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[PMID]:28520689
[Au] Autor:Visser E; Gosens T; Den Oudsten BL; De Vries J
[Ad] Endereço:From the Trauma TopCare (E.V.), Elisabeth-TweeSteden Hospital, Tilburg, The Netherlands; Department of Orthopaedics (T.G.), Elisabeth-TweeSteden Hospital, Tilburg, The Netherlands; Center of Research on Psychological and Somatic Disorders, Department of Medical and Clinical Psychology (B.L.D.O., J.D.V.), Tilburg University, Tilburg, The Netherlands; and Department of Medical Psychology (J.D.V.), Elisabeth-TweeSteden Hospital, Tilburg, The Netherlands.
[Ti] Título:The course, prediction, and treatment of acute and posttraumatic stress in trauma patients: A systematic review.
[So] Source:J Trauma Acute Care Surg;82(6):1158-1183, 2017 06.
[Is] ISSN:2163-0763
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Trauma patients suffer from acute stress disorder (ASD) and posttraumatic stress disorder (PTSD), but it is unknown how these disorders develop over time and when treatment is effective. Our aim was to systematically review (1) the course and predictors of ASD and PTSD after trauma and (2) which and when psychological treatments are effective. METHODS: Embase, Medline, Web of Science, Scopus, PsycInfo, Cinahl, Cochrane, PubMed, and Google Scholar were searched up to September 14, 2015. Quality was assessed with STROBE and CONSORT checklists. RESULTS: Overall, 45 (68%) observational studies and 21 (32%) intervention studies were included. Forty-seven (85%) were of lower (level of evidence (LoE) 3) or poor quality (LoE 4). ASD was found during hospitalization (range 1-37%) and about 30% experienced PTSD 1 month after trauma (LoE 3). The onset of PTSD was within 3 months but also up to 12 months after trauma (LoE 3). Especially in patients with ASD, patients showed PTSD symptoms after 6 years (LoE 3). ASD and PTSD were associated with sociodemographic factors (e.g., being female, younger age, financial problems, and low income), reduced cognitive functioning, and physical (e.g., pain), social (e.g., low social support), and psychological problems (e.g., hyperarousal) or disorders (e.g., ASD). Early treatment in the first weeks after trauma can be preventive for PTSD, but effective treatment for ASD is still unclear. Compared to other psychological treatments, the most effective and examined treatment for PTSD was cognitive behavioral therapy (CBT). CONCLUSIONS: A large number of studies of lower or poor quality present inconsistent findings on the course of ASD and PTSD. Predictors for ASD and PTSD were identified. Early treatment can be preventive for PTSD, as CBT is the most effective treatment. However, good qualitative observational and intervention studies are lacking and needed. LEVEL OF EVIDENCE: Systematic review, level III.
[Mh] Termos MeSH primário: Transtornos de Estresse Pós-Traumáticos/terapia
Transtornos de Estresse Traumático Agudo/terapia
Ferimentos e Lesões/psicologia
[Mh] Termos MeSH secundário: Terapia Cognitiva
Aconselhamento
Seres Humanos
Fatores de Risco
Transtornos de Estresse Pós-Traumáticos/etiologia
Transtornos de Estresse Pós-Traumáticos/psicologia
Transtornos de Estresse Traumático Agudo/etiologia
Transtornos de Estresse Traumático Agudo/psicologia
Ferimentos e Lesões/complicações
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1708
[Cu] Atualização por classe:171120
[Lr] Data última revisão:
171120
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170519
[St] Status:MEDLINE
[do] DOI:10.1097/TA.0000000000001447


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[PMID]:28336554
[Au] Autor:Hunter EC; Charlton J; David AS
[Ad] Endereço:Depersonalisation Disorder Service, Maudsley Hospital, London, UK.
[Ti] Título:Depersonalisation and derealisation: assessment and management.
[So] Source:BMJ;356:j745, 2017 03 23.
[Is] ISSN:1756-1833
[Cp] País de publicação:England
[La] Idioma:eng
[Mh] Termos MeSH primário: Despersonalização/diagnóstico
[Mh] Termos MeSH secundário: Transtornos de Ansiedade/diagnóstico
Terapia Cognitiva/métodos
Despersonalização/epidemiologia
Despersonalização/etiologia
Despersonalização/terapia
Diagnóstico Diferencial
Fadiga/complicações
Fadiga/psicologia
Feminino
Seres Humanos
Masculino
Guias de Prática Clínica como Assunto
Prevalência
Escalas de Graduação Psiquiátrica
Transtornos de Estresse Traumático Agudo/complicações
Transtornos de Estresse Traumático Agudo/psicologia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171113
[Lr] Data última revisão:
171113
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170325
[St] Status:MEDLINE
[do] DOI:10.1136/bmj.j745


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[PMID]:28077221
[Au] Autor:Newman MG; Jacobson NC; Erickson TM; Fisher AJ
[Ad] Endereço:The Pennsylvania State University. Electronic address: mgn1@psu.edu.
[Ti] Título:Interpersonal Problems Predict Differential Response to Cognitive Versus Behavioral Treatment in a Randomized Controlled Trial.
[So] Source:Behav Ther;48(1):56-68, 2017 Jan.
[Is] ISSN:1878-1888
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: We examined dimensional interpersonal problems as moderators of cognitive behavioral therapy (CBT) versus its components (cognitive therapy [CT] and behavioral therapy [BT]). We predicted that people with generalized anxiety disorder (GAD) whose interpersonal problems reflected more dominance and intrusiveness would respond best to a relaxation-based BT compared to CT or CBT, based on studies showing that people with personality features associated with a need for autonomy respond best to treatments that are more experiential, concrete, and self-directed compared to therapies involving abstract analysis of one's problems (e.g., containing CT). METHOD: This was a secondary analysis of Borkovec, Newman, Pincus, and Lytle (2002). Forty-seven participants with principal diagnoses of GAD were assigned randomly to combined CBT (n = 16), CT (n = 15), or BT (n = 16). RESULTS: As predicted, compared to participants with less intrusiveness, those with dimensionally more intrusiveness responded with greater GAD symptom reduction to BT than to CBT at posttreatment and greater change to BT than to CT or CBT across all follow-up points. Similarly, those with more dominance responded better to BT compared to CT and CBT at all follow-up points. Additionally, being overly nurturant at baseline was associated with GAD symptoms at baseline, post, and all follow-up time-points regardless of therapy condition. CONCLUSIONS: Generally anxious individuals with domineering and intrusive problems associated with higher need for control may respond better to experiential behavioral interventions than to cognitive interventions, which may be perceived as a direct challenge of their perceptions.
[Mh] Termos MeSH primário: Transtornos de Ansiedade/terapia
Terapia Cognitiva/métodos
Terapia de Relaxamento/métodos
Transtornos de Estresse Traumático Agudo/terapia
[Mh] Termos MeSH secundário: Adulto
Transtornos de Ansiedade/psicologia
Feminino
Seres Humanos
Masculino
Meia-Idade
Relaxamento
Transtornos de Estresse Traumático Agudo/psicologia
Resultado do Tratamento
[Pt] Tipo de publicação:JOURNAL ARTICLE; RANDOMIZED CONTROLLED TRIAL
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170926
[Lr] Data última revisão:
170926
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170113
[St] Status:MEDLINE


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[PMID]:27966096
[Au] Autor:Akkaya-Kalayci T; Popow C; Waldhör T; Winkler D; Özlü-Erkilic Z
[Ad] Endereço:Outpatient Clinic of Transcultural Psychiatry and Migration Induced Disorders in Childhood and Adolescence, Department of Child and Adolescent Psychiatry, Medical University of Vienna, Währinger Gürtel 18-20, 1090, Vienna, Austria. tuerkan.akkaya-kalayci@meduniwien.ac.at.
[Ti] Título:Psychiatric emergencies of minors with and without migration background.
[Ti] Título:Psychiatrische Akutvorstellungen von Minderjährigen mit und ohne Migrationshintergrund..
[So] Source:Neuropsychiatr;31(1):1-7, 2017 Mar.
[Is] ISSN:0948-6259
[Cp] País de publicação:Germany
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: The conditions of children and adolescents with migration background receiving emergency psychiatric care in Europe are not well known. Migrants usually attend regular psychiatric care less frequently than the autochthonous population. We therefore speculated that, being undertreated, they would be overrepresented among psychiatric emergency care patients. METHODS: We retrospectively analyzed the records of 1093 minors aged 4­18 years treated during a period of three years at the psychiatric emergency outpatient clinic of the Department of Child and Adolescent Psychiatry at the Medical University of Vienna. RESULTS: More minors with migration background than natives consulted our emergency clinic. Most frequent reasons for referral were suicide attempts by Turkish patients, acute stress disorder in Serbian/Croatian/Bosnian and in Austrian patients. Psychiatric diagnoses like eating and personality disorders were mostly diagnosed in natives. We found gender specific differences between the groups. CONCLUSIONS: The reasons for these differences possibly relate to deficits of adequate mental health-care in Austria, to intercultural and intrafamiliar conflicts related to acculturation distress in the migrant population. Prospective longitudinal studies focusing on the utilization of mental health care by the migrant children and the impact of the migration background on their mental health are needed for improving adequate culture-sensitive mental-health care for this population.
[Mh] Termos MeSH primário: Serviços de Emergência Psiquiátrica/utilização
Emigrantes e Imigrantes/psicologia
Transtornos Mentais/etnologia
Transtornos Mentais/terapia
Menores de Idade/psicologia
[Mh] Termos MeSH secundário: Adolescente
Áustria
Bósnia e Herzegóvina/etnologia
Criança
Pré-Escolar
Croácia/etnologia
Comparação Transcultural
Estudos Transversais
Feminino
Seres Humanos
Masculino
Transtornos Mentais/epidemiologia
Transtornos Mentais/psicologia
Grupos Populacionais/psicologia
Grupos Populacionais/estatística & dados numéricos
Encaminhamento e Consulta/estatística & dados numéricos
Sérvia/etnologia
Fatores Sexuais
Transtornos de Estresse Traumático Agudo/epidemiologia
Transtornos de Estresse Traumático Agudo/etnologia
Transtornos de Estresse Traumático Agudo/psicologia
Transtornos de Estresse Traumático Agudo/terapia
Tentativa de Suicídio/etnologia
Tentativa de Suicídio/prevenção & controle
Tentativa de Suicídio/psicologia
Tentativa de Suicídio/estatística & dados numéricos
Turquia/etnologia
[Pt] Tipo de publicação:COMPARATIVE STUDY; JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170817
[Lr] Data última revisão:
170817
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161215
[St] Status:MEDLINE
[do] DOI:10.1007/s40211-016-0213-y


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[PMID]:27334286
[Au] Autor:Halperin D; Levy T; Avissar S; Schreiber G
[Ad] Endereço:Department of Psychiatry, Barzilai University Medical Center, Haistadrut Street 2, 7830604, Ashkelon, Israel. demianhalperin@gmail.com.
[Ti] Título:Severe Mental Illness and Acute Stress: A Study of Service Utilization in a Conflict Zone.
[So] Source:Psychiatr Q;88(1):213-220, 2017 Mar.
[Is] ISSN:1573-6709
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Patients suffering from severe mental illness (SMI) are considered especially vulnerable to stress. In this study, their use of acute stress services in a military context affecting civilian populations was assessed, using naturally occurring data. The proportion of patients with a previously known SMI, defined as any chronic psychotic disorder or bipolar disorder, among all civilians examined at a center for treatment of stress during a military conflict versus at the ER in usual times, was compared, using the Chi square statistical test. Among 354 subjects examined at the center for treatment of stress, 12 had a SMI diagnosis. Among 404 subjects examined at the ER in usual times, 16 had a SMI diagnosis. Patients with SMI were under-represented, but not in a statistically significant manner, at the center for treatment of stress (χ = 0.31, p = ns). Although these results may imply that patients with SMI are not more vulnerable to external stress than the general population, we believe that they may have difficulties in seeking immediate help in such traumatogenic contexts. In order to reduce the occurrence of PTSD and gain efficacy in the treatment of the primary disorder, psychiatric services should perhaps make a reaching out effort to identify and examine these patients in the community. .
[Mh] Termos MeSH primário: Conflitos Armados
Transtorno Bipolar/epidemiologia
Serviço Hospitalar de Emergência/utilização
Serviços de Saúde Mental/utilização
Transtornos Psicóticos/epidemiologia
Transtornos de Estresse Pós-Traumáticos/epidemiologia
Transtornos de Estresse Traumático Agudo/epidemiologia
[Mh] Termos MeSH secundário: Estudos Transversais
Seres Humanos
Israel/epidemiologia
Transtornos Mentais/epidemiologia
Oriente Médio/epidemiologia
Aceitação pelo Paciente de Cuidados de Saúde
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1707
[Cu] Atualização por classe:171121
[Lr] Data última revisão:
171121
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160624
[St] Status:MEDLINE
[do] DOI:10.1007/s11126-016-9451-1


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[PMID]:27062710
[Au] Autor:Grossman ES; Hoffman YS; Shrira A
[Ad] Endereço:The Interdisciplinary Department of Social Sciences, Bar-Ilan University, Ramat Gan, Israel.
[Ti] Título:Trauma-Related Context Increases Sleep Disturbances in People with Acute Stress Disorder Symptoms.
[So] Source:Stress Health;33(2):153-157, 2017 Apr.
[Is] ISSN:1532-2998
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:In this study, we addressed how sleep is related to acute stress disorder (ASD) symptoms, and how the presence of a trauma related-context moderates this relationship. This study (N = 140) was carried out during the 2014 Israel-Gaza conflict, during which 70% of Israelis were exposed to missile attacks. Findings show that participants with clinical ASD symptom levels reported more sleep disturbances than participants without clinical ASD symptom levels. More critically, this effect was only evident among respondents who had a reinforced security room in their houses. While reinforced security rooms offer protection against indirect missile damage, their relevance is salient in negative traumatic situations, which individuals with a clinical level of ASD are more sensitive to. Conversely, in houses without a reinforced security room, there was no difference in subjective sleep reports between individuals with or without clinical levels of ASD symptoms. Results are discussed in reference to trauma being activated by context and the ensuing effects on sleep. Theoretical and clinical implications are discussed. Copyright © 2016 John Wiley & Sons, Ltd.
[Mh] Termos MeSH primário: Habitação
Transtornos do Sono-Vigília/psicologia
Transtornos de Estresse Traumático Agudo/psicologia
Guerra
[Mh] Termos MeSH secundário: Adolescente
Adulto
Feminino
Seres Humanos
Israel
Masculino
Meia-Idade
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1705
[Cu] Atualização por classe:170510
[Lr] Data última revisão:
170510
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160411
[St] Status:MEDLINE
[do] DOI:10.1002/smi.2679


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[PMID]:27576933
[Au] Autor:Mahendraraj K; Durgan DM; Chamberlain RS
[Ad] Endereço:Department of Surgery, Saint Barnabas Medical Center, Livingston, NJ, United States.
[Ti] Título:Acute mental disorders and short and long term morbidity in patients with third degree flame burn: A population-based outcome study of 96,451 patients from the Nationwide Inpatient Sample (NIS) database (2001-2011).
[So] Source:Burns;42(8):1766-1773, 2016 Dec.
[Is] ISSN:1879-1409
[Cp] País de publicação:Netherlands
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Although burn patients with preexisting mood disorders have been shown to have diminished clinical recovery, acute mental disorders (AMD) are often unrecognized despite a link with post-traumatic stress disorder and social maladjustment later on. This study assessed the clinical profile of a large cohort of burn patients who developed AMD compared to those with chronic mental illness (CMI) and those without mental health problems to assess the impact of AMI on burn outcomes. METHODS: Admission data on 96,451 patients with third degree flame burns was abstracted from the Nationwide Inpatient Sample (NIS) Database from 2001 to 2011. AMD was defined as adjustment disorder (ICD-10 codes F43.2-F43.29) and acute stress disorder (F43.0), while CMI was defined as major depressive disorder (F33.0-F33.9) and bipolar disorder (F31.0-F31.9). Data was compared across three subgroups: AMD, CMI, and patients without any mood disorders. Categorical variables were compared using the Chi-square test, and continuous variables were compared using Student t-test and analysis of variance (ANOVA). Multivariate analysis using the "backward Wald" method was performed to calculate odds ratios (OR) and determine independent factors which increased the risk of developing AMD after burn. RESULTS: 979 (1%) burn patients were diagnosed with AMD, compared to 5971 (6.2%) with CMI and 89,501 (92.8%) without mood disorders at the time of the burn. Patients with AMD were significantly younger, predominantly male and Caucasian. Patients with AMD had a higher frequency of multiple third-degree burn sites. AMD patients had a significantly longer length of hospitalization and shorter actuarial survival. More AMD patients lacked social or family support, suffered from alcoholism or illicit drug abuse, and had a history of psychological trauma or self-inflicted injuries compared to other groups. After burn, 4.9% of AMD patients developed burn wound infections, 5.0% had nutritional deficiencies, 1.7% had skin graft failure, 0.7% had acute psychosis, and 3.7% had suicidal ideation, p<0.05. Multivariate analysis identified age 10-39 (OR 4.6), alcoholism (OR 1.4), drug abuse (OR 1.9), psychoses (OR 1.4), and total body surface are (TBSA) 10-39% third degree burns (OR 1.8) as independently associated with developing AMD, p<0.005. CONCLUSION: The development of AMD in burn patients is associated with poor clinical outcomes including longer hospitalization, decreased survival, and increased complication rates. Premorbid psychopathology, substance abuse and age were associated with a higher incidence AMD after burn than was the severity of the burn wound itself. Routine screening for psychological symptoms of AMD should be performed in all burn patients to avoid increased rates of short and long-term morbidity and mortality.
[Mh] Termos MeSH primário: Queimaduras/epidemiologia
Transtornos Mentais/epidemiologia
Infecção dos Ferimentos/epidemiologia
[Mh] Termos MeSH secundário: Doença Aguda
Transtornos de Adaptação/epidemiologia
Transtornos de Adaptação/psicologia
Adolescente
Adulto
Idoso
Alcoolismo/epidemiologia
Alcoolismo/psicologia
Transtorno Bipolar/epidemiologia
Transtorno Bipolar/psicologia
Superfície Corporal
Queimaduras/psicologia
Queimaduras/terapia
Doença Crônica
Transtorno Depressivo Maior/epidemiologia
Transtorno Depressivo Maior/psicologia
Família
Feminino
Hospitalização
Seres Humanos
Tempo de Internação
Masculino
Desnutrição/epidemiologia
Transtornos Mentais/psicologia
Meia-Idade
Análise Multivariada
Razão de Chances
Trauma Psicológico/epidemiologia
Transtornos Psicóticos/epidemiologia
Transtornos Psicóticos/psicologia
Comportamento Autodestrutivo/epidemiologia
Comportamento Autodestrutivo/psicologia
Transplante de Pele
Apoio Social
Transtornos de Estresse Traumático Agudo/epidemiologia
Transtornos de Estresse Traumático Agudo/psicologia
Transtornos Relacionados ao Uso de Substâncias/epidemiologia
Transtornos Relacionados ao Uso de Substâncias/psicologia
Ideação Suicida
Índices de Gravidade do Trauma
Estados Unidos/epidemiologia
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1703
[Cu] Atualização por classe:170817
[Lr] Data última revisão:
170817
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160901
[St] Status:MEDLINE


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[PMID]:27472990
[Au] Autor:McKinnon A; Meiser-Stedman R; Watson P; Dixon C; Kassam-Adams N; Ehlers A; Winston F; Smith P; Yule W; Dalgleish T
[Ad] Endereço:Centre for Emotional Health, Macquarie University, Sydney, NSW, Australia. anna.mckinnon@mq.edu.au.
[Ti] Título:The latent structure of Acute Stress Disorder symptoms in trauma-exposed children and adolescents.
[So] Source:J Child Psychol Psychiatry;57(11):1308-1316, 2016 Nov.
[Is] ISSN:1469-7610
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: The revision of Acute Stress Disorder (ASD) in the DSM-5 (DSM-5, 2013) proposes a cluster-free model of ASD symptoms in both adults and youth. Published evaluations of competing models of ASD clustering in youth have rarely been examined. METHODS: We used Confirmatory Factor Analysis (combined with multigroup invariance tests) to explore the latent structure of ASD symptoms in a trauma-exposed sample of children and young people (N = 594). The DSM-5 structure was compared with the previous DSM-IV conceptualization (4-factor), and two alternative models proposed in the literature (3-factor; 5-factor). Model fit was examined using goodness-of-fit indices. We also established DSM-5 ASD prevalence rates relative to DSM-IV ASD, and the ability of these models to classify children impaired by their symptoms. RESULTS: Based on both the Bayesian Information Criterion, the interfactor correlations and invariance testing, the 3-factor model best accounted for the profile of ASD symptoms. DSM-5 ASD led to slightly higher prevalence rates than DSM-IV ASD and performed similarly to DSM-IV with respect to categorising children impaired by their symptoms. Modifying the DSM-5 ASD algorithm to a 3+ or 4+ symptom requirement was the strongest predictor of impairment. CONCLUSIONS: These findings suggest that a uni-factorial general-distress model is not the optimal model of capturing the latent structure of ASD symptom profiles in youth and that modifying the current DSM-5 9+ symptom algorithm could potentially lead to a more developmentally sensitive conceptualization.
[Mh] Termos MeSH primário: Transtornos de Estresse Traumático Agudo
[Mh] Termos MeSH secundário: Adolescente
Criança
Inglaterra/epidemiologia
Feminino
Seres Humanos
Masculino
Modelos Estatísticos
Philadelphia/epidemiologia
Prevalência
Transtornos de Estresse Traumático Agudo/classificação
Transtornos de Estresse Traumático Agudo/diagnóstico
Transtornos de Estresse Traumático Agudo/epidemiologia
[Pt] Tipo de publicação:JOURNAL ARTICLE; MULTICENTER STUDY
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170922
[Lr] Data última revisão:
170922
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160731
[St] Status:MEDLINE
[do] DOI:10.1111/jcpp.12597


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[PMID]:27405848
[Au] Autor:Carmi L; Fostick L; Burshtein S; Cwikel-Hamzany S; Zohar J
[Ad] Endereço:1National Post-Trauma Center,Research Foundation by the Sheba Medical Center,Israel.
[Ti] Título:PTSD treatment in light of DSM-5 and the "golden hours" concept.
[So] Source:CNS Spectr;21(4):279-82, 2016 Aug.
[Is] ISSN:1092-8529
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:One of the main changes in the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) was the separation of Stress Related Disorders from the Anxiety chapter. This separation paves the way to examine the unique characteristics of posttraumatic stress disorder (PTSD) (ie, identifiable onset, memory processes, etc) and related neural mechanisms. The time that elapses between the traumatic event and the manifestation of the disorder may also be addressed as the "golden hours," or the window of opportunity in which critical processes take place and relevant interventions may be administrated.
[Mh] Termos MeSH primário: Transtornos de Ansiedade/classificação
Transtornos de Estresse Pós-Traumáticos/classificação
[Mh] Termos MeSH secundário: Benzodiazepinas/uso terapêutico
Manual Diagnóstico e Estatístico de Transtornos Mentais
Seres Humanos
Sistema Hipotálamo-Hipofisário/fisiopatologia
Sistema Hipófise-Suprarrenal/fisiopatologia
Fatores de Risco
Transtornos de Estresse Pós-Traumáticos/fisiopatologia
Transtornos de Estresse Pós-Traumáticos/psicologia
Transtornos de Estresse Traumático Agudo/tratamento farmacológico
Fatores de Tempo
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
12794-10-4 (Benzodiazepines)
[Em] Mês de entrada:1701
[Cu] Atualização por classe:170107
[Lr] Data última revisão:
170107
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160714
[St] Status:MEDLINE
[do] DOI:10.1017/S109285291600016X


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[PMID]:27329012
[Au] Autor:Zhou P; Zhang Y; Wei C; Liu Z; Hannak W
[Ad] Endereço:Key Laboratory of Mental Health, Institute of Psychology, Chinese Academy of Sciences, Beijing, China.
[Ti] Título:Acute stress disorder as a predictor of posttraumatic stress: A longitudinal study of Chinese children exposed to the Lushan earthquake.
[So] Source:Psych J;5(3):206-14, 2016 Sep.
[Is] ISSN:2046-0260
[Cp] País de publicação:Australia
[La] Idioma:eng
[Ab] Resumo:This study examined the prevalence of acute stress disorder (ASD) and posttraumatic stress disorder (PTSD) in children who experienced the Lushan earthquake in Sichuan, China, and assessed the ability of ASD to predict PTSD. The Acute Stress Disorder Scale (ASDS) was used to assess acute stress reaction within weeks of the trauma. The University of California at Los Angeles Post-Traumatic Stress Disorder Reaction Index (UCLA-PTSD) for children was administered at intervals of 2, 6, and 12 months after the earthquake to 197 students who experienced the Lushan earthquake at the Longxing Middle School. The results demonstrated that 28.4% of the children suffered from ASD, but only a small percentage of the population went on to develop PTSD. Among all of the students, 35.0% of those who met the criteria for ASD were diagnosed with PTSD at the 12-month interval. The severity of ASD symptoms correlated with later PTSD symptoms.
[Mh] Termos MeSH primário: Desastres
Terremotos
Transtornos de Estresse Pós-Traumáticos/epidemiologia
Transtornos de Estresse Traumático Agudo/epidemiologia
[Mh] Termos MeSH secundário: Adolescente
Criança
China
Feminino
Seres Humanos
Estudos Longitudinais
Masculino
Transtornos de Estresse Pós-Traumáticos/complicações
Transtornos de Estresse Traumático Agudo/complicações
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1703
[Cu] Atualização por classe:170320
[Lr] Data última revisão:
170320
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160623
[St] Status:MEDLINE
[do] DOI:10.1002/pchj.136



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