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2.
JAMA ; 324(3): 301-302, 2020 07 21.
Artigo em Inglês | MEDLINE | ID: mdl-32692384
5.
J Music Ther ; 57(3): 353-378, 2020 Jul 18.
Artigo em Inglês | MEDLINE | ID: mdl-32651585

RESUMO

Patients diagnosed with both substance use disorder (SUD) and posttraumatic stress disorder (PTSD) often experience hypervigilance, increased fear, and difficulties regulating emotions. This dual diagnosis increases treatment complexity. Recently, a short-term music therapy intervention for arousal and attention regulation (the SMAART intervention) was designed based on neurobiological findings. Twelve patients with SUD and PTSD (50% females) in outpatient treatment participated in six weekly one-hour sessions of the SMAART intervention. Six patients completed the study. PTSD symptom severity was evaluated with the Posttraumatic Stress Disorder Symptom Scale Interview for DSM-5 (PSSI-5) pre- and post-intervention, and sustained attention was evaluated with the Bourdon-Wiersma (BW) test. A significant difference in measurements for the PSSI-5 overall symptom severity was found pre- and post-intervention. Furthermore, participants showed significant improvement on subscales of hyperarousal, mood and cognition, and attention. The BW test completion time decreased significantly. Two participants dropped out before the end of the intervention due to craving. Concerning future research, it is recommended to define the role of the music more explicitly and to change the design to a randomized controlled trial. A risk for future larger studies is a high dropout rate (50%). Several limitations of the study are discussed.


Assuntos
Nível de Alerta/fisiologia , Atenção/fisiologia , Musicoterapia , Transtornos de Estresse Pós-Traumáticos/complicações , Transtornos de Estresse Pós-Traumáticos/terapia , Transtornos Relacionados ao Uso de Substâncias/complicações , Transtornos Relacionados ao Uso de Substâncias/terapia , Adulto , Emoções , Estudos de Viabilidade , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Transtornos de Estresse Pós-Traumáticos/psicologia , Transtornos Relacionados ao Uso de Substâncias/psicologia , Resultado do Tratamento
6.
Medicine (Baltimore) ; 99(28): e21142, 2020 Jul 10.
Artigo em Inglês | MEDLINE | ID: mdl-32664144

RESUMO

BACKGROUND: Post-traumatic stress disorder (PTSD) is a psychiatric disorder. While bringing psychologic pain to patients, it also damages their social function, which is a great threat to people's life and health. Complementary and alternative medicine (CAM) therapies have been used clinically to treat PTSD; however, the selection strategies of different CAM interventions in clinical practice is still uncertain, and the purpose of this study is to evaluate the efficacy and acceptability of different CAM therapies using systematic review and network meta-analysis. METHODS: According to the strategy, the authors will retrieve a total of 7 electronic databases by June 2020. After a series of screening, the 2 researchers will use Aggregate Data Drug Information System and Stata software to analyze the data extracted from randomized controlled trials of CAM therapies for the PTSD. Finally, the evidence grade of the results will be evaluated. RESULTS: This study will provide a reliable evidence for the selection of CAM therapies for PTSD. CONCLUSION: The results of this study will provide references for evaluating the influence of different CAM therapies for PTSD, and provide decision-making references for clinical research.


Assuntos
Terapia Cognitivo-Comportamental/métodos , Terapias Complementares/métodos , Metanálise em Rede , Transtornos de Estresse Pós-Traumáticos/terapia , Humanos
8.
J Am Coll Radiol ; 17(7): 921-926, 2020 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-32479798

RESUMO

The coronavirus disease 2019 (COVID 2019) pandemic has presented myriad challenges to an underprepared health care system. Health care providers are facing unprecedented acute workplace stress compounded by a high baseline rate of physician burnout. This article discusses the relationship between acute stress disorder, posttraumatic stress disorder, and burnout through a literature review focusing on the mental health impact on health care providers after prior epidemics and natural disasters. We offer both a framework for understanding the mental health impact of the COVID-19 epidemic on physicians while proposing a systems based model to respond to these challenges.


Assuntos
Esgotamento Profissional/epidemiologia , Esgotamento Profissional/psicologia , Infecções por Coronavirus/epidemiologia , Infecções por Coronavirus/psicologia , Pessoal de Saúde/psicologia , Pneumonia Viral/epidemiologia , Pneumonia Viral/psicologia , Transtornos de Estresse Pós-Traumáticos/epidemiologia , Betacoronavirus , Humanos , Pandemias
9.
Hastings Cent Rep ; 50(3): 81, 2020 05.
Artigo em Inglês | MEDLINE | ID: mdl-32596897

RESUMO

The writers respond to the commentary "Physician Burnout Calls for Legal Intervention," by Sharona Hoffman, in the November-December 2019 issue of the Hastings Center Report.


Assuntos
Esgotamento Profissional , Médicos , Transtornos de Estresse Pós-Traumáticos , Humanos
11.
Medicine (Baltimore) ; 99(26): e20700, 2020 Jun 26.
Artigo em Inglês | MEDLINE | ID: mdl-32590744

RESUMO

BACKGROUND: Post-traumatic stress disorder (PTSD) acts as a complex mental illness in which individuals are prone to long-lasting mental disorders after suffering traumatic events. PTSD is usually accompanied by some comorbidities, such as depressive disorder and sleep disorder, which seriously threaten patients' life and health. Evidences showed that acupuncture could remarkably relieve the symptoms of PTSD patients. The review aims at assessing the safety and effectiveness exhibited by acupuncture for treating PTSD patients. METHODS AND ANALYSIS: The literature identified by searching 8 English electronic databases and 5 Chinese electronic databases from their inception to April 20, 2020 will be incorporated into the study. Two researchers will independently take charge of the research selection, the data extraction, as well as the assessment on research quality. The primary outcomes will be total PTSD symptoms, measured by different instruments including interviews and self-report measures. Data analysis will be performed via the RevMan 5 software, and Grading of Recommendations Assessment, Development, and Evaluation will help to assess the evidence level. A heterogeneity x test, the Higgins' I test as well as visually inspecting the forest plot will help to investigate the heterogeneity of data. A sensitivity analysis and subgroup analyses will assist in investigating the sources of heterogeneity. ETHICS AND DISSEMINATION: The review neither assesses the individual information of patients nor impacts their rights, so it is not necessary for it to be approved by ethical institution. The article will be published in a peer-reviewed journal and present at relevant conferences. OSF REGISTRATION NUMBER:: https://osf.io/dc3js.


Assuntos
Terapia por Acupuntura , Transtornos de Estresse Pós-Traumáticos/terapia , Humanos , Metanálise como Assunto , Escalas de Graduação Psiquiátrica , Projetos de Pesquisa , Revisões Sistemáticas como Assunto
12.
Medicine (Baltimore) ; 99(26): e20965, 2020 Jun 26.
Artigo em Inglês | MEDLINE | ID: mdl-32590808

RESUMO

Quantitative studies using validated questionnaires on post-traumatic stress disorder (PTSD) of Nurses exposed to corona virus disease 2019 (COVID-19) in China are rare and the baseline PTSD must first be evaluated before prevention. This study aimed to investigate the factors potentially involved in the level of PTSD of Nurses exposed to COVID-19 in China.In this cross-sectional study, male and female Nurses (n = 202) exposed to COVID-19 from HuBei China were included in the final sample. The PTSD Checklist-Civilian (PCL-C) questionnaire and Simplified Coping Style Questionnaire (SCSQ) were used for evaluation. Multivariate stepwise linear regression analysis and spearman correlation test were performed to assess the association between various factors associated with PTSD.The incidence of PTSD in Nurses exposed to COVID-19 was 16.83%, the PCL-C score was 27.00 (21.00-34.00), and the highest score in the three dimensions was avoidance dimension 9.50 (7.00-13.25); multivariable stepwise linear regression analysis showed that job satisfaction and gender were independently associated with lower PCL-C scores (both P < .001); PCL-C scores were correlated with positive coping (r = -0.151, P = .032), negative coping (r = 0.154, P = .029).Nurses exposed to COVID-19 from HuBei China with job satisfaction, male and positive coping had low PCL-C scores which necessitate reducing the PTSD level by ways of improving job satisfaction, positive response, and strengthening the psychological counseling of female nurses in order to reduce the risk of psychological impairment.


Assuntos
Infecções por Coronavirus/enfermagem , Pneumonia Viral/enfermagem , Transtornos de Estresse Pós-Traumáticos/etiologia , Adulto , China/epidemiologia , Estudos Transversais , Feminino , Humanos , Incidência , Masculino , Pandemias , Transtornos de Estresse Pós-Traumáticos/epidemiologia
13.
Psychol Trauma ; 12(S1): S199-S201, 2020 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-32478558

RESUMO

The novel coronavirus (SARS-CoV-2) and the associated disease it causes, COVID-19, have caused unprecedented social disruption. Due to sweeping stay-at-home orders across the United States and internationally, many victims and survivors of domestic violence (DV), now forced to be isolated with their abusers, run the risk of new or escalating violence. Numerous advocates, organizations, and service centers anticipated this: Upticks in domestic violence were reported in many regions soon after stay-at-home directives were announced. In this commentary, we delineate some of the recent events leading up to the reported spike in DV; review literature on previously documented disaster-related DV surges; and discuss some of the unique challenges, dilemmas, and risks victims and survivors face during this pandemic. We conclude with recommendations to allocate resources to DV front-liners and utilize existing DV guidelines for disaster preparedness, response, and recovery. (PsycInfo Database Record (c) 2020 APA, all rights reserved).


Assuntos
Infecções por Coronavirus , Violência Doméstica/estatística & dados numéricos , Pandemias , Pneumonia Viral , Trauma Psicológico , Transtornos de Estresse Pós-Traumáticos , Adulto , Violência Doméstica/prevenção & controle , Feminino , Humanos , Trauma Psicológico/etiologia , Transtornos de Estresse Pós-Traumáticos/etiologia , Sobreviventes , Estados Unidos/epidemiologia
14.
Psychol Trauma ; 12(S1): S138-S140, 2020 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-32496101

RESUMO

Although little is known about moral injury in nonmilitary populations, the COVID-19 pandemic has made it clear that moral injury's relevance extends beyond the battlefield. Health care providers are experiencing potentially morally injurious events that may violate their moral code or values, yet almost no research has been conducted on moral injury among health care providers to date. The purpose of this commentary is to describe the relevance of moral injury to health care providers and to spark a dialogue that motivates future research, prevention, and intervention. (PsycInfo Database Record (c) 2020 APA, all rights reserved).


Assuntos
Infecções por Coronavirus , Pessoal de Saúde/ética , Pessoal de Saúde/psicologia , Doenças Profissionais/psicologia , Pandemias , Pneumonia Viral , Trauma Psicológico/psicologia , Triagem/ética , Adulto , Esgotamento Profissional/etiologia , Esgotamento Profissional/psicologia , Infecções por Coronavirus/psicologia , Infecções por Coronavirus/terapia , Humanos , Princípios Morais , Doenças Profissionais/etiologia , Pneumonia Viral/psicologia , Pneumonia Viral/terapia , Trauma Psicológico/etiologia , Transtornos de Estresse Pós-Traumáticos/etiologia , Transtornos de Estresse Pós-Traumáticos/psicologia
15.
Psychol Trauma ; 12(S1): S217-S219, 2020 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-32525383

RESUMO

Prior wartime trauma likely acts as a double-edged sword that promotes both aging veterans' vulnerability and resilience in the context of the current COVID-19 pandemic. During this stressful time, aging veterans may benefit from having an array of socially supportive network ties. We therefore suggest that clinicians working with veterans encourage veterans to (a) create or sustain positive social connections while maintaining physical distance and (b) call upon coping strategies that helped them manage past difficulties. (PsycInfo Database Record (c) 2020 APA, all rights reserved).


Assuntos
Adaptação Psicológica , Envelhecimento/psicologia , Infecções por Coronavirus , Pandemias , Pneumonia Viral , Trauma Psicológico/psicologia , Rede Social , Apoio Social , Transtornos de Estresse Pós-Traumáticos/psicologia , Veteranos/psicologia , Idoso , Humanos
16.
Psychol Trauma ; 12(S1): S143-S145, 2020 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-32538649

RESUMO

Religious leaders are at risk of psychological trauma and moral injury during the COVID-19 pandemic. This article highlights potentially traumatic or morally injurious experiences for religious leaders and provides evidence-based recommendations for mitigating their impact. (PsycInfo Database Record (c) 2020 APA, all rights reserved).


Assuntos
Clero , Infecções por Coronavirus , Pandemias , Pneumonia Viral , Angústia Psicológica , Trauma Psicológico , Religião e Psicologia , Adulto , Esgotamento Psicológico/etiologia , Esgotamento Psicológico/psicologia , Clero/ética , Clero/psicologia , Humanos , Princípios Morais , Trauma Psicológico/etiologia , Trauma Psicológico/psicologia , Transtornos de Estresse Pós-Traumáticos/etiologia , Transtornos de Estresse Pós-Traumáticos/psicologia
17.
Psychol Trauma ; 12(S1): S230-S232, 2020 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-32538655

RESUMO

The COVID-19 pandemic is highlighting some important sources of health disparities that assail our society's most vulnerable people, particularly undocumented immigrants and asylum seekers. The focus of this commentary is on uncovering those sources of health disparities and making a call for action. (PsycInfo Database Record (c) 2020 APA, all rights reserved).


Assuntos
Infecções por Coronavirus , Emprego/psicologia , Pandemias , Pneumonia Viral , Trauma Psicológico/psicologia , Refugiados/psicologia , Transtornos de Estresse Pós-Traumáticos/psicologia , Imigrantes Indocumentados/psicologia , Adulto , Humanos , Refugiados/legislação & jurisprudência , Fatores de Risco , Imigrantes Indocumentados/legislação & jurisprudência , Estados Unidos
18.
Psychol Trauma ; 12(S1): S228-S229, 2020 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-32538665

RESUMO

The arrival of the pandemic known as COVID-19 has resulted in an emergency appraisal of the way mental health services are delivered to refugee and asylum-seeker populations at the Boston Medical Center in Massachusetts. The following commentary summarizes some of the main approaches used to address the unique needs of this vulnerable population under lockdown. (PsycInfo Database Record (c) 2020 APA, all rights reserved).


Assuntos
Infecções por Coronavirus , Serviços de Saúde Mental , Pandemias , Pneumonia Viral , Trauma Psicológico/terapia , Refugiados , Transtornos de Estresse Pós-Traumáticos/terapia , Telemedicina , Adulto , Boston , Humanos , Controle de Infecções , Trauma Psicológico/psicologia , Refugiados/psicologia , Transtornos de Estresse Pós-Traumáticos/psicologia
19.
Psychol Trauma ; 12(S1): S245-S246, 2020 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-32551772

RESUMO

In an effort to manage the uncertainty brought on by the COVID-19 pandemic, many people have turned to their social support networks. With limited access to in-person human social networks, many people are turning to pets for social support. Pets may be a complementary social support to supplement virtual human-to-human interaction. (PsycInfo Database Record (c) 2020 APA, all rights reserved).


Assuntos
Vínculo Homem-Animal de Estimação , Infecções por Coronavirus , Pandemias , Animais de Estimação , Pneumonia Viral , Apoio Social , Transtornos de Estresse Pós-Traumáticos/prevenção & controle , Incerteza , Adulto , Animais , Humanos
20.
Psychol Trauma ; 12(5): 531-533, 2020 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-32525387

RESUMO

Italy was the first European country severely hit by the COVID-19 pandemic. While the containment measures were relatively effective in the acute phase, the current postemergency phase addressing the long-term psychosocial consequences is the key challenge for our healthcare system, where the importance of mental health prevention is not sufficiently recognized. (PsycInfo Database Record (c) 2020 APA, all rights reserved).


Assuntos
Infecções por Coronavirus , Controle de Infecções , Transtornos Mentais/prevenção & controle , Serviços de Saúde Mental , Pandemias , Pneumonia Viral , Telemedicina , Adulto , Emergências , Humanos , Itália , Trauma Psicológico/prevenção & controle , Transtornos de Estresse Pós-Traumáticos/prevenção & controle
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