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https://www.readbyqxmd.com/read/28820799/regional-anesthesia-and-analgesia-after-surgery-in-icu
#1
Mathieu Capdevila, Séverin Ramin, Xavier Capdevila
PURPOSE OF REVIEW: The aim is to demonstrate that ICU physicians should play a pivotal role in developing regional anesthesia techniques that are underused in critically ill patients despite the proven facts in perioperative and long-term pain, organ dysfunction, and postsurgery patient health-related quality of life improvement. RECENT FINDINGS: Regional anesthesia and/or analgesia strategies in ICU reduce the surgical and trauma-stress response in surgical patients as well as complications incidence...
August 17, 2017: Current Opinion in Critical Care
https://www.readbyqxmd.com/read/28820616/psychometrics-of-the-child-ptsd-symptom-scale-for-dsm-5-for-trauma-exposed-children-and-adolescents
#2
Edna B Foa, Anu Asnaani, Yinyin Zang, Sandra Capaldi, Rebecca Yeh
This study evaluated psychometric properties of interview, self-report, and screening versions of the Child PTSD Symptom Scale for DSM-5 (CPSS-5), a measure of posttraumatic stress disorder (PTSD) for traumatized youth based on DSM-5 criteria. Participants were 64 children and adolescents (51.6% female, 45.3% African American/Black) between 8 and 18 years of age (M = 14.1, SD = 2.5) who had experienced a DSM-5 Criterion A trauma. Participants completed test-retest procedures for the self-report and interviewer versions of the CPSS-5 in 2 visits that were up to 2 weeks apart...
August 18, 2017: Journal of Clinical Child and Adolescent Psychology
https://www.readbyqxmd.com/read/28818658/cue-dependent-inhibition-in-posttraumatic-stress-disorder-and-attention-deficit-hyperactivity-disorder
#3
Zachary W Adams, Michael Meinzer, Howard Mandel, Joshua Voltin, Blaine Caughron, Floyd R Sallee, Mark Hamner, Zhewu Wang
OBJECTIVE: Attention-deficit/hyperactivity disorder (ADHD) and posttraumatic stress disorder (PTSD) are common among military veterans, but the comorbidity of these two psychiatric disorders remains largely unstudied. Evaluating response inhibition and cue-dependent learning as behavioral and neurocognitive mechanisms underlying ADHD/PTSD can inform etiological models and development of tailored interventions. METHOD: A cued go/no-go task evaluated response inhibition in 160 adult males...
August 9, 2017: Journal of Anxiety Disorders
https://www.readbyqxmd.com/read/28818271/the-vestibulocochlear-bases-for-wartime-posttraumatic-stress-disorder-manifestations
#4
T A Tigno, R A Armonda, R S Bell, M A Severson
Preliminary findings based on earlier retrospective studies of 229 wartime head injuries managed by the Walter Reed Army Medical Center (WRAMC)/National Naval Medical Center (NNMC) Neurosurgery Service during the period 2003-08 detected a threefold rise in Posttraumatic Stress Disorder (PTSD) manifestations (10.45%) among Traumatic Brain Injuries (TBI) having concomitant vestibulocochlear injuries compared to 3% for the TBI group without vestibulo-cochlear damage (VCD), prompting the authors to undertake a more focused study of the vestibulo-auditory pathway in explaining the development of posttraumatic stress disorder manifestations among the mostly Blast-exposed head-injured...
September 2017: Medical Hypotheses
https://www.readbyqxmd.com/read/28817953/the-evidence-base-for-interventions-targeting-individuals-with-work-related-ptsd-a-systematic-review-and-recommendations
#5
Iris Torchalla, Verena Strehlau
The purpose of this study was to summarize the evidence base for interventions targeting individuals with work-related posttraumatic stress disorder (PTSD), to make recommendations for clinicians and administrative decision makers involved in their rehabilitation, and to guide future research in this area. Particular attention was given to studies that were conducted in naturalistic clinical settings or in a workers' compensation claim context. Electronic searches of Cochrane Central Register of Controlled Trials, MEDLINE, PubMed, PsycINFO, CINAHL, PILOTS, and EMBASE identified 11 articles...
August 1, 2017: Behavior Modification
https://www.readbyqxmd.com/read/28815666/dorsomedial-prefrontal-cortex-repetitive-transcranial-magnetic-stimulation-treatment-of-posttraumatic-stress-disorder-in-eating-disorders-an-open-label-case-series
#6
D Blake Woodside, Patricia Colton, Eileen Lam, Katharine Dunlop, Julia Rzeszutek, Jonathan Downar
Posttraumatic stress disorder (PTSD) is a common comorbid condition in anorexia nervosa (AN) and bulimia nervosa (BN), and may be associated with reduced response to treatment. We report on a case series employing repetitive transcranial magnetic stimulation (rTMS) with a novel target, the dorsomedial prefrontal cortex (DMPFC). Fourteen subjects with eating disorders and comorbid PTSD received 20-30 neuronavigated DMPFC-rTMS treatments on an open-label basis. PTSD symptoms were assessed pretreatment and posttreatment with the PTSD checklist-Civilian (PCL-C) and the Difficulties in Emotional Regulation Scale (DERS)...
August 16, 2017: International Journal of Eating Disorders
https://www.readbyqxmd.com/read/28814971/quality-of-life-in-anxious-adolescents
#7
Solfrid Raknes, Ståle Pallesen, Joseph A Himle, Jon Fauskanger Bjaastad, Gro Janne Wergeland, Asle Hoffart, Kari Dyregrov, Åshild Tellefsen Håland, Bente Storm Mowatt Haugland
PURPOSE: To examine associations between health-related quality of life (HRQoL) and anxiety symptoms across anxiety domains (obsessions/compulsions, social anxiety, panic disorder, agoraphobia, separation anxiety, physical injury fears, generalised anxiety, and posttraumatic stress) in a general adolescent population. Expanded knowledge about these associations can provide valuable information for improving interventions and prevention strategies for adolescent anxiety. METHODS: Cross-sectional data about anxiety were collected via a school survey from a community sample of Norwegian adolescents aged 12-17 (N = 1719)...
2017: Child and Adolescent Psychiatry and Mental Health
https://www.readbyqxmd.com/read/28813328/editorial-overview-advances-in-science-and-practice-in-traumatic-stress
#8
EDITORIAL
Anka A Vujanovic, Paula P Schnurr
This issue provides an expansive overview of the field of posttraumatic stress disorder (PTSD). The featured articles highlight novel, creative, and innovative topics and methodologies, consolidate recent scientific advances, and delineate future directions. The content spans various topics in the field of traumatic stress, including assessment, biopsychosocial correlates, clinical considerations, including comorbidity, anger, self-directed violence, and dissociative manifestations, evidence-based interventions, and innovative delivery formats that maximize dissemination and implementation...
April 2017: Current Opinion in Psychology
https://www.readbyqxmd.com/read/28813325/sleep-in-ptsd-conceptual-model-and-novel-directions-in-brain-based-research-and-interventions
#9
REVIEW
Anne Germain, Ashlee B McKeon, Rebecca L Campbell
Peri-traumatic sleep disturbances are growingly recognized as biologically-relevant and modifiable predisposing, precipitating, and perpetuating factors in posttraumatic stress disorder (PTSD). The exponential growth of the literature on sleep in PTSD over the last two decades has stimulated a paradigm shift in the conceptualization of the relationship between sleep and PTSD. A conceptual framework that captures this paradigm shift is offered. New research on existing and promising sleep-focused treatments for augmenting PTSD treatment outcomes is then summarized...
April 2017: Current Opinion in Psychology
https://www.readbyqxmd.com/read/28813323/emotions-and-emotion-regulation-in-posttraumatic-stress-disorder
#10
REVIEW
Carmen P McLean, Edna B Foa
Posttraumatic stress disorder (PTSD) has been associated with negative emotions such as shame, guilt, anger, and disgust, as well as impairments in the ability to effectively regulate these emotional states. There is evidence showing that each of these negative emotions and emotion regulation difficulties are related to the severity of PTSD stemming from various trauma types. In contrast, much less is known about the temporal relationship between these features and PTSD. Studies have found that treatments for PTSD often lead to improvements in these negative emotions and in emotion regulation difficulties, but how these features impact the efficacy of various PTSD treatments is less clear...
April 2017: Current Opinion in Psychology
https://www.readbyqxmd.com/read/28813322/anger-and-aggression-in-ptsd
#11
REVIEW
Casey T Taft, Suzannah K Creech, Christopher M Murphy
Trauma and posttraumatic stress disorder have massive negative consequences; associated anger and aggression are particularly damaging. This overview focuses on these relationships and their potential mechanisms, and offers treatment considerations. Research and theory suggests that trauma impacts anger and aggression through social information processing mechanisms, and an aggression model incorporating impelling, instigating, and disinhibiting factors helps us understand who is at risk under specific circumstances...
April 2017: Current Opinion in Psychology
https://www.readbyqxmd.com/read/28813321/focusing-on-trauma-focused-psychotherapy-for-posttraumatic-stress-disorder
#12
REVIEW
Paula P Schnurr
Trauma-focused psychotherapy for posttraumatic stress disorder (PTSD) includes a range of theoretical approaches, but primarily is based on cognitive-behavioral theory. Eye Movement Desensitization and Reprocessing is another type of trauma-focused psychotherapy. Although there is some evidence to support present-centered and interpersonal approaches, trauma-focused psychotherapies have the most empirical support and are the most effective for treating PTSD and related problems.
April 2017: Current Opinion in Psychology
https://www.readbyqxmd.com/read/28813320/the-genetics-and-epigenetics-of-ptsd-overview-recent-advances-and-future-directions
#13
REVIEW
Christina M Sheerin, Mackenzie J Lind, Kaitlin E Bountress, Nicole R Nugent, Ananda B Amstadter
This paper provides a brief summary and commentary on the growing literature and current developments related to the genetic underpinnings of posttraumatic stress disorder (PTSD). We first briefly provide an overview of the behavioral genetic literature on PTSD, followed by a short synopsis of the substantial candidate gene literature with a focus on genes that have been meta-analyzed. We then discuss the genome-wide association studies (GWAS) that have been conducted, followed by an introduction to other molecular platforms used in PTSD genomic studies, such as epigenetic and expression approaches...
April 2017: Current Opinion in Psychology
https://www.readbyqxmd.com/read/28813319/reward-functioning-in-posttraumatic-stress-and-substance-use-disorders
#14
REVIEW
Anka A Vujanovic, Margaret C Wardle, Lia J Smith, Erin C Berenz
Posttraumatic stress disorder (PTSD) and substance use disorders (SUD) are complex psychiatric conditions that commonly co-occur. Research on PTSD-SUD comorbidity has increasingly focused upon better understanding biopsychosocial factors that may contribute to their co-occurring etiology, maintenance, and treatment. Anhedonia, defined as a lack of pleasure from or interest in rewards, stems from deficits in reward functioning and is associated with specific neurocircuitries. Few studies have investigated the role of reward functioning in PTSD-SUD...
April 2017: Current Opinion in Psychology
https://www.readbyqxmd.com/read/28813318/gender-and-ptsd-different-pathways-to-a-similar-phenotype
#15
REVIEW
Suzanne L Pineles, Kimberly A Arditte Hall, Ann M Rasmusson
Whereas research supports the existence of a single posttraumatic stress disorder (PTSD) phenotype across women and men, there may be important gender differences in the pathophysiology of, or mechanisms underlying, the disorder. This paper reviews recent literature on gender differences in emotional, cognitive, and neurobiological factors, and their relations with PTSD and relevant comorbidities. Key findings and limitations from both human and animal studies are discussed. Overall, more work is needed that utilizes objective measures in addition to self-report...
April 2017: Current Opinion in Psychology
https://www.readbyqxmd.com/read/28813317/mindfulness-in-ptsd-treatment
#16
REVIEW
Ariel J Lang
In recent years, the field has witnessed considerable enthusiasm for the ancient practice of mindfulness. The skills derived from this experience, including focused attention, nonjudgmental acceptance of internal experiences and reduced autonomic reactivity, may be helpful in counteracting pathological responses to trauma. Several types of interventions that incorporate principles of mindfulness have been examined for treatment of posttraumatic stress disorder (PTSD). This nascent literature is inconsistent and methodologically limited but does suggest that mindfulness is a potentially important tool for creating psychological change...
April 2017: Current Opinion in Psychology
https://www.readbyqxmd.com/read/28813313/role-of-social-context-in-posttraumatic-stress-disorder-ptsd
#17
REVIEW
Dawne Vogt, Christopher R Erbes, Melissa A Polusny
Research has increasingly focused on the role that social circumstances before, during, and after trauma exposure play in risk for posttraumatic stress disorder (PTSD). In this article, we provide an overview of conceptual and methodological challenges to the study of social context's role in PTSD and propose strategies that can mitigate these challenges. Throughout the article, we draw from the current literature to illustrate how attention to these issues can lead to advances in our knowledge of the role of social context in PTSD...
April 2017: Current Opinion in Psychology
https://www.readbyqxmd.com/read/28813312/neuroendocrine-and-neuroimmune-markers-in-ptsd-pre-peri-and-post-trauma-glucocorticoid-and-inflammatory-dysregulation
#18
REVIEW
Miranda Olff, Mirjam van Zuiden
We review current knowledge on how posttraumatic stress disorder (PTSD) is associated with dysregulation of the most commonly studied markers of the endocrine and immune systems pre-, peri- and post-trauma. Lower basal cortisol output, enhanced glucocorticoid receptor function, and a proinflammatory state have been most consistently found in PTSD, with considerable variability among studies and participants. Longitudinal research is scarce, but there is converging evidence that biological dysregulation is present before PTSD onset...
April 2017: Current Opinion in Psychology
https://www.readbyqxmd.com/read/28813311/acute-stress-disorder
#19
REVIEW
Richard A Bryant
Acute stress disorder (ASD) was introduced in DSM-IV to describe posttraumatic stress disorder (PTSD) symptoms that (a) occur in the initial month after trauma and (b) predict subsequent PTSD. Longitudinal studies have shown that most people who develop PTSD do not initially meet ASD criteria, which led to the decision in DSM-5 to limit the ASD diagnosis to describing acute stress reactions without any predictive function. Controlled trials have shown that trauma-focused cognitive behavior therapy is the treatment of choice for ASD, and is superior to pharmacological interventions...
April 2017: Current Opinion in Psychology
https://www.readbyqxmd.com/read/28813310/redefining-posttraumatic-stress-disorder-for-dsm-5
#20
REVIEW
Frank W Weathers
Posttraumatic stress disorder (PTSD) was substantially redefined for DSM-5, with significant changes in nosology, definition of a traumatic stressor, and number and nature of symptom criteria. These updates, motivated by decades of empirical findings and clinical observation, provide better coverage of the full range of trauma-related clinical presentations while maintaining backward compatibility with previous versions of PTSD. Nonetheless, they have been criticized as being unwarranted, creating excessively complex criteria, and generating unacceptable levels of diagnostic discordance...
April 2017: Current Opinion in Psychology
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