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[PMID]:27772015
[Au] Autor:Angus LE; Boritz T; Bryntwick E; Carpenter N; Macaulay C; Khattra J
[Ad] Endereço:a Department of Psychology , York University , Toronto , Ontario , Canada.
[Ti] Título:The Narrative-Emotion Process Coding System 2.0: A multi-methodological approach to identifying and assessing narrative-emotion process markers in psychotherapy.
[So] Source:Psychother Res;27(3):253-269, 2017 May.
[Is] ISSN:1468-4381
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: Recent studies suggest that it is not simply the expression of emotion or emotional arousal in session that is important, but rather it is the reflective processing of emergent, adaptive emotions, arising in the context of personal storytelling and/or Emotion-Focused Therapy (EFT) interventions, that is associated with change. METHOD: To enhance narrative-emotion integration specifically in EFT, Angus and Greenberg originally identified a set of eight clinically derived narrative-emotion integration markers were originally identified for the implementation of process-guiding therapeutic responses. Further evaluation and testing by the Angus Narrative-Emotion Marker Lab resulted in the identification of 10 empirically validated Narrative-Emotion Process (N-EP) markers that are included in the Narrative-Emotion Process Coding System Version 2.0 (NEPCS 2.0). RESULTS: Based on empirical research findings, individual markers are clustered into Problem (e.g., stuckness in repetitive story patterns, over-controlled or dysregulated emotion, lack of reflectivity), Transition (e.g., reflective, access to adaptive emotions and new emotional plotlines, heightened narrative and emotion integration), and Change (e.g., new story outcomes and self-narrative discovery, and co-construction and re-conceptualization) subgroups. To date, research using the NEPCS 2.0 has investigated the proportion and pattern of narrative-emotion markers in Emotion-Focused, Client-Centered, and Cognitive Therapy for Major Depression, Motivational Interviewing plus Cognitive Behavioral Therapy for Generalized Anxiety Disorder, and EFT for Complex Trauma. Results have consistently identified significantly higher proportions of N-EP Transition and Change markers, and productive shifts, in mid- and late phase sessions, for clients who achieved recovery by treatment termination. CONCLUSIONS: Recovery is consistently associated with client storytelling that is emotionally engaged, reflective, and evidencing new story outcomes and self-narrative change. Implications for future research, practice and training are discussed.
[Mh] Termos MeSH primário: Emoções
Narração
Avaliação de Processos e Resultados (Cuidados de Saúde)/métodos
Processos Psicoterapêuticos
Psicoterapia/métodos
[Mh] Termos MeSH secundário: Adulto
Transtornos de Ansiedade/terapia
Terapia Cognitiva/métodos
Transtorno Depressivo Maior/terapia
Seres Humanos
Entrevista Motivacional/métodos
Trauma Psicológico/terapia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180222
[Lr] Data última revisão:
180222
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161025
[St] Status:MEDLINE
[do] DOI:10.1080/10503307.2016.1238525


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[PMID]:29173741
[Au] Autor:Wilcox HC; Fullerton JM; Glowinski AL; Benke K; Kamali M; Hulvershorn LA; Stapp EK; Edenberg HJ; Roberts GMP; Ghaziuddin N; Fisher C; Brucksch C; Frankland A; Toma C; Shaw AD; Kastelic E; Miller L; McInnis MG; Mitchell PB; Nurnberger JI
[Ad] Endereço:Johns Hopkins University, Baltimore, MD. Electronic address: hwilcox1@jhmi.edu.
[Ti] Título:Traumatic Stress Interacts With Bipolar Disorder Genetic Risk to Increase Risk for Suicide Attempts.
[So] Source:J Am Acad Child Adolesc Psychiatry;56(12):1073-1080, 2017 Dec.
[Is] ISSN:1527-5418
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: Bipolar disorder (BD) is one of the most heritable psychiatric conditions and is associated with high suicide risk. To explore the reasons for this link, this study examined the interaction between traumatic stress and BD polygenic risk score in relation to suicidal ideation, suicide attempt, and nonsuicidal self-injury (NSSI) in adolescent and young adult offspring and relatives of persons with BD (BD-relatives) compared with adolescent and young adult offspring of individuals without psychiatric disorders (controls). METHOD: Data were collected from 4 sites in the United States and 1 site in Australia from 2006 through 2012. Generalized estimating equation models were used to compare rates of ideation, attempts, and NSSI between BD-relatives (n = 307) and controls (n = 166) and to determine the contribution of demographic factors, traumatic stress exposure, lifetime mood or substance (alcohol/drug) use disorders, and BD polygenic risk score. RESULTS: After adjusting for demographic characteristics and mood and substance use disorders, BD-relatives were at increased risk for suicidal ideation and attempts but not for NSSI. Independent of BD-relative versus control status, demographic factors, or mood and substance use disorders, exposure to trauma within the past year (including bullying, sexual abuse, and domestic violence) was associated with suicide attempts (p = .014), and BD polygenic risk score was marginally associated with attempts (p = .061). Importantly, the interaction between BD polygenic risk score and traumatic event exposures was significantly associated with attempts, independent of demographics, relative versus control status, and mood and substance use disorders (p = .041). CONCLUSION: BD-relatives are at increased risk for suicide attempts and ideation, especially if they are exposed to trauma and have evidence of increased genetic vulnerability.
[Mh] Termos MeSH primário: Transtorno Bipolar/genética
Transtorno Bipolar/psicologia
Predisposição Genética para Doença
Trauma Psicológico/genética
Trauma Psicológico/psicologia
Comportamento Autodestrutivo/genética
Comportamento Autodestrutivo/psicologia
[Mh] Termos MeSH secundário: Adolescente
Transtorno Bipolar/diagnóstico
Estudos de Casos e Controles
Criança
Feminino
Seguimentos
Seres Humanos
Masculino
Modelos Estatísticos
Polimorfismo de Nucleotídeo Único
Escalas de Graduação Psiquiátrica
Trauma Psicológico/diagnóstico
Estudos Retrospectivos
Medição de Risco
Fatores de Risco
Comportamento Autodestrutivo/diagnóstico
Ideação Suicida
Tentativa de Suicídio/psicologia
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180207
[Lr] Data última revisão:
180207
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171128
[St] Status:MEDLINE


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[PMID]:29189236
[Au] Autor:Sofer D
[Ti] Título:When Parents Disappear Behind Bars.
[So] Source:Am J Nurs;117(12):19-20, 2017 Dec.
[Is] ISSN:1538-7488
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Life can be challenging for the millions of children left behind.
[Mh] Termos MeSH primário: Desenvolvimento Infantil
Criminosos
Pais
Trauma Psicológico/epidemiologia
[Mh] Termos MeSH secundário: Criança
Seres Humanos
Estados Unidos/epidemiologia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1712
[Cu] Atualização por classe:171211
[Lr] Data última revisão:
171211
[Sb] Subgrupo de revista:AIM; IM; N
[Da] Data de entrada para processamento:171201
[St] Status:MEDLINE
[do] DOI:10.1097/01.NAJ.0000527479.63621.8a


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[PMID]:28929625
[Au] Autor:Roberts AL; Malspeis S; Kubzansky LD; Feldman CH; Chang SC; Koenen KC; Costenbader KH
[Ad] Endereço:Harvard T. H. Chan School of Public Health, Boston, Massachusetts.
[Ti] Título:Association of Trauma and Posttraumatic Stress Disorder With Incident Systemic Lupus Erythematosus in a Longitudinal Cohort of Women.
[So] Source:Arthritis Rheumatol;69(11):2162-2169, 2017 Nov.
[Is] ISSN:2326-5205
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: To conduct the first longitudinal study examining whether trauma exposure and posttraumatic stress disorder (PTSD) are associated with increased risk of incident systemic lupus erythematosus (SLE) in a civilian cohort. METHODS: We examined the association of trauma exposure and PTSD symptoms with SLE incidence over 24 years of follow-up in a US longitudinal cohort of women (n = 54,763). Incident SLE in women meeting ≥4 American College of Rheumatology criteria was ascertained by self-report and confirmed by medical record review. PTSD and trauma exposure were assessed with the Short Screening Scale for Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition PTSD and the Brief Trauma Questionnaire, respectively. Women were categorized as having no trauma, trauma and no PTSD symptoms, subclinical PTSD (1-3 symptoms), or probable PTSD (4-7 symptoms). We examined whether longitudinally assessed health risk factors (e.g., smoking, body mass index [BMI], oral contraceptive use) accounted for increased SLE risk among women with trauma exposure and PTSD versus those without. RESULTS: During follow-up, 73 cases of SLE occurred. Compared to women with no trauma, probable PTSD was associated with increased SLE risk (for 4-7 symptoms, hazard ratio [HR] 2.94 [95% confidence interval {95% CI} 1.19-7.26], P < 0.05). Subclinical PTSD was associated with increased SLE risk, although this did not reach statistical significance (for 1-3 symptoms, HR 1.83 [95% CI 0.74-4.56], P = 0.19). Smoking, BMI, and oral contraceptive use slightly attenuated the associations (e.g., for 4-7 symptoms, adjusted HR 2.62 [95% CI 1.09-6.48], P < 0.05). Trauma exposure, regardless of PTSD symptoms, was strongly associated with incident SLE (HR 2.83 [95% CI 1.29-6.21], P < 0.01). CONCLUSION: This study contributes to growing evidence that psychosocial trauma and associated stress responses may lead to autoimmune disease.
[Mh] Termos MeSH primário: Lúpus Eritematoso Sistêmico/epidemiologia
Trauma Psicológico/epidemiologia
Transtornos de Estresse Pós-Traumáticos/epidemiologia
[Mh] Termos MeSH secundário: Adulto
Consumo de Bebidas Alcoólicas/epidemiologia
Índice de Massa Corporal
Estudos de Coortes
Anticoncepcionais Orais/uso terapêutico
Exercício
Feminino
Seres Humanos
Incidência
Estudos Longitudinais
Meia-Idade
Obesidade/epidemiologia
Modelos de Riscos Proporcionais
Fatores de Risco
Fumar/epidemiologia
Estados Unidos/epidemiologia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Contraceptives, Oral)
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171106
[Lr] Data última revisão:
171106
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170921
[St] Status:MEDLINE
[do] DOI:10.1002/art.40222


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[PMID]:28915145
[Au] Autor:Viana AG; Hanna AE; Raines EM; Woodward EC; Paulus DJ; Berenz EC; Zvolensky MJ
[Ad] Endereço:*Department of Psychology, University of Houston, Houston, Texas; †Department of Pediatrics, University of Virginia, Charlottesville, Virginia; and ‡Department of Behavioral Sciences, University of Texas, MD Anderson Cancer Center, Houston, Texas.
[Ti] Título:Posttraumatic Stress Disorder Symptoms Among Trauma-Exposed Inpatient Adolescents: The Role of Emotional Nonacceptance and Anxiety Symptom Severity.
[So] Source:J Nerv Ment Dis;205(11):879-885, 2017 Nov.
[Is] ISSN:1539-736X
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:The present investigation examined the role of anxiety symptom severity in the relation between emotional nonacceptance and posttraumatic stress disorder (PTSD) symptoms in a diverse sample of trauma-exposed adolescents admitted for acute psychiatric care at an inpatient state hospital (N = 50; 52.0% women; 44% white; mean [SD] age, 15.1 [0.51] years; range, 12-17 years). Anxiety symptom severity partially accounted for the association between emotional nonacceptance and PTSD total symptoms, and fully accounted for the association between emotional nonacceptance and PTSD symptom cluster severity, even after controlling for covariates. Reverse model testing provided confidence in the direction of hypothesized effects. These findings add to a body of literature underscoring the detrimental effect of nonaccepting reactions to negative emotions in the context of PTSD and provide preliminary support for a possible underlying role of anxiety symptom severity in the association between emotional nonacceptance and PTSD symptoms.
[Mh] Termos MeSH primário: Ansiedade/etiologia
Inteligência Emocional
Transtornos de Estresse Pós-Traumáticos/etiologia
[Mh] Termos MeSH secundário: Adolescente
Ansiedade/psicologia
Criança
Emoções
Feminino
Seres Humanos
Pacientes Internados/psicologia
Pacientes Internados/estatística & dados numéricos
Masculino
Escalas de Graduação Psiquiátrica
Trauma Psicológico/psicologia
Índice de Gravidade de Doença
Transtornos de Estresse Pós-Traumáticos/psicologia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171106
[Lr] Data última revisão:
171106
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170916
[St] Status:MEDLINE
[do] DOI:10.1097/NMD.0000000000000737


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[PMID]:28806369
[Au] Autor:Iverson KM; Vogt D; Maskin RM; Smith BN
[Ad] Endereço:*Women's Health Sciences Division of the National Center for PTSD, VA Boston Healthcare System †Department of Psychiatry, Boston University School of Medicine, Boston, MA.
[Ti] Título:Intimate Partner Violence Victimization and Associated Implications for Health and Functioning Among Male and Female Post-9/11 Veterans.
[So] Source:Med Care;55 Suppl 9 Suppl 2:S78-S84, 2017 Sep.
[Is] ISSN:1537-1948
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: There is increased emphasis on identifying patients who experience intimate partner violence (IPV) in Department of Veterans Affairs and other health care settings. A better understanding of IPV's implications for health and functioning is needed among post-911 Veterans, and especially male Veterans, to inform IPV screening and response. OBJECTIVES: To identify past 6-month IPV experienced among partnered post-9/11 Veterans and examine sex-based associations between IPV and health. RESEARCH DESIGN: A national sample of Veterans completed a survey that included measures of IPV victimization and health. Types of IPV and relationships with health and functioning were examined separately for male and female Veterans. SUBJECTS: In total, 407 post-9/11 Veterans (52% women) in intimate relationships. MEASURES: IPV victimization was assessed with the Conflict Tactics Scales-Revised. Health and functioning indicators included posttraumatic stress disorder (PCL-5) and depression (Beck Depression Inventory-Primary Care) symptoms, physical health-related quality of life (Short-Form 12-item Health Survey), and occupational functioning (Inventory of Psychosocial Functioning). RESULTS: Nearly two thirds of both men and women reported past 6-month IPV, with greatest endorsement of psychological aggression (65% of men, 59% of women). A total of 8% of men and 7% of women reported physical IPV and 4% of men and 7% of women reported sexual IPV. Psychological aggression was strongly linked with mental health for both sexes and greater occupational impairment for men. Physical and sexual IPV were associated with more severe mental health symptoms for women while physical IPV was negatively associated with physical health-related quality of life for men. CONCLUSIONS: Recent IPV victimization, especially psychological aggression, is a key health issue for partnered male and female post-9/11 Veterans. Practice and research implications are discussed.
[Mh] Termos MeSH primário: Vítimas de Crime/psicologia
Trauma Psicológico/epidemiologia
Maus-Tratos Conjugais/psicologia
Veteranos/estatística & dados numéricos
[Mh] Termos MeSH secundário: Agressão/psicologia
Feminino
Nível de Saúde
Seres Humanos
Relações Interpessoais
Masculino
Ataques Terroristas de 11 de Setembro
Inquéritos e Questionários
Guerra
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170822
[Lr] Data última revisão:
170822
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170815
[St] Status:MEDLINE
[do] DOI:10.1097/MLR.0000000000000741


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[PMID]:28715481
[Au] Autor:Lee JS; You S; Choi YK; Youn HY; Shin HS
[Ad] Endereço:Department of Psychology, Kangwon National University, Chuncheon, Kangwon, Korea.
[Ti] Título:A preliminary evaluation of the training effects of a didactic and simulation-based psychological first aid program in students and school counselors in South Korea.
[So] Source:PLoS One;12(7):e0181271, 2017.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:The present study aimed to examine the training effects of a didactic and simulation-based psychological first aid (PFA) program. Based on the competency-based model, the study sought to examine whether the PFA training would enhance knowledge, skills, and attitudes. Study 1 examined the training effects of the PFA program in a sample of undergraduate and graduate students in psychology. Study 2 was conducted with school counselors. In both studies, all participants completed a one-day PFA workshop with a 3-hour didactic lecture and a 3-hour simulation-based practice. Assessments were conducted prior to the didactic lecture and upon completion of the simulation-based practice. In study 1, an examination of pre- and posttest comparisons indicated that the training significantly improved students' PFA knowledge and perceived competence in PFA skill. In study 2, the same PFA training significantly improved school counselors' PFA knowledge, perceived competence in PFA skill, perceived preparedness and confidence to provide psychological assistance for future disasters, but their perceived willingness to participate in psychological assistance did not significantly change after the training. This study provides preliminary evidence supporting the effectiveness of the PFA training program using a combined method of didactic and simulation-based practice for disaster mental health providers in Korea.
[Mh] Termos MeSH primário: Conselheiros
Primeiros Socorros
Aprendizagem
Estudantes
[Mh] Termos MeSH secundário: Adolescente
Adulto
Conselheiros/psicologia
Planejamento em Desastres
Educação de Pós-Graduação
Feminino
Conhecimentos, Atitudes e Prática em Saúde
Seres Humanos
Masculino
Meia-Idade
Percepção
Avaliação de Programas e Projetos de Saúde
Trauma Psicológico/terapia
Psicologia/educação
República da Coreia
Estudantes/psicologia
Universidades
Adulto Jovem
[Pt] Tipo de publicação:EVALUATION STUDIES; JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171024
[Lr] Data última revisão:
171024
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170718
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0181271


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[PMID]:28697094
[Au] Autor:Tracy EE; Macias-Konstantopoulos W
[Ad] Endereço:Department of Obstetrics and Gynecology, Vincent Obstetrics and Gynecology Global Health Program, Massachusetts General Hospital, Boston, Massachusetts and Emergency Medicine Department, Massachusetts General Hospital, Boston, Massachusetts.
[Ti] Título:Identifying and Assisting Sexually Exploited and Trafficked Patients Seeking Women's Health Care Services.
[So] Source:Obstet Gynecol;130(2):443-453, 2017 Aug.
[Is] ISSN:1873-233X
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:It is estimated that 21 million people are trafficked worldwide, including 11.4 million women and girls. Approximately 4.5 million are forced to do sexual labor. The exact prevalence of human trafficking is difficult to ascertain, however, given the limitations of data collection in an illegal industry. Obstetrician-gynecologists should not only be aware of the widespread nature of human trafficking, but also have the tools to assess patients for trafficking and respond to victim identifications. Patients may present with signs of physical abuse, depression, anxiety, posttraumatic stress disorder, substance use, sexually transmitted infections, pregnancy, and nonspecific somatic complaints. As with intimate partner violence, clinicians should be suspicious if the patient is accompanied by an individual who refuses to leave her side. Other potential red flags include patients with wounds in various stages of healing, patients appearing fearful or unable to answer specific questions, and patients who do not have any personal identification. Health care providers should speak with the patient privately, using professional interpreters when indicated. Although there are no validated screening questions for the health care setting, in this article, we provide sample questions such as, "Is anyone forcing you to do anything physically or sexually that you do not want to do?" The physical examination should be thorough with appropriate workup, sexually transmitted infection prophylaxis, and emergency contraception. Physicians and patients should be aware of their state's mandatory reporting requirements and careful documentation is essential. Finally, to ensure a comprehensive, interdisciplinary response to trafficked patients, practitioners should engage hospital-based and community-based services when appropriate.
[Mh] Termos MeSH primário: Tráfico de Pessoas
Delitos Sexuais
Trabalho Sexual
Serviços de Saúde da Mulher
Saúde da Mulher
[Mh] Termos MeSH secundário: Adolescente
Criança
Feminino
Ginecologia
Tráfico de Pessoas/psicologia
Tráfico de Pessoas/estatística & dados numéricos
Seres Humanos
Obstetrícia
Papel do Médico
Gravidez
Trauma Psicológico/diagnóstico
Fatores de Risco
Delitos Sexuais/psicologia
Delitos Sexuais/estatística & dados numéricos
Trabalho Sexual/psicologia
Trabalho Sexual/estatística & dados numéricos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170821
[Lr] Data última revisão:
170821
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170712
[St] Status:MEDLINE
[do] DOI:10.1097/AOG.0000000000002144


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[PMID]:28604418
[Au] Autor:Maraldi EO; Krippner S; Barros MCM; Cunha A
[Ad] Endereço:*Inter Psi-Laboratory of Anomalistic Psychology and Psychosocial Processes, Department of Social and Work Psychology, Institute of Psychology, University of São Paulo, Brazil; †Department of Humanistic and Clinical Psychology, Saybrook University, Oakland, California; and ‡Program of Health, Spirituality and Religiosity (ProSER), and §LIM23, Institute of Psychiatry, Faculty of Medicine, University of São Paulo, Brazil.
[Ti] Título:Dissociation From a Cross-Cultural Perspective: Implications of Studies in Brazil.
[So] Source:J Nerv Ment Dis;205(7):558-567, 2017 Jul.
[Is] ISSN:1539-736X
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:A major issue in the study of dissociation concerns the cross-cultural validity of definitions and measurements used to identify and classify dissociative disorders. There is also extensive debate on the etiological factors underlying dissociative experiences. Cross-cultural research is essential to elucidate these issues, particularly regarding evidence obtained from countries in which the study of dissociation is still in its infancy. The aim of this article was to discuss Brazilian research on the topic of dissociation, highlighting its contributions for the understanding of dissociative experiences in nonclinical populations and for the validity and relevance of dissociative disorders in the contexts of psychiatry, psychology, and psychotherapy. We also consider the ways in which dissociative experiences are assimilated by Brazilian culture and religious expressions, and the implications of Brazilian studies for the sociocultural investigation of dissociation. We conclude by addressing the limitations of these studies and potential areas for future research.
[Mh] Termos MeSH primário: Comparação Transcultural
Despersonalização/etnologia
Transtornos Dissociativos/etnologia
Trauma Psicológico/etnologia
Religião e Psicologia
[Mh] Termos MeSH secundário: Brasil/etnologia
Seres Humanos
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170719
[Lr] Data última revisão:
170719
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170613
[St] Status:MEDLINE
[do] DOI:10.1097/NMD.0000000000000694


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[PMID]:28417134
[Au] Autor:Lies J; Lau ST; Jones LE; Jensen MP; Tan G
[Ad] Endereço:Department of Direct Service, Victorian Foundation for Survivors of Torture, Australia.
[Ti] Título:Predictors and Moderators of Post-traumatic Stress Disorder: An Investigation of Anxiety Sensitivity and Resilience in Individuals with Chronic Pain.
[So] Source:Ann Acad Med Singapore;46(3):102-110, 2017 Mar.
[Is] ISSN:0304-4602
[Cp] País de publicação:Singapore
[La] Idioma:eng
[Ab] Resumo:INTRODUCTION: Anxiety sensitivity has been proposed as a psychological vulnerability factor for post-traumatic stress disorder (PTSD). Studies have also supported the protective role of resilience for overcoming the negative effects of trauma exposure. Given the linkages between anxiety sensitivity, resilience, trauma exposure and post-traumatic stress, this study explored the potential moderating roles of anxiety sensitivity and resilience on the association between trauma history and PTSD symptoms in a sample of individuals with chronic pain. MATERIALS AND METHODS: A total of 100 patients with chronic pain were recruited from a large public hospital. Patients who had pain lasting for more than 3 months and a pain intensity rating of at least 4/10 were included. The study participants were administered measures of PTSD symptoms (PTSD Checklist - Civilian Version), resilience (Brief Resilient Coping Scale) and anxiety sensitivity (Anxiety Sensitivity Index). RESULTS: An analysis of outcome measures indicated that anxiety sensitivity and resilience were independently associated with PTSD symptoms, where ßs were 0.57 and -0.23, respectively. The relationship between trauma and PTSD symptom severity was also moderated by anxiety sensitivity. Trauma history was associated with higher PTSD symptom severity only in those with high anxiety sensitivity. However, contrary to the hypotheses, resilience did not serve as a moderator. CONCLUSION: There are potential benefits of PTSD interventions that increase resilience and decrease anxiety sensitivity in individuals with chronic pain, especially for those who have experienced a traumatic event. Given that the presence of PTSD symptomatology in chronic pain populations negatively impact patient well-being, it would be important for clinicians to assess, monitor and treat PTSD in individuals with chronic pain.
[Mh] Termos MeSH primário: Ansiedade/psicologia
Dor Crônica/psicologia
Trauma Psicológico/psicologia
Resiliência Psicológica
Transtornos de Estresse Pós-Traumáticos/psicologia
[Mh] Termos MeSH secundário: Ansiedade/epidemiologia
Dor Crônica/epidemiologia
Seres Humanos
Trauma Psicológico/epidemiologia
Fatores de Risco
Índice de Gravidade de Doença
Singapura/epidemiologia
Transtornos de Estresse Pós-Traumáticos/epidemiologia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171023
[Lr] Data última revisão:
171023
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170419
[St] Status:MEDLINE



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