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Traumatic Experiences (traumatic + experience)
Selected AbstractsTrauma type, gender, and risk of PTSD in a region within an area of conflict,JOURNAL OF TRAUMATIC STRESS, Issue 6 2009Aziz Yasan The relation between trauma type, gender, and risk of posttraumatic stress disorder (PTSD) still remains unclear. The authors investigated the association among gender and trauma type and risk of PTSD among people living within an area of conflict. Traumatic experiences and PTSD symptoms among 708 participants were assessed. It was determined that more men (53%) were exposed to traumatic events than women (44%). They also found no difference in PTSD prevalence according to gender. However, the authors found that there was a different risk of PTSD among men and women who experienced similar traumatic events: the risk of PTSD for those who experienced military conflict was higher among men than it was among women. [source] Child sexual abuse in the etiology of depression: A systematic review of reviewsDEPRESSION AND ANXIETY, Issue 7 2010Roberto Maniglio Psy.D. Ph.D. Abstract Background: Despite a large amount of research, there is considerable controversy about the role that child sexual abuse plays in the etiology of depression. To prevent interpretative difficulties, mistaken beliefs, or confusion among professionals who turn to this literature for guidance, this article addresses the best available scientific evidence on the topic, by providing a systematic review of the several reviews that have investigated the literature on the issue. Methods: Seven databases were searched, supplemented with hand search of reference lists from retrieved papers. The author and a psychiatrist independently evaluated the eligibility of all studies identified, abstracted data, and assessed study quality. Disagreements were resolved by consensus. Results: Four reviews, including about 60,000 subjects from 160 studies and having no limitations that could invalidate their results, were analyzed. There is evidence that child sexual abuse is a significant, although general and nonspecific, risk factor for depression. The relationship ranges from small-to-medium in magnitude and is moderated by sample source. Additional variables may either act independently to promote depression in people with a history of sexual abuse or interact with such traumatic experience to increase the likelihood of depression in child abuse survivors. Conclusions: For all victims of abuse, programs should focus not only on treating symptoms, but also on reducing additional risk factors. Depressed adults who seek psychiatric treatment should be enquired about early abuse within admission procedures. Depression and Anxiety, 2010. © 2010 Wiley-Liss, Inc. [source] Fits and starts: A mother,infant case-study involving intergenerational violent trauma and pseudoseizures across three generationsINFANT MENTAL HEALTH JOURNAL, Issue 5 2003Daniel S. Schechter This case-study presents in detail the clinical assessment of a 29-year-old mother and her daughter who first presented to infant mental health specialists at age 16 months, with a hospital record suggesting the presence of a dyadic disturbance since age eight months. Data from psychiatric and neurological assessments, as well as observational measures of child and mother, are reviewed with attention to issues of disturbed attachment, intergenerational trauma, and cultural factors for this innercity Latino dyad. Severe maternal affect dysregulation in the wake of chronic, early-onset violent-trauma exposure manifested as psychogenic seizures, referred to in the mother's native Spanish as "ataques de nervios," the latter, an idiom of distress, commonly associated with childhood trauma and dissociation. We explore the mechanisms by which the mothers' reexperiencing of violent traumatic experience, together with physiologic hyperarousal and associated negative affects, are communicated to the very young child and the clinician-observer via action and language from moment to moment during the assessment process. The article concludes with a discussion of diagnostic and treatment implications by Drs. Marshall, Gaensbauer, and Zeanah. ©2003 Michigan Association for Infant Mental Health. [source] Sense of coherence and its association with exposure to traumatic events, posttraumatic stress disorder, and depression in eastern Democratic Republic of Congo,JOURNAL OF TRAUMATIC STRESS, Issue 3 2010Phuong N. Pham The Democratic Republic of Congo is the scene of some of the worst atrocities in recent history. However, in the face of traumatic experience, only a minority of people develops symptoms that impair their functioning. The sense of coherence proposed by Antonovsky (1987) is a theoretical construct reflecting an individual's overall wellbeing and ability to cope with stress. This study explores the relationships between sense of coherence, exposure to traumatic events, symptoms of posttraumatic stress disorder (PTSD), and depression. Results suggest an association between a high sense of coherence and high education levels, high income, and positive social relationships. Furthermore, the study found that sense of coherence is inversely correlated with cumulative exposure to violence and symptoms of PTSD and depression. [source] Participation in trauma research: Is there evidence of harm?JOURNAL OF TRAUMATIC STRESS, Issue 3 2003Michael G. Griffin Abstract Few studies have examined the impact of trauma research participation upon trauma survivors. Empirical data regarding reactions to research participation would be very useful to address the question of whether it is harmful for trauma survivors to participate in trauma studies. We examined participant reactions to different trauma assessment procedures in domestic violence (N = 260), rape (N = 108), and physical assault (N = 62) samples. Results indicated that participation was very well tolerated by the vast majority of the trauma survivors. Participants generally found that the assessment experience was not distressing and was, in fact, viewed as an interesting and valuable experience. The findings suggest that trauma survivors are not too fragile to participate in trauma research even in the acute aftermath of a traumatic experience. [source] Fluvoxamine and sleep disturbances in posttraumatic stress disorderJOURNAL OF TRAUMATIC STRESS, Issue 3 2001Thomas C. Neylan Abstract This study assesses the efficacy of fluvoxamine treatment on different domains of subjective sleep quality in Vietnam combat veterans with chronic posttraumatic stress disorder (PTSD). Medically healthy male Vietnam theater combat veterans (N = 21) completed a 10-week open label trial. Fluvoxamine treatment led to improvements in PTSD symptoms and all domains of subjective sleep quality. The largest effect was for dreams linked to the traumatic experience in combat. In contrast, generic unpleasant dreams showed only a modest response to treatment. Sleep maintenance insomnia and the item "troubled sleep" showed a large treatment response, whereas sleep onset insomnia improved less substantially. These therapeutic benefits contrast with published reports that have found activating effects of Selective Serotonin Reuptake Inhibitors on the sleep electroencephalogram. [source] Reproductive traits following a parent,child separation trauma during childhood: A natural experiment during World War IIAMERICAN JOURNAL OF HUMAN BIOLOGY, Issue 3 2008Anu-Katriina Pesonen Given the ethical limitations of exposing children to experimentally manipulated adverse experiences, evidence of the effects of childhood traumas on subsequent life history are based mostly on women's retrospective reports and animal studies. Only a few prospective studies have assessed the life-long consequences of childhood trauma. We asked whether a traumatic separation from both parents during childhood is associated with reproductive and marital traits later in life, measured by age of onset of menarche, timing of menopause, period of fertile years, age at first childbirth, birth spacing, number of children, and history of divorce. We studied members of the 1934,1944 Helsinki Birth Cohort, including 396 former war evacuees from varying socioeconomic backgrounds, who were sent unaccompanied by their parents to temporary foster families in Sweden and Denmark, and 503 participants who had no separation experiences. Data on separation experiences, number of children, and divorces experienced came from national registers, and the remaining data from a survey among the participants aged 61.6 years (SD = 2.9). Former evacuees had earlier menarche, earlier first childbirth (men), more children by late adulthood (women), and shorter interbirth intervals (men), than the non-separated. A traumatic experience in childhood is associated with significant alterations in reproductive and marital traits, which characterize both women and men. The implications are relevant to the 9.2 million child refugees living throughout the world today. Am. J. Hum. Biol., 2008. © 2008 Wiley-Liss, Inc. [source] Addressing Political and Racial Terror in the Therapeutic RelationshipAMERICAN JOURNAL OF ORTHOPSYCHIATRY, Issue 1 2005Pratyusha Tummala-Narra PhD Political and racial terror have important implications for the process of psychotherapy. This type of trauma can have unique effects on individual psychology and the larger social context of patients' lives that are distinct from other types of interpersonal trauma. Several intrapsychic processes, such as one's experience of mirroring, fear of annihilation, identification and internalization of aggression, the collective remembering of trauma, and subsequent mourning, are transformed through one's experiences of political and racial terror. Clinical illustrations of 2 patients treated in psychotherapy before and after the terrorist attacks of September 11, 2001, elaborate these effects of political and racial trauma. The implications of addressing these types of traumatic experience in psychotherapy, including issues of therapeutic neutrality, are discussed. [source] Change in post-traumatic stress symptoms following psychosocial treatment for breast cancerPSYCHO-ONCOLOGY, Issue 8 2005Ellen G. Levine The diagnosis of cancer is a traumatic experience, which may result in post-traumatic stress symptoms, such as arousal, re-experiencing the diagnostic process and avoidance. Changes in post-traumatic symptoms were assessed in 181women with breast cancer who participated in either a standard support group or complementary/alternative (CAM) oriented intervention. At baseline 26 women were classified as having significant PTSD symptoms. After the 12-week sessions, significant decreases in the number of women with PTSD was seen in both interventions, however it was more evident in the Standard group where there was a 91% reduction in the number of women with PTSD versus an 80% reduction in the CAM group. For women with PTSD both groups showed significant decreases in overall PTSD symptoms and arousal. However, only the women in the Standard support group showed significant decreases in re-experiencing and avoidance symptoms. For the entire sample only women in the Standard group had significant decreases in overall PTSD, re-experiencing, and arousal. These results indicate that PTSD symptoms can be prevalent among women with breast cancer, and that while psychosocial interventions can be effective in reducing this type of distress, a support group might be more effective than a more complementary/alternative oriented intervention. Copyright © 2005 John Wiley & Sons, Ltd. [source] After prostate cancer: Predictors of well-being among long-term prostate cancer survivorsCANCER, Issue 10 2006Thomas O. Blank Ph.D. Abstract BACKGROUND Despite growing numbers of prostate cancer (PCa) survivors, to the authors' knowledge there is little research regarding how personality, coping, and treatment influence men's psychologic well-being, as distinct from the often-studied functional, health-related quality of life. The purpose of this study was to examine how hope, optimism, use of coping strategies, and primary treatment predict well-being, positive and negative affect, impact, depression, and adaptive changes among PCa survivors. METHODS A questionnaire tapping personality, primary treatment, and coping strategy predictor variables and outcome variables of both positive and negative aspects of well-being was sent to 1,8-year PCa survivors. The final sample included 490 men. RESULTS Basic univariate analyses demonstrated that the men reported being happy, hopeful, and positive, with low levels of negative outcomes. Regression analyses demonstrated that positive outcomes were influenced primarily by personality. Negative outcomes were found to be affected by both personality and coping strategies. Adaptive changes were the only ones found to be significantly affected by primary treatment. CONCLUSIONS Although longer-term survivorship of PCa does not appear to be a highly traumatic experience, personality factors and the use of coping strategies years after treatment were found to introduce variability to well-being in complex ways, differing in relation to positive and negative outcomes. Clinical attention should be given to how the experience of cancer fits within the larger context of an individual's attitudes, choices, and coping strategy orientation. Cancer 2006. © 2006 American Cancer Society. [source] Assessing the Effects of Maternal Symptoms and Homelessness on the Mental Health Problems in their ChildrenCHILD AND ADOLESCENT MENTAL HEALTH, Issue 4 2009Ilan Harpaz-Rotem Objective:, This study examines the longitudinal association between measures of child well being and maternal posttraumatic stress disorder symptoms, homelessness, substance abuse, and other psychiatric conditions. Method:, A sample of 142 mothers who were veterans of the US armed forces were assessed at program entry and every three months thereafter for one year. A repeated-measures with mixed-effects analytic strategy was used to assess the association of children's mental health, school enrolment and attendance with measures of maternal psychiatric symptoms and homelessness. Results:, Significant associations between mothers' psychiatric symptoms and child well-being were identified. However, the multivariable mixed-models suggest that increased depression and anxiety symptoms among children were associated primarily with mothers' PTSD, and not depression, symptoms. Conclusions:, These findings provide evidence of an association between maternal and child mental health and may suggest that treating maternal PTSD symptoms may also benefit children, regardless of whether the child was also exposed to the traumatic experience. [source] Communication and child behaviour associated with unwillingness to take premedicationACTA PAEDIATRICA, Issue 9 2008Marie Proczkowska-Björklund Abstract Aim: To see how dominance in adult communication and child behaviour during premedication affects the child's unwillingness to take premedication. Method: Ninety-five children scheduled for ENT surgery were video-filmed during premedication. All communication was translated verbatim and the communication was grouped according to; if the parent or nurse directed their communication towards the child or not, or; if they talked about nonprocedural matters or procedural matters. Results: Unwillingness to take premedication was associated with more parent communication and less anaesthetic nurse communication compared to willingness to take premedication. There was a heighten risk that the child took their premedication unwillingly if their parent talked more directly to the child (OR = 4.9, p , 0.01), the child gave hesitant eye contact with the anaesthetic nurse (OR = 4.5, p , 0.05), the child had experienced an earlier traumatic medical procedure (OR = 4.1. p , 0.001) or if the child placed her/himself nearby their parent (OR = 4.0, p , 0.001). Conclusion: Together with behaviour that could be signs of shyness and earlier medical traumatic experience, parents that are actively communicating with their child before premedication may heighten the risk that the child will take the premedication unwillingly. [source] Uncanny Exposures: A Study of the Wartime Photojournalism of Lee MillerCURRICULUM INQUIRY, Issue 4 2009PAULA M. SALVIO ABSTRACT Taking the World War II photojournalism of Lee Miller as my point of departure, this article has several purposes. First, it introduces the wartime photojournalism of Lee Miller to education. I situate Miller's use of surrealist photography within emerging curricular discourses that take as axiomatic the significance of the unconscious in education and thus the challenge of representing histories that are simultaneously present, but cannot be perceived or integrated into conventional historical narratives. Second, I provide a textual analysis of Lee Miller's wartime oeuvre with specific attention paid to how this work alters education's "field of vision" of trauma. While this analysis makes no claims to exhaust education's possibilities for framing the war photography of Lee Miller, it will show how Miller's use of surrealist rhetoric and framing devices offered her the expressive power to represent traumatic experiences that resist being integrated into larger social and cultural contexts. By thinking through Miller's war photography, this article contributes to the scholarship in education that is dedicated to establishing a psychoanalytic history of learning and teaching that is capacious enough to address the "difficult knowledge" we too often cast beyond the pale of the curriculum and to expanding the rhetorical tactics possible for representing such difficult knowledge. [source] Adolescent inhalant use, abuse and dependenceADDICTION, Issue 7 2009Brian E. Perron ABSTRACT Aims To compare adolescent inhalant users without DSM-IV inhalant use disorders (IUDs) to youth with IUDs (i.e. abuse or dependence) across demographic, psychosocial and clinical measures. Design Cross-sectional survey with structured psychiatric interviews. Setting Facilities (n = 32) comprising the Missouri Division of Youth Services (MDYS) residential treatment system for juvenile offenders. Participants Current MDYS residents (n = 723); 97.7% of residents participated. Most youth were male (87%) and in mid-adolescence (mean = 15.5 years, standard deviation = 1.2, range = 11,20); more than one-third (38.6%, n = 279) reported life-time inhalant use. Measurements Antisocial behavior, temperament, trauma-exposure, suicidality, psychiatric symptoms and substance-related problems. Findings Among life-time inhalant users, 46.9% met criteria for a life-time DSM-IV IUD (inhalant abuse = 18.6%, inhalant dependence = 28.3%). Bivariate analyses showed that, in comparison to non-users, inhalant users with and without an IUD were more likely to be Caucasian, live in rural or small towns, have higher levels of anxiety and depressive symptoms, evidence more impulsive and fearless temperaments and report more past-year antisocial behavior and life-time suicidality, traumatic experiences and global substance use problems. A monotonic relationship between inhalant use, abuse and dependence and adverse outcomes was observed, with comparatively high rates of dysfunction observed among inhalant-dependent youth. Multivariate regression analyses showed that inhalant users with and without an IUD had greater levels of suicidal ideation and substance use problems than non-users. Conclusions Youth with IUDs have personal histories characterized by high levels of trauma, suicidality, psychiatric distress, antisocial behavior and substance-related problems. A monotonic relationship between inhalant use, abuse and dependence and serious adverse outcomes was observed. [source] Growing Up in Guerrilla Camp: The long-Term Impact of Being a Child Soldier in El Salvador's Civil WarETHOS, Issue 4 2002Julia Dickson-Gõmez Many recent wars are characterized by high levels of civilian casualties, a large proportion of whom are women and children. Furthermore, an estimated 300,000 children are actively participating in 36 ongoing or recently ended conflicts around the world. However, there is a dearth of research on the long-term effects of war trauma experienced in childhood or children's active participation in armed conflicts. This article explores the long-term effects of children's active participation in the war in El Salvador by examining four young adults who fought with the guerrilla army as children and adolescents. Comparing these four cases with members of the community who joined and fought with the guerrilla as adults, it will be argued that traumatic experiences were even more devastating when they occurred in early childhood as they destroyed the ability to establish basic trust in competent and nurturing caretakers. Becoming a soldier created additional conflicts as these adolescent soldiers behaved in ways they felt were morally incorrect. Adolescent soldiers were also not given the opportunity to develop autonomy and learn adult peace-time roles. Both the psychological trauma suffered as children as well as continued economic scarcity and violence contribute to these campesinos' difficulties in creating meaningful lives as adults. [source] Eating-disordered patients with and without self-injurious behaviours: a comparison of psychopathological featuresEUROPEAN EATING DISORDERS REVIEW, Issue 5 2003Laurence Claes Objective: A considerable number of eating-disordered patients also display all kinds of self-injurious behaviours (SIB), which might be viewed as an indicator of psychopathological severity. Method: To test this hypothesis in 70 females admitted to a specialized treatment programme for eating disorders, a wide spectrum of psychopathological features was studied by means of self-reporting questionnaires: clinical symptomatology, personality disorders, aggression regulation, trauma history, dissociation and body experience. A comparison was made between patients with (n,=,27) and without SIB (n,=,43), as well as between patients with one (n,=,13) versus more types (n,=,14) of SIB. Results: In general, patients with SIB reported significantly more complaints or signs of anxiety, depression, hostility, cluster B personality disorders, feelings of anger, traumatic experiences, dissociation and negative appreciation of body size. The presence of more than one type of SIB was linked to a more pronounced clinical symptomatology and trauma history. . Copyright © 2003 John Wiley & Sons, Ltd and Eating Disorders Association. [source] Cumulative adversity and drug dependence in young adults: racial/ethnic contrastsADDICTION, Issue 3 2003R. Jay Turner ABSTRACT Aims To study cumulative exposure to stressors as a risk factor for drug dependence, and evaluate whether group differences in exposure contribute to differences in prevalence. Design Cross-sectional community survey of life-time adverse experiences and substance and psychiatric disorders. Setting Data collected between 1997 and 2000 in Miami,Dade County, USA. Participants A total of 1803 former Miami,Dade public school students, 93% between ages 19 and 21 years when interviewed. Males and females of Cuban origin, other Caribbean basin Hispanics, African-Americans and non-Hispanic whites are represented equally. Measurements Drug dependence disorder assessed by DSM-IV criteria using the Composite International Diagnostic Interview, and a 41-item checklist of life-time exposure to major and potentially traumatic experiences. Both measures include age at time of first occurrence. Findings Life-time rate of drug dependence disorder (total 14.3%) did not vary significantly (P > 0.05) by socio-economic group. Male rate (17.6%) was significantly greater than female rate (10.9%). The African-American rate (6.5%) was dramatically lower than non-Hispanic white (17.0%), Cuban (18.1%) and non-Cuban Hispanic (16.0%) rates despite their dramatically higher exposure to adversity. Twenty-eight of 33 individual adversities were associated with the subsequent onset of drug dependence (P < 0.05). Cumulative life-time exposure was greatest for males and for African-Americans, and was associated inversely with socio-economic level. Multivariate discrete-time event history analysis revealed significant independent effects of distal (>1 year earlier) and proximal (previous year) exposure to adverse events (P < 0.05), controlling for childhood conduct disorder, attention deficit hyperactive disorder and previous psychiatric disorder. Conclusions Life-time cumulative exposure to distant as well as more recent adversity predicts risk of subsequent drug dependence, although it does not explain ethnic group differences in risk. [source] Contributions of the mother,infant relationship to dissociative, borderline, and conduct symptoms in young adulthoodINFANT MENTAL HEALTH JOURNAL, Issue 3 2008Karlen Lyons-Ruth Recent high-risk longitudinal studies have documented a unique contribution of the quality of the early mother,child relationship to diverse forms of psychopathology in young adulthood, even with family economic status, later traumatic experiences, and some genetic factors controlled. In addition, measures of attachment-related deviations in caregiver,infant interaction predict more than measures of infant attachment behavior alone. This article reviews those findings in the context of cross-disciplinary thinking on the importance of shared subjectivities in human evolution and development and in the context of recent studies beginning to map the intersection between processes of interaction and the development of the child's propensities to share mental states with others. [source] The effects of traumatic experiences on the infant,mother relationship in the former war zones of central Mozambique: The case of madzawde in GorongosaINFANT MENTAL HEALTH JOURNAL, Issue 5 2003Victor Igreja This article addresses the ways in which years of war and periods of serious drought have affected the cultural representations of the populations in Gorongosa District, Mozambique. In the wake of these events different cultural and historical representations have been disrupted, leaving the members of these communities with fragmented protective and resilience factors to cope effectively. Emphasis is placed on the disruption of madzawde, a mechanism that regulates the relationship between the child (one to two years of life) and the mother, and the family in general. The war, aggravated by famine, prevented the populations from performing this child-rearing practice. Nearly a decade after the war ended, the posttraumatic effects of this disruption are still being observed both by traditional healers and health-care workers at the district hospital. The results suggest that this disruption is affecting and compromising the development of the child and the physical and psychological health of the mother. An in-depth understanding of this level of trauma and posttraumatic effects is instrumental in making a culturally sensitive diagnosis and in developing effective intervention strategies based on local knowledge that has not been entirely lost but is nonetheless being questioned. ©2003 Michigan Association for Infant Mental Health. [source] Impact of traumatic experiences and violent acts upon response to treatment of a sample of Colombian women with eating disordersINTERNATIONAL JOURNAL OF EATING DISORDERS, Issue 4 2005Maritza Rodríguez MD Abstract Objective The current article compared the impact of exposure to sexual trauma and other types of physical threats against the patient or the patient's family on response to treatment, relapse, and dropout rates in 160 Colombian women between 12 and 49 years of age with eating disorders. Method A comparison was made to 70 cases with unsatisfactory response to treatment and 90 controls with a better response to treatment goals. Results Forty-five percent had a history of sexual abuse, other violent traumas, or both. Significant statistical differences were observed between both groups in exposure variables. The highest probability of poor outcome was observed in patients with sexual abuse and exposure to other violent acts (odds ratio [OR] = 6.37, 95% confidence interval [CI] = 2.1,19.07). The risk of dropout or relapse was, respectively, 10 and 3 times greater among those exposed. Discussion Violent social conditions should be noted as another form of trauma with potential impact on outcome in Colombian women with eating disorders. © 2005 by Wiley Periodicals, Inc. [source] Validity of PTSD in a sample of refugee children: can a separate diagnostic entity be justified?INTERNATIONAL JOURNAL OF METHODS IN PSYCHIATRIC RESEARCH, Issue 2 2006Edith Montgomery Abstract The objective of this study was to examine the construct validity of PTSD in a sample of refugee children from the Middle East , more specifically, to assess whether associations between traumatic events and specific PTSD symptoms were more outspoken than (1) the associations of PTSD symptoms with non-traumatic exposures, and (2) the associations of violent exposures with symptoms other than PTSD-symptoms. Parents of 311 refugee children from the Middle East were interviewed concerning their children's traumatic experiences and mental health symptoms. The specific PTSD symptoms did not cluster in a factor analysis. The PTSD symptom complex was significantly predicted not only by violent exposures (mother tortured, OR 8.2, p < 0.005; father disappeared OR 3.2, p < 0.05) but also by indicators of family interaction and parents' occupational situation. The two identified violent exposures had significant independent associations with a series of symptoms including symptoms other than those of PTSD (rs ranging from 0.25 to 0.44, p < 0.001). Thus it does not seem sufficient to focus solely on PTSD symptomatology when assessing the mental health needs of refugee children. Copyright © 2006 John Wiley & Sons, Ltd. [source] Biopsychosocial correlations in patients with chronic oro-facial pain.JOURNAL OF ORAL REHABILITATION, Issue 6 2009Part II. Summary, Before the sixteenth year of life, biopsychosocial influences such as self-experienced and observed accidents/illnesses, adverse medical/dental treatments, dangerous events and self-experienced or observed force seem to affect the manifestation of chronic pain in the oro-facial area in the forms of temporomandibular disorder (TMD) and psychogenic denture-intolerance (PDI)/somatoform oro-facial pain (SOP). We evaluated the occurrence of these types of events before the age of 16 years in 50 TMD patients, 55 PDI/SOP patients and 55 randomly selected pain-free control group (CG) using the medical questionnaire ,Physical well-being and traumatic experiences (PTE). A separate dental questionnaire determined the effects of previous experiences of pain or force on the emotional self-assessment of the patients (pain localization and body feeling). The TMD group was significantly more likely to have experienced an accident and an illness before the age of 16 years than were the other two groups (PDI/SOP and CG) (P < 0·039). Temporomandibular disorder and PDI/SOP patients suffered frequent backaches significantly more than CG patients (P < 0·028). The PDI/SOP patients were least likely to report having felt threatened before or after the age of 16 years (P < 0·003) compared with the PDI/SOP and CG group. Sociodemographic parameters, experiencing an accident, previous medical incidents, experiences of force and emotional self-assessment influence the biopsychosocial dynamics that directly influence oro-facial symptoms with psychogenic components. Similar to medical history, age seems to play a decisive role in the manifestation of oro-facial psychic symptoms. [source] Does prior psychological health influence recall of military experiences? a prospective studyJOURNAL OF TRAUMATIC STRESS, Issue 4 2008Jennifer Wilson In a prospective study, we evaluated pre- and postdeployment psychological health on recall of risk factors to assess recall bias. Measures of the General Health Questionnaire (GHQ), PTSD Checklist (PCL), and symptom clusters from the PCL were obtained from 681 UK military personnel along with information on traumatic and protective risk factors. Postdeployment psychological health was more important in explaining recall of traumatic experiences than predeployment psychological health. Predeployment intrusive cluster scores were highly associated with traumatic exposures. Postdeployment, but not predeployment GHQ showed small effects for most risk factors. With the exception of intrusive thoughts, there is insufficient evidence to suggest predeployment psychological status would be useful in correcting for recall bias in subsequent cross-sectional studies. [source] An evaluation of the psychometric properties of the traumatic events questionnaire in primary care patientsJOURNAL OF TRAUMATIC STRESS, Issue 1 2008Eric F. Crawford This study examined the reliability of reports of traumatic experiences across the Traumatic Events Questionnaire (TEQ; S. Vrana & D. Lauterbach, 1994) and the Composite International Diagnostic Interview (CIDI; World Health Organization, 1998), and evaluated other psychometric properties of the TEQ in 154 primary care patients. Agreement rates for various traumatic experiences were moderate to substantial, with sexual abuse showing 87% agreement, and other forms of trauma exhibiting rates from 81,74%. The TEQ yields a trauma intensity score, which produced stronger correlations with self-reported PTSD symptoms and problematic anger than the sum of traumas experienced. Trauma intensity also proved to be a powerful predictor of posttraumatic stress disorder (PTSD) diagnostic status. Results support the TEQ as a measure of traumatic exposure in primary care populations. [source] Dissociation: An insufficiently recognized major feature of complex posttraumatic stress disorderJOURNAL OF TRAUMATIC STRESS, Issue 5 2005Onno van der Hart The role of dissociation in (complex) posttraumatic stress disorder (PTSD) has been insufficiently recognized for at least two reasons: the view that dissociation is a peripheral, not a central feature of PTSD, and existing confusion regarding the nature of dissociation. In this conceptual article, the authors address both issues by postulating that traumatization essentially involves some degree of division or dissociation of psychobiological systems that constitute personality. One or more dissociative parts of the personality avoid traumatic memories and perform functions in daily life, while one or more other parts remain fixated in traumatic experiences and defensive actions. Dissociative parts manifest in negative and positive dissociative symptoms that should be distinguished from alterations of consciousness. Complex PTSD involves a more complex structural dissociation than simple PTSD. [source] Posttraumatic stress disorder in a general psychiatric inpatient populationJOURNAL OF TRAUMATIC STRESS, Issue 4 2001Alexander C. McFarlane Abstract This study examined the incidence of traumatic experiences and prevalence of lifetime posttraumatic stress disorder (PTSD) in a sample of 141 general hospital psychiatric inpatients. Sixty-one percent of the patients reported at least one traumatic event during their lifetime and 28% met the formal DSM-III-R criteria for a lifetime diagnosis of PTSD. A high degree of comorbidity between PTSD and other psychiatric disorders was found, but PTSD was the incident disorder in at least 50% of cases. The experience of trauma and its associated complex patterns of symptomatology suggest that PTSD complicates the process of recovery from another disorder. [source] Best Practices for Serving Traumatized Children and FamiliesJUVENILE AND FAMILY COURT JOURNAL, Issue 4 2008Robyn S. Igelman ABSTRACT This paper highlights the traumatic impact of child abuse and neglect upon children and adolescents who are commonly seen in court systems. In addition to describing prevalence rates of trauma exposure and psychological reactions among traumatized children, it addresses the need for judges and court personnel to work with children and families in a manner that is sensitive to their traumatic experiences and emphasizes the need for these children to receive the very best evidence-based care available in order to help them more effectively cope and recover from trauma exposure. Cultural issues and model adaptations are covered in relation to the use of evidence-based practices with children from various cultural and ethnic backgrounds. Specific recommendations are given to help judges and court personnel become better informed about the use of evidence-based practices for treating child trauma, enabling them to respond more sensitively and appropriately in these cases. [source] Are cortisol profiles a stable trait during child development?AMERICAN JOURNAL OF HUMAN BIOLOGY, Issue 6 2009Mark V. Flinn Exposure to stressful experiences can increase vulnerability to adverse health outcomes. A potential neuroendocrine mechanism mediating the link between stress and health is the hypothalamic-pituitary-adrenal (HPA) system, with a key role attributed to the glucocorticoid hormone cortisol. Retrospective and cross sectional clinical studies of humans and experimental studies with nonhuman primates and rodents suggest that traumatic experiences during critical periods in development may have permanent effects on HPA regulation, which in turn can have deleterious effects on health. Here I report results from a continuous 20-year study (1988,2009) of children in a rural community on Dominica. Sequential data on cortisol levels, social stressors, and health in naturalistic, everyday conditions are examined to assess developmental trajectories of HPA functioning. Saliva aliquots were assayed for cortisol in concert with monitoring of growth, morbidity, and social environment. Analyses here include data from 1989 to 1999 for 147 children aged 3,16 years with >100 saliva samples each. Cortisol values were standardized by elapsed time since wake-up. Results do not support the hypothesis that traumatic stress during childhood causes permanent general elevation of cortisol levels. Am. J. Hum. Biol., 2009. © 2009 Wiley-Liss, Inc. [source] International Family, Adult, and Child Enhancement Services (FACES): A Community-Based Comprehensive Services Model for Refugee Children in ResettlementAMERICAN JOURNAL OF ORTHOPSYCHIATRY, Issue 1 2008Dina Birman PhD The development of evidence-based mental health interventions for refugees is complicated by the cultural and linguistic diversity of the participants, and the need to balance treatment of past traumatic experiences with ongoing support during the process of acculturation. In an effort to gather "practice-based evidence" from existing mental health services for refugees, a collaborative study of International Family, Adult, and Child Enhancement Services (FACES), a comprehensive, community-based mental health program working with refugee children, was conducted to describe the program participants and service delivery model and to assess whether participants improved over time as a function of services. Results showed that participants improved, but that the improvement was not related to dosage of services. Implications of these findings for refugee mental health services are discussed and suggestions are made for future evaluation research of mental health services with refugees. [source] Respiratory sinus arrhythmia predicts written disclosure outcomePSYCHOPHYSIOLOGY, Issue 5 2005Denise M. Sloan Abstract Research has indicated that writing about traumatic experiences is associated with beneficial health effects compared with writing about emotionally neutral topics. What remains unclear are those factors that moderate the beneficial effects associated with written disclosure. This study examined respiratory sinus arrhythmia (RSA) as a moderator of written disclosure outcome. Findings indicated that individuals with the highest RSA during the first written disclosure session benefited most from written disclosure in terms of physical health complaints and depression symptoms. As expected, RSA did not impact outcome for participants assigned to a control condition. These findings indicate that individuals who display good emotion regulation skills are best served by written disclosure. [source] | |||||||||||||||||||