In the study, the participants were sampled for convenience, there were a total of 31 subjects. These subjects were patients that were in a major New York hospitals Cardiac Intensive Care Unit, the reason they were in the unit was so that they could be treated for their acute myocardial infarction. These subjects were patients in the Cardiac Intensive Care Unit between August and December of 2006. The subjects who were selected to take part in this study were selected bases on certain criteria. The criteria that was used to select the subjects included the ability of the subject to speak English, there being evidence of their myocardial infarction, the stability of the patient, the ability of the subject to give informed consent for the …show more content…
These follow-up interviews were done over telephone. The procedures were approved by the IRB and HIPAA. In the baseline interviews the clinicians assessed the social demographics of each participant, asked questions about the subjects medical history, used the CES-D to check for symptoms of depression, checked with the CCI for any comorbidity, and asked about how much support the subject felt they had. Likert scale responses were developed to asses some of the symptoms like pain, anxiety, and other symptoms. Variables in how severe each patient’s myocardial infarction was were collected from the review of each subject’s medical records. Left ventricle ejection function was used to estimate just how severe the damage was to the myocardial muscle. The SCID was used to evaluate each subject for preexisting Posttraumatic Stress Disorder symptoms. In the follow up interviews the SCID and the IES-R were used to assess the Posttraumatic Stress Disorder in the patients. When it came to studying the independent variables and Posttraumatic Stress Disorder, linear regression was used. The Posttraumatic Stress Disorder symptoms were said to be continuous variables. When it came to studying predictors there was a two-step process to conduct that research. Independent t tests were used to study the
"Post-Traumatic Stress Disorder (PTSD)", Retrieved May 27, 2013, from the WebMD Website: HYPERLINK "http://www.webmd.com/mental-health/post-traumatic-stress-disorder-ptsd" http://www.webmd.com/mental-health/post-traumatic-stress-disorder-ptsd
When humans undergo traumatic events that threaten their safety and wellbeing, they may become vulnerable to nightmares, fear, excessive anxiety, depression, and trembling. Post Traumatic Stress Disorder (PTSD) is a psychological illness that results from the occurrence of a “terribly frightening, life-threatening, or otherwise unsafe experience” (Posttraumatic Stress Disorder (PTSD), 2012). This condition often leads to unbearable stress and anxiety. PTSD is significantly prevalent as indicated by data from the National Co-morbidity Survey which shows that at a particular time in their lives, 7.8% of 5, 877 adults in America suffered from PTSD (Andrew & Bisson, 2009). In the general population, the lifetime prevalence is estimated at 8%,
Morris states that the worst things in the world enter the brain in an instant, though it may take the rest of someone’s life to understand what they saw (Morris 45). Monjaraz says that he saw brutal things and did not get affected by it until the night time came around. He cried in his sleep, made groaning noises, mumbled things and had night sweats (Monjaraz). Morris states that fundamentally, we do not know why some people are damaged by terror and some are not. He adds that according to the Comprehensive Textbook of Psychiatry, the
The Diagnostic and Statistical Manual of Mental Disorders describes posttraumatic stress disorder (PTSD) as an acute stress disorder (2013). Individuals that experience this disorder are exposed to or have had an experience of near death or bodily harm (American Psychiatric Association. 2013). Evidence based therapy that has shown positive outcomes in cognitive behavioral therapy (CBT) which is based on changing behavior. The use of client-centered therapy can also be beneficial with this type of client if applied in addition to CBT. Joseph stated that a client-centered approach to PTSD could result in Post-traumatic growth (2004). Post-traumatic growth does not try to bring the client back to the original state before the trauma but bring the client beyond their previous level of functioning (Joseph, 2004). When a person experiences a trauma, they can have a myriad of emotions, it is the therapist responsibility to help the client make better sense of the issue and continue functioning in a normal manner. Not all traumas are alike and not all clients can be treated equally. The most significant aspect of treatment in helping this type of client is the approach the therapist takes which should include the temperament of the client and the goals the client seeks. Included here is an examination of a fictitious client that has experienced a trauma and the therapist care plan. The therapist
For some, the world can be a lonely and scary place. When an individual is challenged with a life altering experience, such as recovering from childhood exploitation, rape, incest, or being held up at gunpoint, it is almost always difficult to improve without any guidance. Occasionally, a person can be resilient, while others countlessly suffer from Post Traumatic Stress Disorder, and develop self destructive behaviors such as an eating disorder. When in harm’s way, you have two responses, commonly known as “flight-or-flight.” You are either going to avoid danger or face it head on. With PTSD, this recoil of a decision is altered or impaired. PTSD is established when a terrifying incident places you in jeopardy of being harmed, which later interferes with a person’s life or health. With many PTSD patients, they have developed eating disorders because they find that this is the only way to control their physical and emotional manifestations. Studies have shown dramatically the relation between patients who suffer from PTSD and those who develop eating disorders. In Timothy D. Brewerton’s “The Links Between PTSD and Eating Disorders”, he shares some statistics. “74% of 293 women attending residential treatment indicated that they had experience a significant trauma, and 52% reported symptoms consistent with a diagnosis of current PTSD based on their responses on a PTSD symptom scale.” What are the effects that PTSD have on eating disorders? It is important to keep in mind
have different symptoms such as depression, anxiety, substance abuse, and other issues. This trauma history will align with the diagnosis to make it clearer. A soldier has will be cycling through emotions due to lack of sleep, stress, depression, and not being able to be stable. It is important to have a non-structured interview because it will help the social worker be able to make a connection with the client. The results for this case will be important because the worst traumatic
Previously known as irritable heart and battle fatigue, Post Traumatic Stress Disorder has been around since the history of stressful events themselves. First discovered in the 1600’s as nostalgia, it was usually left untreated as it was seen as a sign of weakness in men. In the early years of diagnosis’s, PTSD was most commonly present in soldiers due to their always present high stress situations.
Matt, a retired police officer, presents with symptoms of Posttraumatic Stress Disorder (PTSD). Two major events seemed to impact Matt. First, Matt’s partner John, who was known to be prejudiced against Hispanics, shot and killed a suspect that posed no real danger to the officers. Years later, Matt’s new partner Sam was found bludgeoned to death floating in the river (Criterion A3). Matt saw Sam’s body in the morgue (Criterion A4). Matt began to have several intrusion symptoms following Sam’s death. He had recurring nightmares about Sam’s dead body (Criterion B2). Also, the large Hispanic clientele he encountered at his new job triggered flashbacks to the Hispanic male that his partner shot (Criterion B3). Additionally, arguments with his wife triggered anxious feelings about his wife’s safety which caused him to insist upon driving her to and from work (Criterion B4). The arguments with his wife resembled the arguments Matt had with Sam prior to his death. Before Sam died, Matt refused to retire. He was adamant about remaining a homicide detective despite the strain it put on his marriage. However, Sam’s death made retirement seem like the best solution. He was leaving his job to avoid the distressing cognitions related to Sam’s death (Criterion C2). Matt displayed noticeable alterations in his mood and thoughts. He began to blame himself after dreaming that some missed message from Sam could have saved his life if Matt had heard it (Criterion D3). His
Several questionnaires were completed by participants who were determined to exhibit PTSD symptoms. The questionnaires in which we utilized included the following: the Veterans Affairs TBI screening instrument; the VAMSTA; the PHQ-9; the Pittsburgh Sleep Quality Index; and the Quality of Life Interview. These questionnaires presented us with information from participants’ self-reports to determine whether exposure to a blast injury or concussion led to their PTSD symptoms. The VA TBI screening instrument is a four-section tool based on a measure designed for active duty military personnel. Examples of the screening questions are presented in Table 1. Veterans were able to endorse multiple problems in each section. Those who endorsed at least one problem under all four sections were designated as having positive TBI screens and, as required by VA policy, were tracked for a comprehensive evaluation. This comprehensive, standardized evaluation entailed a detailed history, physical examination, and assessment of current symptoms by a clinician with TBI specialty expertise (Carlson, Nelson, Orazem, Nugent, Cifu, & Sayer, 2010).
Many people experiencing P.T.S.D. experience it as a result of seeing a loved one injured or killed (Regehr 676). By seeing his brother Allie die of Leukemia at the age of 11, Holden experiences trauma. According to studies, the degrees of symptoms depend on the proximity of trauma exposure and the number of which one is exposed to (676). Holden’s trauma was very severe because it was his brother, who he was very close to, that passed away. In addition to experiencing his brother’s death, Holden also encounters a boy, James Castle, who jumps to his death while wearing Holden’s sweater (Salinger 170). Holden has been faced with two traumatic events in his life, one involving a person very close to him, therefore, this significantly increases his risk of P.T.S.D.
Post-traumatic stress disorder (PTSD) is a medical condition that many people suffer from at different ages. Most of the people that have suffered from PTSD have done so due to a major trauma that occurred at some point in their life. Even though the trauma could have happened months or even years earlier, the symptoms can come back when an event or the anniversary of the trauma triggers the memory of the traumatic event. Some of the traumas that cause post-traumatic stress disorder are rape, death of a family member, veterans that have fought in a war, a car accident, or even a child being attacked going home. People living within the same household of a PTSD victim, that goes without treatment, are at risk of becoming under such stress that they too are possible victims of PTSD. PTSD can happen to any person that suffers from any kind of trauma, and they need to talk to someone or get help from a professional to help them deal with the situation. Although talking to a professional will not make the client forget the trauma, it may help the person be able to continue to cope with their everyday life and activities.
In a study done 14 months after a natural disaster, depression was found to be prevalent among first responders who also were local residents of where the disaster took place. The participants were from three different groups. The first was 610 local municipality workers, the second was 421 medical workers, and the third was 327 firefighters. All were given a self-administered questionnaire. The results indicate that higher levels of depression are more significant in medical personnel versus firefighters (Sakuma, 2015)
Post-traumatic stress disorder (PTSD) is a common and chronic anxiety disorder that develops, when a person is subjected to a distressing or shocking life event such as physical or sexual assault, terrorist attack, military warfare, and a natural calamity. This paper highlights the pathophysiology and age continuum; genomic issues; literature review; clinical guidelines and various approaches for the management of PTSD.
It is well known that emergency service workers are exposed to multiple situations deemed traumatic over their careers, with the accumulation of these events resulting in psychological injuries such as Post-traumatic stress disorder (PTSD). This brief will highlight the significant impact PTSD has on emergency service workers and will discuss strategies that could be implemented to combat this debilitating problem, focusing on two main contemporary leadership theories transformational and situational.
Posttraumatic stress disorder is a mental illness most commonly associated with soldiers, this is due to the fact that it is an illness triggered by immense trauma such as experiencing a war. However why does everyone that go to war or experience something traumatic not obtain posttraumatic stress? I believe that there are neurological abnormalities prior to experiencing the trauma that makes certain individuals more susceptible to obtaining posttraumatic stress. These abnormalities may be located on or near the hippocampus, amygdala, and/or the medial prefrontal cortex as those three areas of the brain all play important roles in posttraumatic stress (Bremner, 2006). To understand the primary causes of posttraumatic stress