Challenges Associated With the Civilian Reintegration of Soldiers With Chronic PTSD: A New Approach Integrating Psychological Resources and Values in Action Reappropriation

Belrose, Célia; Duffaud, Anaïs; Dutheil, Frédéric; Trichereau, Julie; Trousselard, Marion

doi:10.3389/fpsyt.2018.00737

Cited by 26 publications

(11 citation statements)

References 60 publications

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“…Impairments in emotional, self-regulatory, and cognitive functions are biomarkers of interest when regarding their critical influence on post-traumatic processing, treatment efficiency and recovery. PTSD has been associated with negative emotions (10), disturbed positive resources (11), as well as impairments in the ability to effectively regulate emotions (12). Moreover, a number of prospective studies indicate that emotional regulation difficulties hinder recovery from PTSD symptoms post-trauma (13).…”

Section: Introduction Post-traumatic Stress Disordermentioning

confidence: 99%

Neurological Soft Signs and Post-Traumatic Stress Disorder: A Biomarker of Severity?

et al. 2020

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Background: The psychophysiological changes for individual suffering from chronic post-traumatic stress disorder (PTSD) raise to the questions of how facilitate recovery and return to work. Negative alterations in neuro-cognition remain a complaint for patients and participate to long-term functional impairments. Neurological soft signs (NSSs) appear as a candidate for better understanding these complaints. They have been reported in several mental disorders. They are found in several behavioral and/or neurocognitive disorders and are taken into account by psychiatric rehabilitation programs to support recovery. As few studies evaluate NSSs in PTSD, our exploratory study aims to assess NSSs in chronic PTSD and their relationships with PTSD severity.Method: Twenty-two patients with a clinical diagnosis of chronic PTSD were evaluated in terms of PTSD severity (post-traumatic checklist scale, PCL5), NSSs (NSSs psychomotor skills scale, PASS), and well-being upon arrival to the hospital and compared with 15 healthy subjects. Statistical non-parametric analyses assessed the relationships between these variables.Results: PTSD subjects exhibited higher NSSs compared with healthy subjects. NSSs were positively associated with PTSD severity, with negative alterations in cognition and mood, and with impairment in well-being. They were higher in women compared with men. No impact of age was found. Three groups were identified based on the severity of the PTSD. Severe PTSD exhibited NSSs characterized by motor integration alterations.Conclusions: This pilot study suggests that NSSs might be a biomarker of PTSD severity. This proof of concept highlights the need for further research for better evaluating the clinical neuro-functional impairment. This will be helping for defining neurological remediation for promoting PTSD recovery.

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Section: Introduction Post-traumatic Stress Disordermentioning

confidence: 99%

Neurological Soft Signs and Post-Traumatic Stress Disorder: A Biomarker of Severity?

et al. 2020

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“…Since 8 December 2019 and the onset of the first cases of coronavirus disease (COVID-19) in China, the disease rapidly spread around the world, with hundred−thousand cases and thousands of deaths (Dutheil, Navel, & Clinchamps, 2020). Post-traumatic stress disorder (PTSD) is a severe mental health condition caused by a terrifying event outside the normal range of usual human experience (Belrose, Duffaud, Dutheil, Trichereau, & Trousselard, 2018). Exceptional epidemic situations also promoted PTSD in the past (Cénat et al, 2020;Xu et al, 2011).…”

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confidence: 99%

PTSD as the second tsunami of the SARS-Cov-2 pandemic

2020

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Since the first cases, the coronavirus disease (COVID-19) rapidly spread around the world, with hundred−thousand cases and thousands of deaths. Post-traumatic stress disorder (PTSD) is a common consequence of major disasters. Exceptional epidemic situations also promoted PTSD in the past. Considering that humanity is undergoing the most severe pandemic since Spanish Influenza, the actual pandemic of COVID-19 is very likely to promote PTSD. Moreover, COVID-19 was renamed severe acute respiratory syndrome coronavirus 2 (SARS-Cov-2). With a poor understanding of viruses and spreading mechanisms, the evocation of SARS is generating a great anxiety contributing to promote PTSD. Quarantine of infected patients evolved to quarantine of ‘infected’ towns or popular districts, and then of entire countries. In the families of cases, the brutal death of family members involved a spread of fear and a loss of certainty, promoting PTSD. In the context of disaster medicine with a lack of human and technical resources, healthcare workers could also develop acute stress disorders, potentially degenerating into chronic PTSD. Globally, WHO estimates 30–50% of the population affected by a disaster suffered from diverse psychological distress. PTSD individuals are more at-risk of suicidal ideation, suicide attempt, and deaths by suicide – considering that healthcare workers are already at-risk occupations. We draw attention towards PTSD as a secondary effect of the SARS-Cov-2 pandemic, both for general population, patients, and healthcare workers. Healthcare policies need to take into account preventive strategy of PTSD, and the related risk of suicide, in forthcoming months.

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“…We conducted a prospective study with 56 trauma-exposed soldiers with a clinical diagnosis of chronic PTSD [54]. PTSD severity and psychological resources (optimism, mindfulness, well-being, motivation, self-esteem and VIA) were assessed before and after the rehabilitation program.…”

Section: Some Resultsmentioning

confidence: 99%

Recovery, Rehabilitation and Positive Psychology for Chronic Post-Traumatic Stress Disorder: Theoretical and Practical Aspects among French Veterans

Belrose¹,

Gibert²,

Trousselard³

2019

Psychological Trauma

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Recovery, in terms of psychological health, is a complex concept that has to be distinguished from the notions of healing and remission. The latter refers to the evolutionary terms of the disease, while recovering from mental illness means to emerge from a psychiatric patient identity and regain an active and satisfying social life. It is clear from the literature that recovery is a complex and elusive concept in a global perspective. Two complementary visions coexist in literature and direct the rehabilitation interventions: a vision focused on mental illness (pathogenic approach) and a vision focused on the concept of sense of subjective well-being and positive mental health (salutogenic approach). Positive psychology studies the conditions, the processes and the actions that contribute to the flourishing or optimal functioning of individuals, groups and institutions. We present results evaluating the psychological resources which remain sustainable for these trauma-exposed soldiers according to their post-traumatic stress disorder (PTSD) symptoms and the dynamics of resource reappropriation after the military rehabilitation program, which focuses on values in action (VIA) as character strengths. They suggest that this approach might bring concepts to better conceptualize the dynamics of recovery and offer levers of action to enrich rehabilitation.

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Challenges Associated With the Civilian Reintegration of Soldiers With Chronic PTSD: A New Approach Integrating Psychological Resources and Values in Action Reappropriation

Cited by 26 publications

References 60 publications

Neurological Soft Signs and Post-Traumatic Stress Disorder: A Biomarker of Severity?

Neurological Soft Signs and Post-Traumatic Stress Disorder: A Biomarker of Severity?

PTSD as the second tsunami of the SARS-Cov-2 pandemic

Recovery, Rehabilitation and Positive Psychology for Chronic Post-Traumatic Stress Disorder: Theoretical and Practical Aspects among French Veterans

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