencies ◽  
Pierre Robin

Objective: To identify concepts and constructs important to parents of children with Pierre Robin Sequence (PRS). Design: Qualitative study. Setting: All children received some care at a tertiary hospital with additional care at outside facilities. Interviews were conducted in nonclinical locations, including remote locations. Participants: Parents of children <5 years old with a diagnosis of PRS. Prior treatments included observation, positioning, nasal trumpet, mandibular distraction osteogenesis, tracheostomy, and gastrostomy. Intervention: Semi-structured interviews with individuals (4) and with groups (focus groups, 4) were conducted using open-ended questions and non-leading prompts. Transcripts were analyzed with iterative open and axial coding. Concepts and constructs were identified and refined into codes and central themes. Interviews were conducted until thematic saturation was achieved. Results: Sixteen parents were interviewed. Their experiences were coded into 5 main themes, which can be summarized as: (1) child’s symptoms/well-being, (2) parents’ grief/isolation, (3) family stress, (4) relationships with providers, and (5) psychological and technical growth. Difficulty with feeding, weight gain, and breathing problems were core physical issues described by participants with associated intense fear. Participants described frustration from not only lack of care coordination, slow diagnoses, and poor communication but also gratitude for providers who served as advocates. Participants described gradual development of knowledge/competencies. Conclusions: Families of children with PRS have experiences that profoundly affect their lives. Child’s physical symptoms/well-being and parents’ psychosocial well-being provide content for a future PRS-specific quality-of-life instrument. Concepts that emerged also provide a framework to improve parents’ experience and enhance their children’s quality of care.

scholarly journals Palliative care needs of patients living with end-stage kidney disease not treated with renal replacement therapy: An exploratory qualitative study from Blantyre, Malawi

2017 ◽  
Vol 9 (1) ◽  
Author(s):  
Maya J. Bates ◽  
Alex Chitani ◽  
Gavin Dreyer
Keyword(s):  
Palliative Care ◽  
Renal Replacement Therapy ◽  
Kidney Disease ◽  
Qualitative Study ◽  
Replacement Therapy ◽  
Physical Symptoms ◽  
End Stage Kidney Disease ◽  
Care Needs ◽  
End Stage ◽  
Palliative Care Needs

Background: The burden of end-stage kidney disease (ESKD) in sub-Saharan Africa is increasing rapidly but the palliative care needs of patients living with ESKD are not well described. Resource limitations at both health system and patient level act as major barriers to patients receiving renal replacement therapy (RRT) in the form of dialysis. We undertook an exploratory qualitative study to describe the palliative care needs of patients with ESKD who were not receiving RRT, at a government teaching hospital in Blantyre, Malawi.Methods: A qualitative, explorative and descriptive design was used. Study participants were adults aged > 18 years with an estimated glomerular filtration rate < 15 ml/min on two separate occasions, three months apart, who either chose not to have or were not deemed suitable for RRT. Data were collected by means of semi-structured interviews.Results: In October and November 2013, interviews were conducted with 10 adults (7 women with median age of 60.5 years). All were hypertensive and four were on treatment for HIV. Four themes emerged from the data: changes in functional status because of physical symptoms, financial challenges impacting hospital care, loss of role within the family and the importance of spiritual and cultural beliefs.Conclusion: This study reports on four thematic areas which warrant further quantitative and qualitative studies both in Malawi and other low-resource settings, where a growing number of patients with ESKD unable to access RRT will require palliative care in the coming years.

scholarly journals Reducing Antipsychotic Medication Use in Nursing Homes: A Qualitative Study of Nursing Staff Perceptions

2017 ◽  
Vol 58 (4) ◽  
pp. e239-e250 ◽  
Author(s):  
Sandra F Simmons ◽  
Kemberlee R Bonnett ◽  
Emily Hollingsworth ◽  
Jennifer Kim ◽  
James Powers ◽  
...  
Keyword(s):  
Nursing Homes ◽  
Qualitative Study ◽  
Nursing Staff ◽  
Antipsychotic Medication ◽  
Medication Use ◽  
Staff Perceptions

scholarly journals Exploring Physical Problems among Postpartum Women with Hiv/AIDS in West Java, Indonesia: A Qualitative Study

2021 ◽  
pp. 778-785
Author(s):  
Nunung Nurhayati ◽  
Agus Hendra
Keyword(s):  
Qualitative Study ◽  
Low Income ◽  
Physical Symptoms ◽  
Postpartum Women ◽  
West Java ◽  
Physical Problems ◽  
Keywords Hiv ◽  
Women With Hiv ◽  
Hiv Drugs ◽  
Hiv Aids

Indonesia is experiencing the fastest HIV/AIDS cases development in Asia, especially with regards to mother to child transmission levels. Postpartum women with HIV may suffer from a lot of physical problems due to the immune system disruption. Many of them have high risk for opportunistic infection such as tuberculosis, chronic diarrhea, and meningitis. Few studies have been conducted into these physical problems, especially in a low income country whereas the access to HIV drugs is still limited. This study aims to explore the physical problems among postpartum women with HIV/AIDS in West Java, Indonesia. This study used a qualitative design with a phenomenology approach. The semi-structured interview was used to collect information from women of between 24 and 38 years old, with a child with a maximum age of 12 months, and various other inclusion criteria. Purposive sampling was applied to select the participants. Colaizzi’s method was used to analyze the data. Six participants agreed to join in this study. We found three themes concerning the major physical problems experienced by postpartum women with HIV/AIDS: 1) physical response toward disease prognosis; 2) body weight changes, and 3) the side effects of HIV drugs. The most common physical symptoms were exhaustion, fever, headache, low back and joint pain, nausea, and weight change. Physical symptoms management design and implemented in health care services should provided for HIV/AIDS patients.   Keywords: HIV/AIDS, Physical, Problems, Postpartum women, qualitative study

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