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.

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.

Intervening on Persistent Posttraumatic Stress Disorder: Rumination-Focused Cognitive and Behavioral Therapy in a Population of Young Survivors of the 1994 Genocide in Rwanda

2009 ◽  
Vol 23 (2) ◽  
pp. 107-113 ◽  
Author(s):  
Vincent Sezibera ◽  
Nady Van Broeck ◽  
Pierre Philippot
Keyword(s):  
Posttraumatic Stress Disorder ◽  
Posttraumatic Stress ◽  
Behavioral Intervention ◽  
Rating Scale ◽  
Stress Disorder ◽  
Behavioral Therapy ◽  
Ptsd Symptoms ◽  
Young Survivors ◽  
Cognitive And Behavioral Therapy

This study assessed the outcome of a brief rumination-focused cognitive and behavioral intervention in treating posttraumatic stress disorder (PTSD) symptoms among Rwandan adolescent survivors of the 1994 genocide. All participants (54.5% female, N = 22) aged between 15 and 18 years (M = 16.55, SD = 0.96) met criteria for PTSD as assessed by the PTSD self-rating scale (UCLA PTSD index). Measures included questionnaires assessing PTSD, depression, and somatization. Data were obtained at four points: (1) 11 years after the genocide (baseline), (2) 13 years after the genocide (pretreatment), (3) posttreatment (2 weeks after the treatment), and (4) follow-up (2 months after the treatment). PTSD symptoms increased between baseline and pretreatment. The intervention was associated with a reduction in PTSD symptoms, with gains maintained at follow-up.

Quetiapine Therapy for Posttraumatic Stress Disorder

2002 ◽  
Vol 36 (12) ◽  
pp. 1875-1878 ◽  
Author(s):  
S Pirzada Sattar ◽  
Bernadette Ucci ◽  
Kathleen Grant ◽  
Subhash C Bhatia ◽  
Frederick Petty
Keyword(s):  
Posttraumatic Stress Disorder ◽  
Posttraumatic Stress ◽  
English Language ◽  
Rating Scale ◽  
Stress Disorder ◽  
Traumatic Event ◽  
Treatment Options ◽  
Clinical Signs ◽  
Ptsd Symptoms ◽  
First Case

OBJECTIVE: To report a case of improvement in posttraumatic stress disorder (PTSD) after adjunctive therapy with quetiapine. CASE SUMMARY: A 49-year-old white man witnessed a traumatic event and experienced severe PTSD. He was started on paroxetine, with increases in dosage and no significant improvement. Quetiapine was added to his regimen, with increased doses resulting in improvement of PTSD symptoms, both clinically and as measured on the Hamilton-D rating scale for depression and the clinician-administered PTSD screen. DISCUSSION: This is the first case published in the English language literature describing improvement in PTSD symptoms after treatment with quetiapine. There are several treatment options for PTSD, but some severe cases may require treatment with antipsychotic medications. Because of the lower risks of serious adverse effects, the newer atypical antipsychotics are much safer than the older antipsychotics. Although use of risperidone and olanzapine in the successful treatment of PTSD has been reported in the literature, there are no reports of quetiapine use in this clinical condition. CONCLUSIONS: Quetiapine appeared to improve clinical signs and symptoms of PTSD in this patient. It may be a treatment option in other severe cases of PTSD.

scholarly journals Brain-Derived Neurotropic Factor Val66Met Polymorphism and Posttraumatic Stress Disorder among Survivors of the 1998 Dongting Lake Flood in China

2017 ◽  
Vol 2017 ◽  
pp. 1-9 ◽  
Author(s):  
Wenjie Dai ◽  
Atipatsa C. Kaminga ◽  
Xin Wu ◽  
Shi Wu Wen ◽  
Hongzhuan Tan ◽  
...  
Keyword(s):  
Posttraumatic Stress Disorder ◽  
Posttraumatic Stress ◽  
Stress Disorder ◽  
Dongting Lake ◽  
Multivariable Logistic Regression Analysis ◽  
Ptsd Symptoms ◽  
Face To Face ◽  
Neurotropic Factor ◽  
Bdnf Rs6265

Objective. This study mainly aimed to explore the association between brain-derived neurotropic factor (BDNF) Val66Met polymorphism and posttraumatic stress disorder (PTSD) among flood survivors in China. Methods. Individuals who experienced the 1998 Dongting Lake flood in Southeast Huarong, China, were enrolled in this study. Qualified health personnel carried out face-to-face interviews with participants. PTSD was identified using PTSD Checklist-Civilian version (PCL-C). Blood samples were collected from the participants to extract DNA for genotyping. Results. A total of 175 participants were enrolled in this study. The prevalence of PTSD among flood survivors at 17-year follow-up was 16.0% (28/175). Individuals with PTSD were more likely to be female, experience at least three flood-related stressors, experience at least three postflood stressors, and carry the Met than those without PTSD. Compared with Val/Val homozygotes, Met carriers had higher scores of PCL-C (mean ± standard error: 23.60±7.23 versus 27.19±9.48, P<0.05). Multivariable logistic regression analysis indicated that Met carriers (aOR = 4.76, 95% CI = 1.02–22.15, P<0.05) were more likely to develop PTSD than Val/Val homozygotes. Conclusions. Met carriers for BDNF rs6265 are at higher risk of developing PTSD and also exhibit more severe PTSD symptoms than Val/Val homozygotes among flood survivors in China.

scholarly journals Results of the first randomized controlled trial of integrated cognitive-behavioral therapy for eating disorders and posttraumatic stress disorder

2021 ◽  
pp. 1-10
Author(s):  
Kathryn Trottier ◽  
Candice M. Monson ◽  
Stephen A. Wonderlich ◽  
Ross D. Crosby
Keyword(s):  
Posttraumatic Stress Disorder ◽  
Eating Disorders ◽  
Randomized Controlled Trial ◽  
Posttraumatic Stress ◽  
Stress Disorder ◽  
Behavioral Therapy ◽  
Controlled Trial ◽  
Ptsd Symptoms ◽  
Randomized Controlled

Abstract Background Eating disorders (EDs) and posttraumatic stress disorder (PTSD) frequently co-occur and can share a functional relationship. The primary aim of this initial randomized controlled trial was to determine whether integrated cognitive-behavioral therapy (CBT) for co-occurring ED-PTSD was superior to standard CBT for ED in improving PTSD symptoms. Intervention safety and desirability, as well as the relative efficacy of the treatments in improving anxiety, depression, and ED symptomatology, were also examined. Methods Following a course of intensive ED treatment, individuals with ED-PTSD were recruited to participate and randomized to integrated CBT for ED-PTSD or standard CBT for ED. The sample consisted of 42 individuals with a range of ED diagnoses. Outcomes were assessed at end-of-treatment, 3-, and 6-month follow-up using interview and self-report measures. Results Mixed models revealed significant interactions of time and therapy condition on clinician-rated and self-reported PTSD symptom severity favoring Integrated CBT for ED-PTSD. Both treatments were associated with statistically significant improvements in PTSD, anxiety, and depression. Improvements were maintained at 3- and 6-month follow-up. There was good safety with both interventions, and satisfaction with both treatments was high. However, there was a stronger preference for integrated treatment. Conclusions Integrating CBTs for PTSD and ED following intensive ED treatment is safe, desirable, and efficacious for improving PTSD symptoms. Future studies with larger sample sizes are needed to determine whether Integrated CBT for ED-PTSD provides benefits over standard CBT for ED with respect to ED outcomes.

Does Writing Reduce Posttraumatic Stress Disorder Symptoms?

2003 ◽  
Vol 18 (5) ◽  
pp. 569-580 ◽  
Author(s):  
Pamela B. Deters ◽  
Lillian M. Range
Keyword(s):  
Posttraumatic Stress Disorder ◽  
Suicidal Ideation ◽  
Posttraumatic Stress ◽  
Stress Disorder ◽  
Traumatic Experiences ◽  
Ptsd Symptoms ◽  
Initial State ◽  
Posttraumatic Stress Disorder Symptoms ◽  
Better Than

To see if writing about their trauma lessened PTSD and related symptoms, 57 undergraduates, previously screened for traumatic experiences, wrote for 15 minutes on 4 days across 2 weeks about either their trauma or a trivial topic. They reported PTSD, impact, suicide ideas, dissociation, and depression pre-, post-, and at 6-week follow-up testing. Trauma and trivial writers were not different. Surprisingly, at follow-up everyone reported less severe PTSD symptoms, impact, and dissociation, and fewer health visits, but about the same suicidal ideation and depression. On PTSD symptoms and impact, the pattern of improvement was different: Those writing about trauma got worse at posttesting, but improved to better than their initial state by follow-up. Those writing about a trivial topic got better by posttesting, and held that position at follow-up. In this project, writing seemed to reduce PTSD symptoms regardless of whether it concerned the trauma or what they ate for lunch.

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.

scholarly journals Mental health care in post-genocide Rwanda: evaluation of a program specializing in posttraumatic stress disorder and substance abuse

2016 ◽  
Vol 3 ◽  
Author(s):  
L. C. Ng ◽  
B. Harerimana
Keyword(s):  
Posttraumatic Stress Disorder ◽  
Program Evaluation ◽  
Posttraumatic Stress ◽  
Psychotic Disorders ◽  
Stress Disorder ◽  
Information Management System ◽  
Descriptive Statistics ◽  
Ptsd Symptoms ◽  
Resource Information

Background.Following the genocide, millions of Rwandans are likely living with posttraumatic stress disorder (PTSD). Le Centre Psychothérapeutique Icyizere provides the only specialized treatment for PTSD in the Rwandan healthcare system.Methods.Demographics, diagnosis, treatment, outcomes, and scores on assessments of functioning and PTSD were recorded from clinical charts of all patients receiving care between October 2013 and 2014. Descriptive statistics and within-group t tests comparing functional impairment and PTSD symptoms at intake to discharge and follow-up were calculated.Results.A total of 719 patients (55.08% male) received care. Patients were more educated, more likely to live in the capital, and less likely to be married than the general population. Patients reported high desire for, and strong satisfaction with, care. Most patients (55.60%) were still in care by the end of the program evaluation. Functioning improved from intake to discharge (p < 0.001), and improvements were sustained at follow-up (p < 0.001). Most adults were diagnosed with psychotic disorders, substance use disorders, or depression. Only 20 patients were diagnosed with PTSD, and symptoms were improved at discharge (p = 0.003).Conclusions.This program evaluation demonstrated the utility of a low-resource information management system to provide clarity about the patient population and outcomes. Results suggest that services are effective and sustainable, although people with PTSD were not the primary recipients of care. Disparities in care by diagnosis, education, marital status, and geography are discussed. Results have contributed to changes in service delivery and care and efforts to increase access to care.

scholarly journals The Effects of Inattentiveness and Hyperactivity on Posttraumatic Stress Symptoms: Does a Diagnosis of Posttraumatic Stress Disorder Matter?

2015 ◽  
Vol 24 (9) ◽  
pp. 1246-1254 ◽  
Author(s):  
Zachary Adams ◽  
Thomas Adams ◽  
Kirstin Stauffacher ◽  
Howard Mandel ◽  
Zhewu Wang
Keyword(s):  
Posttraumatic Stress Disorder ◽  
Posttraumatic Stress ◽  
Rating Scale ◽  
Stress Disorder ◽  
Self Report ◽  
Posttraumatic Stress Symptoms ◽  
Emotional Lability ◽  
Ptsd Symptoms ◽  
Memory Problems ◽  
Stress Symptoms

Objective: To address the nature of associations between ADHD symptoms and posttraumatic stress disorder (PTSD) psychopathology in adult military veterans. Method: Ninety-five combat veterans, with PTSD ( n = 63) and without PTSD ( n = 32), were recruited for this study. PTSD was assessed with the Clinician-Administered PTSD Scale (CAPS) and ADHD was assessed with Connors’ Adult ADHD Rating Scale−Self-Report: Short Version (CAARS-S:S). Results: PTSD participants endorsed greater hyperactivity or restlessness, inattention or memory problems, and impulsivity or emotional lability scores than participants without PTSD. Among PTSD participants, inattention or memory problems and impulsivity or emotional lability were significant predictors of total PTSD symptoms, but only inattention or memory problems significantly predicted PTSD symptoms when other ADHD symptom clusters were considered simultaneously. Conclusion: Our data suggest that inattention may serve as a risk factor for posttraumatic stress symptoms following combat exposure.

Posttraumatic Anger, Recalled Peritraumatic Emotions, and PTSD in Victims of Violent Crime

2011 ◽  
Vol 26 (17) ◽  
pp. 3561-3579 ◽  
Author(s):  
M. J. J. Kunst ◽  
F. W. Winkel ◽  
S. Bogaerts
Keyword(s):  
Posttraumatic Stress Disorder ◽  
Posttraumatic Stress ◽  
Stress Disorder ◽  
Ptsd Symptom ◽  
Longitudinal Design ◽  
Future Research ◽  
Ptsd Symptoms ◽  
Cross Sectional ◽  
Threat Perceptions

A mixed cross-sectional and longitudinal design was employed to explore the association between posttraumatic anger and posttraumatic stress disorder (PTSD; symptoms) in victims of civilian violence. It was speculated that this relationship is mainly due to concurrent recalled peritraumatic emotions. Such emotions may be interpreted to result from anger-rooted threat perceptions and to share similarities with posttraumatic intrusion symptoms. In addition, predictors of PTSD maintenance were investigated. Cross-sectional data indicated that posttraumatic anger and several indices of PTSD were highly interconnected. Recalled peritraumatic emotions partly accounted for the relation between posttraumatic anger and posttraumatic intrusions ( n = 177). Only posttraumatic intrusions were associated with PTSD symptom persistence at follow-up ( n = 56). Findings were discussed in light of study limitations and directions for future research.

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