Do screening and a randomized brief intervention at a Level 1 trauma center impact acute stress reactions to prevent later development of posttraumatic stress disorder?

Manser, Stacey Stevens; Houck, Katherine D. F.; Kramer, Mark D.; Tabas, Irene; Brown, Carlos V R; Coopwood, Ben

doi:10.1097/ta.0000000000001977

Cited by 16 publications

(14 citation statements)

References 31 publications

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“…In the context of COVID-19, those responsibilities increase the likelihood of vicarious traumatization, including having to provide direct social support or emotional labor for patients in place of patients' family who are not allowed inside the hospital due to transmission concerns. Although these PTSD-like symptoms are normal and expected during traumatic events, and symptoms are expected to decline for many who currently screen positive for acute stress, a substantial proportion are likely to subsequently meet diagnostic criteria for PTSD [21].…”

Section: Discussionmentioning

confidence: 99%

Psychological distress, coping behaviors, and preferences for support among New York healthcare workers during the COVID-19 pandemic

Shechter

Diaz

Moise

et al. 2020

General Hospital Psychiatry

799

882

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The mental health toll of COVID-19 on healthcare workers (HCW) is not yet fully described. We characterized distress, coping, and preferences for support among NYC HCWs during the COVID-19 pandemic. Methods: This was a cross-sectional web survey of physicians, advanced practice providers, residents/fellows, and nurses, conducted during a peak of inpatient admissions for COVID-19 in NYC (April 9th-April 24th 2020) at a large medical center in NYC (n = 657). Results: Positive screens for psychological symptoms were common; 57% for acute stress, 48% for depressive, and 33% for anxiety symptoms. For each, a higher percent of nurses/advanced practice providers screened positive vs. attending physicians, though housestaff's rates for acute stress and depression did not differ from either. Sixty-one percent of participants reported increased sense of meaning/purpose since the COVID-19 outbreak. Physical activity/exercise was the most common coping behavior (59%), and access to an individual therapist with online self-guided counseling (33%) garnered the most interest. Conclusions: NYC HCWs, especially nurses and advanced practice providers, are experiencing COVID-19-related psychological distress. Participants reported using empirically-supported coping behaviors, and endorsed indicators of resilience, but they also reported interest in additional wellness resources. Programs developed to mitigate stress among HCWs during the COVID-19 pandemic should integrate HCW preferences.

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Section: Discussionmentioning

confidence: 99%

Psychological distress, coping behaviors, and preferences for support among New York healthcare workers during the COVID-19 pandemic

Shechter

Diaz

Moise

et al. 2020

General Hospital Psychiatry

799

882

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“…[18][19][20] However, these therapies are difficult for acutely injured patients to access due to barriers to mental health service use, for example, stigma, shame, and rejection; 21,22 low mental health literacy; lack of time, knowledge, or resources; 21 trauma-specific barriers (e.g., concerns about reexperiencing, avoidance symptoms); and postinjury physical limitations. 23 Nontraditional mental health care modalities, such as mobile digital technology (i.e., mHealth), may overcome barriers to acute postinjury care; 22 increase access to and opportunities for mental health care; [24][25][26] offer 24/7 availability, affordability, equity, immediate support, and anonymity; and offer a tailored approach that provides users with control based on their symptomology. 27,28 One such digital self-help tool is PTSD Coach, which uses CBT principles to improve mental health literacy, motivate treatment seeking behaviors, and empower traumatized populations.…”

mentioning

confidence: 99%

A Pilot Randomized Controlled Trial of the PTSD Coach App Following Motor Vehicle Crash–related Injury

Pacella

Suffoletto

Kuhn

et al. 2020

Academic Emergency Medicine

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Objective: Posttraumatic stress disorder (PTSD) symptoms (PTSS) are common after minor injuries and can impair recovery. We sought to understand whether an evidence-based mobile phone application with self-help tools (PTSD Coach) could be useful to improve recovery after acute trauma among injured emergency department (ED) patients. This pilot study examined the feasibility, acceptability, and potential benefit of using PTSD Coach among acutely injured motor vehicle crash (MVC) patients. Methods: From September 2017 to September 2018, we recruited adult patients within 24 hours post-MVC from the EDs of two Level I trauma centers in the United States. We randomly assigned 64 injured adults to either the PTSD Coach (n = 33) or treatment as usual (TAU; n = 31) condition. We assessed PTSS and associated symptoms at 1 month (83% retained) and 3 months (73% retained) postenrollment. Results: Enrollment was feasible (74% of eligible subjects participated) but usability and engagement were low (67% used PTSD Coach at least once, primarily in week 1); 76% of those who used it rated the app as moderately to extremely helpful. No differences emerged between groups in PTSS outcomes. Exploratory analyses among black subjects (n = 21) indicated that those in the PTSD Coach condition (vs. TAU) reported marginally lower PTSS (95% CI = À0.30 to 37.77) and higher PTSS coping self-efficacy (95% CI = À58.20 to À3.61) at 3 months. Conclusions: We demonstrated feasibility to recruit acutely injured ED patients into an app-based intervention study, yet mixed evidence emerged for the usability and benefit of PTSD Coach. Most patients used the app once and rated it favorably in regard to satisfaction with and helpfulness, but longitudinal engagement was low. This latter finding may explain the lack of overall effects on PTSS. Additional research is warranted regarding whether targeting more symptomatic patients and the addition of engagement and support features can improve efficacy.

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“…Alat atau instrumen yang digunakan dalam mengukur kekhawatiran dengan kuesioner yang sudah dilakukan validitas dari pengembangan instrumen berdasarkan konsensus kelompok multidisiplin dengan skala likert 5 poin (Shechter et al, 2020), worry rating scale 1-5 (Temsah et al, 2020). (Manser et al, 2018). Dari beberapa respon psikologis yang terjadi pada perawat maka perlu adanya upaya untuk menanganinya.…”

Section: Pandemiunclassified

Respon Psikologis Perawat Selama Pandemik Covid-19: Scoping Review

Ridlo

Ismail

Rochana

et al. 2021

JNI

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Penyakit Coronavirus 2019 (COVID-19) telah menyebar ke seluruh dunia dan perawat berisiko tinggi tertular hingga mengalami kematian akibat virus tersebut, yang mengakibatkan sekitar 55 perawat di Indonesia meninggal dunia. Artikel ini bertujuan untuk mendapatkan gambaran yang komprehensif terkait respon psikologis perawat selama pandemi COVID-19. Studi ini menggunakan model Arksey dan O'Malley dalam melakukan analisis. Literatur yang dilakukan analisis terdiri dari Sciencedirect, Scopus, EBSCO, ProQuest, dan SpringerLink dari Januari sampai September 2020. Identifikasi dan pilih literatur menggunakan Preferred Reporting Items for Systematic Reviews and Meta-analysis (PRISMA). Hasilnya sebanyak 13 artikel yang dilakukan analisis terdiri dari 2 artikel kualitatif dan 11 artikel kuantitatif. Artikel ini merangkum temuan tentang respon psikologis perawat selama pandemi COVID-19 meliputi: kecemasan, gejala depresi, perasaan takut, khawatir dan adanya stres akut. Selama pandemi COVID-19, perawat harus memberikan pelayanan yang optimal kepada masyarakat terkait pencegahan dan pengendalian infeksi. Hal tersebut menimbulkan respon psikologis yang terjadi pada perawat saat merawat pasien COVID-19. Respon psikologis yang didapat dari pernyataan langsung perawat menjadi sumber informasi untuk memberikan intervensi psikologis bagi perawat dalam meningkatkan kesehatan mental selama pandemi COVID-19.

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Do screening and a randomized brief intervention at a Level 1 trauma center impact acute stress reactions to prevent later development of posttraumatic stress disorder?

Abstract: Prospective randomized controlled trial, level II.

Cited by 16 publications

References 31 publications

Psychological distress, coping behaviors, and preferences for support among New York healthcare workers during the COVID-19 pandemic

Psychological distress, coping behaviors, and preferences for support among New York healthcare workers during the COVID-19 pandemic

A Pilot Randomized Controlled Trial of the PTSD Coach App Following Motor Vehicle Crash–related Injury

Respon Psikologis Perawat Selama Pandemik Covid-19: Scoping Review

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