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Psychological trauma in ed

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https://www.readbyqxmd.com/read/28993816/psychological-and-psychobiological-responses-to-immediate-early-intervention-in-the-emergency-department-case-report-of-one-session-exposure-therapy-for-the-prevention-of-ptsd
#1
Loren M Post, Vasiliki Michopoulos, Jennifer S Stevens, Renuka Reddy, Jessica L Maples, Jessica R Morgan, Alex O Rothbaum, Tanja Jovanovic, Kerry J Ressler, Barbara O Rothbaum
Research suggests that exposure therapy provided in the hours immediately following trauma exposure may prevent PTSD development. This case report presents data on an at-risk for PTSD participant involved in a motor-vehicle crash that caused her severe distress. She received one session of exposure therapy in the emergency department (ED) as part of an ongoing randomized controlled study examining the optimal dose of exposure therapy in the immediate aftermath of trauma. PTSD and depression measures were collected at pre-treatment assessment and one- and three-month follow-up...
2017: Practice Innovations (Washington, D.C.)
https://www.readbyqxmd.com/read/28749158/a-wait-list-controlled-study-of-a-trauma-focused-cognitive-behavioral-treatment-for-intermittent-explosive-disorder-in-timor-leste
#2
Kalhari Hewage, Zachary Steel, Mohammed Mohsin, Alvin Kuowei Tay, Jose Carlos De Oliveira, Marcio Da Piedade, Natalino Tam, Derrick Silove
We tested a trauma-focused, cognitive-behavior therapy treatment (TF-CBT-anger) for intermittent explosive disorder (IED) and related dimensions of anger adapted to the local culture in postconflict Timor-Leste. The intention-to-treat sample (n = 78) comprised Timorese nationals (women = 49; men = 29), ages 18 years and older, meeting Diagnostic and Statistical Manual of Mental Disorders (4th ed.) criteria for IED, with equal numbers (n = 39 each) being randomized to the treatment group (TG) and wait-list (WL)...
July 27, 2017: American Journal of Orthopsychiatry
https://www.readbyqxmd.com/read/28653646/early-predictors-of-outcome-after-mild-traumatic-brain-injury-upfront-an-observational-cohort-study
#3
Joukje van der Naalt, Marieke E Timmerman, Myrthe E de Koning, Harm J van der Horn, Myrthe E Scheenen, Bram Jacobs, Gerard Hageman, Tansel Yilmaz, Gerwin Roks, Jacoba M Spikman
BACKGROUND: Mild traumatic brain injury (mTBI) accounts for most cases of TBI, and many patients show incomplete long-term functional recovery. We aimed to create a prognostic model for functional outcome by combining demographics, injury severity, and psychological factors to identify patients at risk for incomplete recovery at 6 months. In particular, we investigated additional indicators of emotional distress and coping style at 2 weeks above early predictors measured at the emergency department...
July 2017: Lancet Neurology
https://www.readbyqxmd.com/read/28422894/impact-of-telephone-based-problem-solving-treatment-on-the-use-of-medical-and-psychological-services-in-the-military
#4
John S Richardson, Jesse R Fann, Kathleen R Bell, Nancy Temkin
OBJECTIVE: To explore the impact of problem-solving treatment (PST) for mild traumatic brain injury in active duty service members on the use of medical and psychological services. PARTICIPANTS: Service members who had a mild traumatic brain injury during their last deployment and enrolled in the CONcussion Treatment After Combat Trauma (CONTACT) study. DESIGN: Secondary analysis of a randomized clinical trial. Participants were assigned to telephone-based PST, or e-mailed or mailed education only over the course of 6 months...
April 18, 2017: Journal of Head Trauma Rehabilitation
https://www.readbyqxmd.com/read/28407156/enhancing-care-models-to-capture-psychological-trauma
#5
Mary Suzanne Balch, Jo Loomis
Toxic levels of stress in childhood are an ongoing threat to public health. Traumatized children have special needs for health care to address their developmental, mental health, and medical problems, and mitigate risk for long-term health problems. Developmental trauma leads to increased use of medical, social, correctional, and mental health services. Longitudinal and retrospective studies link childhood trauma and adversity to academic difficulties, poor health, and low economic productivity in adulthood...
April 1, 2017: Journal of Psychosocial Nursing and Mental Health Services
https://www.readbyqxmd.com/read/28348380/preventing-intrusive-memories-after-trauma-via-a-brief-intervention-involving-tetris-computer-game-play-in-the-emergency-department-a-proof-of-concept-randomized-controlled-trial
#6
L Iyadurai, S E Blackwell, R Meiser-Stedman, P C Watson, M B Bonsall, J R Geddes, A C Nobre, E A Holmes
After psychological trauma, recurrent intrusive visual memories may be distressing and disruptive. Preventive interventions post trauma are lacking. Here we test a behavioural intervention after real-life trauma derived from cognitive neuroscience. We hypothesized that intrusive memories would be significantly reduced in number by an intervention involving a computer game with high visuospatial demands (Tetris), via disrupting consolidation of sensory elements of trauma memory. The Tetris-based intervention (trauma memory reminder cue plus c...
March 28, 2017: Molecular Psychiatry
https://www.readbyqxmd.com/read/28332171/sport-and-male-sexuality
#7
REVIEW
P Sgrò, L Di Luigi
The relationships between sport and sexuality in males are of great social and clinical interest, because of sports and motor activities that highly promote social and sexual relationships. Even if few literature exist, two main questions should be taken into account: whether and how physical exercise and sport positively or negatively influence sexual health and behavior and/or whether and how sexual behavior may affect a sub-sequent sport performance. Physical exercise and sport per se can influence, positively or negatively, the hypothalamic-pituitary-testicular axis function and, consequently, the individual's reproductive and/or sexual health...
March 22, 2017: Journal of Endocrinological Investigation
https://www.readbyqxmd.com/read/28281939/childhood-traumatic-experiences-and-dissociative-phenomena-in-eating-disorders-level-and-association-with-the-severity-of-binge-eating-symptoms
#8
Giovanni L Palmisano, Marco Innamorati, Giovanna Susca, Denise Traetta, Diego Sarracino, Johan Vanderlinden
The aim of the current study is to evaluate the presence of childhood trauma, psychoform, and somatoform dissociation in eating disorders (ED). Eighty-six ED outpatients participated in this study, 20 of them were diagnosed with restrictive anorexia (AN-R), 10 of them with anorexia nervosa binge-purging subtypes (AN-B), 25 with bulimia nervosa (BN), and 31 with binge eating disorder (BED). They were matched by sex and age with a control group consisting of 86 healthy subjects (HC). Traumatic experiences were assessed by means of the Childhood Trauma Questionnaire (CTQ), psychological, and somatoform dissociation, respectively, by means of the Dissociative Experience Scale (DES-II) and Somatoform Dissociation Questionnaire (SDQ-20), and binge eating symptoms by means of Binge Eating Scale (BES)...
March 10, 2017: Journal of Trauma & Dissociation
https://www.readbyqxmd.com/read/28225375/impact-of-a-child-life-and-music-therapy-procedural-support-intervention-on-parental-perception-of-their-child-s-distress-during-intravenous-placement
#9
Gabriela S Ortiz, Todd OʼConnor, Jessa Carey, Adam Vella, Audrey Paul, Diane Rode, Alan Weinberg
OBJECTIVES: Child life specialists and music therapists have a unique and integral role in providing psychosocial care to pediatric patients and families. These professionals are trained to provide clinical interventions that support coping and adjustment and reduce the risk of psychological trauma related to hospital visits and health care encounters. The researchers devised a multimodal approach using a combined child life and music therapy intervention to address procedure-related distress in patients receiving intravenous (IV) placement in the pediatric emergency department...
February 21, 2017: Pediatric Emergency Care
https://www.readbyqxmd.com/read/28030471/stress-related-psychological-symptoms-contribute-to-axial-pain-persistence-after-motor-vehicle-collision-path-analysis-results-from-a-prospective-longitudinal-study
#10
Rose K Feinberg, JunMei Hu, Mark A Weaver, Roger B Fillingim, Robert A Swor, David A Peak, Jeffrey S Jones, Niels K Rathlev, David C Lee, Robert M Domeier, Phyllis L Hendry, Israel Liberzon, Samuel A McLean
Posttraumatic stress disorder (PTSD) symptoms and pain after traumatic events such as motor vehicle collision (MVC) have been proposed to be mutually promoting. We performed a prospective multicenter study that enrolled 948 individuals who presented to the emergency department within 24 hours of MVC and were discharged home after evaluation. Follow-up evaluations were completed 6 weeks, 6 months, and 1 year after MVC. Path analysis results supported the hypothesis that axial pain after MVC consistently promotes the maintenance of hyperarousal and intrusive symptoms, from the early weeks after injury through 1 year...
April 2017: Pain
https://www.readbyqxmd.com/read/27956149/pain-management-of-trauma-patients-in-the-emergency-department-a-study-in-a-public-hospital-in-iran
#11
Negin Masoudi Alavi, Mohammad Sadegh Aboutalebi, Zohreh Sadat
BACKGROUND: Pain is a common problem which the patients in emergency departments (ED) face, especially trauma patients under treatment may suffer from physical, psychological and ethical issues. The purpose of this study was to evaluate traumatic pain management in the emergency department at a public hospital in Iran in 2014. METHODS: This observational prospective study was conducted on 450 trauma patients admitted to a trauma emergency department. The tool used in this study has three parts: demographic data, data of trauma, and VRS (Verbal Rating Scales) score at a 7-point scale-at the arrival time to 4h later...
July 2017: International Emergency Nursing
https://www.readbyqxmd.com/read/27863295/the-effect-of-early-psychological-symptom-severity-on-long-term-functional-recovery-a-secondary-analysis-of-data-from-a-cohort-study-of-minor-injury-patients
#12
Sara F Jacoby, Justine Shults, Therese S Richmond
BACKGROUND: The mental health consequences of injuries can interfere with recovery to pre-injury levels of function and long term wellbeing. OBJECTIVES: The purpose of this study was to explore the relationship between psychological symptoms after minor injury and long-term functional recovery and disability. DESIGN: This exploratory study uses secondary data derived from a longitudinal cohort study of psychological outcomes after minor injury...
January 2017: International Journal of Nursing Studies
https://www.readbyqxmd.com/read/27740864/impact-of-pre-injury-family-functioning-and-resources-on-self-reported-post-concussive-symptoms-and-functional-outcomes-in-persons-with-mild-tbi
#13
Jessica Lynn Temple, Margaret A Struchen, Monique R Pappadis
OBJECTIVE: This study investigates the contribution of pre-injury family functioning and resources on self-reported post-concussive symptoms and functional outcomes in persons with mild TBI (mTBI). DESIGN: Participants with uncomplicated or complicated mTBIs were recruited from consecutive admissions to the emergency department of a level 1 trauma centre. Patients completed baseline assessments within 2 weeks of injury and an outcomes assessment at 3 months post-injury...
2016: Brain Injury: [BI]
https://www.readbyqxmd.com/read/27639134/a-daily-process-examination-of-the-relationship-between-childhood-trauma-and-stress-reactivity
#14
Samantha M Weltz, Stephen Armeli, Julian D Ford, Howard Tennen
Childhood trauma (CT) has been associated with various forms of emotion dysregulation (ED), including stress-reactivity, which is believed to be one of the mechanisms underlying the link between CT and psychological disorders. The purpose of the present study was to further this line of research by using an intensive longitudinal research design to examine among college students (N=1634, 53.7% women) whether reports of interpersonal CT, specifically emotional abuse and neglect, uniquely moderate the within-person association between repeated assessments of daily stress and negative affect (NA)(i...
October 2016: Child Abuse & Neglect
https://www.readbyqxmd.com/read/27507550/understanding-the-experience-of-miscarriage-in-the-emergency-department
#15
MULTICENTER STUDY
Kate MacWilliams, Jean Hughes, Megan Aston, Simon Field, Faith Wight Moffatt
INTRODUCTION: Up to 20% of pregnancies end in miscarriage, which can be a significant life event for women with psychological implications. Because the only preventative measure for a miscarriage is risk factor modification, the treatment focuses on confirming the miscarriage has occurred and medical management of symptoms. Although women experiencing a miscarriage are frequently directed to seek medical care in emergency departments, the patients are often triaged as nonemergent patients unless they are unstable, which exposes women to potentially prolonged wait times...
November 2016: Journal of Emergency Nursing: JEN: Official Publication of the Emergency Department Nurses Association
https://www.readbyqxmd.com/read/27328027/patient-perception-and-emotional-disturbance-in-out-of-hour-ophthalmic-emergency-care
#16
Sheila Luk, Luke Stroman, Swan Kang, Mythili Natkunarajah, Graham Duguid
PURPOSE: To investigate patient's perception of the severity of their symptoms, reasons for attending an ophthalmic emergency department (ED) out of hours, and to review the prevalence of anxiety and depression. METHODS: We carried out a prospective analysis of the cases presenting out of hours (8:30 PM to 8:30 AM) over a four-month period. We also conducted two questionnaire studies. First, patient's perception of the severity of their symptoms (graded from 1-10)...
June 21, 2016: Seminars in Ophthalmology
https://www.readbyqxmd.com/read/27192662/effect-of-system-wide-interventions-on-the-assessment-and-treatment-of-pain-by-emergency-medical-services-providers
#17
Kari B Haley, E Brooke Lerner, Clare E Guse, Ronald G Pirrallo
BACKGROUND: An estimated 20% of patients arriving by ambulance to the emergency department are in moderate to severe pain. However, the management of pain in the prehospital setting has been shown to be inadequate. Untreated pain may have negative physiologic and psychological consequences. The prehospital community has acknowledged this inadequacy and made treatment of pain a priority. OBJECTIVES: To determine if system-wide pain management improvement efforts (i...
May 18, 2016: Prehospital Emergency Care
https://www.readbyqxmd.com/read/27013926/educating-emergency-department-nurses-about-trauma-informed-care-for-people-presenting-with-mental-health-crisis-a-pilot-study
#18
Andrea Hall, Brian McKenna, Vikki Dearie, Tessa Maguire, Rosemary Charleston, Trentham Furness
BACKGROUND: Practicing with trauma informed care (TIC) can strengthen nurses' knowledge about the association of past trauma and the impact of trauma on the patient's current mental illness. An aim of TIC is to avoid potentially re-traumatising a patient during their episode of care. A TIC education package can provide nurses with content that describes the interplay of neurological, biological, psychological, and social effects of trauma that may reduce the likelihood of re-traumatisation...
2016: BMC Nursing
https://www.readbyqxmd.com/read/26953532/implementation-of-a-post-code-pause-extending-post-event-debriefing-to-include-silence
#19
Darcy Copeland, Heather Liska
This project arose out of a need to address two issues at our hospital: we lacked a formal debriefing process for code/trauma events and the emergency department wanted to address the psychological and spiritual needs of code/trauma responders. We developed a debriefing process for code/trauma events that intentionally included mechanisms to facilitate recognition, acknowledgment, and, when needed, responses to the psychological and spiritual needs of responders. A post-code pause process was implemented in the emergency department with the aims of standardizing a debriefing process, encouraging a supportive team-based culture, improving transition back to "normal" activities after responding to code/trauma events, and providing responders an opportunity to express reverence for patients involved in code/trauma events...
March 2016: Journal of Trauma Nursing: the Official Journal of the Society of Trauma Nurses
https://www.readbyqxmd.com/read/26815989/mass-casualty-event-during-a-musical-parade-lessons-learned
#20
Michael Bemelman, Luke Leenen
OBJECTIVE: In the Netherlands, major incidents are sparse, and so there is a general feeling of a relatively low risk. Upon evaluating multiple casualty events (MCEs) in the Netherlands over the last 60 years, it is worth noting 39 major events. Our objective was to report the experiences from a mass casualty incident in an urban area, performing a critical evaluation of the response and outcome related to the scenario in order to learn from our past and to train for the future. MATERIALS AND METHODS: In a retrospective patient record analysis we collected all of the data concerning an MCE we encountered in August 2006...
October 2008: European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society
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