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https://www.readbyqxmd.com/read/28813316/perspectives-on-the-conceptualization-of-the-dissociative-subtype-of-ptsd-and-implications-for-treatment
#1
REVIEW
Sunny J Dutra, Erika J Wolf
A dissociative subtype of PTSD was added to the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) to denote a distinct presentation of PTSD marked by symptoms of derealization and depersonalization. The subtype has brought renewed interest in the conceptualization of dissociation in PTSD, and raised questions about its treatment. We review the evidence for two models of PTSD-related dissociative symptoms and the treatment approaches that align with each. We find support for the contributions of biologically-based trait-level factors to dissociation, and suggest that empirically supported treatments for PTSD demonstrate efficacy for patients with the subtype...
April 2017: Current Opinion in Psychology
https://www.readbyqxmd.com/read/28797866/burnout-after-patient-death-challenges-for-direct-care-workers
#2
Kathrin Boerner, Hayley Gleason, Daniela S Jopp
CONTEXT: Direct care workers in long-term care can develop close relationships with their patients and subsequently experience significant grief after patient death (Boerner et al., 2015). Consequences of this experience for employment outcomes have received little attention. OBJECTIVES: To (1) investigate staff, institutional, patient, and grief factors as predictors of burnout dimensions among direct care workers who had experienced recent patient death, (2) determine which specific aspects of these factors are of particular importance, and (3) establish grief as an independent predictor of burnout dimensions...
August 7, 2017: Journal of Pain and Symptom Management
https://www.readbyqxmd.com/read/28797258/work-stress-associated-cool-down-reactions-among-nurses-and-hospital-physicians-and-their-relation-to-burnout-symptoms
#3
Arndt Büssing, Zarah Falkenberg, Carina Schoppe, Daniela Rodrigues Recchia, Désirée Poier
BACKGROUND: Hospital staff experience high level of work stress and they have to find strategies to adapt and react to it. When they perceive emotional exhaustion and job dissatisfaction in response to constant work stress, one reaction might be emotional withdrawal. This emotional distancing can be seen as an adaptive strategy to keep 'functionality' in the job. Both, perception of emotional exhaustion and emotional distancing as a strategy, can be operationalized as 'Cool Down'. We assume that work stress associated variables are positively associated with Cool Down reactions, while internal and external resources are negatively associated and might function as a buffer against emotional distancing...
August 10, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/28783090/validation-study-of-italian-version-of-inventory-for-d%C3%A3-j%C3%A3-vu-experiences-assessment-i-idea-a-screening-tool-to-detect-d%C3%A3-j%C3%A3-vu-phenomenon-in-italian-healthy-individuals
#4
Laura Mumoli, Giovanni Tripepi, Umberto Aguglia, Antonio Augimeri, Rossella Baggetta, Francesca Bisulli, Antonella Bruni, Salvatore M Cavalli, Alfredo D'Aniello, Ornella Daniele, Carlo Di Bonaventura, Giancarlo Di Gennaro, Jinane Fattouch, Edoardo Ferlazzo, Alessandra Ferrari, Annateresa Giallonardo, Sara Gasparini, Salvatore Nigro, Andrea Romigi, Vito Sofia, Paolo Tinuper, Maria Grazia Vaccaro, Leila Zummo, Aldo Quattrone, Antonio Gambardella, Angelo Labate
The Inventory Déjà Vu Experiences Assessment (IDEA) is the only screening instrument proposed to evaluate the Déjà vu (DV) experience. Here, we intended to validate the Italian version of IDEA (I-IDEA) and at the same time to investigate the incidence and subjective qualities of the DV phenomenon in healthy Italian adult individuals on basis of an Italian multicentre observational study. In this study, we report normative data on the I-IDEA, collected on a sample of 542 Italian healthy subjects aging between 18-70 years (average age: 40) with a formal educational from 1-19 years...
August 7, 2017: Behavioral Sciences
https://www.readbyqxmd.com/read/28762436/burnout-among-plastic-surgery-residents-national-survey-in-saudi-arabia
#5
Turki Aldrees, Basil Hassouneh, Abdulaziz Alabdulkarim, Loujin Asad, Saleh Alqaryan, Emad Aljohani, Khalid Alqahtani
To develop a more comprehensive explanation and understanding of the prevalence of and factors associated with burnout for residents of the Saudi Plastic Surgery Residency Program.  Methods: This is a cross sectional study. Data was gathered using a survey, which was distributed during April 2015, among all 57 plastic surgery residents enrolled in training programs across all regions of Saudi Arabia, 38 of whom responded (60% response rate). The dependent variable was professional burnout, which was measured by 3 subscales of the validated Maslach Burnout Inventory (MBI)...
August 2017: Saudi Medical Journal
https://www.readbyqxmd.com/read/28747115/where-pseudo-hallucinations-meet-dissociation-a-cluster-analysis
#6
Deborah Wearne, Guy J Curtis, Amanda Genetti, Mathew Samuel, Justin Sebastian
OBJECTIVES: The possible link between cognitive areas of perception and integration of consciousness was examined using assessments of hallucinations and derealisation/depersonalization. METHODS: Sixty-five subjects in three main diagnostic groups - posttraumatic stress disorder (PTSD), borderline personality disorder (BPD) and schizophrenia - identified by their treating psychiatrist as hearing voices were surveyed regarding characteristics of hallucinations, derealisation/depersonalization, delusions and childhood/adult trauma...
August 2017: Australasian Psychiatry: Bulletin of Royal Australian and New Zealand College of Psychiatrists
https://www.readbyqxmd.com/read/28744219/mdma-induced-dissociative-state-not-mediated-by-the-5-ht2a-receptor
#7
Drew J Puxty, Johannes G Ramaekers, Rafael de la Torre, Magí Farré, Neus Pizarro, Mitona Pujadas, Kim P C Kuypers
Previous research has shown that a single dose of MDMA induce a dissociative state, by elevating feelings of depersonalization and derealization. Typically, it is assumed that action on the 5-HT2A receptor is the mechanism underlying these psychedelic experiences. In addition, other studies have shown associations between dissociative states and biological parameters (heart rate, cortisol), which are elevated by MDMA. In order to investigate the role of the 5-HT2 receptor in the MDMA-induced dissociative state and the association with biological parameters, a placebo-controlled within-subject study was conducted including a single oral dose of MDMA (75 mg), combined with placebo or a single oral dose of the 5-HT2 receptor blocker ketanserin (40 mg)...
2017: Frontiers in Pharmacology
https://www.readbyqxmd.com/read/28719565/burnout-in-orthopaedic-surgeons-a-challenge-for-leaders-learners-and-colleagues-aoa-critical-issues
#8
S Elizabeth Ames, James B Cowan, Keith Kenter, Sanford Emery, David Halsey
Burnout, depression, suicidal ideation, and dissatisfaction with work-life balance have been reported in all medical specialties and at all stages of medical education and practice experience. Burnout consists of progressive emotional, attitudinal, and physical exhaustion. Physicians with burnout may treat patients as objects and feel emotionally depleted. Burnout is characterized by a loss of enthusiasm for work (emotional exhaustion), feelings of cynicism (depersonalization), and a low sense of personal accomplishment...
July 19, 2017: Journal of Bone and Joint Surgery. American Volume
https://www.readbyqxmd.com/read/28716142/prevalence-of-and-factors-associated-with-burnout-among-health-care-professionals-in-arab-countries-a-systematic-review
#9
I Elbarazi, T Loney, S Yousef, A Elias
BACKGROUND: Burnout among healthcare professionals is one of the key challenges affecting health care practice and quality of care. This systematic review aims to (1) estimate the prevalence of burnout among health care professionals (HCP) in Arab countries; and (2) explore individual and work-related factors associated with burnout in this population. METHODS: Multiple electronic databases were searched for studies published in English or Arabic from January 1980 to November 2014 assessing burnout (using the Maslach Burnout Inventory; MBI) amongst health care professionals (HCP) in Arab countries...
July 17, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/28713077/-burnout-syndrome-among-physiotherapists
#10
Krzysztof Owczarek, Stanisław Wojtowicz, Witold Pawłowski, Dariusz Białoszewski
BACKGROUND: Burnout is a syndrome of emotional exhaustion, depersonalization, and a reduced sense of personal accomplishment. Symptoms of burnout include mental and physical exhaustion, accompanied by psychosomatic disorders and emotional problems. Burnout occurs most often in people employed in occupations requiring working with people (human services) as a result of coping with stress and experience numerous failures at work. The aim of the research is the analysis of burnout among physiotherapists and demographic factors and conditions that may contribute to the burnout...
2017: Wiadomości Lekarskie: Organ Polskiego Towarzystwa Lekarskiego
https://www.readbyqxmd.com/read/28708752/prevalence-of-burnout-in-health-professionals-working-in-palliative-care-a-systematic-review
#11
Vitor Parola, Adriana Coelho, Daniela Cardoso, Anna Sandgren, João Apóstolo
BACKGROUND: More than ever, the current increasing need for palliative care leads to health professionals providing this type of care which further leads to multiple challenges, and stressful and demanding situations. The multiple challenges of working in palliative care put health professionals working in this context at the risk of burnout. OBJECTIVES: To examine the evidence on the prevalence of burnout among health professionals working in palliative care. INCLUSION CRITERIA TYPES OF PARTICIPANTS: The current review included studies that encompass qualified health professionals working in palliative care, caring for patients 18 years of age or older...
July 2017: JBI Database of Systematic Reviews and Implementation Reports
https://www.readbyqxmd.com/read/28700123/nonlinear-analysis-to-detect-if-excellent-nursing-work-environments-have-highest-well-being
#12
Giuseppe Casalicchio, Emmanuel Lesaffre, Helmut Küchenhoff, Luk Bruyneel
PURPOSE: To detect potentially nonlinear associations between nurses' work environment and nurse staffing on the one hand and nurse burnout on the other hand. DESIGN: A cross-sectional multicountry study for which data collection using a survey of 33,731 registered nurses in 12 European countries took place during 2009 to 2010. METHODS: A semiparametric latent variable model that describes both linear and potentially nonlinear associations between burnout (Maslach Burnout Inventory: emotional exhaustion, depersonalization, personal accomplishment) and work environment (Practice Environment Scale of the Nursing Work Index: managerial support for nursing, doctor-nurse collegial relations, promotion of care quality) and staffing (patient-to-nurse ratio)...
July 12, 2017: Journal of Nursing Scholarship
https://www.readbyqxmd.com/read/28699248/phenotypical-characteristics-of-postpartum-psychosis-a-clinical-cohort-study
#13
Astrid M Kamperman, Marian J Veldman-Hoek, Richard Wesseloo, Emma Robertson Blackmore, Veerle Bergink
OBJECTIVES: Postpartum psychosis (PP) is known for its clear onset but its phenotype has never been clearly described in a cohort. The aim of this study was to describe PP symptomatology, and to identify subgroups of patients based on symptom profiles. METHODS: We prospectively assessed a wide range of symptoms in cases of PP in a cohort of women (N=130) admitted to the Mother-Baby inpatient unit. Using a person-centered analytic approach, we distinguished mutually exclusive subgroups of women...
July 12, 2017: Bipolar Disorders
https://www.readbyqxmd.com/read/28697998/neural-and-behavioural-correlates-of-autobiographical-memory-retrieval-in-patients-with-major-depressive-disorder-and-a-history-of-trauma-exposure
#14
Melissa Parlar, Maria Densmore, Geoffrey B C Hall, Ruth Lanius, Margaret C McKinnon
Alterations in autobiographical memory (AM) performance have been identified in major depressive disorder (MDD) and in trauma-related disorders, however, the neural and behavioural correlates of AM retrieval in patients with MDD and a co-morbid history of trauma remain unexplored. Here, we used behavioural and neuroimaging techniques to investigate AM in this patient group and in matched healthy comparison subjects (HCs). Twenty patients with MDD and trauma exposure and 20 HCs underwent fMRI scanning while recalling positive, negative, and neutral events...
July 8, 2017: Neuropsychologia
https://www.readbyqxmd.com/read/28697059/associations-between-age-psychosocial-work-conditions-occupational-well-being-and-telomere-length-in-geriatric-care-professionals-a-mixed-methods-study
#15
Caroline Chmelar, Rudolf A Jörres, Angelika Kronseder, Andreas Müller, Dennis Nowak, Matthias Weigl
OBJECTIVE: We identified associations between age, psychosocial work characteristics, occupational well-being, and-as a measure of biological age-leukocyte telomere length in geriatric care professionals. METHODS: This is a multisource study of self-reports on psychosocial work characteristics, standardized physician's evaluations of health, and relative telomere length measures of peripheral blood leukocytes. We included 141 geriatric care professionals. Telomere length was assessed by an improved polymerase chain reaction (PCR)-based method...
July 10, 2017: Journal of Occupational and Environmental Medicine
https://www.readbyqxmd.com/read/28695723/burnout-syndrome-in-nurses-working-in-palliative-care-units-an-analysis-of-associated-factors
#16
Mercedes Rizo-Baeza, Susana Virginia Mendiola-Infante, Armina Sepehri, Antonio Palazón-Bru, Vicente Francisco Gil-Guillén, Ernesto Cortés-Castell
AIMS: To analyse the association between psychological, labour and demographic factors and burnout in palliative care nursing. BACKGROUND: There is a lack of published research evaluating burnout in palliative care nursing. METHODS: This observational cross-sectional study involved 185 palliative care nurses in Mexico. The primary variables were burnout defined by its three dimensions (emotional exhaustion, depersonalization and personal accomplishment)...
July 11, 2017: Journal of Nursing Management
https://www.readbyqxmd.com/read/28694277/disenfranchised-grief-and-physician-burnout
#17
Deborah Lathrop
Over the span of their career, physicians experience changes to their professional role and professional identity. The process of continual adaptation in their work setting incurs losses. These losses can be ambiguous, cumulative, and may require grieving. Grief in the workplace is unsanctioned, and may contribute to physicians' experience of burnout (emotional exhaustion, depersonalization, low sense of achievement). Acknowledging loss, validating grief, and being prescient in dealing with physician burnout is essential...
July 2017: Annals of Family Medicine
https://www.readbyqxmd.com/read/28671911/burnout-and-work-engagement-among-us-dentists
#18
Jean Marie Calvo, Japneet Kwatra, Alfa Yansane, Oluwabunmi Tokede, Ronald C Gorter, Elsbeth Kalenderian
BACKGROUND: Burnout is a threat to patient safety. It relates to emotional exhaustion, depersonalization, and lack of personal accomplishment. Work engagement conversely composed of levels of vigor, dedication, and absorption in one's profession. The aim of this study was to examine burnout and work engagement among US dentists. METHODS: This study used the extensively validated Maslach Burnout Inventory-Human Services Survey and Utrecht Work Engagement Scale to measure burnout in a self-administered survey of 167 US dentists who attended continuing education courses held in Boston, Pittsburg, Iowa City, and Las Vegas...
June 30, 2017: Journal of Patient Safety
https://www.readbyqxmd.com/read/28671027/coping-cognitive-emotion-regulation-and-burnout-in-long-term-care-nursing-staff-a-preliminary-study
#19
Patricia Bamonti, Elizabeth Conti, Casey Cavanagh, Lindsay Gerolimatos, Jeffrey Gregg, Carol Goulet, Marisa Pifer, Barry Edelstein
Direct care workers (e.g., certified nursing assistants [CNAs]) employed in long-term care (LTC) are particularly vulnerable to the experience of burnout, yet they have received relatively less research attention compared to Licensed Practical Nurses and Registered Nurses. Within the burnout literature, evidence suggests that the deployment of certain coping strategies influences levels of burnout. The current study examined the extent to which coping (e.g., problem-focused, emotion-focused, and dysfunctional coping) and cognitive emotion regulation strategies (e...
June 1, 2017: Journal of Applied Gerontology: the Official Journal of the Southern Gerontological Society
https://www.readbyqxmd.com/read/28670127/suicide-and-lyme-and-associated-diseases
#20
Robert C Bransfield
PURPOSE: The aim of this paper is to investigate the association between suicide and Lyme and associated diseases (LAD). No journal article has previously performed a comprehensive assessment of this subject. INTRODUCTION: Multiple case reports and other references demonstrate a causal association between suicidal risk and LAD. Suicide risk is greater in outdoor workers and veterans, both with greater LAD exposure. Multiple studies demonstrate many infections and the associated proinflammatory cytokines, inflammatory-mediated metabolic changes, and quinolinic acid and glutamate changes alter neural circuits which increase suicidality...
2017: Neuropsychiatric Disease and Treatment
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