Your browser doesn't support javascript.
loading
Show: 20 | 50 | 100
Results 1 - 20 de 898
Filter
2.
Rev. habanera cienc. méd ; 20(4): e3450, 2021.
Article in Spanish | LILACS, CUMED | ID: biblio-1289627

ABSTRACT

Introducción: La humanidad ha quedado sorprendida por el impacto de la pandemia de la COVID-19, su contagiosidad y letalidad constituyen grandes causas de preocupación en todo el mundo; en este contexto resulta muy difícil para el personal de la salud comunicar malas noticias. Objetivo: Expresar la necesidad de desarrollar habilidades para comunicar malas noticias por el personal de la salud ante esta pandemia de la COVID-19. Material y Métodos: Se realizó una revisión bibliográfica acerca del impacto sobre la salud mental de la pandemia de la COVID-19 y la necesidad de preparación del personal sanitario para ofrecer malas noticias. Resultados: Se han descrito reacciones de depresión, ansiedad, trastornos del sueño y estrés postraumático, causadas por esta pandemia. Se describen varios protocolos que se pueden seguir al realizar esta práctica: el Protocolo de Buckman, Spikes y ABCDE. Conclusiones: La pandemia de la COVID-19 ha producido grandes afectaciones de la salud mental en la población general en todo el mundo, por lo que se necesita que el personal de la salud esté bien entrenado para comunicar malas noticias, se creen espacios idóneos para esta práctica y las instituciones diseñen e implementen sus protocolos de actuación para llevar a cabo esta tarea(AU)


Introduction: Humanity has been surprised by the impact of the COVID-19 pandemic; its contagiousness and lethality are great causes for concern around the world. In this context, it is very difficult for the health personnel to communicate bad news. Objective: To express the need to develop skills among the health care personnel to communicate bad news in the context of the COVID-19 pandemic. Material and Methods: A bibliographic review about the impact of the COVID-19 pandemic on mental health and the need to prepare the health personnel to communicate bad news was carried out. Results: Reactions of depression, anxiety, sleep disorders and post-traumatic stress caused by this pandemic have been described. Several protocols that can be followed when performing this practice are described; they include: The Buckman, Spikes and ABCDE protocols. Conclusions: The COVID-19 pandemic has caused great effects on the mental health of the general population around the world. Therefore, it is necessary for the health personnel to be well trained in communicating bad news, as well as to create suitable spaces for this practice. On the other hand, the institutions should design and implement their action protocols to carry out this task(AU)


Subject(s)
Humans , Stress Disorders, Post-Traumatic , Delivery of Health Care/ethics , Pandemics , Health Personnel , Protocols/ethics , Humanism , Occupational Groups
3.
Rev. med. Risaralda ; 27(1): 76-84, ene.-jun. 2021. tab
Article in Spanish | LILACS, COLNAL | ID: biblio-1280496

ABSTRACT

Resumen Objetivo: Evaluar la evidencia disponible de la eficacia del psicodrama como terapia para el manejo del trauma psicológico, trastorno por estrés agudo y postraumático. Método: Se realizó una búsqueda sistemática de la literatura en MEDLINE, EMBASE, Cochrane Central, Scopus, LILACS y Ovid hasta abril de 2019. Se incluyeron los términos: (1)Psychodrama, (2)Role-playing, (3)Stress disorders, Acute, posttraumatic, y (4)Psychological trauma (MeSH). Se seleccionaron revisiones sistemáticas de la literatura, metaanálisis, ensayos clínicos aleatorios, cuasi aleatorios y estudios observacionales en inglés y español. Se seleccionaron los trabajos que incluyeran una descripción de las intervenciones con técnicas del psicodrama. Resultados: 14 trabajos cumplieron criterios de inclusión. Conclusión: No se encontró una asociación fuerte de la eficacia del psicodrama ante los síntomas de estrés postraumático. Se requieren más investigaciones con diseño metodológico ajustado para este tipo de intervenciones.


Abstract Objective: To evaluate the available evidence in regarding the efficacy of psychodrama in patients with acute and posttraumatic stress disorder and psychological trauma- Methods: Systematic review. Terms: (1)Psychodrama, (2)Role-playing, (3)Stress disorders, Acute, posttraumatic, and (4)Psychological trauma (Mesh), were searched in Pubmed, EMBASE, Cochrane Central, Scopus, Lillacs and OVID, until April 2019. Systematic reviews of the literature, meta-analysis, randomized clinical trials, quasi-randomized and observational studies in English and Spanish were selected. The works should have described interventions with psychodrama techniques. Results: 14 papers met the inclusion criteria. Conclusions: There is no evidence of the psychodrama response to the symptoms after traumatic stress. Research should be carried out with a more rigorous methodological design.


Subject(s)
Humans , Psychodrama , Psychotherapy , Stress Disorders, Post-Traumatic , Psychological Trauma , Role Playing , Review Literature as Topic , Psychological Distress
4.
Gerais (Univ. Fed. Juiz Fora) ; 14(1): 1-19, jan.-abr. 2021. ilus, tab
Article in Portuguese | LILACS, INDEXPSI | ID: biblio-1279113

ABSTRACT

Imigrantes e refugiados são uma população de risco para transtornos mentais, como o Transtorno de Estresse Pós-Traumático (Tept), e a psicoterapia com indivíduos provenientes de diferentes contextos culturais pode ser desafiadora, porém, a Terapia Cognitivo-Comportamental (TCC) vem se mostrando uma abordagem eficaz com essa população. O presente estudo de revisão sistemática tem como objetivo descrever os protocolos culturalmente adaptados de TCC para imigrantes e refugiados com diagnóstico ou sintomas de Tept, seguindo as recomendações do método PRISMA. Foram realizadas buscas nas bases de dados PubMed/Medline e PsycInfo, nos últimos 15 anos, sendo incluídos 11 artigos. As principais adaptações realizadas pelos estudos foram: o uso da língua mãe dos participantes, uso de imagens relativas ao país de origem ou à religião e modificações na exposição usual. As informações descritas neste estudo podem auxiliar no desenvolvimento de futuros estudos ou na prática clínica com essa população.


Immigrants and refugees are a population at risk for mental disorders, such as Posttraumatic Stress Disorder (PTSD), and psychotherapy with individuals from different cultural contexts can be challenging, however, Cognitive-Behavioral Therapy (CBT) has shown to be an effective approach with this population. This systematic review study aims to describe the culturally adapted protocols of CBT for immigrants and refugees with diagnosis or symptoms of PTSD, following the recommendations of the PRISMA method. Searches were conducted in the PubMed/Medline and PsycInfo databases, in the last 15 years, and 11 articles were included. The main adjustments made by the studies were: the use of the participant's mother tongue, use of images related to the country of origin or religion and modifications in the usual exposure. The information described in this study may help in the development of future studies or in clinical practice with this population.


Subject(s)
Transients and Migrants , Cognitive Behavioral Therapy , Psychotherapy , Refugees , Stress Disorders, Post-Traumatic , Adaptation, Psychological , Emigrants and Immigrants , Mental Disorders
5.
Article in English | LILACS, BBO | ID: biblio-1180852

ABSTRACT

ABSTRACT Objective: To assess the influence of oral and maxillofacial trauma on the development of Post-Traumatic Stress Disorder (PTSD) and to determine the efficiency of the Impact of Event Scale-Revised (IES-R) as a diagnostic tool for detecting PTSD in patients with Oral and Maxillofacial injuries. Material and Methods: PTSD was assessed one month postoperatively by the diagnostic instrument, IES-R, to arrive at a provisional diagnosis. A structured clinician-administered PTSD Scale then assessed the patients for the Diagnostic and Statistical Manual of Mental Disorders-5th edition (CAPS-5) to establish a final diagnosis. The assessment of the severity of PTSD was done based on various types of oral and maxillofacial injuries. Results: The IES-R scale provisionally diagnosed 54 subjects with PTSD, out of which 42 were diagnosed to have PTSD by the CAPS-5 scale. Subjects with injuries involving the 'orbital complex,' those presenting with a perceptible scar in the maxillofacial region and with multiple avulsed/ luxated anterior teeth, showed a higher affinity to develop PTSD, and this was statistically significant. Conclusion: Higher levels of PTSD in patients with injuries to the maxillofacial region warrants correct diagnosis and detection, and hence the maxillofacial surgeon plays a vital role in this regard. The IES-R is a useful diagnostic tool to detect PTSD early.


Subject(s)
Humans , Male , Female , Adolescent , Adult , Middle Aged , Aged , Stress Disorders, Post-Traumatic/etiology , Early Diagnosis , Oral and Maxillofacial Surgeons , Maxillofacial Injuries/diagnosis , Chi-Square Distribution , Cross-Sectional Studies/methods , India/epidemiology
7.
Cad. Saúde Pública (Online) ; 37(9): e00135920, 2021. tab, graf
Article in English | LILACS | ID: biblio-1345631

ABSTRACT

Abstract: Two important aspects must be accounted for when discussing the mental health of first responders and, in particular, their report of post-traumatic stress symptoms (PTSS). The first concerns the provision of quantitative data from longitudinal study designs, the second concerns the sophistication of the work-related model used to frame such studies. This is a report on the development of a model for Brazilian firefighters who also work as first responders, from the establishment of a longitudinal panel design study, the Brazilian Firefighter Longitudinal Health Study (FLoHS). The first objective was to compare trainee and active firefighters based on their follow-up data with a nationwide sample of similarly aged Brazilians. The second was to test the effect that operational and organizational experiences had on firefighters' PTSS level during follow up. At baseline, trainee firefighters came from higher socioeconomic backgrounds, were healthier and less exposed to trauma compared to a similarly aged national sample. At follow up, they reported higher prevalence of smoking, sleep problems, anhedonia and were more likely to be overweight. PTSS was predicted by operational and organizational stressors, even when controlled for health status at baseline. The results present not only the differences in the predictive status of operational and organizational events in relation to PTSS, but also how the effects of such events might interact. The data suggest the need for evidence-based interventions, support provided and changes at work environments to improve report rates for mental health in general and for PTSS in particular.


Resumo: Há duas questões subjacentes importantes na saúde mental dos socorristas, e particularmente em seu relato de sintomas de transtorno de estresse pós-traumático (TEPT). A primeira diz respeito à produção de dados quantitativos a partir do delineamento de estudos longitudinais, e a segunda está relacionada à sofisticação do modelo relacionado ao trabalho para contextualizar tais estudos. O artigo aborda o desenvolvimento de um modelo para bombeiros brasileiros, que também são socorristas, através do estabelecimento de um estudo com delineamento de painel longitudinal, chamado Estudo Longitudinal de Saúde em Bombeiros Brasileiros (FLoHS). O primeiro objetivo foi a comparação de bombeiros estagiários versus efetivados com base em dados de seguimento com uma amostra nacional de brasileiros com idades semelhantes. O segundo objetivo foi testar o efeito das experiências operacionais e organizacionais sobre os níveis de sintomas de TEPT nos bombeiros durante o seguimento. Na linha de base, os bombeiros estagiários vinham de origens socioeconômicas mais favoráveis e eram mais saudáveis e menos expostos a trauma, em comparação com uma amostra nacional da população com idade semelhante. No seguimento, os estagiários relatavam maior prevalência de tabagismo, problemas de sono, anedonia e maior sobrepeso. Os sintomas de TEPT eram previstos por estressores operacionais e organizacionais, mesmo despois de controlar para o estado de saúde na linha de base. Os resultados apontaram não apenas para diferenças no estado preditivo dos eventos operacionais e organizacionais em relação aos sintomas de TEPT, como também, para a maneira pela qual esses eventos podem interagir em termos de efeitos. Assim, os dados sugerem intervenções baseadas em evidências, apoio através do trabalho e organização do trabalho que possam melhorar as taxas de notificação para saúde mental em geral e sintomas de TEPT em particular.


Resumen: Existen dos importantes temas subyacentes a la salud mental de los trabajadores de primeros auxilios y, uno en particular, es la manifestación de síntomas de estrés postraumático (PTSS). El primero está relacionado con la provisión de datos cuantitativos, procedentes de estudios de diseños longitudinales, y, el segundo, con la sofisticación según el modelo de trabajo usado para enmarcar tales estudios. Este trabajo informó del desarrollo de un modelo para los bomberos brasileños, que también son trabajadores de primeros auxilios, mediante el establecimiento de un estudio de diseño longitudinal: el Estudio Longitudinal de Salud en Bomberos Brasileños (FloHS). El primer objetivo fue comparar bomberos entrenados y activos, basándonos en sus datos de seguimiento, con una muestra nacional de brasileños en edades similares. El segundo objetivo fue probar el efecto que las experiencias operacionales y organizativas tuvieron en el nivel de PTSS entre los bomberos durante el seguimiento. En la base de referencia, los bomberos entrenados contaban con antecedentes socioeconómicos más altos, estaban más sanos y menos expuestos al trauma, cuando se comparan con una muestra nacional de población en edad similar. Durante el seguimiento, informaron de una prevalencia más alta de fumadores, problemas de sueño, anhedonia y tenían más probabilidad de tener sobrepeso. Los PTSS se predijeron mediante estresores operacionales y organizativos, incluso controlando el estatus de salud en la base de referencia. Los resultados apuntaron no solo las diferencias en el estatus predictivo de eventos operacionales y organizativos, en relación con PTSS, sino también la forma en la que tal vez tales eventos interactúan en sus efectos. De este modo, los datos animan intervenciones basadas en la evidencia, además de apoyo mediante el trabajo y diseño de intervenciones, que tal vez mejore las tasas de informes para la salud mental en general y para los PTSS en particular.


Subject(s)
Humans , Aged , Stress Disorders, Post-Traumatic/etiology , Stress Disorders, Post-Traumatic/epidemiology , Firefighters , Brazil/epidemiology , Mental Health , Longitudinal Studies
8.
Cad. Saúde Pública (Online) ; 37(8): e00352820, 2021.
Article in Portuguese | LILACS | ID: biblio-1285857

ABSTRACT

Durante o último quarto do século XX, a psicopatologia codificou um arco diversificado de fenômenos sociais sob a rubrica do traumatismo, notabilizando o estudo do trauma psicológico como área autônoma e progressivamente informada pelas pesquisas culturais e neurobiológicas. Nesse cenário, presenciamos a emergência do paradigma biocultural, perspectiva epistemológica que procura elucidar as trajetórias interativas pelas quais cultura e biologia consolidam, entre si, os seus efeitos recíprocos. Este artigo abordará as interseções entre o campo dos psicotraumatismo e as neurociências, tomando, como eixos de análise, a expansão da categoria do transtorno de estresse pós-traumático (TEPT), os pressupostos epistemológicos das pesquisas neurocomportamentais do estresse e do medo, e as limitações da tese da bidirecionalidade, preconizada pelas neurodisciplinas culturais contemporâneas. A elaboração de abordagens definitivamente integrativas pode auxiliar no desenvolvimento de modelos compreensivos capazes de conceber os saberes e as práticas ao nível da experiência humana, evitando interpretações reducionistas que submetem vivências culturais e subjetivas complexas ora aos imperativos do cérebro, ora aos códigos semiológicos do raciocínio patogênico.


Durante el último cuarto del siglo XX, la psicopatología codificó un arco diversificado de fenómenos sociales, bajo la rúbrica del traumatismo, poniendo en relevancia el estudio del trauma psicológico, como área autónoma, y progresivamente informada por las investigaciones culturales y neurobiológicas. En este escenario, presenciamos el surgimiento del paradigma biocultural, perspectiva epistemológica que procura elucidar las trayectorias interactivas por las cuales cultura y biología consolidan, entre sí, sus efectos recíprocos. Este artículo abordará las intersecciones entre el campo de los psicotraumatismos y las neurociencias, tomando, como ejes de análisis, la expansión de la categoría del trastorno de estrés postraumático (TEPT), los presupuestos epistemológicos de las investigaciones neurocomportamentales del estrés y del miedo, y las limitaciones de la tesis de la bidireccionalidad, preconizada por las neurodisciplinas culturales contemporáneas. La elaboración de abordajes definitivamente integradores pueden apoyar el desarrollo de modelos comprensivos, capaces de concebir los saberes y prácticas en el nivel de la experiencia humana, evitando interpretaciones reduccionistas que someten vivencias culturales y subjetivas complejas, bien sea a los imperativos del cerebro, bien sea a los códigos semiológicos del raciocinio patogénico.


In the last 25 years of the 20th century, psychopathology coded a diverse range of social phenomena under the heading of trauma, featuring the study of psychological trauma as an autonomous area progressively informed by cultural and neurobiological research. In this scenario, we witnessed the emergence of the biocultural paradigm, an epistemological perspective that seeks to elucidate the interactive trajectories by which culture and biology consolidate each other´s effects. This article will address the intersections between the field of psychological trauma and neurosciences, based on the analytical dimensions of expansion of the category of posttraumatic stress disorder (PTSD), the epistemological premises of neurobehavioral studies of stress and fear, and the limitations of the bidirectionality hypothesis advanced by contemporary cultural neurosciences. The elaboration of definitively integrative approaches can assist the development of comprehensive models capable of conceiving knowledges and practices at the level of human experience, avoiding reductionist interpretations that submit complex cultural and subjective experiences alternatingly to the imperatives of the brain and to semiologic codes of pathogenic reasoning.


Subject(s)
Humans , Stress Disorders, Post-Traumatic , Neurosciences , Biology , Brazil
9.
Estud. Psicol. (Campinas, Online) ; 38: e190154, 2021. tab
Article in English | LILACS, INDEXPSI | ID: biblio-1249816

ABSTRACT

The study aimed to identify the predictive relationship of sociodemographic variables and emotional symptoms related to post-traumatic stress disorder, depression, anxiety, and stress. A sample of 194 people who experienced an air disaster, average age of 32 years, participated in the survey. The instruments used were: Sociodemographic Data Questionnaire, Post-Traumatic Stress Disorder Checklist - Civilian Version, and Depression Anxiety and Stress Scale. A multiple regression analysis indicated that women participants were associated with post-traumatic stress disorder symptoms and those directly exposed to the disaster had higher odds ratios to develop post-traumatic stress disorder, depression, and stress symptoms. It is expected, with this information, to identify early the people who may be most vulnerable and contribute to the elaboration of intervention protocols.


O estudo objetivou identificar a relação preditiva das variáveis sociodemográficas e os sintomas emocionais relativos ao transtorno de estresse pós-traumático, depressão, ansiedade e estresse. Participaram da pesquisa 194 pessoas com média de idade de 32 anos e que vivenciara um desastre aéreo. Os instrumentos utilizados na avaliação foram: Questionário de Dados Sociodemográficos, Post-Traumatic Stress Disorder Checklist - Civilian Version e Depression Anxiety and Stress Scale. Uma análise de regressão múltipla indicou que as participantes mulheres tiveram associações com os sintomas do transtorno de estresse pós-traumático e que as pessoas expostas diretamente aos desastres apresentaram maiores chances de desenvolver sintomas de transtorno de estresse pós-traumático, depressão e estresse. Espera-se, com essas informações, identificar precocemente as pessoas que possam estar mais vulneráveis e contribuir para a elaboração de protocolos de intervenção.


Subject(s)
Anxiety , Stress Disorders, Post-Traumatic , Depression , Disasters
10.
Rev. Esc. Enferm. USP ; 55: e03724, 2021. tab, graf
Article in English | LILACS, BDENF | ID: biblio-1279640

ABSTRACT

ABSTRACT Objective: Identify non-pharmacological therapies for the treatment of post-traumatic stress disorder in emergency responders. Method: Scope review according to the guidelines of the Joanna Briggs Institute and the PRISMA-ScR protocol. A search was conducted in nine databases, portals of theses and dissertations, and using an electronic search engine. Results: In total, 23 studies were selected and analyzed, and then categorized into six thematic fields - therapy with omega 3 food supplement, art therapy, physical exercise therapy, mindfulness-based therapy, therapy with elements of nature, and psychotherapy - which were considered non-pharmacological treatments for this psychopathology among emergency responders, as well as the use of psychotherapy via telehealth as an option for treatment. Conclusion: More evidence supporting diet therapy is required, while the other therapeutic options presented positive results, finding support in national and international recommendations of treatment and clinical practice.


RESUMEN Objetivo: Identificar las terapias no farmacológicas utilizadas para tratamiento del trastorno de estrés postraumático en profesionales emergencistas. Método: Revisión de alcance conforme indicaciones del Instituto Joanna Briggs y del protocolo PRISMA-ScR. Búsqueda realizada en nueve bases de datos, portales de tesis y disertaciones, y mediante buscador electrónico. Resultados: Fueron seleccionados y caracterizados 23 estudios, categorizados en seis ejes temáticos, a saber: terapia con suplemento alimentario de omega 3; arteterapia, terapia con ejercicios físicos, terapia con técnica de mindfulness, terapia con elementos de la naturaleza y psicoterapia, todos ellos destacados como tratamientos no farmacológicos para esta patología en profesionales emergencistas, así como el recurso de la psicoterapia vía telesalud como alternativa de tratamiento. Conclusión: Se necesita mayor cantidad de evidencias respaldando la terapia alimentaria, mientras que las demás alternativas terapéuticas encontradas demostraron resultados positivos, hallando respaldo en recomendaciones nacionales e internacionales de tratamiento y práctica clínica.


RESUMO Objetivo: Identificar as terapias não farmacológicas utilizadas no tratamento do transtorno de estresse pós-traumático em profissionais emergencistas. Método: Revisão de escopo conforme orientações do Instituto Joanna Briggs e do protocolo PRISMA-ScR. A busca foi realizada em nove bases de dados, portais de teses e dissertações e por meio de buscador eletrônico. Resultados: Foram selecionados e caracterizados 23 estudos, que foram categorizados em seis eixos temáticos, sendo eles: terapia com suplementação alimentar com ômega 3, arteterapia, terapia com exercícios físicos, terapia envolvendo a técnica mindfulness, terapia com elementos da natureza e psicoterapia, que foram apontados como tratamentos não farmacológicos para esta psicopatologia em profissionais emergencistas e, ainda, o recurso da psicoterapia via telessaúde como uma alternativa no tratamento. Conclusão: É necessário maior número de evidências que suportem a terapia dietética, enquanto as demais alternativas terapêuticas encontradas apresentaram resultados positivos, encontrando suporte nas recomendações nacionais e internacionais de tratamento e prática clínica.


Subject(s)
Stress Disorders, Post-Traumatic , Complementary Therapies , Review , Emergency Nursing , Emergency Responders
11.
Chinese Journal of Traumatology ; (6): 231-236, 2021.
Article in English | WPRIM | ID: wpr-888417

ABSTRACT

PURPOSE@#As COVID-19 spreads globally and affects people's health, there are concerns that the pandemic and control policies may have psychological effects on young people (age from 17 to 35 years). This psychological impact might vary in different countries, and thus we compared the prevalence of self-reported psychological distress, loneliness and posttraumatic stress symptoms (PTSS) among young people in the United Kingdom (UK) and China at the beginning of the COVID-19 pandemic.@*METHODS@#Data of this study came from two sources. One source was the first wave of COVID-19 study in Understanding Society, a special wave of the UK household longitudinal study, which provided the high-quality, national-wide representative panel data. The sample comprised 1054 young people. The other source was an online survey on the mental health of 1003 young people from Shanghai, a highly developed area in China. The questionnaire included questions on the prevalence of common mental disorders (cut-off score ≥ 4), loneliness and potential PTSS (cut-off ≥ 33). Univariable analyses were conducted to test the differences in the self-reported prevalence of psychological distress and loneliness between the two groups. Multivariable logistic regression analyses were run to explore the predictors of psychological distress and loneliness among all the young people from England and Shanghai.@*RESULTS@#Among the samples with self-reported psychological distress, the UK sample accounted for 34.4% (n=1054) and the Chinese sample accounted for 14.1% (n=1003). The difference between the two groups was statistically significant (p < 0.001). Additionally, 57.1% of people in the UK and 46.7% in China reported that they sometimes or often felt lonely, of which the difference is statistically significant (p < 0.001). Regression analysis of the entire samples showed that nationality, gender, psychotherapy and loneliness were significant predictors of 12-item General Health Questionnaire scores, while the variables of age and living alone were not. Significant predictors of self-reported loneliness were the nationality, gender, age, living alone and psychotherapy. In China, 123 (12.3%) young people, 49 men (11.3%) and 74 women (13.0%), met the criteria of PTSS symptoms (cut-off scores ≥ 33). These scores were only collected in China.@*CONCLUSION@#This evidence suggests that mental health and loneliness reported by young people were lower in China than that in the UK during the studied period. More research is needed to understand these differences. If the differential negative psychological impacts are confirmed, country-specific measures of prevention and intervention should be adopted to improve the mental health of young people under the ongoing impact of the pandemic.


Subject(s)
Adult , COVID-19/epidemiology , China/epidemiology , Female , Humans , Loneliness/psychology , Male , Mental Health , Prevalence , Psychological Distress , SARS-CoV-2 , Stress Disorders, Post-Traumatic/epidemiology , United Kingdom/epidemiology , Young Adult
12.
Article in Chinese | WPRIM | ID: wpr-888275

ABSTRACT

Under the new situation of professionalization reform for fire rescue forces in China, the research on post-traumatic stress disorder (PTSD) of the emergency rescue personnel is expected to usher in a new stage. Based on some theoretical researches and practical results of domestic and foreign literature, this paper summarized the research results of the social and psychological factors of PTSD of emergency rescue personnel, and made suggestions and prospects for the future research and policy-making in related fields in China.


Subject(s)
China , Emergency Service, Hospital , Humans , Occupations , Stress Disorders, Post-Traumatic
13.
Article in English | WPRIM | ID: wpr-922111

ABSTRACT

"Timely, near, and expectation" is the main principle of battlefield rescue for military combat stress reaction (CSR). Post-traumatic stress disorder (PTSD) is the most common form of CSR and a long-term persistent mental disorder that is caused by unusual threatening or catastrophic psychological trauma. Chinese medicine (CM) has abundant resources, is simple, easy to master, with few side effects. This article summarizes the cellular and animal experimental mechanisms of CM treatment on PTSD, suggesting that traditional Chinese herbs and acupuncture can protect brain functional areas, and adjust hypothalamus-pituitary-adrenal axis. Traditional Chinese herbs and acupuncture have shown good anti-stress efficacy and fewer side effects in clinical application, which may improve the CSR in the battlefield.


Subject(s)
Animals , Humans , Hypothalamo-Hypophyseal System , Medicine, Chinese Traditional , Military Personnel , Pituitary-Adrenal System , Stress Disorders, Post-Traumatic/therapy
14.
Article in Chinese | WPRIM | ID: wpr-879139

ABSTRACT

This paper aims to investigate the active components and mechanism of Valerianae Jatamansi Rhizoma et Radix against post-traumatic stress disorder(PTSD) based on network pharmacology and molecular docking. The main components and targets of Valerianae Jatamansi Rhizoma et Radix were obtained by literature mining methods, SwissTargetPrediction, BATMAN and ETCM database. PTSD-related genes were collected from DrugBank, TTD and CTD databases. The protein-protein interaction(PPI) network was constructed based on STRING, and the core targets of Valerianae Jatamansi Rhizoma et Radix in the treatment of PTSD were selected according to the topological parameters. Cytoscape 3.7.2 was used to construct the compound-target network. DAVID database was used for GO enrichment analysis and KEGG enrichment analysis. The relationship network of "compound-target-pathway" was constructed through Cytoscape 3.7.2 to analyze and obtain the key targets and their corresponding components in the network, and their results were verified by molecular docking. The results showed that a total of 47 components(such as valeraldehyde, dihydrovalerin, valerate, chlorovaltrate K, 8-hydroxypinoresinol, 6-hydroxyluteolin, apigenin, farnesin, vanillin, luteolin, kaempferol, glycosmisic acid and pogostemon) of Valerianae Jatamansi Rhizoma et Radix may act on 94 key targets such as CNR1, MAOA, NR3 C1, MAPK14, MAPK8, HTR2 C and DRD2. Totally 29 GO terms were obtained by GO functional enrichment analysis(P<0.05), and 20 signaling pathways were obtained from KEGG pathway enrichment, mainly involving neuroactive ligand-receptor interaction, serotonergic synapse, calcium signaling pathway, cAMP signaling pathway, dopaminergic synapse, retrograde endocannabinoid signaling, neurotrophin signaling pathway, gap junction, cholinergic synapse, estrogen signaling pathway, glutamatergic synapse and long-term potentiation. Molecular docking analysis showed that hydrogen bonding, π-π interaction and hydrophobic effecting may be the main forms of interaction. This study used the network of compound-target-pathway and molecular docking technology to screen the effective components of Valerianae Jatamansi Rhizoma et Radix against PTSD, and explore its anti-PTSD mechanism, so as to provide scientific basis for exploring the anti-PTSD drugs from traditional Chinese medicine and clarifying its mechanism of action.


Subject(s)
Drugs, Chinese Herbal , Medicine, Chinese Traditional , Molecular Docking Simulation , Rhizome , Stress Disorders, Post-Traumatic/drug therapy
15.
Acta Physiologica Sinica ; (6): 885-892, 2021.
Article in English | WPRIM | ID: wpr-921292

ABSTRACT

This study was aimed to investigate the cardiovascular function in rats with post-traumatic stress disorder (PTSD) and the potential association with the activities of the rostral ventrolateral medulla (RVLM) and the medial habenular nucleus (MHb). Multi-channel in vivo recordings were used to simultaneously acquire spontaneous neuronal firing and peripheral physiological indices, and FluoroGold (FG) retrograde tracing technique was used to observe the projections of labeled neurons in the MHb. The results showed that the discharge frequency of RVLM and MHb neurons, the systolic blood pressure (SBP), and the mean arterial pressure (MAP) in the PTSD group were all increased significantly compared with those in control group (P < 0.05). MHb neurons were retrogradely labeled by FG through microinjection (4% FG, 0.5 μL) into the RVLM. In the control group, electrical stimulation in the MHb increased heart rate (HR) at 100-300 μA (P < 0.05), elevated SBP and MAP at 200-300 μA (P < 0.05), and remarkably increased the RVLM neuronal discharge frequency at 100-500 μA (P < 0.05 or P < 0.01). In the PTSD group, however, only the discharge frequency of RVLM neurons was increased by the electrical stimulation at 100-300 μA (P < 0.05). These results suggest that cardiovascular activities of the PTSD model rat are enhanced, and this change may be related to the activity changes of RVLM and MHb and the potential connection between the two nuclei.


Subject(s)
Animals , Blood Pressure , Medulla Oblongata , Neurons , Rats , Rats, Sprague-Dawley , Stress Disorders, Post-Traumatic
16.
Rev. Ciênc. Méd. Biol. (Impr.) ; 19(4): 597-601, dez 30, 2020. tab
Article in Portuguese | LILACS | ID: biblio-1355174

ABSTRACT

Introdução: o transtorno de estresse pós-traumático se caracteriza pela ação de ansiedade extrema a um evento externo, o que coloca a vida da pessoa em risco, sob a forma de ameaça direta ou testemunho do evento traumático. Objetivo: descrever o perfil sociodemográfico e clínico de pacientes com transtorno de estresse pós-traumático, atendidos em um ensaio clínico no Programa de Ansiedade, da Faculdade de Medicina, da Universidade de São Paulo. Metodologia: noventa e cinco pacientes com idade entre 18 e 65 anos, que apresentavam o diagnóstico desse transtorno, foram avaliados individualmente por psiquiatras, no período de janeiro de 2014 a março de 2015. As variáveis estudadas foram: sexo, idade, nível educacional, religião, tempo com o transtorno, uso de medicação, comorbidades psiquiátricas e tipo de evento traumático. Resultados ­ A média de idade dos pacientes foi de 41,7 anos, sendo 80% do sexo feminino, 53,7% solteiros ou divorciados, 43% católicos e 87,4% usavam algum tipo de medicação antes do diagnóstico. Conclusão: destaca-se que o transtorno de estresse pós-traumático é mais comum no sexo feminino e que a presença de comorbidades é frequente, sendo recorrente o transtorno de ansiedade generalizada, o transtorno depressivo maior e a agorafobia, o que piora o prognóstico. Dados relevantes da literatura foram discutidos.


Introduction: Posttraumatic Stress Disorder (PTSD) is characterized by the reaction of extreme anxiety to an external event that puts the person's life at risk in the form of a direct threat or testimony to the traumatic event. Objective: describing the socio-demographic and clinical profile of patients with PTSD treated in a clinical trial in the Anxiety Program of the Medical School of the University of São Paulo. Methodology: ninety-five patients aged between 18 and 65 years, who had a diagnosis of PTSD assessed individually by psychiatrists, from January 2014 to March 2015. The variables studied were: sex, age, educational level and religion, time with the disorder, medication use, psychiatric comorbidities and type of traumatic event. Results: mean age was 41.7 years, 80% female, 53.7% were single or divorced, 43% Catholic and 87.4% of patients used some type of medication prior to diagnosis. Conclusion: it is noteworthy that PTSD is more common in females and that the presence of comorbidities is frequent, with generalized anxiety disorder, major depressive disorder and agoraphobia being common, which worsens the prognosis. Relevant data from the literature were discussed.


Subject(s)
Humans , Male , Female , Adult , Middle Aged , Aged , Anxiety Disorders , Stress Disorders, Post-Traumatic , Wounds and Injuries , Comorbidity , Religion , Sex , Demography
17.
Rev. colomb. anestesiol ; 48(4): e301, Oct.-Dec. 2020. tab, graf
Article in English | LILACS, COLNAL | ID: biblio-1144317

ABSTRACT

Abstract The 2019 coronavirus pandemic (COVID-19) is a public health emergency of international concern, which poses a major challenge to mental health as a result of its unprecedented impact in this 21st century. Research in past epidemics has revealed a deep and wide range of psychosocial consequences at the individual and collective level. There are multiple associated psychological disturbances, ranging from isolated symptoms to complex disorders with marked impairment of functionality, such as insomnia, anxiety, depression, and post-traumatic stress disorder. Therefore, it is necessary for mental health services to develop strategies that allow them to react skillfully and provide support to health workers and the affected population so as to reduce the psychological impact as well as the development of psychiatric symptoms. The purpose of this reflection article is to show the possible consequences on the mental health of the population as a result of social isolation due to the COVID-19 pandemic.


Resumen La pandemia por coronavirus 2019 (COVID-19) es una emergencia de salud pública de preocupación internacional, con impactos sin precedentes en el siglo XXI y hoy representa un gran desafío a la salud mental. Estudios en epidemias anteriores han revelado una profunda y amplia gama de consecuencias psicosociales a nivel individual y comunitario durante los brotes. Son múltiples las alteraciones psicológicas asociadas, que van desde síntomas aislados hasta trastornos complejos, con un deterioro marcado de la funcionalidad, como insomnio, ansiedad, depresión y trastorno por estrés postraumático. En este contexto es necesario que las entidades de salud mental desarrollen estrategias que permitan reaccionar con destreza y que logren un soporte al personal de salud y a la población afectada, en aras de reducir el impacto psicológico y de los síntomas psiquiátricos. Este artículo de reflexión tiene por objetivo mostrar las posibles consecuencias en la salud mental de la población, como resultado del aislamiento social debido a la pandemia de la COVID-19.


Subject(s)
Humans , Social Isolation , COVID-19 , Anxiety , Stress Disorders, Post-Traumatic , Mental Health , Coronavirus , Depression , Epidemics , Sleep Initiation and Maintenance Disorders
18.
Rev. enferm. UERJ ; 28: e52825, jan.-dez. 2020.
Article in English, Portuguese | LILACS, BDENF | ID: biblio-1146276

ABSTRACT

Objetivo: identificar os impactos na saúde mental de bombeiros relacionados ao estresse da exposição ocupacional. Método: trata-se de uma revisão integrativa da literatura nas bases de dados CINAHL (EBSCO), PsycINFO, MEDLINE®, LILACS, Web of Science, Scopus e SCIELO. Para a estratégia de busca utilizou-se os descritores: "Occupational Stress", "Firefighters", "Occupational Exposure". Como critérios de inclusão estabeleceu-se: artigos originais; entre os anos de 2009 e 2019; disponíveis completos; estudos transversais; nos idiomas português, inglês e/ou espanhol; e cuja população de estudo incluíssem bombeiros. Resultados: nessa revisão foram analisados 11 artigos. Evidenciou-se que a exposição de bombeiros impactou o desencadeamento de sintomas de depressão e transtorno de estresse pós-traumático. Conclusão: as evidências deste estudo demonstraram que a exposição ocupacional de bombeiros interfere no seu padrão de saúde mental causando estresse por meio do sofrimento psíquico. Este estudo alerta para a necessidade de intervenção e promoção à saúde do bombeiro.


Objective: to identify mental health impacts of occupational exposure-related stress among firefighters. Method: this integrative literature review searched the CINAHL (EBSCO), PsycINFO, MEDLINE®, LILACS, Web of Science, Scopus and SCIELO databases, suing the descriptors: "Occupational Stress", "Firefighters", "Occupational Exposure". The inclusion criteria were: original articles; between the years 2009 and 2019; full text available; cross-sectional studies; in Portuguese, English and/or Spanish; and whose study population included firefighters. Results: 11 articles were analyzed. Firefighters' exposure was found to impact the triggering of depressive symptoms and post-traumatic stress disorder. Conclusion: the evidence in this study demonstrated that firefighters' occupational exposure interferes with their mental health patterns, causing stress through psychological suffering. This study warns of the need for intervention and promotion of firefighters' health.


Objetivo: identificar los impactos en la salud mental del estrés relacionado con la exposición ocupacional entre los bomberos. Método: esta revisión integradora de la literatura buscó en las bases de datos CINAHL (EBSCO), PsycINFO, MEDLINE®, LILACS, Web of Science, Scopus y SCIELO, demandando los descriptores: "Estrés ocupacional", "Bomberos", "Exposición ocupacional". Los criterios de inclusión fueron: artículos originales; entre los años 2009 y 2019; Texto completo disponible; estudios transversales; en portugués, inglés y / o español; y cuya población de estudio incluyó bomberos. Resultados: se analizaron 11 artículos. Se descubrió que la exposición de los bomberos afecta la activación de síntomas depresivos y el trastorno de estrés postraumático. Conclusión: la evidencia de este estudio demostró que la exposición ocupacional de los bomberos interfiere con sus patrones de salud mental, provocando estrés a través del sufrimiento psicológico. Este estudio advierte de la necesidad de intervención y promoción de la salud de los bomberos.


Subject(s)
Humans , Male , Female , Stress, Psychological , Firefighters/psychology , Occupational Stress , Stress Disorders, Post-Traumatic , Working Conditions , Occupational Risks , Precipitating Factors , Occupational Health , Depression
19.
An. Fac. Cienc. Méd. (Asunción) ; 53(3): 41-52, 20201201.
Article in Spanish | LILACS | ID: biblio-1177483

ABSTRACT

Existen varios trastornos mentales que se relacionan con el consumo del alcohol y otras drogas, cierto número de personas desarrollan un patrón evolutivo al abuso, sea este persistente o esporádico, produce perturbaciones o limitaciones clínicamente significativas con variadas manifestaciones en el hogar, la escuela y el trabajo. Se determinó la frecuencia y asociación entre trastornos psiquiátricos, patrones de consumo de sustancias y variables sociodemográficas en estudiantes de medicina de la Universidad Nacional de Asunción. El diseño de estudio fue observacional, analítico, corte transversal, La población estuvo constituida por 626 estudiantes de la carrera de medicina del primero al quinto curso, que fueron seleccionados por un muestreo no probabilístico por conveniencia. Se aplicaron 3 cuestionarios que abarcaban tres aspectos: datos sociodemográficos, abuso de drogas y diagnóstico psiquiátrico. Los datos fueron analizados mediante GNU Perfect Statistics Professionally Presented y Epi Info. Se concluyó que el trastorno más frecuente fue el Trastorno por Abuso de drogas, seguido del Trastorno Obsesivo-Compulsivo y el Trastorno Depresivo Mayor. La sustancia más consumida fue el alcohol, seguido del tabaco y la marihuana. Esta última fue la única que se asoció con todas las sustancias. El consumo de alcohol presentó asociación con TOC, Fobia Social y Ansiedad; los consumidores de benzodiacepinas presentaron mayor riesgo de Trastorno Depresivo, Trastorno por Estrés Postraumático, Bulimia, Pánico, Agorafobia, Ansiedad y Trastorno de Somatización. Se recomienda la implementación de políticas de educación preventiva, así como estudios prospectivos para evaluar relaciones de causalidad en las asociaciones encontradas.


There are several mental disorders that are related to the consumption of alcohol and other drugs, a number of people develop an evolutionary pattern of abuse, whether it is persistent or sporadic, it produces clinically significant disturbances or limitations with various manifestations at home, school and the job. The frequency and association between psychiatric disorders, patterns of substance use and socio-demographic variables in medical students of the National University of Asunción was determined. The study design was observational, analytical, cross-sectional. The population consisted of 626 medical students from the first to the fifth year, who were selected by a non-probabilistic convenience sampling. 3 questionnaires were applied that covered three aspects: sociodemographic data, drug abuse and psychiatric diagnosis. The data was analyzed using GNU Perfect Statistics Professionally Presented and Epi Info. It was concluded that the most frequent disorder was Drug Abuse Disorder, followed by Obsessive-Compulsive Disorder and Major Depressive Disorder. The most used substance was alcohol, followed by tobacco and marijuana. The latter was the only one that was associated with all substances. Alcohol consumption was associated with OCD, Social Phobia and Anxiety; Benzodiazepine users had a higher risk of Depressive Disorder, Post-Traumatic Stress Disorder, Bulimia, Panic, Agoraphobia, Anxiety and Somatization Disorder. The implementation of preventive education policies is recommended, as well as prospective studies to evaluate causal relationships in the associations found.


Subject(s)
Anxiety , Stress Disorders, Post-Traumatic , Cannabis , Depressive Disorder, Major , Ethanol , Mental Disorders , Obsessive-Compulsive Disorder , Students , Causality , Prospective Studies , Surveys and Questionnaires , Sampling Studies
20.
Rev. Fac. Med. (Bogotá) ; 68(4): 550-555, oct.-dic. 2020. tab
Article in English | LILACS, COLNAL | ID: biblio-1149556

ABSTRACT

Abstract Introduction: Single nucleotide polymorphisms (SNPs) in the BDNF, COMT, CBR1 and CCK genes have been associated with the process of fear extinction in humans. Since fear extinction plays a key role in recovering from psychological trauma, there is a possibility that these genes modulate the risk of developing post-traumatic stress disorder (PTSD). Objective: To assess unilocus and multilocus associations between SNPs in the BDNF, COMT, CBR1 and CCK genes and the risk of developing PTSD. Materials and methods: 129 inhabitants of the municipality of Itagüí, Colombia, who had experienced psychological trauma at least once, were genotyped for these polymorphisms (38 cases of PTSD and 91 controls). Logistic regression was used to perform unilocus and multilocus association tests for single SNPs and existing SNP-SNP genotypic combinations. Results: No unilocus associations were found, but interactions between the BDNF and CBR1 genes and between the COMT and CCK genes were observed. Of these interactions, the genotypic combinations that behaved as risk factors were AG-AA (OR=13.52, p<0.05) in the BDNF-CBR1 interaction, and TC-AA (OR=13.70, p<0.05) in the CCK-COMT interaction. Conclusions: The two pairs of interacting polymorphisms found in this study could act additively and generate a greater risk of developing PTSD after suffering psychological trauma. People who have a single allele have a lower risk of developing PTSD than those who have two alleles in the interacting genes.


Resumen Introducción. Los polimorfismos de un solo nucleótido (SNP, por su sigla en inglés) en los genes BDNF, COMT, CBR1 y CCK han sido asociados con el proceso de extinción del miedo en humanos. Dado que la extinción del miedo es clave para la recuperación del trauma psicológico, es posible que estos genes modulen el riesgo de desarrollar trastorno de estrés postraumático (TEPT). Objetivo. Evaluar las asociaciones unilocus y multilocus entre los SNP en los genes BDNF, COMT, CBR1 y CCK y el riesgo de desarrollar TEPT. Materiales y métodos. 129 habitantes del municipio de Itagüí, Colombia, que habían experimentado trauma psicológico al menos una vez, fueron genotipificados para estos polimorfismos (38 casos de TEPT y 91 controles). Se realizaron pruebas de asociación unilocus y multilocus por regresión logística para SNP únicos y las combinaciones genotípicas SNP-SNP existentes. Resultados. No se encontraron asociaciones unilocus, pero se observaron interacciones entre BDNF y CBR1, y CCK y COMT. De estas interacciones, las combinaciones genotípicas que se comportaron como factores de riesgo fueron AG-AA (OR=13.52, p<0.05) de BDNF-CBR1 y TC-AA (OR=13.70, p<0.05) de CCK-COMT. Conclusiones: Los dos pares de polimorfismos en interacción encontrados en el presente estudio podrían actuar de forma aditiva y generar un mayor riesgo de desarrollar TEPT después de sufrir trauma psicológico. Quienes portan un solo alelo tienen un menor riesgo de desarrollar el trastorno que quienes portan dos alelos en genes que interactúan entre sí.


Subject(s)
Humans , Stress Disorders, Post-Traumatic , Risk Factors , Polymorphism, Single Nucleotide , Extinction, Psychological
SELECTION OF CITATIONS
SEARCH DETAIL