The prevalence of hope, subjective well-being, and psychopathology among trauma survivors at community-based clinics in Gauteng

2021 ◽  
pp. 008124632110403
Author(s):  
Jolize Joubert ◽  
Tharina Guse ◽  
David Maree
Keyword(s):  
Traumatic Stress ◽  
Negative Impact ◽  
Traumatic Events ◽  
Well Being ◽  
Trauma Survivors ◽  
Subjective Well Being ◽  
Post Traumatic Stress ◽  
Cross Sectional Survey ◽  
Community Based ◽  
Post Traumatic

This study examined the prevalence of hope and subjective well-being as well as symptoms of depression and post-traumatic stress disorder among trauma survivors at community-based clinics in Gauteng. We further explored traumatic events and help-seeking behaviour in this context. Using a cross-sectional survey design, we collected demographic information and administered questionnaires measuring hope, well-being, depression, and post-traumatic stress. The sample comprised 120 adults, of whom the majority were Black females. Results showed that participants experienced low levels of hope, positive affect, and life satisfaction as well as high levels of negative affect, depression, and post-traumatic stress. In addition, the majority of participants experienced multiple traumatic events in the past 5 years, which had a negative impact on their well-being. However, receiving professional help and being able to cope in the aftermath of trauma may contribute towards higher levels of well-being and fewer psychopathological symptoms. Our findings thus highlighted the need for effective therapeutic interventions among trauma survivors.

Behavioral activation and recreational therapy

2018 ◽  
Vol 17 (4) ◽  
pp. 11-18
Author(s):  
Bryan P. McCormick, PhD, CTRS, FDRT, FALS ◽  
David R. Austin, PhD, FDRT, FALS
Keyword(s):  
Traumatic Stress ◽  
Behavioral Activation ◽  
Age Groups ◽  
Well Being ◽  
Recreational Therapy ◽  
Subjective Well Being ◽  
Post Traumatic Stress ◽  
Health Promotion Model ◽  
Post Traumatic ◽  
Meaningful Experiences

Behavioral activation (BA) is an evidence-based brief and effective treatment for depression. This article explains BA, its procedures, and its relationship to recreational therapy (RT). According to BA theory, depression leads to lives reduced in ability to gain rewards from the environment. BA aims to activate clients to engage in activities that increase rewards, reduce negativity, and improve subjective well-being (SWB). This approach is consistent with RT practice, and expressly identified in Austin’s Health Protection/Health Promotion Model. BA has been shown to be effective in clinical depression programs across age groups, as well as in other diagnoses including post-traumatic stress disorder (PTSD), anxiety disorder, and substance use disorder. The basic BA orientation of engaging in activity and resumption of a pleasing and meaningful experiences is highly consistent with RT practice, and BA should be a tool in the RT modalities toolbox.

scholarly journals Healthcare staff well-being and use of support services during COVID-19: a UK perspective

2021 ◽  
Vol 34 (3) ◽  
pp. e100458
Author(s):  
Anika R Petrella ◽  
Luke Hughes ◽  
Lorna A Fern ◽  
Lisa Monaghan ◽  
Benjamin Hannon ◽  
...  
Keyword(s):  
Psychological Distress ◽  
Acute Phase ◽  
Traumatic Stress ◽  
Service Use ◽  
Well Being ◽  
Rapid Evaluation ◽  
Personal Factors ◽  
Post Traumatic Stress ◽  
Supportive Services ◽  
Post Traumatic

BackgroundThe COVID-19 pandemic has drastically increased demands on healthcare workers (HCWs) leaving them vulnerable to acute psychological distress, burnout and post-traumatic stress. In response, supportive services in a central London hospital mobilised mental health support specifically for HCWs.AimsThis rapid evaluation assessed HCW psychological welfare during the acute phase of the COVID-19 pandemic and their use of supportive services made available.MethodsDuring the acute phase of COVID-19 (April to May 2020) all staff working for the hospital were invited to complete an online survey assessing well-being (self-rated health, moral distress exposure, symptoms of burnout and psychological distress) and use of available supportive services (awareness of, use and perceived helpfulness). Associations among personal characteristics and psychological well-being were explored using correlations and linear regression.ResultsA total of 1127 staff participated in the rapid evaluation. On average, psychological distress was high (mean (SD): 22 (7.57)) regardless of role, with 84% of this sample scoring above the general population mean (14.5). Nearly half of the sample reported feeling emotionally drained and a profile emerged displaying higher levels of psychological distress and burnout in those who were younger and exposed to morally distressing situations, with this group also exhibiting greater support service use. Greater levels of burnout were associated with increased psychological distress when controlling for personal factors. During this acute phase of the pandemic, majority of staff used at least one service and rated it as helpful.ConclusionHCWs experienced high levels of psychological distress requiring continued support as the COVID-19 pandemic evolved. Although HCWs were aware of supportive services, uptake varied. In order to mitigate the risk of burnout and post-traumatic stress, long-term, effective strategies that facilitate staff accessing support are urgently required.

scholarly journals Experiences with traumatic events, consequences and care among people with visual impairment and post-traumatic stress disorder: a qualitative study from The Netherlands

BMJ Open ◽  
2021 ◽  
Vol 11 (2) ◽  
pp. e041469
Author(s):  
Alida J van der Ham ◽  
Hilde P A van der Aa ◽  
Peter Verstraten ◽  
Ger H M B van Rens ◽  
Ruth M A van Nispen
Keyword(s):  
Qualitative Study ◽  
Visual Impairment ◽  
Post Traumatic Stress Disorder ◽  
Traumatic Stress ◽  
Stress Disorder ◽  
Traumatic Events ◽  
Self Esteem ◽  
Stress Reactions ◽  
Post Traumatic Stress ◽  
Post Traumatic

ObjectiveHaving a visual impairment is known to be associated with an increased vulnerability to (potentially) traumatic events. Little is known about how people with visual impairment experience and process such events. This qualitative study aimed to provide more insight into experiences with traumatic events, consequences of traumatic events and post-traumatic stress disorder (PTSD)-related care among people with visual impairment and PTSD.MethodsEighteen persons with visual impairment and (a history of) PTSD were interviewed. Among them were 14 women and 4 men aged between 23 and 66 years. Recruitment of participants was done through health professionals from two low-vision service centres and a patient association for people with eye diseases and visual impairment in The Netherlands. Interviews focused on experiences with (1) traumatic events, (2) consequences of traumatic events and (3) PTSD-related care. Thematic content analysis of interview data was performed using ATLAS.ti. The COnsolidated criteria for REporting Qualitative research (COREQ) checklist was used to check for completeness and transparency of the study. Data were collected between 2018 and 2020.ResultsThe most commonly reported traumatic events were sexual and physical abuse. Many participants experienced that their impairment had negatively affected their acceptance by others, independence and self-esteem, increasing their vulnerability for traumatic events. Additionally, having a visual impairment negatively impacted participants’ ability to respond to situations and aggravated post-traumatic stress reactions. Existing treatments seem suitable for people with visual impairment when accommodated to the impairment.ConclusionsHaving a visual impairment may affect traumatic events and post-traumatic stress reactions, particularly by contributing to low self-esteem, problems in social interactions and a lack of visual information. Insights from this study provide starting points for adapting pretraumatic and post-traumatic care to the needs of people with visual impairment.

scholarly journals Post-traumatic stress disorder following COVID-19 pandemic among medical students in Riyadh: a cross-sectional study

2021 ◽  
Vol 28 (1) ◽  
Author(s):  
Zainab Ifthikar ◽  
Saima Sajjad Fakih ◽  
Saumy Johnson ◽  
Johnson Alex
Keyword(s):  
Medical Students ◽  
Post Traumatic Stress Disorder ◽  
Traumatic Stress ◽  
Stress Disorder ◽  
Well Being ◽  
Emotional Impact ◽  
Post Traumatic Stress ◽  
Psychological Well Being ◽  
Post Traumatic ◽  
The Impact

Abstract Background In recent times, COVID-19 has been recognized as a public health emergency and thus far, most papers published on it are focused only on the clinical characteristics of infected patients. This pandemic has also made phenomenal emotional impact among the young and the old. We aimed to find out the impact of the COVID-19 pandemic on the psychological well-being of medical students in a University at Riyadh. Results There were 309 participants in the study. Out of them 44% did not have PTSD, 29% had score more than 37 which might contribute to immune suppression, in 18.4% PTSD was a clinical concern and 8.6% had probable PTSD. Female participants were the majority in the group and they also had higher chance of having consequences than the male counterparts (P < 0.001). Avoidance score between male and female gender was significantly different. Conclusion COVID-19 pandemic has not just affected the physiological functioning of the affected individuals but also has had a probable post-traumatic stress disorder among young college students. Screening for psychological well-being and the treatment for PTSD is imperative in college, school and general population.

Mental Health Outcomes of Peer-led Therapeutic Adventure for Military Veterans

2021 ◽  
pp. 105382592110495
Author(s):  
Joanna Ellen Bettmann ◽  
Ileana Anderson ◽  
Joe Makouske ◽  
Adam Hanley
Keyword(s):  
Mental Health ◽  
Military Veterans ◽  
Well Being ◽  
Group Model ◽  
Health Issues ◽  
Post Traumatic Stress ◽  
Community Based Interventions ◽  
Community Based ◽  
Post Traumatic ◽  
Adventure Program

Background: Skepticism of therapy and stigma are significant barriers for veterans with mental health issues. Therapeutic adventure shows promise in addressing veterans’ mental health needs while circumventing the stigma many veterans face in initiating treatment. Purpose: Given the small group model of therapeutic adventure programs, such programs may be ideal to provide social support for veterans and reduce mental health symptomology. The present study investigated: can a brief peer-led therapeutic adventure program modify veterans’ mental health symptoms? Methodology/Approach: The study's sample included 56 participants attending one Sierra Club Military Outdoors trip lasting at least three days and two nights and involving camping. Participants completed study measurements assessing depression, anxiety, stress, Post-Traumatic Stress Disorder symptoms, substance misuse symptoms, and suicidality at pre-trip, post-trip, one-month post trip, six-months post trip, and 12-months post trip. Six-month and 12-month post-trip data was collected during the COVID-19 pandemic. Findings/Conclusions: Results indicated significant reduction in mental health symptomology from pre-trip to post-trip, but showed few longer-term changes in mental health symptomology. Implications: The present study's findings are consistent with research suggesting improvements in overall psychological well-being immediately following a nature-based intervention and suggest the need for on-going, community-based interventions to support optimally military veterans’ mental health.

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