The negative association between trait mindfulness and post‐traumatic stress disorder: A 4.5‐year prospective cohort study

Gibert, Lionel; El‐Hage, Wissam; Verdonk, Charles; Lévy, Bernard; Falissard, Bruno; Trousselard, Marion

doi:10.1002/brb3.2163

Cited by 8 publications

(5 citation statements)

References 52 publications

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“…This is supported by Stephenson et al [50] who in a secondary analysis of 4 RCTs of Mindfulness-based stress reduction with US army veterans found that increases in mindfulness were significantly associated with reduced PTSD symptoms. Our findings were also supported by Gibert et al [19] who in a 4.5 year prospective cohort study of terrorist attack survivors, found that levels of mindfulness were significantly associated with PTSD symptoms. These results, again provide promising preliminary evidence that should a person with a physical impairment in Cambodia, engage in a mental health intervention or programme of support e.g., eye movement desensitization and reprocessing (EMDR) and/or mindfulnessbased programmes [31], which could reduce pathological worry and facets of mindfulness, that they may experience improvements in their PTSD symptoms.…”

Section: Discussionsupporting

confidence: 90%

“…There is however a significant lack of data on what the potential predictors of psychological distress and PTSD symptoms of persons with disabilities in Cambodia might be [26]. Previous research, which have included randomised controlled trial, longitudinal and cross sectional designs, have demonstrated that three psychological processes, rumination [5,17,22], worry [23,25,29,39] and mindfulness [19,43] may be particularly pertinent mechanisms of change of psychological distress and PTSD symptoms, during mental health programmes. No research however has examined if these psychological processes could predict psychological distress and PTSD symptoms of persons with physical disabilities in Cambodia.…”

Section: Introductionmentioning

confidence: 99%

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Rates and correlates of psychological distress and PTSD among persons with physical disabilities in Cambodia

Maddock

Best

Ean

et al. 2023

Int J Equity Health

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Background Compared to the general population, persons with disabilities are at increased risk of poor mental health. The aim of this study was to determine the rates and correlates of psychological distress and post-traumatic stress disorder (PTSD) among persons with physical disabilities in Cambodia. Methods From July to December 2021 data were collected as part of a mental health screening programme for persons with physical disabilities who access prosthetic and orthotic services. Psychological distress was measured using the Kessler-10 (K-10) and PTSD using the PC-PTSD-5. Bivariate and multiple linear regression analyses were conducted to identify factors associated with levels of psychological distress and PTSD among this population. Results Our study found a high prevalence of psychological distress and PTSD in this patient cohort. Of the 213 participants, 31.5% were likely to be experiencing mild to moderate psychological distress indicative of a mental health disorder, with 13.6% likely to have a severe mental health disorder. Sixty-five percent of patients reported experiencing PTSD symptoms, with forty-six percent meeting the criteria for probable PTSD. Psychological distress was associated with pathological worry, rumination, and facets of mindfulness. Rumination and pathological worry were found to be significant predictors of psychological distress. PTSD symptoms were associated with pathological worry but not facets of mindfulness or rumination. Facets of mindfulness and pathological worry were found to be significant predictors of PTSD. Conclusion Integration of mental health services within the disability sector is required to address psychological distress and PTSD symptoms among people with physical disabilities in Cambodia. Health system interventions, such as screening, referral, and the training of health providers, need to be strengthened. Further studies focussing on the psychosocial determinants of mental health of persons with disabilities in Cambodia are required.

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Section: Discussionsupporting

confidence: 90%

Section: Introductionmentioning

confidence: 99%

Rates and correlates of psychological distress and PTSD among persons with physical disabilities in Cambodia

Maddock

Best

Ean

et al. 2023

Int J Equity Health

View full text Add to dashboard Cite

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“…At follow-up, 11 subjects were lost, 11 no longer met the criteria for PTSD diagnosis at time T2 out of the 50 previously diagnosed at time T1, while 2 who did not meet the criteria at time T1 did at time T2 ( Figure 1 ). Similar patterns of follow-up have been observed for military veterans (Solomon & Mikulincer, 2006 ) and for a terrorist attack (Gibert et al, 2021 ).…”

Section: Discussionsupporting

confidence: 70%

Peritraumatic physical symptoms and the clinical trajectory of PTSD after a terrorist attack: a network model approach

Berthail

Trousselard

Lecouvey

et al. 2023

European Journal of Psychotraumatology

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Introduction: Following a mass casualty event, such as the Paris terrorist attacks of 13 November 2015, first responders need to identify individuals at risk of PTSD. Physical peritraumatic symptoms involving the autonomic nervous system may be useful in this task. Objective: We sought to determine the trajectory of physical response intensity in individuals exposed to the Paris terrorist attacks using repeated measures, and to examine its associations with PTSD. Using network modelling, we examined whether peritraumatic physical symptom associations differed by PTSD status. Methods: Physical reactions were assessed using the Subjective Physical Reactions Scale at three time points: peritraumatic by retrospective recall, then current at one year (8–18 months) and three years (30–42 months) after the attacks. Interaction networks between peritraumatic physical reactions were compared according to PTSD status. Results: On the one hand, the reported intensity of physical reactions was significantly higher in the PTSD group at all time points. On the other hand, using the dynamic approach, more robust positive interactions between peritraumatic physical reactions were found in the PTSD group one and three years after the attacks. Negative interactions were found in the no-PTSD group at one year. Peritraumatic physical numbness was found to be the most central network symptom in the PTSD group, whereas it was least central in the no-PTSD group. Discussion: Network analysis of the interaction between peritraumatic physical subjective responses, particularly physical numbness, may provide insight into the clinical course of PTSD. Our knowledge of the brain regions involved in dissociation supports the hypothesis that the periaqueductal grey may contribute to the process leading to physical numbing. Conclusions: Our findings highlight the role of peritraumatic somatic symptoms in the course of PTSD. Peritraumatic physical numbness appears to be a key marker of PTSD and its identification may help to improve early triage.

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“…Recent studies have found that focusing on body sensations helps patients feel calmer and stronger and reduces PTSD symptoms [47]. Focusing on body sensations also seems interesting because awareness of one's sensations seems to be negatively correlated with PTSD symptoms [48], as in the case of dissociations, in which the patients are no longer connected to their bodies. Therefore, focusing on pleasant body sensations could lead to less dissociative symptoms.…”

Section: Discussionmentioning

confidence: 99%

Clinical Efficiency and Acceptability of EMDR and MOSAIC Therapy for PTSD

Flatot-Blin,

Rey,

Derynck

et al. 2023

Healthcare

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Eye movement desensitization and reprocessing (EMDR) therapy is one of the therapies recommended by the World Health Organization (2013) to treat posttraumatic stress disorder (PTSD). Although efficient, repeated exposure to the traumatic memory may reduce its acceptability to patients. The therapy “eye movement and alternate stimulation for brain integration” (MOSAIC in French) was developed to improve acceptability and reduce pain by drawing on the patient’s internal resources. MOSAIC therapy focuses on the body sensations that the patient wants to experience and avoids having to relive the traumatic memories. This observational study aimed to compare the clinical efficiency of EMDR and MOSAIC therapy for PTSD and to measure the well-being generated by both therapies. Twenty-six PTSD patients (17 females and 9 males, mean age 37.01 years, SD = 13.06) received treatment by psychiatrists and/or psychologists trained with EMDR or MOSAIC therapy. Both patient groups achieved a significant decrease in PTSD symptoms as measured with the PCL-5. However, fewer sessions were required with the MOSAIC therapy than with EMDR therapy. As expected, the level of well-being experienced by the patient during the therapy, assessed using the Lickert scale, was higher with MOSAIC than with EMDR therapy from the first session. These findings provide the first evidence of the efficacy of MOSAIC therapy treatment, which now needs to be corroborated in a larger randomized clinical trial.

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The negative association between trait mindfulness and post‐traumatic stress disorder: A 4.5‐year prospective cohort study

Abstract: This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.

Cited by 8 publications

References 52 publications

Rates and correlates of psychological distress and PTSD among persons with physical disabilities in Cambodia

Rates and correlates of psychological distress and PTSD among persons with physical disabilities in Cambodia

Peritraumatic physical symptoms and the clinical trajectory of PTSD after a terrorist attack: a network model approach

Clinical Efficiency and Acceptability of EMDR and MOSAIC Therapy for PTSD

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