Socio-demographic patterns of posttraumatic stress disorder in Medellin, Colombia and the context of lifetime trauma exposure

Gaviria, Silvia L.; Alarcón, Renato D.; Espinola, Maria; Restrepo, Diana; Lotero, Juliana; Fernández, Dedsy Yajaira Berbesí; Sierra, Gloria; Chaskel, Roberto; Espinel, Zelde; Shultz, James M.

doi:10.1080/21665044.2016.1263086

Cited by 14 publications

(10 citation statements)

References 73 publications

(81 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…En este sentido, se ratifica aquí, que un buen estatus funcional del paciente, influye de forma positiva en la calidad de vida; sin embargo, frente al hallazgo acerca de la edad del paciente y cuidador, se requiere mayor investigación que explique la naturaleza de la relación. Una explicación alternativa es el estilo de afrontamiento de las personas mayores, la cual se ha documentado con tendencia a la resignación (20) , además del desarrollo de factores de resiliencia que tiene la presente generación de adultos mayores en Medellín-Colombia, que han estado expuesto a décadas de conflicto armado (21) .…”

Section: Discussionunclassified

Calidad de vida de cuidadores familiares de personas con cáncer que reciben atención de cuidados paliativos

Holgín

Arias-Rojas

Carreño-Moreno

2021

Rev. esc. enferm. USP

View full text Add to dashboard Cite

RESUMEN Objetivo Describir la calidad de vida y factores relacionados, en una muestra de cuidadores colombianos de personas con cáncer en cuidados paliativos. Método Estudio descriptivo correlacional de corte transversal, con 208 cuidadores familiares de personas con cáncer en cuidados paliativos ambulatorios en Medellín-Colombia. Se usó el instrumento de calidad de vida en enfermedades que amenazan la vida – versión cuidador familiar (QOLLTI-F). Resultados La calidad de vida puntuó entre 116,36 y 122,35 (IC95%). Las dimensiones con las puntuaciones más bajas fueron del estado del paciente (2,4–3,2, IC95%), estado del cuidador (36,2–39,9, IC 95%) y medio ambiente (14,4–15,7, IC95%). La edad del paciente, edad del cuidador e índice Karnofsky, presentaron una correlación positiva, de débil a moderada y significativa con la calidad de vida del cuidador. Las horas diarias dedicadas a cuidar, presentaron una correlación débil, negativa y significativa con la calidad de vida total y la dimensión estado del cuidador. Conclusión Se requiere desarrollar intervenciones para mejorar la calidad de vida de los cuidadores de personas con cáncer avanzado en fase paliativa, considerando la importancia de acciones de relevo y manejo de la dependencia funcional del paciente.

show abstract

Section: Discussionunclassified

Calidad de vida de cuidadores familiares de personas con cáncer que reciben atención de cuidados paliativos

Holgín

Arias-Rojas

Carreño-Moreno

2021

Rev. esc. enferm. USP

View full text Add to dashboard Cite

show abstract

“…Seventy percent of Colombian IDPs are women and children (Shultz et al 2014a, b). Throughout each phase in the trajectory of forced migration, Colombian IDPs are exposed to extreme adversities (Shultz et al 2014a;Ramirez et al 2016) which are frequently linked to high levels of psychological distress (Chaskel et al 2015a;Gaviria et al 2016).…”

Section: Introductionmentioning

confidence: 99%

A pilot study of a stepped-care brief intervention to help psychologically-distressed women displaced by conflict in Bogotá, Colombia

Shultz

Verdeli

Ceballos³

et al. 2019

Glob. Ment. Health

View full text Add to dashboard Cite

Background Colombia's 6.5 million internally displaced persons (IDPs) have been exposed to trauma, loss, and hardships. Common mental disorders (CMDs) are prevalent in this group, yet there are few evidence-based psychosocial interventions for this population. We assessed the feasibility and acceptability of a stepped-care intervention for women IDPs in Bogota, Colombia. Methods Feasibility to recruit participants for an intervention trial, to screen for CMDs and displacement-related traumas, to refer high-risk cases to professional consultation, to implement evidence-based interpersonal counseling (IPC) for women with diagnosed CMDs, to retain participants in the intervention, and to conduct follow-up assessments was assessed. Assessment instruments were validated. The intervention was delivered by trained outreach personnel. Intervention acceptability was assessed by monitoring session attendance, dropout rates, and satisfaction. Potential efficacy was evaluated with pre- and post-intervention measures of CMDs. Results We recruited 279 women IDPs into the intervention. On screening, 177 (63.4%) had symptom levels suggesting a CMD. Participants endorsed a wide range of displacement-related exposures. Most participants receiving IPC decreased their symptom levels at follow-up. Many participants did not complete the recommended number of IPC sessions; loss to follow-up was 30%. The performance of the outreach personnel improved after the initial intervention team was replaced with community members trained to deliver the intervention. The Bogotá health system was unable to reliably accommodate emergency psychiatric referrals. Conclusions The IPC intervention shows promise, but significant challenges remain for improving reach, adherence, and participant retention. We identified strategies and partnerships to redress some of the main study limitations.

show abstract

“…Notably, the PTSD CY group consisted of more female than male participants. Although this imbalance is undesirable, it does reflect the current youth PTSD ratio existing in Colombia (Gaviria et al, 2016). Clearly future research involving groups that are more balanced by sex would serve to illuminate any memory differences existing between male and female PTSD CY youth.…”

Section: Discussionmentioning

confidence: 99%

Emotional memory processing in post‐traumatic stress disorder affected Colombian youth

et al. 2020

View full text Add to dashboard Cite

P ost-traumatic stress disorder (PTSD) is a neuropsychological condition caused by exposure to chronic stressors and extreme trauma. In past decades, Colombia (South America) has experienced high levels of armed conflict, which created an environment of chronic stress, resulting in an increased incidence of PTSD in children. Limited research exists on the effects of PTSD on emotional memory functioning of these Colombian youth living in chronically stressful environments. In the present study, 23 PTSD affected youth and 26 controls were asked to recall items from a memorised word list, as well as remembering details from a short emotional story. Although no significant differences were found for word list memory, deficits for emotional story content were found in the PTSD youth, particularly for facts involving negative emotional details. The latter may suggest a deficit in executive functioning for the integration of emotionally laden stimuli, perhaps induced as a by-product of their traumatic experiences.

show abstract

Socio-demographic patterns of posttraumatic stress disorder in Medellin, Colombia and the context of lifetime trauma exposure

Cited by 14 publications

References 73 publications

Calidad de vida de cuidadores familiares de personas con cáncer que reciben atención de cuidados paliativos

Calidad de vida de cuidadores familiares de personas con cáncer que reciben atención de cuidados paliativos

A pilot study of a stepped-care brief intervention to help psychologically-distressed women displaced by conflict in Bogotá, Colombia

Emotional memory processing in post‐traumatic stress disorder affected Colombian youth

Contact Info

Product

Resources

About