961 results match your criteria clusters ptsd


Relationship Between Post-Traumatic Stress Disorder and Sexual Difficulties: A Systematic Review of Veterans and Military Personnel.

J Sex Med 2021 Jul 10. Epub 2021 Jul 10.

Seattle-Denver Center of Innovation in Veteran-Centered and Value-Driven Care, Health Services Research and Development, VA Puget Sound Health Care System, Seattle, WA; Department of Psychiatry and Behavioral Sciences, University of Washington School of Medicine, Seattle, WA.

Background: Posttraumatic stress disorder (PTSD) is associated with sexual difficulties but the nuances of this relationship remain elusive. Research has increased in recent years, most notably following publication of several reviews in 2015.

Aim: This systematic review examines the relationship between PTSD and sexual difficulties in veterans/military personnel. Read More

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Validation of the Brazilian-Portuguese Version of the Clinician Administered Post Traumatic Stress Disorder Scale-5.

Front Psychiatry 2021 22;12:614735. Epub 2021 Jun 22.

Post-Graduate Program in Medical Psychology and Psychiatry, Department of Psychiatry, Federal University of São Paulo, São Paulo, Brazil.

The aim of this study was to validate CAPS-5 for the Brazilian-Portuguese language on a sample of 128 individuals from two centers (from the cities of São Paulo and Porto Alegre) who have been recently exposed to a traumatic event. We performed a reliability analysis between interviewers (with a subset of 32 individuals), an internal consistency analysis, and a confirmatory factorial analysis for the validation study. The inter-rater reliability of the total PTSD symptom severity score was high [intraclass correlation coefficient =0. Read More

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Associations between symptoms of posttraumatic stress disorder, pain, and alcohol use disorder among OEF/OIF/OND veterans.

Addict Behav 2021 Jun 29;122:107031. Epub 2021 Jun 29.

University of Southern California, Keck School of Medicine, Department of Psychiatry and Behavioral Sciences, 2250 Alcazar Street, Suite 2200, Los Angeles, CA 90033, United States.

Background: Alcohol use disorder (AUD) is prevalent among Operation Enduring Freedom, Operation Iraqi Freedom, and Operation New Dawn (OEF/OIF/OND) veterans. Pain and posttraumatic stress disorder (PTSD) are highly comorbid and increase risk of AUD. Prior studies linking pain or PTSD to AUD have not explored interactions between pain and PTSD symptoms. Read More

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Parental Post Traumatic Stress and Healthcare Utilization in infants with Complex Cardiac Defects.

J Pediatr 2021 Jun 30. Epub 2021 Jun 30.

University of Pennsylvania, School of Nursing 418 Curie Blvd, Claire M. Fagin Hall. Philadelphia, PA 19104; Children's Hospital of Philadelphia. 3401 Civic Center Blvd. Philadelphia, PA 19104.

Objective: To examine the associations between post-traumatic stress of parents of infants with complex congenital heart defects, and their healthcare utilization for their infants during the early months of life.

Study Design: The current study is a secondary data analysis from a randomized controlled trail, in which 216 parent-infant dyads were recruited from 3 cardiac intensive care units of large pediatric centers in Northeastern America. The current sample included 153 dyads with post-traumatic stress data at hospital discharge and at 4-months followup. Read More

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The Role of Parents' Self-Perceptions in the Association Between Posttraumatic Stress Symptoms and Aspects of Parenting.

J Trauma Stress 2021 Jul 3. Epub 2021 Jul 3.

Department of Psychological Sciences, University of Missouri-St. Louis, St. Louis, Missouri, USA.

Parents' posttraumatic stress symptoms (PTSS) have been shown to be negatively associated with aspects of parenting, yet the mechanisms that link PTSS to parenting remain unclear. Because PTSS include negative alterations in cognitions, trauma-exposed parents may have skewed perceptions of themselves as parents. However, no studies have examined whether there is an indirect effect of PTSS on parenting through parents' self-perceptions. Read More

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Posttraumatic stress disorder symptoms and coping with the lockdown among help-seeking veterans before and during the COVID-19 pandemic.

Croat Med J 2021 Jun;62(3):241-249

Marina Letica-Crepulja, Department of Psychiatry and Psychological Medicine, Faculty of Medicine, University of Rijeka, Braće Branchetta 20, 51 000 Rijeka, Croatia,

Aim: To compare the severity of posttraumatic stress disorder (PTSD) symptoms and of particular PTSD clusters among help-seeking veterans before and during the COVID-19 lockdown. The second aim was to identify the main coping strategies used.

Methods: Male war veterans (N=176) receiving outpatient treatment at the Referral Center for PTSD were assessed at baseline (12-18 months before the pandemic declaration in March 2020) and during the COVID-19 pandemic lockdown (March-June 2020). Read More

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Psychological trauma at different developmental stages and ICD-11 CPTSD: The role of dissociation.

J Trauma Dissociation 2021 Jun 18:1-16. Epub 2021 Jun 18.

Department of Psychology, Maynooth University, Kildare, Ireland.

: Dissociation is commonly reported by individuals who meet criteria for posttraumatic stress disorder (PTSD) and complex posttraumatic stress disorder (CPTSD). However, the association between the age of trauma exposure, dissociation, and CPTSD is not well understood. This study aimed to test whether dissociation mediated the relationship between the developmental stage of trauma exposure and CPTSD symptoms. Read More

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Pain and Posttraumatic Stress Symptom Clusters: A Cross-Lagged Study.

Front Psychol 2021 31;12:669231. Epub 2021 May 31.

Association of Dutch Burn Centers, Department Psychological and Nursing Research, Beverwijk, Netherlands.

Pain and posttraumatic stress disorder (PTSD) frequently co-occur but underlying mechanisms are not clear. This study aimed to test the development and maintenance of pain and PTSD symptom clusters, i.e. Read More

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Cross-Lagged Relationships Between Insomnia and Posttraumatic Stress Disorder in Treatment-Receiving Veterans.

Behav Ther 2021 07 5;52(4):982-994. Epub 2021 Jan 5.

Phoenix Australia-Centre for Posttraumatic Mental Health and University of Melbourne.

Insomnia is a risk factor for the development of posttraumatic stress disorder (PTSD) while it is also plausible that PTSD symptoms can maintain insomnia symptoms. The present study examined longitudinal bidirectional relationships between insomnia and PTSD symptoms in treatment-seeking veterans. Participants were 693 ex-serving members of the Australian Defence Force who participated in an accredited, hospital-based outpatient PTSD program. Read More

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Changes in intolerance of uncertainty over the course of treatment predict posttraumatic stress disorder symptoms in an inpatient sample.

Clin Psychol Psychother 2021 Jun 10. Epub 2021 Jun 10.

Discipline of Clinical Psychology, University of Technology, Sydney, Australia.

Intolerance of uncertainty (IU) is the inability to tolerate distress that arises in response to the absence of important information. The level of IU has been investigated across various psychological disorders; however, few studies have examined IU in trauma-affected samples. We aimed to investigate the relationship between IU and posttraumatic stress disorder (PTSD) across the course of treatment. Read More

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Deep learning model of fMRI connectivity predicts PTSD symptom trajectories in recent trauma survivors.

Neuroimage 2021 Jun 5;238:118242. Epub 2021 Jun 5.

Department of Psychiatry and Behavioral Science, Texas A&M University Health Science Center, TX, USA.

Early intervention following exposure to a traumatic life event could change the clinical path from the development of post traumatic stress disorder (PTSD) to recovery, hence the interest in early detection and underlying biological mechanisms involved in the development of post traumatic sequelae. We introduce a novel end-to-end neural network that employs resting-state and task-based functional MRI (fMRI) datasets, obtained one month after trauma exposure, to predict PTSD symptoms at one-, six- and fourteen-months after the exposure. FMRI data, as well as PTSD status and symptoms, were collected from adults at risk for PTSD development, after admission to emergency room following a traumatic event. Read More

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Coping Strategies and Psychopathological Responses Among Medical and Non-medical Professionals - a Cross-Sectional Online Survey.

Front Psychiatry 2021 20;12:663224. Epub 2021 May 20.

Department of Psychiatry, Wrocław Medical University, Wroclaw, Poland.

The SARS-CoV-2 pandemic was announced on March 11th, 2020, due to a surge of newly confirmed cases that significantly impacted populations worldwide, both directly and indirectly. Based on past epidemics research, the mental health implications of introduced restrictions should be expected and adequately addressed irrespective of the practiced profession. The study aimed to explore psychopathological responses, including post-traumatic stress disorder (PTSD), concerning coping strategy clusters during the COVID-19 pandemic among medical and non-medical workers. Read More

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Prevalence and Related Factors of Post-Traumatic Stress Disorder in Emergency Medical Technicians; a Cross-sectional Study.

Arch Acad Emerg Med 2021 30;9(1):e35. Epub 2021 Apr 30.

Critical Care and Geriatric Nursing Department, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran.

Introduction: Ongoing exposure to a variety of Pre-hospital Emergencies (PE) has placed Emergency Medical Technicians (EMTs) at serious psychiatric compromise such as Post-Traumatic Stress Disorder (PTSD). The present study aimed to evaluate the prevalence and associated factors of PTSD among EMTs.

Methods: This prospective cross-sectional study was conducted on EMTs in the Emergency Medical Services (EMS) in west of Iran. Read More

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Longitudinal associations of trauma exposure with disordered eating: lessons from the great smoky mountain study.

Eat Disord 2021 May 19:1-18. Epub 2021 May 19.

Department of Psychiatry, University of Vermont, Burlington, Vermont, United States.

Disordered eating is prevalent among trauma survivors, yet little is known about mechanisms underlying this relation. We explored cross-sectional and longitudinal associations of trauma exposure and posttraumatic stress disorder symptoms (PTSD) with disordered eating among 1,420 community-based youth participating in the Great Smoky Mountain Study. Participants were interviewed about trauma exposure, PTSD symptoms, and disordered eating at regular intervals throughout childhood, adolescence, and early adulthood. Read More

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Associations between Lower-Order Anxiety Sensitivity Facets and PTSD Symptomatology among Trauma-Exposed Firefighters.

Behav Modif 2021 May 19:1454455211016819. Epub 2021 May 19.

University of Houston, Houston, TX, USA.

Firefighters are chronically exposed to potentially traumatic events, augmenting their risk of developing posttraumatic stress disorder (PTSD). The current study aimed to examine the incremental associations of lower-order dimensions of anxiety sensitivity (AS), examined concurrently, and PTSD symptom severity among a sample of trauma-exposed firefighters. We hypothesized that AS physical and cognitive concerns would be strongly associated with all PTSD symptom clusters and overall symptom severity, after controlling for theoretically relevant covariates (trauma load; years in fire service; alcohol use severity; depressive symptom severity). Read More

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Cannabinoid Receptor 1 rs1049353 Variant, Childhood Abuse, and the Heterogeneity of PTSD Symptoms: Results From the National Health and Resilience in Veterans Study.

Chronic Stress (Thousand Oaks) 2021 Jan-Dec;5:24705470211011075. Epub 2021 Apr 29.

U.S. Department of Veterans Affairs National Center for Posttraumatic Stress Disorder, Clinical Neurosciences Division, VA Connecticut Healthcare System, West Haven, CT, USA.

Background: Accumulating evidence implicates the endocannabinoid system, including variants in the cannabinoid-1 receptor gene (), in the pathophysiology of posttraumatic stress disorder (PTSD). The synonymous G1359A variant (rs1049353) in the gene has been linked to PTSD in individuals exposed to childhood abuse. In this study, the effects of the rs1049353 genotype and childhood abuse on overall PTSD symptoms, as well as PTSD symptom clusters were examined in order to examine how this interaction relates to the phenotypic expression of this disorder. Read More

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PTSD: Past, present and future implications for China.

Chin J Traumatol 2021 Apr 26. Epub 2021 Apr 26.

Lab for Post-traumatic Stress Disorder, Faculty of Psychology and Mental Health, Naval Medical University, Shanghai, 200433, China; The Emotion & Cognition Lab, Faculty of Psychology and Mental Health, Naval Medical University, Shanghai, 200433, China. Electronic address:

There has been a long history since human beings began to realize the existence of post-traumatic symptoms. Posttraumatic stress disorder (PTSD), a diagnostic category adopted in 1980 in the Diagnostic and Statistical Manual of Mental Disorders-Ⅲ, described typical clusters of psychiatric symptoms occurring after traumatic event. Abundant researches have helped deepen the understanding of PTSD in terms of epidemiological feature, biological mechanism, and treatment options. Read More

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A mixed methods study on the manifestations of behavioural symptoms of dementia among veterans with and without posttraumatic stress disorder.

J Adv Nurs 2021 Jul 10;77(7):3176-3188. Epub 2021 May 10.

School of Nursing, Duke University, Durham, NC, USA.

Aims: To explore how behavioural symptoms of dementia are manifested among veterans in residential long-term care settings, in the context of personal, interpersonal/social and environmental triggers and how the manifestations differ between veterans with and without posttraumatic stress disorder.

Design: Secondary analysis using a mixed methods approach.

Methods: We analysed text data from a stratified random sample of 66 cases derived from the programme evaluation dataset of the Staff Training in Assisted Living Residences-Veterans Health Administration (STAR-VA) intervention from 2013 to 2016, using framework analysis. Read More

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Accelerated resolution therapy and a thematic approach to military experiences in US Special Operations Veterans.

BMJ Mil Health 2021 Apr 28. Epub 2021 Apr 28.

Division of Counseling and Family Therapy, Regis University, Denver, Colorado, USA.

Accelerated Resolution Therapy (ART) is an emerging therapeutic intervention that has demonstrated effectiveness in treating post-traumatic stress, anxiety and depression. The ART protocol aligns with first-line trauma-focused psychotherapies and clinical guides in the USA and UK. This review addresses previous ART research that includes members of US Special Operations Forces. Read More

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Differences between ICD-11 PTSD and complex PTSD on DSM-5 section III personality traits.

Eur J Psychotraumatol 2021 Apr 13;12(1):1894805. Epub 2021 Apr 13.

Psychiatric Research Unit, Region Zealand, Denmark and University of Copenhagen, Slagelse, Denmark.

: The formulations of post-traumatic stress disorder (PTSD) and the newly included disorder complex PTSD (CPTSD) in the 11th edition of the (ICD-11) have not been evaluated on a broad range of maladaptive personality traits. : The aim of this study was to evaluate ICD-11 PTSD and CPTSD on maladaptive personality traits. : In a cross-sectional study of 106 Danish outpatients with ICD-10 PTSD, we used the International Trauma Questionnaire (ITQ) to identify patients with either ICD-11 PTSD or CPTSD ( = 84). Read More

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Posttraumatic Stress Disorder Symptomatology and Substance Use in an Outpatient Concurrent Disorders Sample.

Can J Psychiatry 2021 Apr 20:7067437211011851. Epub 2021 Apr 20.

Peter Boris Centre for Addictions Research, McMaster University & St. Joseph's Healthcare Hamilton, Ontario, Canada.

Objective: Posttraumatic stress disorder (PTSD) and substance use disorders (SUDs) present a complex and often severe clinical presentation within a concurrent disorders context. The objective of this study was to examine associations between PTSD symptoms and SUD outcomes to better understand the clinical phenomenon of comorbid PTSD and SUD. Multivariate statistical methods were used to test the hypothesis that elevated PTSD symptoms, both at the level of global severity and specific PTSD symptom clusters, are associated with greater substance use and related problems. Read More

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Moderating effects of sleep difficulties on relations between posttraumatic stress disorder symptoms and positive memory count.

J Clin Psychol 2021 Apr 19. Epub 2021 Apr 19.

Department of Psychology, University of Arizona, Tucson, Arizona, USA.

Objectives: Posttraumatic stress disorder (PTSD) severity relates to positive memory retrieval difficulties. One variable potentially influencing this relation is sleep difficulties. We examined moderating effects of sleep difficulties (duration and quality) on relations between PTSD severity and count of specific positive memories covarying for age, gender, and depression. Read More

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Oxytocin receptor variant rs53576 genotype is associated with dysphoric arousal symptoms of DSM-5 posttraumatic stress disorder in Chinese earthquake survivors.

Chin J Traumatol 2021 Mar 28. Epub 2021 Mar 28.

Laboratory for Traumatic Stress Studies, CAS Key Laboratory of Mental Health, Institute of Psychology, Chinese Academy of Sciences, Beijing, 100101, China; Department of Psychology, University of Chinese Academy of Sciences, Beijing, 100049, China.

Purpose: Evidence suggests that the oxytocin receptor gene (OXTR) may be involved in the psychopathology of posttraumatic stress disorder (PTSD). This study aimed to investigate the effects of OXTR rs53576 genotype on PTSD symptoms introduced in the Diagnostic and Statistical Manual, Fifth Edition (DSM-5).

Methods: This study was a cross-sectional study conducted among 1140 adults who had personally experienced the Wenchuan earthquake. Read More

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The role of PTSD symptom clusters and criterion in predicting future high-risk drug and alcohol use among returning veteran men and women.

Psychol Serv 2021 Apr 12. Epub 2021 Apr 12.

National Center for PTSD, Behavioral Science Division, VA Boston Healthcare System.

The prevalence of co-occurring posttraumatic stress disorder (PTSD) and substance use disorder (SUD) remains exceptionally high among returning veterans, with numerous studies linking PTSD, but not specific PTSD symptoms, to future SUD risk. Further explication of PTSD symptom effects on future SUD risk will likely promote intervention development and refinement while offsetting SUD risk. Accordingly, In this study we explored the prospective associations between PTSD symptom clusters, symptoms, and future SUD risk and use of specific drug classes. Read More

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Exploring ambivalent rape acknowledgment and posttraumatic stress symptoms among college women who have experienced rape: What's in a name?

J Anxiety Disord 2021 05 3;80:102389. Epub 2021 Apr 3.

The University of Memphis, 400 Innovation Drive, Memphis, TN 38152, United States.

The present study explored rape acknowledgment among 131 college women survivors of rape utilizing three subgroups: acknowledged rape, unacknowledged rape, and ambivalent acknowledgment. Posttraumatic stress disorder (PTSD) symptom clusters and parameters of victimization and were compared between the subgroups. Of the participants, 28. Read More

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Posttraumatic Stress Disorder and Persistent Somatic Symptoms During the COVID-19 Pandemic: The Role of Sense of Threat.

Psychosom Med 2021 05;83(4):338-344

From the West London NHS Trust (Jowett), London, United Kingdom; Ulster University, School of Psychology (Shevlin), Derry, Northern Ireland; Department of Psychology (Hyland), Maynooth University, Kildare; Centre for Global Health, Trinity College Dublin (Hyland), Dublin, Ireland; School of Health and Social Care, Edinburgh Napier University (Karatzias); and NHS Lothian, Rivers Centre for Traumatic Stress (Karatzias), Edinburgh, United Kingdom.

Objective: Persistent somatic symptoms, such as pain and fatigue, have been referred to as somatization. Somatization is commonly associated with histories of trauma and posttraumatic stress disorder (PTSD). Although previous research has demonstrated that PTSD can predict somatic problems, there has been no examination of this at the level of PTSD symptom clusters and multidimensional assessment of somatic symptoms. Read More

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Moderators of PTSD symptom change in group cognitive behavioral therapy and group present centered therapy.

J Anxiety Disord 2021 05 22;80:102386. Epub 2021 Mar 22.

VA Boston Healthcare System, Boston, MA, USA; Boston University School of Medicine, Department of Psychiatry, Boston, MA, USA.

To examine moderators of change during group-based intervention for Posttraumatic Stress Disorder (PTSD), multilevel models were used to assess trajectories of symptom clusters in male veterans receiving trauma focused Group Cognitive Behavioral Treatment (gCBT; N = 84) or non-trauma focused Group Present Centered Therapy (gPCT; N = 91; Sloan et al., 2018). Separate models were conducted for symptom clusters in each intervention, examining pre-treatment PTSD symptoms, pre-treatment depression severity, age, index trauma, and outcome expectancies as potential moderators. Read More

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Trauma-Sensitive Yoga for Post-Traumatic Stress Disorder in Women Veterans who Experienced Military Sexual Trauma: Interim Results from a Randomized Controlled Trial.

J Altern Complement Med 2021 Mar;27(S1):S45-S59

Nell Hodgson Woodruff School of Nursing, Emory University, Atlanta, GA, USA.

To conduct an interim analysis of data collected from an ongoing multisite randomized clinical trial (RCT) assessing the effectiveness of Trauma Center Trauma-Sensitive Yoga (TCTSY) for post-traumatic stress disorder (PTSD) among women veterans with PTSD related to military sexual trauma (MST). The purpose of the interim analysis was to assess outcomes from the primary site, which is geographically, demographically, culturally, and procedurally distinct from the second site. RCT was conducted within a Veterans Administration Health Care System. Read More

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