Treating patients with traumatic life experiences

Raja, Sheela; Hoersch, Michelle; Rajagopalan, Chelsea F.; Chang, Priscilla P.

doi:10.14219/jada.2013.30

Cited by 45 publications

(68 citation statements)

References 31 publications

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“…Finally, findings from the current study echo recommendations in previous publications for: asking for patients' consent before and during examinations or procedures, giving patients anticipatory guidance on what to sensations to expect (Greenbaum, ; Raja, Hoersch, Rajagopalan, & Chang, ), helping patients manage dissociation (Gesink & Nattel, ; Montgomery, ) and giving patients as much control and choice as possible in health care (Gesink & Nattel, ; Greenbaum, ; Montgomery, ; Walker & Allan, ). This study is limited by sample homogeneity with regard to geographic location, race and ethnicity, but strengthened by sample diversity with regard to socioeconomic status and trauma exposure.…”

Section: Discussionsupporting

confidence: 82%

Describing the healthcare experiences and strategies of women survivors of violence

Reeves

Humphreys

2018

Journal of Clinical Nursing

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Section: Discussionsupporting

confidence: 82%

Describing the healthcare experiences and strategies of women survivors of violence

Reeves

Humphreys

2018

Journal of Clinical Nursing

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“…In a theoretical paper, Raja et al . describe a framework demonstrating how dentists can use a trauma‐informed care pyramid to help interact with traumatized patients and to help patients cope with dental treatment situations. Dougall & Fiske also describe how the consequences of prior sexual abuse may affect the dental treatment situation, and they give advice similar to those of Raja et al on how dentists can best help their patients through establishing a positive rapport, sharing control, treating the client as a partner, recognizing difficulties, and showing flexibility in problem solving.…”

mentioning

confidence: 99%

Being considerate every step of the way: a qualitative study analysing trauma‐sensitive dental treatment for childhood sexual abuse survivors

Kranstad

Søftestad

Fredriksen

et al. 2019

European J Oral Sciences

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This qualitative study aimed to obtain a deeper understanding of what makes adult dentistry possible for child sexual abuse survivors. Sixteen adult informants were recruited from four Centres against Sexual Abuse and interviewed. Qualitative analysis of the transcribed interviews was conducted consecutively until thematic saturation was reached at 16 informants. A conceptual framework was generated, and informants' experiences of what makes dental treatment achievable were summed as the dentist working in a trauma-sensitive way, captured by the core category: Being considerate every step of the way. The underlying categories are: (i) offering a good start; (ii) being competent; (iii) being aware of the influence of staff behaviour; (iv) building a safe relationship; (v) arranging a secure treatment situation; and (vi) exploring individual triggers. The findings revealed that dental staff should have adequate competence to build secure relationships and explore individual triggers in dental treatment situations when treating child sexual abuse survivors. Dentists should have a trauma-sensitive approach to all patients. When treating child sexual abuse survivors, dentists should demonstrate utmost consideration every step of the way, building long-term solid relationships, and discussing and testing coping strategies individually adapted to the specific needs of the child sexual abuse survivors, in a safe environment.

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“…This may be owing to general self‐negligence associated with mental illness, fear of treatment, inability to access dental health services . In addition, dental patients with a history of traumatic experiences are more likely to engage in negative health habits …”

Section: Discussionmentioning

confidence: 99%

“…29 In addition, dental patients with a history of traumatic experiences are more likely to engage in negative health habits. 30 The modern stressful way of life which related to military conflicts around the world will make more patients suffering from mental illnesses especially PTSD. 31 PTSD is one of the most frequently reported mental health consequences of exposure to war experience.…”

Section: Discussionmentioning

confidence: 99%

“…19 Items were rated on a 0-4 likert scale. The scale includes the absence of PTSD (between 0 and 11), mild PTSD (12)(13)(14)(15)(16)(17)(18)(19)(20)(21)(22)(23)(24), moderate PTSD (25)(26)(27)(28)(29)(30)(31)(32)(33)(34)(35)(36)(37)(38)(39), severe PTSD (40)(41)(42)(43)(44)(45)(46)(47)(48)(49)(50)(51)(52)(53)(54)(55)(56)(57)(58)(59), and very severe PTSD (>60). Previous studies suggested that a score of 40 or more is closely related to the diagnosis of post-traumatic stress.…”

Section: Ethical Approvalmentioning

confidence: 99%

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The impact of post‐traumatic stress disorder on dental and gingival status of children during syrian crisis: A preliminary study

Hamid

Dashash

2018

J of Invest & Clin Dent

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Aim Most children in war zone countries often experience post‐traumatic stress disorder (PTSD). This turns the war into a health issue of great importance. The aim was to evaluate dental and gingival status of children suffering from PTSD. Methods A case control study, which included 60 children (30 diagnosed with PTSD and 30 healthy controls) between 9 and 14 years, was undertaken. Dental status was assessed using decayed, missing, and filled teeth (DMFT) for permanent and decayed, missing and filled teeth (dmft) for primary. Gingival status was examined using plaque (PI) and gingival (GI) indices. Child PTSD reaction index (CPTSD‐RI) was used to evaluate the severity of PTSD. Results There was no significant difference in DMFT and dmft indices between the PTSD children and the controls. However, PTSD children had more decay in permanent (DT) and primary teeth (dt), more primary missing teeth mt and less filled teeth in their permanent (FT) and primary (ft) dentition. Significant difference was found between PTSD children and controls regarding PI (P < 0.00001) and GI (P < 0.0001). CPTSD‐RI was positively correlated with DMFT (P = 0.002), PI (P = 0.038), and GI (P = 0.007). Conclusion PTSD children had poor dental and gingival status than matched controls and they were affected by PTSD severity.

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Treating patients with traumatic life experiences

Cited by 45 publications

References 31 publications

Describing the healthcare experiences and strategies of women survivors of violence

Describing the healthcare experiences and strategies of women survivors of violence

Being considerate every step of the way: a qualitative study analysing trauma‐sensitive dental treatment for childhood sexual abuse survivors

The impact of post‐traumatic stress disorder on dental and gingival status of children during syrian crisis: A preliminary study

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