Predicting Pediatric Posttraumatic Stress Disorder After Road Traffic Accidents : The Role of Parental Psychopathology

This study examined prospectively the role of parental psychopathology among other predictors in the development and persistence of posttraumatic stress disorder (PTSD) in 57 hospitalized youths aged 7–18 years immediately after a road traffic accident and 1 and 6 months later. Self report questionnaires and semistructured diagnostic interviews were used in all 3 assessments. Neuroendocrine evaluation was performed at the initial assessment.

Photography as a nursing instrument in mental health care : how to use clients' photo stories for recovery

The general aim of this thesis was to examine how nurses can use photography to assist psychiatric patients in making meaning of experiences of illness and to help them in the process of recovery. The study is based on a hermeneutic-phenomenological perspective, focusing on processes of experiencing and meaning making in the life world. Existential issues, e.g. the way how people give meaning to their suffering, play an important role in this process of being-in-the world.

Deconstructing delayed posttraumatic stress disorder

The purpose of the research in this book was to establish the prevalence of delayed PTSD and to examine factors that may explain its occurrence. In addition, we aimed at exploring the likelihood and role of prodromal symptoms (symptoms of PTSD that occur during the interval between traumatic event exposure and the onset of full delayed PTSD) and possible implications of delayed PTSD for mental health service utilization.

Can we facilitate posttraumatic growth in combat veterans?

The Comprehensive Soldier Fitness program, currently under development for the U.S. Army, will include a component designed to increase the possibilities for posttraumatic growth in the aftermath of combat. In this article, the author's briefly review studies that provide evidence for this phenomenon in combat veterans, and they suggest elements that such a program might include to facilitate posttraumatic growth. They urge the Army to conduct randomized controlled trials testing the efficacy of the program prior to its implementation.

Ambiguous Expectations and Reduced Confidence: Experience of Somali Refugees Encountering Swedish Health Care

The purpose of this study was to explore Somali refugees' experience of their encounters with Swedish health care. Individual interviews with 20 Somalis were transcribed verbatim and interpreted according to a hermeneutic approach. The findings were expressed in three themes. The first theme, 'expectations when approaching health care', conveys an ambivalence regarding confidence and expectations of treatment and care.

PTSD in the elderly : the interaction between trauma and aging

Background: Because an increasingly large cohort of individuals is approaching their elderly years, there is concern about how the healthcare system will cope with the greater demands placed upon it. One area of concern is the impact of trauma and post traumatic stress disorder (PTSD) in the aged. Although several reviews have highlighted the lack of knowledge and research on the topic, there still remain gaps in the literature. Nevertheless, some recent behavioral, endocrinological and neuroimaging studies may provide new insights into the discussion.

Late-onset PTSD in unaccompanied refugee minors: Exploring the predictive utility of depression and anxiety symptoms

Following resettlement in Western countries, unaccompanied refugee minors (URM) are at risk of developing posttraumatic stress disorder (PTSD). It is unclear to what extent PTSD in this group may become manifest at later stages following resettlement and which factors are associated with late onset. We examined data from URM collected 1 (T1) and 2 years (T2) following resettlement for differences between groups with no PTSD, PTSD at T1, and late-onset PTSD (at T2 only) using multinomial regression and path analysis.

Parental Response to Child Injury : Examination of Parental Posttraumatic Stress Symptom Trajectories Following Child Accidental Injury

Objective: Trajectory analyses were used to empirically differentiate patterns of posttraumatic stress symptoms in parents following child accidental injury and explore the relationship between parent and child recovery patterns.

Method: Parent (n = 189) self-reported symptoms from acute to 2 years post accident were examined to (1) identify distinct parent symptom trajectories; (2) identify risk factors; and (3) explore the patterns of children and parents together.

Measuring Posttraumatic Stress Reactions in Children: A Preliminary Validation of the Children's Responses to Trauma Inventory

The Children's Responses to Trauma Inventory (CRTI) is a self-report measure for posttraumatic stress reactions in children. We validated the original CRTI through secondary data analysis of four clinical and nonclinical samples (N = 96) and expert consultation. After revision, the CRTI was further validated in 8- to 12-year-old traumatized children in the general population (N = 243). The original CRTI showed moderate to excellent reliability and both convergent and discriminant validity, but it also had limitations in formulation and scope of the items.

Can Asylum-Seekers with Posttraumatic Stress Disorder Be Successfully Treated? A Randomized Controlled Pilot Study

Rates of posttraumatic stress disorder (PTSD) are exceptionally high among asylum-seekers. Reportedly, stressors caused by the asylum procedure and psychological consequences of torture contribute to the maintenance of symptoms and interfere with treatment. In a pilot randomized controlled trial, the authors examined the efficacy of trauma-focused treatment in 32 asylum-seekers with PTSD resulting from state-sponsored violence and other traumatic events. Narrative exposure therapy (NET) was compared with treatment as usual (TAU), with a focus on stabilization and psychoactive medication.

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