Assessment of a new self-rating scale for post-traumatic stress disorder

1997 ◽  
Vol 27 (1) ◽  
pp. 153-160 ◽  
Author(s):  
J. R. T. DAVIDSON ◽  
S. W. BOOK ◽  
J. T. COLKET ◽  
L. A. TUPLER ◽  
S. ROTH ◽  
...  
Keyword(s):  
Post Traumatic Stress Disorder ◽  
Traumatic Stress ◽  
Treatment Effects ◽  
Rating Scales ◽  
Rating Scale ◽  
Stress Disorder ◽  
Post Traumatic Stress ◽  
Event Scale ◽  
Self Rating ◽  
Post Traumatic

Background. In post-traumatic stress disorder (PTSD) there is a need for self-rating scales that are sensitive to treatment effects and have been tested in a broad range of trauma survivors. Separate measures of frequency and severity may also provide an advantage.Methods. Three hundred and fifty-three men and women completed the Davidson Trauma Scale (DTS), a 17-item scale measuring each DSM-IV symptom of PTSD on 5-point frequency and severity scales. These subjects comprised war veterans, survivors of rape or hurricane and a mixed trauma group participating in a clinical trial. Other scales were included as validity checks as follows: Global ratings, SCL-90-R, Eysenck Scale, Impact of Event Scale and Structured Clinical Interview for DSM-III-R.Results. The scale demonstrated good test–retest reliability (r = 0·86), internal consistency (r = 0·99). One main factor emerged for severity and a smaller one for intrusion. In PTSD diagnosed subjects, and the factor structure more closely resembled the traditional grouping of symptoms. Concurrent validity was obtained against the SCID, with a diagnostic accuracy of 83% at a DTS score of 40. Good convergent and divergent validity was obtained. The DTS showed predictive validity against response to treatment, as well as being sensitive to treatment effects.Conclusions. The DTS showed good reliability and validity, and offers promised as a scale which is particularly suited to assessing symptom severity, treatment outcome and in screening for the likely diagnosis of PTSD.

Trauma―Focused Treatment for PTSD With Comorbid Psychosis: A Case Report

2020 ◽  
pp. 153465012098006
Author(s):  
Stephanie Cherestal ◽  
Kate L. Herts
Keyword(s):  
Case Report ◽  
Post Traumatic Stress Disorder ◽  
Traumatic Stress ◽  
Rating Scales ◽  
Stress Disorder ◽  
Prolonged Exposure ◽  
Psychotic Symptoms ◽  
Post Traumatic Stress ◽  
Post Traumatic ◽  
Treatment Targeting

Post-traumatic stress disorder is often a condition left untreated in patients also meeting criteria for psychotic disorders. While many clinicians who treat patients with these co-occurring conditions choose to avoid treatment targeting symptoms of PTSD for fear of de-stabilizing these individuals or exacerbating psychotic symptomatology, little is currently known about how patients respond to treatment for PTSD in the context of ongoing psychotic symptoms. Additionally, research is scarce regarding the clinical profile of individuals who develop psychotic symptoms secondary to a traumatic stressor, in the absence of any premorbid symptomatology. The purpose of this case report is to outline the case of an individual, “Mary” who developed psychotic symptoms secondary to a traumatic stressor in her middle age and to describe her response to treatment targeting her symptoms of PTSD. Mary presented with core symptoms of PTSD that emerged following a traumatic car crash. She developed psychotic symptoms (auditory and visual hallucinations) several weeks later. Mary underwent a treatment course of Prolonged Exposure targeting her symptoms of PTSD, with careful work done to monitor any changes in psychotic symptomatology while engaging in this treatment. Standardized measures such as the Post-traumatic Stress Disorder Checklist-5 (PCL-5) and the Psychotic Symptom Rating Scales were administered to assess Mary’s progress throughout treatment. This case report provides a comprehensive summary of Mary’s 16-week course of Prolonged Exposure therapy, which resulted in a significant reduction in PTSD symptomatology as demonstrated by a 72% decrease in scores on the PCL-5 from the initiation to the conclusion of treatment.

Characterizing the effects of sertraline in post-traumatic stress disorder

2002 ◽  
Vol 32 (4) ◽  
pp. 661-670 ◽  
Author(s):  
J. R. T. DAVIDSON ◽  
L. R. LANDERMAN ◽  
G. M. FARFEL ◽  
C. M. CLARY
Keyword(s):  
Post Traumatic Stress Disorder ◽  
Traumatic Stress ◽  
Rating Scale ◽  
Stress Disorder ◽  
Post Traumatic Stress ◽  
Drug Induced ◽  
Emotional Upset ◽  
Post Traumatic ◽  
The Individual ◽  
Spectrum Effect

Background. Sertraline has a proved efficacy in post-traumatic stress disorder (PTSD), but it is unknown which symptoms respond or in what sequence this occurs. Such information might be useful clinically and heuristically.Method. The study examined the effects of sertraline on the individual symptoms of PTSD. It also examined whether early changes in anger explained drug-induced change in other symptoms over time. Mixed models analysis was applied to datasets from two 12-week placebo-controlled trials of sertraline. A validated self-rating scale (DTS) was used to assess treatment efficacy.Results. Sertraline was superior to placebo on 15 of 17 symptoms, especially in the numbing and hyperarousal clusters. A strong effect was found on anger from week 1, which partly explained the subsequent effects of sertraline on other symptoms, some of which began to show significantly greater response to drug than to placebo at week 6 (emotional upset at reminders, anhedonia, detachment, numbness, hypervigilance) and week 10 (avoidance of activities, foreshortened future).Conclusions. Sertraline exercises a broad spectrum effect in PTSD. Effects are more apparent on the psychological rather than somatic symptoms of PTSD, with an early modulation of anger and, perhaps, other affects, preceding improvement in other symptoms.

scholarly journals POST-TRAUMATIC STRESS DISORDER IN COVID-19 PCR POSITIVE PATIENTS; ITS FREQUENCY AND PSYCHOSOCIAL RISK FACTORS HAVE BEEN OBSERVED IN ENT AND NEUROLOGY OUTPATIENT’S CLINICS

2021 ◽  
Vol 71 (Suppl-3) ◽  
pp. S508-11
Author(s):  
Kausar Mahmood ◽  
Shanila Feroz ◽  
Iqbal Hussain Udaipurwala ◽  
Aaqil Anwar ◽  
Owais Khan Tareen ◽  
...  
Keyword(s):  
Risk Factors ◽  
Post Traumatic Stress Disorder ◽  
Traumatic Stress ◽  
Stress Disorder ◽  
Psychosocial Risk Factors ◽  
Psychosocial Risk ◽  
Care Hospital ◽  
Post Traumatic Stress ◽  
Event Scale ◽  
Post Traumatic

Objective: To find out the occurrence and psychosocial risk factors of post-traumatic stress disorder in COVID-19 polymerase chain reaction (PCR) positive patients presented to ENT and neurology clinics of a tertiary care hospital. Study Design: Cross-sectional study. Place and Duration of Study: Creek General Hospital, Karachi, Pakistan, from Sep to Dec 2020. Methodology: Total 60 patients with positive COVID-19 PCR test were included. After taking written and informed consent, they were evaluated using a semi-structured questionnaire. Questionnaire comprises of four main parts; first part includes demographic data, second part includes information about the course of COVID-19 in patient and other members of family, third part comprised of reasons of anxiety during COVID-19 and fourth part consist of Impact of Event Scale-revised (IES-R). Data was entered and analyzed through SPSS-23. Results: Out of total 60 patients, 36 (60%) had post COVID stress disorder. Females were affected more than the males (63% vs. 57%), above 50 years of age were affected more than below 50 years of age (81% vs 52%), singles were affected more than married (72% vs 38%) and lower socio-economic status were affected more than higher (65% vs 50%). Conclusion: PTSD was observed as long-term psychiatric problem leading to significant morbidity and mortality in patients with COVID-19 infection.

scholarly journals A Survey of Psychological Symptoms One Month Post Discharge in Patients Infected with COVID 19

2021 ◽  
Vol 10 (34) ◽  
pp. 2884-2887
Author(s):  
Ajay Kumar Joopaka ◽  
Molanguri Umashankar ◽  
Pingali Srilakshmi ◽  
Pradeep Sharma Telkapalli ◽  
Chinni Krishna Banoth ◽  
...  
Keyword(s):  
Mental Health ◽  
Psychological Distress ◽  
Post Traumatic Stress Disorder ◽  
Traumatic Stress ◽  
Stress Disorder ◽  
Psychological Symptoms ◽  
Post Traumatic Stress ◽  
Event Scale ◽  
Post Traumatic ◽  
The Impact

BACKGROUND Corona virus disease or the (COVID 19) has caused mental health problems in the general population, in people infected and hospitalised for the disease and in patients who have recovered from the disease physically but continue to suffer from lingering mental health problems. Studies have shown stress, depression, and anxiety in one third of the survivors. Similarly post-traumatic stress disorder has been reported to be around 13 % in the survivors of COVID 19. In this study, we wanted to assess the psychological symptoms in the survivors of Covid 19 patients, one month post discharge and also assess various factors associated with the same. METHODS A cross sectional telephonic survey of the patients one month following discharge was done to understand the psychological problems. Sociodemographic data was recorded on a semi structured proforma, whereas psychological distress was recorded on patient health questionnaire - 4 (PHQ - 4) and the post-traumatic stress disorder (PTSD) was screened for by the impact of event scale revised (IES - R). RESULTS Of the 200 patients evaluated, 46.8 % scored above 20 on the impact of event scale which was considered to be a positive screen for post-traumatic stress disorder. Moderate psychological distress was reported by 10.5 % and severe by 7.5 % as measured by PHQ - 4. Being married, having other family members effected by the infection and deaths in the family were some of the factors that were significantly associated with psychological distress and symptoms of post-traumatic stress disorder. CONCLUSIONS Continued mental health support needs to be extended to members who are considered to have recovered and discharged from the hospital following the COVID 19 infection. KEY WORDS COVID 19, Psychological Symptoms, Post-Traumatic Stress Disorder

scholarly journals Moral injury in a context of trauma

2020 ◽  
Vol 216 (3) ◽  
pp. 127-128 ◽  
Author(s):  
Edgar Jones
Keyword(s):  
Moral Philosophy ◽  
Post Traumatic Stress Disorder ◽  
Traumatic Stress ◽  
Rating Scales ◽  
Stress Disorder ◽  
Moral Injury ◽  
Ethical Behaviour ◽  
Post Traumatic Stress ◽  
Effective Interventions ◽  
Post Traumatic

SummaryMoral injury, characterised by guilt, shame and self-condemnation, is conceptualised either as an adjunct to post-traumatic stress disorder or as a new syndrome. Studies of symptoms and potentially morally injurious events have produced a possible definition and informed the design of rating scales. The current challenge remains the design of effective interventions. Because moral injury relates to ethical behaviour, the meaning attached to events and perceptions of the self, moral philosophy and spirituality could contribute to the design of treatments.

scholarly journals Predictors of post-traumatic stress disorder following physical trauma: an examination of the stressor criterion

1991 ◽  
Vol 21 (1) ◽  
pp. 85-91 ◽  
Author(s):  
Anthony Feinstein ◽  
Ray Dolan
Keyword(s):  
Post Traumatic Stress Disorder ◽  
Traumatic Stress ◽  
Stress Disorder ◽  
Traumatic Event ◽  
Psychiatric Morbidity ◽  
Post Traumatic Stress ◽  
Event Scale ◽  
Physical Trauma ◽  
Post Traumatic ◽  
The Impact

SYNOPSISA prospective study documenting psychopathology was undertaken in 48 subjects exposed to a range of physical trauma, but whose injuries were of similar severity. No support was found for the DSM-III-R view correlating the severity of the stressor with the development of post-traumatic stress disorder (PTSD). Distress post injury (high scores on the impact of event scale), indicative of difficulty with cognitive assimilation of the traumatic event, was found to be highly predictive of psychiatric morbidity and PTSD at 6 months.

scholarly journals Psychological Impacts and Post-Traumatic Stress Disorder among People under COVID-19 Quarantine and Isolation: A Global Survey

2021 ◽  
Vol 18 (11) ◽  
pp. 5719
Author(s):  
Keyword(s):  
Post Traumatic Stress Disorder ◽  
Traumatic Stress ◽  
Stress Disorder ◽  
Religious Practice ◽  
Ptsd Symptoms ◽  
Post Traumatic Stress ◽  
Event Scale ◽  
Psychological Impacts ◽  
Post Traumatic ◽  
The Impact

Understanding the presence of post-traumatic stress disorder (PTSD) symptoms in quarantined/isolated individuals is essential for decreasing morbidity and mortality caused by the COVID-19 pandemic. However, there is a paucity of evidence quantifying PTSD status globally during confinement in quarantine/isolation facilities during COVID-19. Therefore, we aimed to assess the PTSD status and factors contributing to PTSD development in quarantined/isolated people during pandemic. Using the Impact of Event Scale-Revised (IES-R) scale, our multicentre, multinational, and cross-sectional online survey assessed the psychological impacts on the quarantine/isolation experience of participants suspected or confirmed to have COVID-19, their PTSD status, and various correlates with developing PTSD. We had 944 (35.33%) valid responses (51.1% from females), mostly from Asian countries (635, 71.4%), and 33.9% were healthcare workers. The number of quarantine days in the PTSD symptoms group (using the IES-R cutoff of 24 for symptomatic or full PTSD) was significantly shorter compared to the non-PTSD group (14 (range 14–40) vs. 14 (14–23.75), p = 0.031). Lower rates of PTSD symptoms were observed in participants practicing Buddhist religion than in participants having no religion (OR: 0.30; 95% CI: 0.13–0.68; p = 0.005); individuals with vocational training had a higher risk of developing PTSD symptoms (OR: 2.28 (1.04–5.15); p = 0.043) compared to university graduates. Individuals forced to be quarantined/isolated had higher odds of developing PTSD symptoms than those voluntarily quarantined/isolated (OR: 2.92 (1.84–4.74); p < 0.001). We identified several PTSD correlations among individuals quarantined/isolated during the COVID-19 pandemic, including religious practice, reason for quarantine/isolation, education level, and being a case of the infection. These findings can inform worldwide policies to minimize the adverse effects of such social control measures.

scholarly journals Post-Traumatic Stress Dissorder Of Kelud Mountain’s Survivor Based On Impact Of Event Scale–Revised (IES-R) In Kali Bladak Nglegok District Blitar Regency

2016 ◽  
Vol 3 (1) ◽  
pp. 046-052
Author(s):  
Agus Khoirul Anam ◽  
Wiwin Martiningsih ◽  
Ilus Ilus
Keyword(s):  
Post Traumatic Stress Disorder ◽  
Traumatic Stress ◽  
Stress Disorder ◽  
Individual Response ◽  
Post Traumatic Stress ◽  
Impact Of Event Scale ◽  
Event Scale ◽  
Post Traumatic ◽  
Health Institutions

Post–Traumatic Stress Disorder (PTSD) is an individual response to event or a condition thatcan appear many symptom such as, re-experiencing, avoidance, hyperarousal. Survivors pschycologicalyoften suffering PTSD, if this disorders wasn’t detected and ignored without handling by experts, thecasualties were often psychologically stressfull pasca trauma. If this condition was undetected and beignored, it would cause medical and pshycological complication, so that PTSD will disturb socialaspect of the patients. The aim of this study was to describe Post-Ttraumatic Stress Disorder in KeludMountain’s suvivor based on Impact of Event Scale–Revised (IES-R) in Kali Bladak Nglegok districtBlitar regency. This research used descriptive design . The number of samples was 42 people whosuffered Kelud Mountain’s eruption. The result showed that respondents who suffers PTSD was 66,6%which with less until a lot of symptoms and most of the society experienced Kelud’s mountain eruption.The writer suggested that health institutions of Blitar regency could decrease Post Traumatic StressDisorders symptom from a Kelud’s survivor who had many symptoms become no symptoms trough debriefingteraphy in Kali Bladak Village Nglegok District Blitar Regency.

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