Pharmacy considerations in tobacco cessation for patients suffering from posttraumatic stress disorder

2013 ◽  
Vol 2 (7) ◽  
pp. 195-201
Author(s):  
Allen Ayala ◽  
Melanie Geer

Multiple studies have associated post traumatic stress disorder (PTSD) with variable and high rates of smoking documented in different populations. This article will cover the neurobiology behind tobacco use, and its implications in those with PTSD. Discussion on cessation programs (e.g., effectiveness, drug interactions), and controversy over the use of varenicline will also be discussed.

1999 ◽  
Vol 33 (1) ◽  
pp. 102-104 ◽  
Author(s):  
A. D. Macleod

Objective: The aim of this paper is to report an aspect of the management of a case of dissociative fugue. Clinical picture: A Vietnam veteran was suffering post-traumatic stress disorder. Treatment: Treatment involved the provision of a locator beacon worn in a neck chain. Outcome: This treatment resulted in the curtailment of the dissociative fugue episodes. Conclusion: The locator device proved a useful component of a multimodal treatment regime.


2021 ◽  
Vol 1 (10) ◽  
pp. 578-587
Author(s):  
Humaira Azka Rusyda ◽  
Anjely Doni Lasmi ◽  
Salwa Khairunnisa ◽  
Visakha Vidyadevi Wiguna

Gangguan kecemasan yang mungkin terjadi setelah mengalami atau menyaksikan peristiwa traumatis disebut gangguan stres pascatrauma (PTSD). Peristiwa traumatis termasuk pelecehan atau pelecehan fisik atau seksual, cedera, kekerasan, kecelakaan di jalan, trauma perang, luka bakar parah dan bencana. Hingga 18 judul topik, pencarian kata kunci dan sumber dari Google Scholar dan National Center for Biotechnology Information/NCBI dilakukan di portal online publikasi jurnal, dengan kata kunci PTSD. PTSD didefinisikan sebagai "peristiwa traumatis yang dialami atau disaksikan secara langsung oleh seseorang berupa kematian atau ancaman kematian, cedera serius, atau ancaman terhadap integritas fisik seseorang. Menurut data dari National Center for Post-Traumatic Stress Disorder, setiap 100 orang Sekitar 7 atau 8 orang akan mengalami gangguan stres pasca-trauma pada tahap tertentu dalam hidup mereka Intervensi dan pengobatan dini dapat meminimalkan dampak sosial dan emosional dari paparan anak-anak terhadap peristiwa traumatis. PTSD umumnya dapat disembuhkan jika dapat segera dideteksi dan diobati dengan benar. Jika tidak terdeteksi dan diobati tepat waktu, dapat menyebabkan komplikasi medis dan psikologis yang serius dan permanen, yang pada akhirnya akan mengganggu kehidupan sosial anak di masa depan


Author(s):  
Elizabeth P Graf ◽  
John C Markowitz

Chapter 9 provides the evidence and theoretical rationale for using IPT to treat post-traumatic stress disorder (PTSD). A detailed case example illustrates technique, and the discussion that follows raises clinical issues central to treating patients with PTSD.


RSC Advances ◽  
2019 ◽  
Vol 9 (42) ◽  
pp. 24568-24594 ◽  
Author(s):  
Alisha Prasad ◽  
Ardalan Chaichi ◽  
D. Parker Kelley ◽  
Joseph Francis ◽  
Manas Ranjan Gartia

Conventional methods of studying posttraumatic stress disorder (PTSD) have proven to be insufficient for diagnosis. We have reviewed clinical and preclinical imaging techniques as well as molecular, cellular, and behavioral indicators for PTSD.


2017 ◽  
Vol 16 (1) ◽  
pp. 37-44 ◽  
Author(s):  
Megan Kelly ◽  
Shihwe Wang ◽  
Robert Rosenheck

Purpose Veterans with post-traumatic stress disorder (PTSD) have high lifetime rates of smoking and often have substantial difficulty quitting. However, relatively little research has focussed on the use of Veterans Health Administration (VHA) intensive tobacco cessation counseling services by veterans with PTSD and the characteristics of veterans with PTSD who do and do not use these services. The paper aims to discuss these issues. Design/methodology/approach The present study is an analysis of national VHA administrative data fiscal year 2012 that identified utilization rates of VHA intensive tobacco cessation counseling among veterans with diagnoses of both PTSD and tobacco use disorder (TUD) (N=144,990) and the correlates of tobacco cessation counseling use. Findings Altogether, 7,921 veterans with PTSD diagnosed with TUD used VHA tobacco cessation services (5.5 percent). Veterans with PTSD who used tobacco cessation counseling services were more likely to have been homeless, to have a comorbid drug use disorder, and had used other VHA services more frequently than their counterparts who did not access tobacco cessation counseling. The use of outpatient mental health and substance use services was the strongest correlate of tobacco cessation counseling use by veterans in this sample. Notably, veterans with PTSD, TUD and HIV were more likely to engage in tobacco cessation services. Originality/value This study demonstrates that future efforts should focus on increasing provider and veteran awareness of and accessibility to VHA intensive tobacco cessation counseling for veterans with PTSD.


Author(s):  
Tiffany H Taft ◽  
Sarah Quinton ◽  
Sharon Jedel ◽  
Madison Simons ◽  
Ece A Mutlu ◽  
...  

Abstract Background Patients with chronic illness are at increased risk for traumatic stress because of medical trauma. Initial studies of posttraumatic stress (PTS) in patients with inflammatory bowel disease (IBD) have found that approximately one-third of patients may experience significant PTS symptoms including flashbacks, nightmares, hypervigilance, disrupted sleep, and low mood. We aim to better characterize PTS in IBD and its relationship with patient outcomes in a large cohort of patients with IBD. Methods Adult patients registered with the Crohn’s & Colitis Foundation/University of North Carolina IBD Partners database were invited to complete a supplementary survey between February and July 2020. The Post Traumatic Stress Disorder Checklist-5th edition was administered as a supplemental survey. Additional data from IBD Partners included disease severity, surgery and hospital history, demographics, and health care utilization. Results A total of 797 patients participated (452 with Crohn disease, 345 with ulcerative colitis). No impacts on response patterns because of the COVID-19 pandemic were found. Although 5.6% of the sample reported an existing PTS diagnosis because of IBD experiences, 9.6% of participants met the full IBD-related PTS diagnostic criteria per the Post Traumatic Stress Disorder Checklist-5th edition. Female patients, younger patients, those with less educational attainment, non-White patients, and Hispanic patients reported higher levels of PTS symptoms. Patients with higher PTS symptoms were more likely to have been hospitalized, have had surgery, have more severe symptoms, and not be in remission. Increased PTS was also associated with increased anxiety, depression, pain interference, fatigue, and health care utilization. Conclusions The present findings support prior research that approximately one-quarter to one-third of patients with IBD report significant symptoms of PTS directly from their disease experiences, and certain demographic groups are at higher risk. In addition, PTS is associated with several IBD outcomes. Patients with higher PTS symptoms are less likely to be in remission and may utilize more outpatient gastrointestinal services. Intervention trials to mitigate PTS symptoms in patients with IBD are warranted.


Author(s):  
Zahra Foroghi ◽  
Fatemeh Rezaei ◽  
Fazlolah Mirderikvand

Introduction: Posttraumatic stress disorder is a set of clinical symptoms that occurs following exposure to life-threatening events, and affects a variety of psychological variables. The aim of the present study was to evaluate the effectiveness of prolonged exposure therapy on social support and the severity of symptoms in patients with post-traumatic stress disorder. Methods: This was a quasi-experimental study with pretest, post-test and a two-month follow-up design and a control group. Using stratified sampling method, 30 patients (15 subjects in each group) with post-traumatic stress disorder referred to Farabi Psychiatric Clinic in Kermanshah City selected and they were randomly assigned. The Mean age of the sample group was 31.9.The study inclusion criteria was having PTSD based on clinical interview. The study exclusion criteria included having psychosis symptoms, drug addiction. The data were collected by structured clinical interview (SCID-I), social support scale (MOS), and the fifth edition of the post-traumatic stress disorder index (PCL-5). Data were analyzed by repeated measures ANOVA test. Results: The results showed that prolonged exposure therapy was significantly effective in increasing social support (F=2/66, P<0/01) and reducing the severity of symptoms (F=42/19, P<0/01) among the patients with post-traumatic stress disorder. Conclusion: These results indicate that prolonged exposure therapy can alleviate the symptoms of the patients with post-traumatic stress disorder.


2020 ◽  
Vol 2 (2) ◽  
pp. 14
Author(s):  
Mona M. Barakat ◽  
Hend A. Mostafa

Context: A stroke is a brain attack, and a major global health problem not merely affects a person physically but also emotionally. Psychosocial well-being is frequently threatened following a stroke. The improvement of the psychological status of stroke patients is essential to stroke management and recovery. Aim: The study aimed to evaluate the effect of the psychoeducational program on psychological distress and posttraumatic stress disorder among stroke survivors' patients. Methods: A quasi-experimental study design (one group pre/posttest) was utilized to achieve the aim of the study in the neurology department at Benha University Hospital at Benha City, Kaluobia Governorate. A convenient sample of 40 stroke survivor's patients was included in the study as a single study group. Three tools were utilized for data collection, structured interview questionnaire, Hospital Anxiety, and Depression Scale, and Post Traumatic Stress Disorder Scale. Results:  Reveals that there was a highly statistically significant reduction in the severity of total anxiety and depression and also total posttraumatic stress disorder post-program implementation than before. Also, there was a highly statistically significant positive correlation between total posttraumatic stress, total anxiety, and total depression among studied patients pre and post-program implementation at p-value <0.001. Conclusion:  Psycho-educational program had a positive effect on reducing psychological distress and posttraumatic stress disorder among stroke survivors' patients. The study recommended that psychological nursing intervention should be continuously integrated as a part of routine nursing care provided for stroke survivors' patients in the neurology and rehabilitation unit.                


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