scholarly journals Predicting violence in veterans with posttraumatic stress disorder

2009 ◽  
Vol 66 (1) ◽  
pp. 13-21 ◽  
Author(s):  
Aleksandar Jovanovic ◽  
Dusica Lecic-Tosevski ◽  
Maja Ivkovic ◽  
Aleksandar Damjanovic ◽  
Miroslava Jasovic-Gasic
Keyword(s):  
Posttraumatic Stress Disorder ◽  
Posttraumatic Stress ◽  
Interrater Reliability ◽  
Combat Veterans ◽  
Stress Disorder ◽  
Predictive Accuracy ◽  
Physical Violence ◽  
Psychiatric Patients ◽  
Violent Behavior

Background/Aim. Frequent expression of negative affects, hostility and violent behavior in individuals suffering from posttraumatic stress disorder (PTSD) were recognized long ago, and have been retrospectively well documented in war veterans with PTSD who were shown to have an elevated risk for violent behavior when compared to both veterans without PTSD and other psychiatric patients. The aim of this study was to evaluate the accuracy of clinical prediction of violence in combat veterans suffering from PTSD. Methods. The subjects of this study, 104 male combat veterans with PTSD were assessed with the Historical, Clinical and Risk Management 20 (HCR-20), a 20-item clinicianrated instrument for assessing the risks for violence, and their acts of violence during one-year follow-up period were registered based on bimonthly check-up interviews. Results. Our findings showed that the HCR-20, as an actuarial measure, had good internal consistency reliability (? = 0.82), excellent interrater reliability (Interaclass Correlation ICC = 0.85), as well as excellent predictive validity for acts of any violence, non-physical violence or physical violence in the follow-up period (AUC = 0.82-0.86). The HCR-20 also had good interrater reliability (Cohen's kappa = 0.74), and acceptable predictive accuracy for each outcome criterion (AUC = 0.73-0.79). Conclusion. The results of this research confirm that the HCR-20 may also be applied in prediction of violent behavior in the population of patients suffering from PTSD with reliability and validity comparable with the results of previous studies where this instrument was administered to other populations of psychiatric patients.

Examination and Follow-up War Related Posttraumatic Stress Disorder (PTSD) and Prolonged Posttraumatic Stress Syndrome (PTSS) by Telepsychiatry Service

2009 ◽  
Vol 24 (S1) ◽  
pp. 1-1
Author(s):  
M. Stojakovic ◽  
B. Stojakovic
Keyword(s):  
Posttraumatic Stress Disorder ◽  
Posttraumatic Stress ◽  
Rating Scale ◽  
Stress Disorder ◽  
Psychiatric Patients ◽  
Posttraumatic Stress Syndrome ◽  
Symptoms Of Depression ◽  
Stress Syndrome ◽  
Wide Range

Background and aims:This study was examination by Telepsychiatry and E-consalting of war related posttraumatic stress disorder (PTSD).Methods:The subjects were 114 male psychiatric patients by Telepsychiatry and e-consulting with war-related PTSD by videoconferencing via broadband ADSL and WADSL by 768 kbps. Posttraumatic stress syndrome-PTSS scale and 20-item Zung self rating scale was used to assess state measures of symptom severity.Results:The symptoms of prolonged PTSS (posttraumatic stress syndrome) with duration between six moths and two years had been founded at 84(73,68%) and 30(26,32%) of patients had no PTSS. Symptoms of depression had been found at 72(63,15%) patients. The enduring personality exchange after catastrophic expiriense (F62.0), had been found at 15(13,15%) patients (P< 0.01); symptoms of depression had been found at 54(47,36%) patients after two years.Conclusions:Telepsychiatry service and e-consalting it is able to serve not only PTSD but also wide range of other patient population. Continued examination and follow-up evolution of PTSD symptoms by Telepsychiatry service may be important in predicting the eventual development of depressive symptoms and precipitation of F62.0 enduring personality exchange after catastrophic expiriense in the war related PTSD.

E-CONSALTING BY TELEPSYCHIATRIC SERVICES AND WAR RELATED POSTTRAUMATIC STRESS DISORDER

Psymedica ◽  
2010 ◽  
Vol 1 (1-2) ◽  
Author(s):  
Milan Stojaković ◽  
Bogdan Stojaković
Keyword(s):  
Posttraumatic Stress Disorder ◽  
Posttraumatic Stress ◽  
Rating Scale ◽  
Stress Disorder ◽  
Psychiatric Patients ◽  
Ptsd Symptoms ◽  
Posttraumatic Stress Syndrome ◽  
Stress Syndrome ◽  
Wide Range

BACKGROUND AND AIMS: This study was examination e-consalting by Telepsychiatry of war related posttraumatic stress disorder(PTSD),METHODS; Patients with PTSD have different symptoms.The authors' objective is to analize component of symptoms in PTSD.The subjects were 180 male psychiatric patients by Telepsychiatry and e-consulting with war relatedPTSD by videoconferencing via broadband ADSL by 2 Mbps. Posttraumatic stress syndrome-PTSSscale and 20-item.Zung self-rating scale was used to assess state measures of symptom severity,RESULTS: The symptoms of prolonged PTSS (posttraumatic stress syndrome) with duration betweensix moths and two years had been founded at 138 (76,7 %) and 42 (23,3 %) of patients had no PTSS:symptoms of depression had been found at 148 (82,2 %) patients. The enduring personality exchangeafter catastrophic expiriense (P62.0), had been found at 25 (13,8 %) patients (P< 0,01); symptoms ofdepression had been found at 61 (33.8 %) patients after two years,CONCLUSIONS: Evolution of PTSD symptoms and continued examination and follow-up by Telepsychiatry service and e-consalting may be important in predicting the eventual development ofdepressive symptoms and precipitation of F 62.0 enduring personality exchange after catastrophicexperience in the war related PTSD. Consequently.Telepsychiatry service and e-consalting it is able toserve not only PTSD but also wide range of other patient.

Three- to Four-Year Follow-Up to an Open Trial of Nefazodone for Combat-Related Posttraumatic Stress Disorder

2002 ◽  
Vol 14 (4) ◽  
pp. 215-221 ◽  
Author(s):  
Michael Hertzberg ◽  
Michelle Feldman ◽  
Jean Beckham ◽  
Scott Moore ◽  
Jonathan Davidson
Keyword(s):  
Posttraumatic Stress Disorder ◽  
Posttraumatic Stress ◽  
Stress Disorder ◽  
Open Trial

scholarly journals Posttraumatic stress disorder among adolescents in Brazil: a cross-sectional study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Joviana Quintes Avanci ◽  
Fernanda Serpeloni ◽  
Thiago Pires de Oliveira ◽  
Simone Gonçalves de Assis
Keyword(s):  
Mental Health ◽  
Posttraumatic Stress Disorder ◽  
Posttraumatic Stress ◽  
Community Violence ◽  
Functional Impairment ◽  
Urban Areas ◽  
Stress Disorder ◽  
Physical Violence ◽  
Cluster Sampling ◽  
Psychological Violence

Abstract Background The frequency of trauma and different types of violence exposure in urban areas and their effects on the mental health of adolescents in developing countries are poorly investigated. Most information about traumatized young people comes from war scenarios or disasters. This study aimed to determine the prevalence of PTSD in trauma-exposed students in a low-resource city of the state of Rio de Janeiro, Brazil. The effects of sociodemographic and individual and family factors in the development of PTSD were also investigated. Methods Through multi-stage cluster sampling, 862 adolescents (Mage = 15 years old, 65% female) from public and private schools in the city of São Gonçalo were selected for the study. Self-rating structured questionnaires were applied to assess sociodemographic profile, exposure to physical and psychological violence (family, school, community), sexual abuse, social support, social functional impairment, resilience, and posttraumatic stress disorder. The data were grouped in blocks regarding sociodemographic, individual, family, and community variables. For statistical analysis, chi-square, Fisher’s exact test, and logistic regression were performed. Results The PTSD prevalence was 7.8% among adolescents. Boys were exposed to significantly higher number of events of community violence, while girls to family violence. The adjusted odds ratio (OR) for PTSD were statistically significant for age (OR, 1.45, [95% CI, 1.043–2.007]), social functional impairment (OR, 4.82, [95% CI, 1.77–13.10]), severe maternal physical violence (OR, 2.79, [95% CI, 0.79–9.93]), psychological violence by significant people (OR, 3.96, [95% CI, 1.89–8.31]) and a high number of episodes of community violence (OR, 3.52, [95% CI, 1.47–8.40). Conclusions There was a high prevalence of PTSD within this population associated with exposure to violence. Not only physical, but also psychological violence contributed to PTSD. The results also raise awareness to the differences in life trajectories between boys and girls regarding violence. These differences need to be better understood in order to enable the development of effective preventative interventions. Treating and preventing mental health disorders presents a challenge for countries, especially those with a lower degree of social and economic development and high community violence.

Expressive flexibility in combat veterans with posttraumatic stress disorder and depression

2017 ◽  
Vol 207 ◽  
pp. 236-241 ◽  
Author(s):  
Rebecca Rodin ◽  
George A. Bonanno ◽  
Nadia Rahman ◽  
Nicole A. Kouri ◽  
Richard A. Bryant ◽  
...  
Keyword(s):  
Posttraumatic Stress Disorder ◽  
Posttraumatic Stress ◽  
Combat Veterans ◽  
Stress Disorder

Standard EMDR Protocol for Alcohol and Substance Dependence Comorbid With Posttraumatic Stress Disorder: Four Cases With 12-Month Follow-Up

2016 ◽  
Vol 10 (1) ◽  
pp. 33-46 ◽  
Author(s):  
Claire Kullack ◽  
Jonathan Laugharne
Keyword(s):  
Posttraumatic Stress Disorder ◽  
Substance Use ◽  
Alcohol Dependence ◽  
Posttraumatic Stress ◽  
Substance Use Disorders ◽  
Substance Dependence ◽  
Stress Disorder ◽  
Case Series ◽  
Post Traumatic Stress

This report begins with a summary of the literature regarding the theoretical models behind the comorbid relationship between posttraumatic stress disorder and substance use disorders and the various modified addiction protocols formulated to assist in treating these disorders. This case series outlines the effect that the standard eye movement desensitization and reprocessing (EMDR) protocol had on alcohol and substance dependence for 4 patients who attended our Post Traumatic Stress Clinic in Fremantle, Western Australia, primarily for treatment for posttraumatic stress disorder. Patients were assessed for substance use disorders using the Mini International Neuropsychiatric Interview Plus prior to, immediately after, and 12 months after completing EMDR therapy. Results indicate that the standard EMDR protocol was successful in reducing alcohol and substance use. Prior to treatment, 3 patients met criteria for alcohol dependence and 1 met criteria for substance dependence. At 12-month follow-up, 3 out of 4 clients did not meet the diagnostic criteria for current alcohol dependence or current substance dependence. The implications of these findings are discussed with reference to theories of comorbid posttraumatic stress disorder and substance use disorder and the modified EMDR protocols developed for patients with substance dependence.

Combat veterans with posttraumatic stress disorder exhibit decreased habituation of the P1 midlatency auditory evoked potential

Life Sciences ◽  
1997 ◽  
Vol 61 (14) ◽  
pp. 1421-1434 ◽  
Author(s):  
Gregory M. Gillette ◽  
Robert D. Skinner ◽  
Lisa M. Rasco ◽  
Elliot M. Fielstein ◽  
Doyle H. Davis ◽  
...  
Keyword(s):  
Posttraumatic Stress Disorder ◽  
Posttraumatic Stress ◽  
Evoked Potential ◽  
Combat Veterans ◽  
Stress Disorder ◽  
Auditory Evoked Potential
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