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https://www.readbyqxmd.com/read/29098105/obsessive-compulsive-disorder-with-suicide-obsessions-in-a-first-responder-without-previous-diagnosis-of-ocd-or-history-of-suicide-attempts
#1
Vivekananda Rachamallu, Michael M Song, Haiying Liu, Charles L Giles, Terry McMahon
Obsessive-compulsive disorder (OCD) is a distressing and often debilitating disorder characterized by obsessions, compulsions, or both that are time-consuming and cause impairment in social, occupational, or other areas of functioning. There are many published studies reporting higher risk of suicidality in OCD patients, as well as studies describing increased risk of suicidality in OCD patients with other comorbid psychiatric conditions such as major depressive disorder (MDD) and posttraumatic stress disorder (PTSD)...
2017: Case Reports in Psychiatry
https://www.readbyqxmd.com/read/29075426/trauma-and-ptsd-in-the-who-world-mental-health-surveys
#2
Ronald C Kessler, Sergio Aguilar-Gaxiola, Jordi Alonso, Corina Benjet, Evelyn J Bromet, Graça Cardoso, Louisa Degenhardt, Giovanni de Girolamo, Rumyana V Dinolova, Finola Ferry, Silvia Florescu, Oye Gureje, Josep Maria Haro, Yueqin Huang, Elie G Karam, Norito Kawakami, Sing Lee, Jean-Pierre Lepine, Daphna Levinson, Fernando Navarro-Mateu, Beth-Ellen Pennell, Marina Piazza, José Posada-Villa, Kate M Scott, Dan J Stein, Margreet Ten Have, Yolanda Torres, Maria Carmen Viana, Maria V Petukhova, Nancy A Sampson, Alan M Zaslavsky, Karestan C Koenen
Background: Although post-traumatic stress disorder (PTSD) onset-persistence is thought to vary significantly by trauma type, most epidemiological surveys are incapable of assessing this because they evaluate lifetime PTSD only for traumas nominated by respondents as their 'worst.' Objective: To review research on associations of trauma type with PTSD in the WHO World Mental Health (WMH) surveys, a series of epidemiological surveys that obtained representative data on trauma-specific PTSD. Method: WMH Surveys in 24 countries (n = 68,894) assessed 29 lifetime traumas and evaluated PTSD twice for each respondent: once for the 'worst' lifetime trauma and separately for a randomly-selected trauma with weighting to adjust for individual differences in trauma exposures...
2017: European Journal of Psychotraumatology
https://www.readbyqxmd.com/read/28988816/effectiveness-of-cognitive-behavioural-therapy-for-post-disaster-distress-in-post-traumatic-stress-symptoms-after-chilean-earthquake-and-tsunami
#3
Marcelo Leiva-Bianchi, Felipe Cornejo, Andrés Fresno, Carolina Rojas, Camila Serrano
OBJECTIVE: This is the first time that the effectiveness of cognitive-behavioural therapy for post-disaster stress (CBT-PD) in symptoms of posttraumatic stress disorder (PTSD) has been tested outside the United States of America. DESIGN: Quasi-experiment with three groups. In the quasi-control group, complete CBT-PD was applied even though its members did not have PTSD; in quasi-experimental conditions, participants received complete treatment because they had this diagnosis; and in the third group, participants with PTSD received an abbreviated treatment (double sessions) due to organisational requirements...
October 5, 2017: Gaceta Sanitaria
https://www.readbyqxmd.com/read/28981313/work-related-trauma-alienation-and-posttraumatic-and-depressive-symptoms-in-medical-examiner-employees
#4
Elizabeth Brondolo, Pegah Eftekharzadeh, Christine Clifton, Joseph E Schwartz, Douglas Delahanty
OBJECTIVE: First-responder employees, including firefighters, police, and medical examiners, are at risk for the development of depression and posttraumatic stress disorder (PTSD) as a result of exposure to workplace trauma. However, pathways linking workplace trauma exposure to mental health symptoms are not well understood. In the context of social-cognitive models of depression/PTSD, we examined the role of negative cognitions as mediators of the cross-sectional and longitudinal relationship of workplace trauma exposure to symptoms of depression/PTSD in medical examiner (ME) employees...
October 5, 2017: Psychological Trauma: Theory, Research, Practice and Policy
https://www.readbyqxmd.com/read/28957577/war-and-well-being-the-association-between-forgiveness-social-support-posttraumatic-stress-disorder-and-well-being-during-and-after-war
#5
Michael Weinberg, Hila Harel, Michal Shamani, Keren Or-Chen, Pnina Ron, Sharon Gil
Exposure to war can lead to numerous traumatic experiences affecting the daily lives and personal well-being of the civilian population. However, no research to date has examined the associations between postwar well-being and posttraumatic stress disorder (PTSD) symptoms, tendency to forgive, and social support during and following war. Authors examined a sample of 160 Israeli civilians who were exposed to rocket and missile fire during the 2014 Gaza War. Time 1 (Tl) started approximately one week after the beginning of the war and ended four weeks later following the first 72-hour ceasefire declaration by the United Nations...
October 1, 2017: Social Work
https://www.readbyqxmd.com/read/28900387/social-isolation-in-early-versus-late-adolescent-mice-is-associated-with-persistent-behavioral-deficits-that-can-be-improved-by-neurosteroid-based-treatment
#6
Andrea Locci, Philippe Geoffroy, Michel Miesch, Ayikoe-Guy Mensah-Nyagan, Graziano Pinna
Early trauma and stress exposure during a critical period of life may increase the risk of major depressive disorder (MDD) and post-traumatic stress disorder (PTSD) in adulthood. The first-choice treatment for MDD and PTSD are selective serotonin reuptake inhibitor (SSRI) antidepressants. Unfortunately, half of MDD and PTSD patients show resistance to the therapeutic effects of these drugs and more efficient treatments are essential. Both MDD and PTSD patients present reduced levels of allopregnanolone (Allo), a potent endogenous positive allosteric modulator of GABA action at GABAA receptors which are normalized by SSRIs in treatment responders...
2017: Frontiers in Cellular Neuroscience
https://www.readbyqxmd.com/read/28743198/do-acute-benefits-of-interpersonal-psychotherapy-for-posttraumatic-stress-disorder-endure
#7
John C Markowitz, Tse-Hwei Choo, Yuval Neria
OBJECTIVE: The Psychotherapies for Chronic PTSD randomised trial found that three 14-week psychotherapies acutely benefitted patients with chronic posttraumatic stress disorder (PTSD). Previous research has reported sustained follow-up benefits for prolonged exposure (PE) and relaxation therapy (RT), but few comparable data exist for interpersonal psychotherapy (IPT). We describe 3-month follow-up for acute responders to all 3 treatments. METHOD: Acute responders, defined a priori as ≥30% improved from baseline, were reevaluated after 3-month no-treatment follow-up by independent evaluators using the Clinician-Administered PTSD Scale (CAPS)...
January 1, 2017: Canadian Journal of Psychiatry. Revue Canadienne de Psychiatrie
https://www.readbyqxmd.com/read/28667201/study-protocol-for-a-randomised-controlled-trial-of-cognitive-processing-therapy-for-post-traumatic-stress-disorder-among-japanese-patients-the-safety-power-intimacy-esteem-trust-spinet-study
#8
Masaya Ito, Masaru Horikoshi, Patricia A Resick, Akiko Katayanagi, Mitsuhiro Miyamae, Yuriko Takagishi, Yoshitake Takebayashi, Ayako Kanie, Naotsugu Hirabayashi, Toshiaki A Furukawa
INTRODUCTION: Cognitive processing therapy (CPT) is widely regarded as a safe and effective first-line treatment for individuals with post-traumatic stress disorder (PTSD); however, no comparative studies have been conducted to examine the treatment outcomes in an Asian population. The aim of the present trial is to investigate the efficacy of CPT (individual format) as a treatment for PTSD in a population of Japanese patients. METHODS AND ANALYSIS: A 16-week, single-centre, assessor-masked, randomised, parallel-group superiority trial has been designed to compare the efficacy of CPT in conjunction with treatment as usual (mostly pharmacotherapy and clinical monitoring) versus treatment as usual alone...
June 30, 2017: BMJ Open
https://www.readbyqxmd.com/read/28611606/long-term-sertraline-intake-reverses-the-behavioral-changes-induced-by-prenatal-stress-in-rats-in-a-sex-dependent-way
#9
Inês Pereira-Figueiredo, Orlando Castellano, Adelaida S Riolobos, Graça Ferreira-Dias, Dolores E López, Consuelo Sancho
Early life stress is a major factor underlying the vulnerability to respond to stressful events later in life. The present study attempted to evaluate the role of prenatal stress affecting the development of stress-related disorders and their reversion by postnatal exposure to Sertraline (SERT), a front-line medication for medication for posttraumatic stress disorder (PTSD) in humans. To achieve this, adult male and female prenatally stressed (PS) or unstressed (Controls) offspring rats, following oral chronic treatment with SERT (5 mg/kg/day; from 1 month to 4 months old), or not, were studied prior to and after a traumatic event...
2017: Frontiers in Behavioral Neuroscience
https://www.readbyqxmd.com/read/28445653/describing-the-mental-health-profile-of-first-responders-a-systematic-review-formula-see-text
#10
Sara Jones
BACKGROUND: First responders (FRs) are responsible for providing multiple services during various critical events. Considering the frequency, nature, and intensity of duty-related traumatic exposures, the cumulative impact on FRs' mental health is of paramount importance. OBJECTIVES: The purpose of this systematic review was to describe how duty-related trauma exposure can affect the comprehensive mental health profile of FRs, including firefighters, emergency medical technicians, and paramedics...
May 2017: Journal of the American Psychiatric Nurses Association
https://www.readbyqxmd.com/read/28374650/changes-in-the-trauma-narratives-of-youth-receiving-trauma-focused-cognitive-behavioral-therapy-in-relation-to-posttraumatic-stress-symptoms
#11
Marie Knutsen, Tine K Jensen
OBJECTIVE: To understand the meaning of trauma narration, we examined changes in the trauma narratives of youth receiving trauma-focused cognitive behavioral therapy (TF-CBT) and explored the relationship between changes in narratives and in posttraumatic stress. METHOD: The sample consisted of 12 non-responders and 12 maximum-responders to treatment (M = 14.3, SD = 2.35, range = 10-17; 75% girls). The youth were assessed with the Clinical-Administered PTSD-Scale for Children and Adolescents both pre- and post-treatment...
April 4, 2017: Psychotherapy Research: Journal of the Society for Psychotherapy Research
https://www.readbyqxmd.com/read/28365535/a-systematic-review-of-the-usefulness-of-pre-employment-and-pre-duty-screening-in-predicting-mental-health-outcomes-amongst-emergency-workers
#12
REVIEW
Ruth E Marshall, Josie S Milligan-Saville, Philip B Mitchell, Richard A Bryant, Samuel B Harvey
Despite a lack of proven efficacy, pre-employment or pre-duty screening, which alleges to test for vulnerability to PTSD and other mental health disorders, remains common amongst emergency services. This systematic review aimed to determine the usefulness of different factors in predicting mental disorder amongst emergency workers and to inform practice regarding screening procedures. Systematic searches were conducted in MEDLINE, PsycINFO and EMBASE to identify cohort studies linking pre-employment or pre-duty measures in first responders with later mental health outcomes...
March 30, 2017: Psychiatry Research
https://www.readbyqxmd.com/read/28349778/neuropsychological-measurement-of-inhibitory-control-in-posttraumatic-stress-disorder-an-exploratory-antisaccade-paradigm
#13
Matthew Reinhard, Nathaniel Allen, Ling M Wong, Barbara L Schwartz
OBJECTIVE: The aim of the study was to uncover inhibitory control dynamics and assess antisaccade eye-tracking tasks for relevance in a veteran posttraumatic stress disorder (PTSD) population. METHOD: Participants were 36 veterans enrolled at the Washington DC Veterans Affairs Medical Center. The groups (PTSD diagnosed vs. controls) did not vary between age and sex. Participants completed a testing battery of clinical neuropsychological measures and two different eye-tracking conditions, one that utilized face stimuli and one with standard shape stimuli, which test pro- (PS) and antisaccade (AS) eye movements...
December 2017: Journal of Clinical and Experimental Neuropsychology
https://www.readbyqxmd.com/read/28161583/cumulative-exposure-to-work-related-traumatic-events-and-current-post-traumatic-stress-disorder-in-new-york-city-s-first-responders
#14
Lupo Geronazzo-Alman, Ruth Eisenberg, Sa Shen, Cristiane S Duarte, George J Musa, Judith Wicks, Bin Fan, Thao Doan, Guia Guffanti, Michaeline Bresnahan, Christina W Hoven
BACKGROUND AND OBJECTIVES: Cumulative exposure to work-related traumatic events (CE) is a foreseeable risk for psychiatric disorders in first responders (FRs). Our objective was to examine the impact of work-related CE that could serve as predictor of posttraumatic stress disorder (PTSD) and/or depression in FRs. DESIGN: Cross-sectional examination of previous CE and past-month PTSD outcomes and depression in 209 FRs. METHODS: Logistic (probable PTSD; probable depression) and Poisson regressions (PTSD score) of the outcomes on work-related CE indexes, adjusting for demographic variables...
April 2017: Comprehensive Psychiatry
https://www.readbyqxmd.com/read/28055082/association-of-dsm-iv-posttraumatic-stress-disorder-with-traumatic-experience-type-and-history-in-the-world-health-organization-world-mental-health-surveys
#15
Howard Liu, Maria V Petukhova, Nancy A Sampson, Sergio Aguilar-Gaxiola, Jordi Alonso, Laura Helena Andrade, Evelyn J Bromet, Giovanni de Girolamo, Josep Maria Haro, Hristo Hinkov, Norito Kawakami, Karestan C Koenen, Viviane Kovess-Masfety, Sing Lee, Maria Elena Medina-Mora, Fernando Navarro-Mateu, Siobhan O'Neill, Marina Piazza, José Posada-Villa, Kate M Scott, Victoria Shahly, Dan J Stein, Margreet Ten Have, Yolanda Torres, Oye Gureje, Alan M Zaslavsky, Ronald C Kessler
Importance: Previous research has documented significant variation in the prevalence of posttraumatic stress disorder (PTSD) depending on the type of traumatic experience (TE) and history of TE exposure, but the relatively small sample sizes in these studies resulted in a number of unresolved basic questions. Objective: To examine disaggregated associations of type of TE history with PTSD in a large cross-national community epidemiologic data set. Design, Setting, and Participants: The World Health Organization World Mental Health surveys assessed 29 TE types (lifetime exposure, age at first exposure) with DSM-IV PTSD that was associated with 1 randomly selected TE exposure (the random TE) for each respondent...
March 1, 2017: JAMA Psychiatry
https://www.readbyqxmd.com/read/27960095/low-pre-treatment-end-tidal-co2-predicts-dropout-from-cognitive-behavioral-therapy-for-anxiety-and-related-disorders
#16
David F Tolin, Amber L Billingsley, Lauren S Hallion, Gretchen J Diefenbach
Recent clinical trial research suggests that baseline low end-tidal CO2 (ETCO2, the biological marker of hyperventilation) may predict poorer response to cognitive-behavioral therapy (CBT) for anxiety-related disorders. The present study examined the predictive value of baseline ETCO2 among patients treated for such disorders in a naturalistic clinical setting. Sixty-nine adults with a primary diagnosis of a DSM-5 anxiety disorder, obsessive-compulsive disorder, or posttraumatic stress disorder completed a 4-min assessment of resting ETCO2, and respiration rate (the first minute was analyzed)...
March 2017: Behaviour Research and Therapy
https://www.readbyqxmd.com/read/27956724/natural-disasters-planning-for-psychological-first-aid
#17
Stephanie T Wynn
Natural disasters leave survivors suffering physically, psychologically, and spiritually. An EF4 tornado on April 27, 2011, in Tuscaloosa, Alabama, known as April's Fury, raised the question of how mental health practitioners (MHPs) might respond to address psychological needs, rather than being exclusively assigned to offer physical support immediately following a disaster. This article proposes planning ahead for MHPs to provide psychological first aid (PFA) in the immediate aftermath of a catastrophe. Combating psychological issues early will hopefully help reduce the development of posttraumatic stress disorder (PTSD) or prolonged grief disorder (PGD) in survivors...
January 2017: Journal of Christian Nursing: a Quarterly Publication of Nurses Christian Fellowship
https://www.readbyqxmd.com/read/27923359/dosage-effectiveness-and-safety-of-sertraline-treatment-for-posttraumatic-stress-disorder-in-a-japanese-clinical-setting-a-retrospective-study
#18
MULTICENTER STUDY
Toshiko Kamo, Masaharu Maeda, Misari Oe, Hiroshi Kato, Jun Shigemura, Kazuhiko Kuribayashi, Yuko Hoshino
BACKGROUND: Many of the posttraumatic stress disorder (PTSD) treatment guidelines recognize the use of selective serotonin reuptake inhibitors as first-line pharmacological treatment. In Japan, there were no published studies investigating the effectiveness and safety of sertraline for PTSD in a clinical setting. METHODS: We conducted a retrospective medical chart review of the dosage, effectiveness, and safety of sertraline for the PTSD treatment in Japan. Data were collected from medical charts of patients of PTSD, caused by various types of trauma, who were treated with sertraline between July 2006 and October 2012 during their regular clinical practice...
December 7, 2016: BMC Psychiatry
https://www.readbyqxmd.com/read/27870416/sex-specific-mechanisms-for-responding-to-stress
#19
REVIEW
Debra A Bangasser, Brittany Wicks
Posttraumatic stress disorder and major depression share stress as an etiological contributor and are more common in women than in men. Traditionally, preclinical studies investigating the neurobiological underpinnings of stress vulnerability have used only male rodents; however, recent studies that include females are finding sex-specific mechanisms for responding to stress. This Mini-Review examines recent literature using a framework developed by McCarthy and colleagues (2012; J Neurosci 32:2241-2247) that highlights different types of sex differences...
January 2, 2017: Journal of Neuroscience Research
https://www.readbyqxmd.com/read/27794690/neural-substrates-of-overgeneralized-conditioned-fear-in-ptsd
#20
Antonia N Kaczkurkin, Philip C Burton, Shai M Chazin, Adrienne B Manbeck, Tori Espensen-Sturges, Samuel E Cooper, Scott R Sponheim, Shmuel Lissek
OBJECTIVE: Heightened generalization of fear from an aversively reinforced conditioned stimulus (CS+, a conditioned danger cue) to resembling stimuli is widely accepted as a pathogenic marker of posttraumatic stress disorder (PTSD). Indeed, a distress response to benign stimuli that "resemble" aspects of the trauma is a central feature of the disorder. To date, the link between overgeneralization of conditioned fear and PTSD derives largely from clinical observations, with limited empirical work on the subject...
February 1, 2017: American Journal of Psychiatry
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