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Depersonalization

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https://www.readbyqxmd.com/read/28199426/-translating-hysteria-ptsd-dissociative-subtype
#1
Elena Levy Yeyati
To address the symptoms of depersonalization and derealization a specific dissociative subtype of posttraumatic stress disorder has been included in DSM-5. Depersonalization and derealization have been defined as acute and chronic symptoms of dissociative disorders since DSM-III. Dissociative disorders with chronic features are often diagnosed in North America, Canada and other European countries, but this is not the case in Argentina. Dissociative disorders have clinical and historical features that are strongly connected with hysteria...
March 2016: Vertex: Revista Argentina de Psiquiatriá
https://www.readbyqxmd.com/read/28193248/formal-mentorship-in-a-surgical-residency-training-program-a-prospective-interventional-study
#2
Han Zhang, Andre Isaac, Erin D Wright, Yaser Alrajhi, Hadi Seikaly
BACKGROUND: Otolaryngology-Head and Neck surgery resident physicians (OHNSR) have a high prevalence of burnout, job dissatisfaction and stress as shown within the literature. Formal mentorship programs (FMP) have a proven track record of enhancing professional development and academic success. More importantly FMP have an overall positive impact on residents and assist in improving job satisfaction. The purpose of the study is to determine the effects of a FMP on the well-being of OHNSR...
February 13, 2017: Journal of Otolaryngology—Head & Neck Surgery
https://www.readbyqxmd.com/read/28192736/evidence-of-the-dissociative-ptsd-subtype-a-systematic-literature-review-of-latent-class-and-profile-analytic-studies-of-ptsd
#3
REVIEW
Maj Hansen, Jana Ross, Cherie Armour
BACKGROUND: The dissociative PTSD (D-PTSD) subtype was first introduced into the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) in 2013. Prior to this, studies using latent profile analysis (LPA) or latent class analysis (LCA), began to provide support for the D-PTSD construct and associated risk factors. This research is important, because dissociative symptoms in the context of PTSD may potentially interfere with treatment course or outcome. The aims of the present study were twofold: to systematically review the LCA and LPA studies investigating support for the D-PTSD construct; and to review the associated research on the risk factors or covariates of D-PTSD in the identified studies...
February 7, 2017: Journal of Affective Disorders
https://www.readbyqxmd.com/read/28185307/professional-interpersonal-dynamics-and-burnout-in-european-transplant-surgeons
#4
Michelle T Jesse, Marwan Abouljoud, Anne Eshelman, Chantal De Reyck, Jan Lerut
: Burnout within the health professions has become an increasingly important topic. Evidence suggests there are differences in burnout across different countries. Research has yet to examine burnout in transplant surgeons throughout Europe. METHODS: A cross-sectional survey of transplant surgeons across Europe. Survey included sociodemographics, professional characteristics, frequency and discomfort with difficult patient interactions, decisional autonomy, psychological job demands, support (coworker, supervisor, and hospital administration), and burnout including emotional exhaustion (EE), depersonalization (DP), and personal accomplishment (PA)...
February 10, 2017: Clinical Transplantation
https://www.readbyqxmd.com/read/28180014/prevalence-of-burnout-syndrome-and-associated-factors-among-rural-health-workers-behvarzes-in-south-khorasan
#5
Bita Bijari, Ali Abassi
BACKGROUND: Essential primary health care is delivered through the public health center PHC network by public health workers (Behvarzs). Health workers are exposed to different types of stresses while working. OBJECTIVES: The aim of this study is to determine the prevalence of burnout and associated factors among rural health workers in the health centers of Birjand University of Medical Sciences. PATIENTS AND METHODS: All rural health workers of health centers under the coverage of the Birjand University of Medical Sciences selected through census sampling participated in this cross-sectional study...
October 2016: Iranian Red Crescent Medical Journal
https://www.readbyqxmd.com/read/28156662/the-inclusion-of-palliative-care-in-initial-treatment-planning-for-women-with-gynecologic-cancer-and-the-use-of-advanced-directives
#6
William Robinson, William R Robinson
: 23 Background: To determine differences in Advanced Directive (AD) utilization among women with gynecologic cancer at a facility with a functioning Palliative Care (PC) program, vs those in a facility without access to a PC program. Also, to identify possible ethnic differences or relationships to other PC needs to AD utilization. METHODS: 95 subjects with gynecologic cancer were prospectively identified, 30 from an inner-city academic facility (Site A), and 65 from a suburban community facility in the same metropolitan area...
October 9, 2016: Journal of Clinical Oncology: Official Journal of the American Society of Clinical Oncology
https://www.readbyqxmd.com/read/28154900/prevalence-of-burnout-among-musculoskeletal-radiologists
#7
Felix S Chew, Michael J Mulcahy, Jack A Porrino, Hyojeong Mulcahy, Annemarie Relyea-Chew
OBJECTIVE: Burnout is a job-related psychological syndrome with three aspects: emotional exhaustion, depersonalization, and perceived lack of personal accomplishment. Burnout is associated with deleterious effects on both workers and their work. When burnout affects physicians, their well-being, longevity, and care of patients are at risk. Recent studies concerning physician burnout treat specialists such as radiologists as one group. We studied burnout in musculoskeletal (MSK) subspecialist radiologists...
February 2, 2017: Skeletal Radiology
https://www.readbyqxmd.com/read/28145812/childhood-sexual-abuse-and-fear-of-abandonment-moderate-the-relation-of-intimate-partner-violence-to-severity-of-dissociation
#8
Noga Zerubavel, Terri L Messman-Moore, David DiLillo, Kim L Gratz
Betrayal trauma theory proposes a relation between intimate partner violence (IPV) and dissociation, suggesting that dissociation among victims of IPV may function to restrict awareness of abuse in order to preserve attachments perceived as vital. We investigated two factors that may moderate the relation between IPV and dissociation-childhood sexual abuse (CSA) severity and fear of abandonment-among 348 women currently in a relationship. The relation between frequency of IPV (sexual and physical) and dissociation (amnesia and depersonalization) was moderated by CSA severity and fear of abandonment...
February 1, 2017: Journal of Trauma & Dissociation
https://www.readbyqxmd.com/read/28138924/dissociation-and-alterations-in-brain-function-and-structure-implications-for-borderline-personality-disorder
#9
REVIEW
Annegret Krause-Utz, Rachel Frost, Dorina Winter, Bernet M Elzinga
Dissociation involves disruptions of usually integrated functions of consciousness, perception, memory, identity, and affect (e.g., depersonalization, derealization, numbing, amnesia, and analgesia). While the precise neurobiological underpinnings of dissociation remain elusive, neuroimaging studies in disorders, characterized by high dissociation (e.g., depersonalization/derealization disorder (DDD), dissociative identity disorder (DID), dissociative subtype of posttraumatic stress disorder (D-PTSD)), have provided valuable insight into brain alterations possibly underlying dissociation...
January 2017: Current Psychiatry Reports
https://www.readbyqxmd.com/read/28133973/effect-of-a-whole-person-model-of-care-on-patient-experience-in-patients-with-complex-chronic-illness-in-late-life
#10
Nathan D Shippee, Tetyana P Shippee, Patrick D Mobley, Karl M Fernstrom, Heather R Britt
BACKGROUND: Patients with serious chronic illness are at a greater risk of depersonalized, overmedicalized care as they move into later life. Existing intervention research on person-focused care for persons in this transitional period is limited. OBJECTIVE: To test the effects of LifeCourse, a team-based, whole-person intervention emphasizing listening to and knowing patients, on patient experience at 6 months. DESIGN: This is a quasi-experimental study with patients allocated to LifeCourse and comparison groups based on 2 geographic locations...
January 1, 2017: American Journal of Hospice & Palliative Care
https://www.readbyqxmd.com/read/28119229/burnout-and-cognitive-impairment-associated-with-serum-bdnf-in-a-chinese-han-population
#11
S C He, Y Y Zhang, J Y Zhan, C Wang, X D Du, G Z Yin, B Cao, Y P Ning, J C Soares, X Y Zhang
BACKGROUND: Some studies have demonstrated that subjects with chronic burnout showed cognitive impairments; however, cognitive performance in burnout has been under-investigated. Increasing evidence show that brain-derived neurotrophic factor (BDNF) plays a critical role in cognitive function. We hypothesized that decreased BDNF may be associated with cognitive impairments in burnout, which has not been investigated yet. The aim of the present study was to examine the association of BDNF with cognitive impairment in burnout...
January 10, 2017: Psychoneuroendocrinology
https://www.readbyqxmd.com/read/28115912/predictors-of-burnout-work-engagement-and-nurse-reported-job-outcomes-and-quality-of-care-a-mixed-method-study
#12
Peter Van Bogaert, Lieve Peremans, Danny Van Heusden, Martijn Verspuy, Veronika Kureckova, Zoë Van de Cruys, Erik Franck
BACKGROUND: High levels of work-related stress, burnout, job dissatisfaction, and poor health are common within the nursing profession. A comprehensive understanding of nurses' psychosocial work environment is necessary to respond to complex patients' needs. The aims of this study were threefold: (1) To retest and confirm two structural equation models exploring associations between practice environment and work characteristics as predictors of burnout (model 1) and engagement (model 2) as well as nurse-reported job outcome and quality of care; (2) To study staff nurses' and nurse managers' perceptions and experiences of staff nurses' workload; (3) To explain and interpret the two models by using the qualitative study findings...
2017: BMC Nursing
https://www.readbyqxmd.com/read/28114093/-cotard-s-syndrome-case-report-and-a-brief-review-of-literature
#13
N P Moschopoulos, S Kaprinis, J Nimatoudis
The term "Cotard's syndrome" is used to describe a number of clinical features, mostly hypochondriac and nihilistic delusions, the most characteristic of which are the ideas "I am dead" and "my internal organs do not exist". Besides, anxious and depressed mood, delusions of damnation, possession and immortality, suicidal and self-mutilating behavior are included. The first description of the syndrome was made in 1880 by Cotard, who presented the case of a female patient in a lecture. He originally named it "hypochondriac delusion", and some years later "delusion of negations", while it was named "Cotard delusion" after his death...
October 2016: Psychiatrikē, Psychiatriki
https://www.readbyqxmd.com/read/28066969/burnout-and-depressive-symptoms-in-teachers-factor-structure-and-construct-validity-of-the-maslach-burnout-inventory-educators-survey-among-elementary-and-secondary-school-teachers-in-hungary
#14
Réka Szigeti, Noémi Balázs, Réka Bikfalvi, Róbert Urbán
This study validated the Hungarian version of the Maslach Burnout Inventory-Educators Survey on a sample of n = 211 elementary and secondary teachers. To test factorial validity, we ran a series of confirmatory analysis with eight models. The best fitting model was the bifactor model with general burnout and three specific factors: emotional exhaustion, depersonalization, and personal accomplishment. Analyzing the covariates revealed that gender and age were not associated with burnout, but depressive symptoms and overcommitment had a significant relationship with general burnout, and overcommitment was related to emotional exhaustion as well...
January 8, 2017: Stress and Health: Journal of the International Society for the Investigation of Stress
https://www.readbyqxmd.com/read/28065191/dissociation-in-patients-with-dissociative-seizures-relationships-with-trauma-and-seizure-symptoms
#15
S Pick, J D C Mellers, L H Goldstein
BACKGROUND: This study aimed to extend the current understanding of dissociative symptoms experienced by patients with dissociative (psychogenic, non-epileptic) seizures (DS), including psychological and somatoform types of symptomatology. An additional aim was to assess possible relationships between dissociation, traumatic experiences, post-traumatic symptoms and seizure manifestations in this group. METHOD: A total of 40 patients with DS were compared with a healthy control group (n = 43), matched on relevant demographic characteristics...
January 9, 2017: Psychological Medicine
https://www.readbyqxmd.com/read/28039665/the-relationship-between-burnout-syndrome-among-the-medical-staff-and-work-conditions-in-the-polish-healthcare-system
#16
Alicja Głębocka
Psychologists emphasize that people employed in social service organizations are vulnerable to chronic stress and burnout syndrome caused by a close and unsatisfied interpersonal relationship. However, emotional exhaustion, depersonalization, and a feeling of diminished personal accomplishment can be attributed to other external factors. One of them is poor living and occupational conditions. According to a report by OECD, the healthcare system in Poland is the worst among the member countries. The aim of the present study was to define the relationship between occupational burnout and the rating of the Polish healthcare system among the medical staff...
December 31, 2016: Advances in Experimental Medicine and Biology
https://www.readbyqxmd.com/read/28032002/fmri-functional-connectivity-of-the-periaqueductal-gray-in-ptsd-and-its-dissociative-subtype
#17
Sherain Harricharan, Daniela Rabellino, Paul A Frewen, Maria Densmore, Jean Théberge, Margaret C McKinnon, Allan N Schore, Ruth A Lanius
BACKGROUND: Posttraumatic stress disorder (PTSD) is associated with hyperarousal and active fight or flight defensive responses. By contrast, the dissociative subtype of PTSD, characterized by depersonalization and derealization symptoms, is frequently accompanied by additional passive or submissive defensive responses associated with autonomic blunting. Here, the periaqueductal gray (PAG) plays a central role in defensive responses, where the dorsolateral (DL-PAG) and ventrolateral PAG (VL-PAG) are thought to mediate active and passive defensive responses, respectively...
December 2016: Brain and Behavior
https://www.readbyqxmd.com/read/27999491/reliability-validity-and-psychometric-properties-of-the-greek-translation-of-the-cambridge-depersonalization-scale-cds
#18
Konstantinos Kontoangelos, Sofia Tsiori, Garyfalia Poulakou, Konstantinos Protopapas, Ioannis Katsarolis, Vissaria Sakka, Dimitra Kavatha, Antonios Papadopoulos, Anastasia Antoniadou, Charalambos C Papageorgiou
INTRODUCTION: The Cambridge Depersonalisation Scale is meant to capture the frequency and duration of depersonalisation symptoms over the 'last 6 months'. METHODS: In order to develop a Greek version of CDS scale, the CDS scale was translated in Greek by 2 psychiatrists. Then, the Greek version of CDS scale was back-translated by a person who did not knew the original English version. The back-translated version was reviewed in order to establish whether is consistent with the original English version...
October 2016: Materia Socio-medica
https://www.readbyqxmd.com/read/27930726/burnout-and-its-influencing-factors-among-primary-health-care-providers-in-the-north-east-of-iran
#19
Mohammad Amiri, Ahmad Khosravi, Ahmad Reza Eghtesadi, Zakieh Sadeghi, Ghasem Abedi, Mansour Ranjbar, Fardin Mehrabian
INTRODUCTION: Burnout is a popular research topics in service providing jobs, including the health care field. This study aimed at assessing the level of job burnout and to consider the important antecedents which might be related to job burnout among primary health care providers in Iran. METHODS: The participants in this applied cross-sectional study which was conducted in 2013 were 548 primary health care providers who were randomly selected from among those working in Shahroud, Sabzevar, Neishabour, Bojnord (provinces located in the north east of Iran)...
2016: PloS One
https://www.readbyqxmd.com/read/27929700/the-mediating-effects-of-coping-strategies-on-the-relationship-between-secondary-traumatic-stress-and-burnout-in-professional-caregivers-in-the-uae
#20
Abdalla A R M Hamid, Saif A Musa
BACKGROUND: Professional caregivers dealing with traumatized victims or mental health clients are at increased risk for developing the same symptoms as persons who are exposed directly to the trauma. AIMS: This research was aimed at examining the relationship between secondary traumatic stress, burnout and coping strategies in 502 professional caregivers who work in schools, hospitals, charity institutes and welfare centers in the United Arab Emirates (UAE). A further aim was to test the mediating effect of coping on the relationship between burnout and secondary traumatic stress...
December 8, 2016: Journal of Mental Health
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