scholarly journals Influence of Diagnostic Informing on Negative Emotions, Illness Perception, Self-Perceived Burden, and Posttraumatic Stress Disorder in Patients with Gastrointestinal Tumors

2021 ◽  
Vol 2021 ◽  
pp. 1-6
Author(s):  
Wei Xu ◽  
Juan Tang ◽  
Jie Chen

Objective. To investigate the influence of diagnostic informing on negative emotions, illness perception (IP), self-perceived burden (SPB), and posttraumatic stress disorder (PTSD) in patients with gastrointestinal tumors. Methods. A total of 261 patients with gastrointestinal tumors admitted to our hospital from January 2018 to December 2020 were selected. According to whether the patients were informed of the disease diagnosis, they were divided into the informing group (n = 125) and the concealment group (n = 136). The self-rating anxiety scale (SAS), the self-rating depression scale (SDS), the brief illness perception questionnaire (BIPQ), the self-perceived burden scale (SPBS), and the PTSD checklist-civilian version (PCL-C) were used to investigate the two groups. Results. The SAS and SDS scores of the informing group were lower than those of the concealment group (t = 7.853 and 6.444, P  < 0.05). The total BIPQ score of the informing group was higher than that of the concealment group (t = −4.089, P  < 0.05). The total SPBS score of the informing group was lower than that in the concealment group (t = 2.443, P  < 0.05). The total PCL-C score of the informing group was lower than that of the concealment group (t = 2.173, P  < 0.05). Conclusion. Diagnosis informing can reduce the negative emotions, increase positive IP, and reduce the risk of SPB and PTSD in patients with gastrointestinal tumors.

1994 ◽  
Vol 90 (3) ◽  
pp. 172-183 ◽  
Author(s):  
J. E. Hovens ◽  
H. M. Ploeg ◽  
I. Bramsen ◽  
M. T. A. Klaarenbeek ◽  
J. N. Schreuder ◽  
...  

2005 ◽  
Vol 97 (1) ◽  
pp. 297-308 ◽  
Author(s):  
Anke B. Witteveen ◽  
Inge Bramsen ◽  
Johannes E. Hovens ◽  
Henk M. van der Ploeg

This study assesses the optimal cut-off point for the Impact of Event Scale and compares its screening properties with those of the Self-rating Inventory for Posttraumatic Stress Disorder among war-related trauma victims. 74 patients with war-related trauma were administered the Impact of Event Scale and the Self-rating Inventory for Posttraumatic Stress Disorder, followed 1 wk. later by the Clinician-administered PTSD Scale. Receiver operating characteristic analysis indicated for the Impact of Event Scale a sensitivity of .77 and a specificity of .51 at a cut-off value of 36. For the Self-rating Inventory for Posttraumatic Stress Disorder a sensitivity of .86 and a specificity of .69 were found at a cut-off value of 52. The authors conclude that careful use of the Impact of Event Scale as a screening measure for Posttraumatic Stress Disorder is warranted.


2000 ◽  
Vol 87 (3) ◽  
pp. 735-737 ◽  
Author(s):  
J. E. Hovens ◽  
H. M. van der Ploeg ◽  
I. Bramsen ◽  
I. E. W. Reuling

The Self-rating Inventory for Posttraumatic Stress Disorder is a 22-item self-report questionnaire to give a diagnosis for PTSD based on DSM–IV criteria. Originally, the questionnaire was standardized with trauma survivors and psychiatric patients. Here test-retest reliabilities with 90 medial students are reported for 15 (.79) and 19 days (.97). As expected, the stability was slightly less for 34 days (.60)


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.


2019 ◽  
Vol 50 (6) ◽  
pp. 956-963 ◽  
Author(s):  
Georgina Clifford ◽  
Caitlin Hitchcock ◽  
Tim Dalgleish

AbstractBackgroundThis study examined the structure of the self-concept in a sample of sexual trauma survivors with posttraumatic stress disorder (PTSD) compared to healthy controls using a self-descriptive card-sorting task. We explored whether individuals with PTSD possess a highly affectively-compartmentalized self-structure, whereby positive and negative self-attributes are sectioned off into separate components of self-concept (e.g. self as an employee, lover, mother). We also examined redundancy (i.e. overlap) of positive and negative self-attributes across the different components of self-concept.MethodParticipants generated a set of self-aspects that reflected their own life (e.g. ‘self at work’). They were then asked to describe their self-aspects using list of positive or negative attributes.ResultsResults revealed that, relative to the control group, the PTSD group used a greater proportion of negative attributes and had a more compartmentalized self-structure. However, there were no significant differences between the PTSD and control groups in positive or negative redundancy. Sensitivity analyses demonstrated that the key findings were not accounted for by comorbid diagnosis of depression.ConclusionFindings indicated that the self-structure is organized differently in those with PTSD, relative to those with depression or good mental health.


2019 ◽  
Vol 38 (6) ◽  
pp. 522-544 ◽  
Author(s):  
Yafit Levin ◽  
Mario Mikulincer ◽  
Zahava Solomon

Introduction: We examined whether attachment orientations moderated the self-amplifying cycle of Posttraumatic Stress Disorder (PTSD) and negative cognitions, decades after the trauma ended. Method: We sampled Israeli veterans from the 1973 Yom Kippur War and assessed PTSD severity and cognitions about the self and the world, twice—35 (T1) and 42 (T2) years after the war. At T1, we assessed participants’ attachment orientations (anxiety, avoidance). Results: Findings provided support for a self-amplifying cycle of PTSD severity and negative cognitions about others’ benevolence during the seven-year study period. Findings also indicated that this self-amplifying cycle was significant only among veterans who scored relatively high on attachment anxiety but not among those who had less anxious attachment. Attachment avoidance also moderated the prospective contribution of negative cognitions about the self and others to PTSD severity seven years later. Discussion: The psychological mechanisms underlying the observed effects of attachment orientations were discussed.


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