Treatment of post-traumatic psychiatric disorders: A continuum of immediate, post-immediate and follow-up care mediated by specific psychotherapeutic principles. Clinical experience in French-speaking countries

Auxéméry, Yann

doi:10.1016/j.encep.2018.02.003

Cited by 21 publications

(13 citation statements)

References 12 publications

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“…However, establishing routines, which increases planification, could allow to re-evaluate the hard situation that we were living and to focus on benefits more than on harms. It is important to consider that avoidance strategies increase anticipatory anxiety [56], which could be a main factor in the development and maintenance of anxiety disorders.…”

Section: Discussionmentioning

confidence: 99%

Does living close to petrochemical complex increase the adverse psychological effects of COVID-19 lockdown?

Vicens

Heredia

Pérez

et al. 2020

Preprint

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The petrochemical industry has made possible the economic development of many local communities, increasing the employment opportunities and generating a complex network of secondary industries closely related to those. However, it is known that petrochemical industries emit air pollutants, which are related to different negative effects on mental health. In addition, many people around the world are being exposed to highly stressful situations derived from the COVID-19 pandemic and the lockdown adopted by the national and regional governments. The present study was aimed at analysing the possible differential effects on different psychological outcomes (stress, anxiety, depression and emotional regulation strategies) derived from the COVID-19 pandemic and the consequent lockdown in individuals living near an important petrochemical complex and subjects living in other areas, non-exposed to the characteristic environmental pollutants emitted by this kind of complexes. The sample was composed by 1607 subjects which respond a questionnaire developed ad hoc about the confinement conditions, the Perceived Stress Scale (PSS), the Hospital Anxiety and Depression Scale (HADS), the Barratt Impulsivity Scale (BIS) and the Emotional Regulation Questionnaire (ERQ). The results indicated that people living closer to petrochemical complexes reported greater risk perception. However, no significant relationships between psychological variables and proximity to the focus were detected when compared people living near to or far away from a chemical/petrochemical complex. Regarding the adverse psychological effects of the first lockdown due to COVID-19 on the general population in Catalonia, we can conclude that the lockdown conditions included in this survey were mainly related to changes in the impulsivity levels of participants. However, we can also suggest that the economic effects are going to be harder than those initially detected in this study. More studies are necessary to corroborate our results.Author ContributionsConceptualization: Paloma Vicens, Luis Heredia, José L. Domingo, Margarita TorrenteFunding Acquisition: José L. DomingoData Curation and Formal Analysis: Paloma Vicens, Luis Heredia, Edgar Bustamante, Yolanda Pérez, Margarita TorrenteMethodology: Paloma Vicens, Luis Heredia, Margarita TorrenteWriting-original draft: Paloma Vicens, Luis HerediaWriting- review and editing: Paloma Vicens, Luis Heredia, Yolanda Pérez, José L. Domingo, Margarita Torrente

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Section: Discussionmentioning

confidence: 99%

Does living close to petrochemical complex increase the adverse psychological effects of COVID-19 lockdown?

Vicens

Heredia

Pérez

et al. 2020

Preprint

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“…Thus, total desensitisation work, as proposed for PTSD patients, and re-exposure to trauma stressors are generally not part of the psychological support during the rehabilitation of post-severe COVID-19 patients. However, work on memories related to traumatic events can already be initiated [10]. The aim at this early stage is to prevent these memories from becoming threatening and thus to prevent the patient from developing PTSD later on.…”

Section: Interviewmentioning

confidence: 99%

Clinical condition, Resuscitation and Medical-Psychological Care of Severe COVID-19 patients (part 2)

Maoz

Huet

Sudres³

et al. 2022

Annales Médico-psychologiques, revue psychiatrique

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Respiratory rehabilitation is the penultimate step in the medical management of patients with severe COPD-19. It is an essential step before patients’ returning home, and is usually carried out in specialised Follow-up and Rehabilitation Clinics. When discharged from hospital, patients with post-severe COVID-19 usually progress in their medical condition. However, they may remain frail and have a constant fear of possible deterioration leading to (re)hospitalisation and a return to baseline. Psychological support in this phase can reduce patients’ anxiety and increase their motivation to carry out daily rehabilitation activities. This support provides a stable and consistent basis for patients to focus on their progress, leaving the difficulties behind. Being aware of the improvements in their physical condition allows them to maintain their motivation to continue to be physically active. Psychological support during respiratory rehabilitation aims at preparing patients to return to the normal life they had before the disease. It is usually based on brief psychotherapies that focus on strengthening the patient's abilities through behavioural changes and through reducing risk behaviours. Only after this phase is it sometimes possible to deal with complex issues and to cope with personality mechanisms and maladaptive behaviour patterns.

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“…"Cognitive Behavior Therapy" seems to be the most effective (but with an application delay and an unknown duration), as suggested in the systematic review of Eva Visser et al [39]. Some authors have proposed to adopt an attitude of "defusing" instead, the effect of which remains to be specified [40][41][42].. Regarding potential drug treatments, no studies provide a high level of evidence or guidance.…”

Section: Impacts For Future Practicesmentioning

confidence: 99%

Survivors of avalanche accidents: posttraumatic stress disorder symptoms and quality of life: a multicentre study

Léonard

Charriau-Perret

Debaty

et al. 2021

Scand J Trauma Resusc Emerg Med

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Background As any traumatic event, avalanches could trigger psychological disorders on survivors. Our objectives were to determine the prevalence of post-traumatic stress disorder among avalanche survivors and to evaluate post-traumatic stress disorder risks factors as well as the impact on quality of life. Methods A multicentre study was conducted in victims included in the North Alpine Avalanche Registry from 2014 to 2018. Data were collected through a standard questionnaire during semi-directed phone interviews. The primary outcome was the total score on the Impact of Event Scale Revised. Secondary outcomes were the Mental Component Scale and the Physical Component Scale scores of the Short Form 12 questionnaire. Results During the study period, 132 of 211 victims survived. Among the 107 victims included, 55 (51.4%) phone interviews were obtained. Six patients (10.9, 95% CI 1.76–20.05) had an Impact of Event Scale Revised score ≥ 33 indicating a strong probability for post-traumatic stress disorder. Median Mental Component Scale score was 39.0 (IQR 30.5–46.3) for post-traumatic stress disorder patients and 40.1 (IQR 36.5–43.4) for non post-traumatic stress disorder (p = 0.76). Median Physical Component Scale score was 39.4 (37.2–44.3) for post-traumatic stress disorder patients and 44.2 (39.1–46.8) for non post-traumatic stress disorder (p = 0.39). No significant difference in the quality of life in both populations was observed, and no independent risk factors of post-traumatic stress disorder was identified. Conclusion Avalanche accidents may induce post-traumatic stress disorders among survivors in a comparable prevalence to the most traumatic event already studied. Early recognition and preventive measures should be set up in order to reduce the psychological burden in these victims. Trial registration NCT03936738.

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Treatment of post-traumatic psychiatric disorders: A continuum of immediate, post-immediate and follow-up care mediated by specific psychotherapeutic principles. Clinical experience in French-speaking countries

Cited by 21 publications

References 12 publications

Does living close to petrochemical complex increase the adverse psychological effects of COVID-19 lockdown?

Does living close to petrochemical complex increase the adverse psychological effects of COVID-19 lockdown?

Clinical condition, Resuscitation and Medical-Psychological Care of Severe COVID-19 patients (part 2)

Survivors of avalanche accidents: posttraumatic stress disorder symptoms and quality of life: a multicentre study

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