Prevalence and Prognostic Factors for Psychological Distress After Trauma

Munter, Leonie de; Polinder, Suzanne; Haagsma, Juanita A.; Kruithof, Nena; Ree, Cornelis L. P. van de; Jongh, Mariska A. C. de

doi:10.1016/j.apmr.2019.10.196

Cited by 16 publications

(19 citation statements)

References 48 publications

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“…Nurses in the present study, however, had a higher rate of psychological distress (41%) than those reported in the literature. For example, rates of psychological distress exemplified in depression and anxiety among patients with traumatic facial injury ranged from 11.5% to 20% (Islam, Ahmed, Walton, Dinan, & Hoffman, 2012) and from 10% to 12% among physically injured adults (Munter et al, 2020 were found to suffer greater psychological comorbidity (Sim, Chan, Chong, Chua, & Soon, 2010). Younger people were more likely to utilize ineffective coping strategies during the outbreak (Sim et al, 2010).…”

Section: Discussionmentioning

confidence: 99%

“…Significant psychological distress among trauma‐exposed individuals is widely reported in the literature. Clinically significant psychological symptoms were reported among urban trauma‐exposed adults (Hansen & Ghafoori, 2017), college students with childhood victimization (Elliott et al., 2019) and physically injured adults (Munter et al, 2020) among others. Nurses in the present study, however, had a higher rate of psychological distress (41%) than those reported in the literature.…”

Section: Discussionmentioning

confidence: 99%

“…Nurses in the present study, however, had a higher rate of psychological distress (41%) than those reported in the literature. For example, rates of psychological distress exemplified in depression and anxiety among patients with traumatic facial injury ranged from 11.5% to 20% (Islam, Ahmed, Walton, Dinan, & Hoffman, 2012) and from 10% to 12% among physically injured adults (Munter et al, 2020). A recent study of the impact of COVID‐19 outbreak on health care professionals' psychological health reported that among 470 health care workers in Singapore, 15% suffered from anxiety and 9% from depression.…”

Section: Discussionmentioning

confidence: 99%

“…This warrants nurse mangers in other countries where PPEs' resources are inadequate to proactively test their health care workers for psychological distress. Munter et al (2020) found that rates of psychological distress due to anxiety and depression were higher one week after trauma and decreased thereafter. Therefore, this necessitates the provision of early psychological interventions for nurses with continued screening and referral for such services.…”

Section: Discussionmentioning

confidence: 99%

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Acute stress disorder, coping self‐efficacy and subsequent psychological distress among nurses amid COVID‐19

2020

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Health care professionals, particularly nurses, are considered a vulnerable group to experience acute stress disorder (ASD) and subsequent psychological distress amid COVID-19 pandemic. This study aims to establish the prevalence of acute stress disorder and predictors of psychological distress among Jordanian nurses. Methods: A quantitative, cross-sectional, descriptive and comparative design was used. Data were collected using a Web-based survey. A total of 448 Jordanian nurses (73% females) completed and returned the study questionnaire. Results: The majority of nurses (64%) are experiencing ASD due to the COVID-19 pandemic and thus are at risk for PTSD predisposition. More than one-third of nurses (41%) are also suffering significant psychological distress. Among our sample, age, ASD and coping self-efficacy significantly predicted psychological distress. More specifically, younger nurses are more prone to experience psychological distress than older ones. While higher scores on ASD showed more resultant psychological distress, coping self-efficacy was a protective factor. Conclusion: Given that individuals who suffer from ASD are predisposed to PTSD, follow-up with nurses to screen for PTSD and referral to appropriate psychological services is pivotal. Coping self-efficacy is found to ameliorate the effect of psychological distress on nurses' traumatic experience. Such findings warrant intensive efforts from health care institutions to provide psychosocial support services for nurses and ongoing efforts to screen them for traumatic and psychological distress symptoms. Implications for Nursing Management: Nursing leaders and managers are in the forefront of responding to the unique needs of their workforces during the COVID-19 crisis. They need to implement stress-reduction strategies for nurses through providing consecutive rest days, rotating allocations of complex patients, arranging support services and being accessible to staff. They also need to ensure nurses' personal safety through securing and providing personal safety measures and undertake briefings to ensure their staff's physical and mental well-being, as well as providing referrals to appropriate psychological services. | 1687 SHAHROUR And dARdAS 1 | INTRODUC TI ON Viral diseases have been a serious issue to global health emerging in public awareness. By the end of 2019, the world had witnessed the unpleasant and anxiety-provoking news regarding the spread of coronavirus disease (COVID-19) on a global scale. The rapidness and aggressiveness of COVID-19 in infecting people made it a serious and threatening global health issue. As of 21 June 2020, more than 8 million people were infected, resulting in thousands of deaths worldwide (European Center for Disease Prevention & Control [ECDC], 2020). Researchers are warning that the COVID-19 pandemic could inflict emotional trauma on a global scale (e.g. Higgins, 2020; Xiang, 2020). Individuals are fearful of contracting the infection or spreading it to their loved ones and having their basic and financ...

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

“…Nurses in the present study, however, had a higher rate of psychological distress (41%) than those reported in the literature. For example, rates of psychological distress exemplified in depression and anxiety among patients with traumatic facial injury ranged from 11.5% to 20% (Islam, Ahmed, Walton, Dinan, & Hoffman, 2012) and from 10% to 12% among physically injured adults (Munter et al, 2020). A recent study of the impact of COVID‐19 outbreak on health care professionals' psychological health reported that among 470 health care workers in Singapore, 15% suffered from anxiety and 9% from depression.…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Acute stress disorder, coping self‐efficacy and subsequent psychological distress among nurses amid COVID‐19

2020

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“…Yet, studies still are inconsistent on risk factors that promote psychiatric sequelae after trauma. Some investigations on psychiatric sequelae after trauma discuss injuryrelated factors and injury severity as potential risk factors for anxiety [15] other studies describe non-injury related factors, including history of psychiatric illness, frailty [16], alcohol abuse, and female gender, to be associated with anxiety or depression [17].…”

Section: Introductionmentioning

confidence: 99%

Prevalence, injury-, and non-injury-related factors associated with anxiety and depression in polytrauma patients – A retrospective 20 year follow-up study

et al. 2020

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Introduction Survival rate after polytrauma increased over the past decades resulting in an increase of long-term complaints. These include physical and psychological impairments. The aim of this study was to describe the prevalence and risk factors for developing depression and anxiety more than twenty years after polytrauma. Methods We contacted patients who were treated due to a polytrauma between 1973 and 1990 at one level 1 trauma center after more than 20 years. These patients received a self-administered questionnaire, to assess symptoms of depression and anxiety. Analysis based on multivariable logistic regression models include injury severity and non-injury related factors to determine risk factors associated with the development of depression and anxiety. Results Patients included in this study (n = 337) had a mean ISS of 20.3 (4 to 50) points. In total, 173 (51.3%) showed psychiatric sequelae (depression n = 163, 48.2%; anxiety n = 14, 4.1%). Injury severity was not associated with the development of depression or anxiety. However, the patients, who required psychiatric therapy prior to the injury had higher risk of developing psychiatric symptoms (OR 1.3, 95%CI 1.1 to 1.8, p = 0.018) as did patients who suffered from additional psychiatric insults after the injury (OR 1.4, 95%CI 1.2 to 2.0, p = 0.049).

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Yoga—An Alternative Form of Therapy in Patients with Blunt Chest Trauma: A Randomized Controlled Trial

et al. 2021

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Background Yoga as alternative form of therapy has shown positive impact on pulmonary functions, exercise capacity, behavioral changes, and inflammation in non-trauma patients. However, the efficacy of Yoga has not been studied in chest trauma patients. Methods This randomized controlled trial was conducted at level-1 Trauma Centre. Isolated chest injury patients were randomized into either standard physiotherapy or Yogatherapy groups. Patients in physiotherapy group received conventional chest physiotherapy and Yogatherapy group received a set of Yogic exercises in addition to conventional chest physiotherapy. Primary outcome measure was changes in pulmonary function tests (PFT) at 4 weeks of discharge. Secondary outcomes were changes in quality of life (QoL), respiratory muscle strength and endurance, chest wall mobility, and levels of cytokines at 4 weeks. Data were analyzed using STATA v14.0. Results A total of 89 eligible patients were randomized to physiotherapy ( n = 46) and Yoga therapy ( n = 43) groups. Demographic characteristics were comparable in both the groups. There were statistically significant improvements in PFT in the Yogatherapy group compared with physiotherapy with an increase in Forced vital capacity ( p = 0.02) and Forced expiratory volume ( p = 0.01) at 4 weeks. In addition, there were significant improvement in physical component of QoL, respiratory muscle endurance ( p = 0.003) and axillary cirtometry ( p = 0.009) in the Yogatherapy group. However, no statistically significant difference in the trends of cytokine markers seen between the groups. Conclusion Yoga was found to be effective in improving pulmonary functions and QoL in patients with chest trauma. (Trial registered at ctri.nic.in/clinicaltrials/login.php, numberREF/2016/05/011,287).

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Prevalence and Prognostic Factors for Psychological Distress After Trauma

Cited by 16 publications

References 48 publications

Acute stress disorder, coping self‐efficacy and subsequent psychological distress among nurses amid COVID‐19

Acute stress disorder, coping self‐efficacy and subsequent psychological distress among nurses amid COVID‐19

Prevalence, injury-, and non-injury-related factors associated with anxiety and depression in polytrauma patients – A retrospective 20 year follow-up study

Yoga—An Alternative Form of Therapy in Patients with Blunt Chest Trauma: A Randomized Controlled Trial

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