Expert Guidelines: Diagnosis and Treatment of Post-Traumatic Stress Disorder in Emergency Services Workers

Emergency workers perform a vital role in our society. They protect the rule of law, ensure our safety and
provide assistance in emergencies. Surveys consistently show that emergency workers are one of the most
valued and trusted occupational groups. However, there is increasing realisation that emergency work can
come at a cost. Large numbers of emergency workers report ongoing psychological consequences from
exposure to trauma, most notably post-traumatic stress disorder (PTSD).

Suicide mortality among deployed male military personnel compared with men who were not deployed

Suicide mortality among deployed male military personnel
compared with men who were not deployed
In the US, reports have been published on high suicide rates among US
military personnel after deployment to Iraq and Afghanistan. The
National Institute for Public Health and the Environment (RIVM) studied
whether this was also the case for Dutch male deployed military
personnel. The study did not find indications of high suicide rates
between 2004 and 2012 among deployed male military personnel. It

eHealth monitor 2015: ‘BETWEEN THE SPARK AND THE FLAME’

The eHealth monitor is an ongoing
study in which Nictiz and the NIVEL
Institute map out the status of eHealth
in the Netherlands on an annual basis.

SKA2 methylation is associated with decreased prefrontal cortical thickness and greater PTSD severity among trauma-exposed veterans

Methylation of the SKA2 (spindle and kinetochore-associated complex subunit 2) gene has recently been identified as a promising biomarker of suicide risk. Based on this finding, we examined associations between SKA2 methylation, cortical thickness and psychiatric phenotypes linked to suicide in trauma-exposed veterans. About 200 trauma-exposed white non-Hispanic veterans of the recent conflicts in Iraq and Afghanistan (91% male) underwent clinical assessment and had blood drawn for genotyping and methylation analysis. Of all, 145 participants also had neuroimaging data available.

Terrorism and its impact on mental health

There is substantial literature on the mental health consequences of large-scale population-level disasters. Spurred in part by the 1995 Oklahoma City bombings and the september 11, 2001 terrorist attacks, both in the USA, evidence about the mental health consequences of terrorist events has grown over the past two decades.

Refugee blues: a UK and European perspective

In this paper, the numbers of refugees travelling to the European Union are set in a global context. It is argued that the increasing restrictions placed on asylum seekers from the 1980s onwards in the UK and the associated culture of deterrence and prohibition have had the perverse effect of supporting the economic market for people smuggling.

Peritraumatic Distress and Dissociation in Prolonged Grief and Post-Traumatic Stress Following Violent and Unexpected Deaths

Abstract: This study examined associations between the violence of a loss and the suddenness of a loss and symptom levels of prolonged grief disorder (PGD) and posttraumatic stress disorder (PTSD) after the death of a loved one. A further aim was to investigate whether peritraumatic distress (i.e., fear, helplessness, and horror) and peritraumatic dissociation mediate the emotional impact of violent losses and unexpected losses. We obtained self-reported data from 265 individuals bereaved in the previous 3 years by losses due to violent causes (17%) or illness (83%).

Optimism in prolonged grief and depression following loss: A three-wave longitudinal study

Abstract: There is considerable evidence that optimism, the predisposition to have generalized favorable expectancies for the future, is associated with numerous desirable outcomes. Few studies have examined the association of optimism with emotional distress following the death of a loved one. Doing so is important, because optimism may be an important target for interventions for post-loss psychopathology.

Internet-based exposure and behavioral activation for complicated grief and rumination: A randomized controlled trial

Abstract: This study examined the effectiveness and feasibility of therapist-guided Internet-delivered exposure (EX) and behavioral activation (BA) for complicated grief and rumination. Forty-seven bereaved individuals with elevated levels of complicated grief and grief rumination were randomly assigned to three conditions: EX (N = 18), BA (N = 17), or a waiting-list (N = 12). Treatment groups received 6 homework assignments over 6 to 8 weeks.

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