Predicting the future development of depression or PTSD after injury

Richmond, Therese S.; Ruzek, Josef I.; Ackerson, Theimann H.; Wiebe, Douglas J.; Winston, Flaura Koplin; Kassam‐Adams, Nancy

doi:10.1016/j.genhosppsych.2011.05.003

Cited by 36 publications

(34 citation statements)

References 40 publications

(46 reference statements)

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“…The current results replicate prior findings on the positive association between mental health and PTSD after injury (Lilly et al 2009;Mayou et al 2002;Ongecha-Owuor et al 2004;Richmond et al 2011;Rusch 1998;).…”

Section: Discussionsupporting

confidence: 87%

The role of social support in the relationship between mental health and posttraumatic stress disorder amongst orthopaedic patients

Maselesele

Idemudia

2013

curationis

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Background: Some life-event experiences such as injuries in car accidents, gun shots and the like, can be life changing and traumatic.

Objectives: The article investigated the relationship between mental health and posttraumatic stress disorder (PTSD) symptoms after orthopaedic trauma, and attempted to understand whether social support moderates the relationship between mental health and PTSD.

Method: A cross-sectional research model was used. Two hundred participants were selected using simple randomisation within a hospital complex in Gauteng, South Africa. The sample consisted of 110 men and 90 women (x̄ = 37.8 years, s.d. = 12.9 years). Data were collected using the Revised Civilian Mississippi Scale for PTSD, the Multidimensional Scale of Perceived Social Support (MSPSS), and the General Health Questionnaire version 28.

Results: The findings of the study indicated that there is a statistically significant relationship between mental health and PTSD after orthopaedic trauma, and a positive correlation between poor mental health and PTSD (r = 0.52, n = 200, p < 0.05). However, perceived social support did not moderate mental health or PTSD, indicating that perceived social support did not significantly influence mental health or PTSD, (MSPSS B = 0.07, p = 0.66). Those with high scores on social support had a lower regression coefficient (B = 0.19) for mental health and PTSD than those who reported low social support (B = 0.26).

Conclusion: There is a significant relationship between mental health and PTSD of orthopaedic patients, and social support did not moderate the relationship between mental health and PTSD.

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Section: Discussionsupporting

confidence: 87%

The role of social support in the relationship between mental health and posttraumatic stress disorder amongst orthopaedic patients

Maselesele

Idemudia

2013

curationis

View full text Add to dashboard Cite

Background: Some life-event experiences such as injuries in car accidents, gun shots and the like, can be life changing and traumatic.

Conclusion: There is a significant relationship between mental health and PTSD of orthopaedic patients, and social support did not moderate the relationship between mental health and PTSD.

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“…It may, thereby, reduce the incidence of both chronic PTSD and other concurrent behavioral disorders 44,100 . Future work could address the best way to implement screening and indicated referrals in the ED setting 101,102 .…”

Section: Discussionmentioning

confidence: 99%

PTSD, cyberbullying and peer violence: prevalence and correlates among adolescent emergency department patients

Ranney

Pateña

Nugent

et al. 2016

General Hospital Psychiatry

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Objective Posttraumatic Stress Disorder (PTSD) is often underdiagnosed and undertreated among adolescents. The objective of this analysis was to describe the prevalence and correlates of symptoms consistent with PTSD among adolescents presenting to an urban emergency department (ED). Method A cross-sectional survey of adolescents aged 13–17 presenting to the ED for any reason was conducted between August 2013 and March 2014. Validated self-report measures were used to measure mental health symptoms, violence exposure, and risky behaviors. Multivariate logistic regression analysis was performed to determine adjusted differences in associations between symptoms consistent with PTSD, and predicted correlates. Results Of 353 adolescents, 23.2% reported current symptoms consistent with PTSD, 13.9% had moderate or higher depressive symptoms, and 11.3% reported past-year suicidal ideation. Adolescents commonly reported physical peer violence (46.5%), cyberbullying (46.7%), and exposure to community violence (58.9%). On multivariate logistic regression, physical peer violence, cyberbullying victimization, exposure to community violence, female gender, and alcohol or other drug use positively correlated with symptoms consistent with PTSD. Conclusions Among adolescents presenting to the ED for any reason, symptoms consistent with PTSD PTSD, depressive symptoms, physical peer violence, cyberbullying, and community violence exposure are common and inter-related. Greater attention to PTSD, both the disorder and symptom level, and its co-occurring risk factors is needed.

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“…Alternatively, in the future it may be possible to screen for those who are going to have greatest problems with psychological compromise and target early interventions to those patients. Although at this stage no predictive screening instrument has been developed for use in the ICU population, a similar instrument has been developed for use in the injured population (Richmond et al, 2011).…”

Section: Memories Of Intensive Carementioning

confidence: 99%