The SARS-CoV-2 pandemic was characterized by a significant increase in the endorsement of conspiracy theories. Conspiracy theories are narratives that can enable and accentuate distrust toward health professionals and authorities. As such, they can lead to violent radicalization and should be considered a public health issue. This perspective article aims to further the understanding of professionals on conspiracy theories via the 3N model of radicalization and self-determination theory. Based on empirical research, theory, and existing interventions, potential initiatives intended to tackle the issue of conspiracy theories during pandemics are also presented.
Lawyers can be exposed to cases involving traumatic elements of crimes. Such exposure may result in symptoms of posttraumatic stress disorder (PTSD) and have adverse effects on the lawyers’ capacities to work. A scoping review was conducted to summarize original investigations of work-related PTSD among lawyers in terms of (a) trauma exposure conceptualization and operationalization, (b) symptom severity, (c) prevalence, and (d) risk factors. The scoping review also aimed to highlight potential directions for future studies and clinical implications. Literature searches were conducted in PsycINFO, Embase, Pubmed, MEDLINE, PILOTS, and Google Scholar. Of 341 initial publications, 9 were included. A majority conceptualized the impact of work-related trauma exposure as secondary traumatic stress and operationalized work-related trauma exposure as the number of cases or clients involving traumatic material. Levels of PTSD symptoms reported by lawyers were positively related to levels of work-related trauma exposure.
Objective: Numerous professions are considered at risk of developing work-related posttraumatic stress disorder (PTSD), as per DSM-5. This study sought to identify the prevalence of PTSD among lawyers and its associated work and non-work-related risk and moderating factors. Method: A cross-national sample of Canadian lawyers (N = 169) completed two online surveys 8 months apart. Results: Seven percent of lawyers working with trauma-related cases met the criteria for probable PTSD at study entry only, 7.0% met them at study endpoint only, and an additional 3.5% of the sample met the criteria at both time points, yielding a current (past-month) prevalence of 10.4% and an 8-month cumulative prevalence of 17.5%. Beyond a past diagnosis of PTSD, the most important risk factor was the number of years on the job. Parenthood represented a mitigating factor. Ultimately, the more time spent working on trauma-related cases, the more severe were the PTSD symptoms, although this relationship was moderated by perceived quality of life and work-family balance. Conclusions: Lawyers exposed to traumarelated cases represent an at-risk group for PTSD. The findings highlight the powerful impacts that interpersonal relationships and self-care may have in buffering this health hazard. Clinical Impact StatementThis longitudinal study suggests that lawyers working with trauma-related cases are at risk of developing posttraumatic stress disorder (PTSD). A past diagnosis of PTSD and more years on the job are risk factors, while parenthood is a mitigating factor. Law firms should consider investing resources to improve the work culture and provide an environment that makes the promotion of a good quality of life and an adequate work-family balance.
Searching for mental health resources online has become a common practice among individuals who have experienced traumatic stress. However, little is known about the quality of the information available online. This can have important implications from a knowledge dissemination and treatment perspective. This descriptive analysis explores the content and quality of Canadian trauma and posttraumatic stress disorder (PTSD) websites available on Google.ca. Data were collected between 2018 and 2020 using a systematic search algorithm that consisted of 14 traumatic events, four trauma-related phrases, and 14 Canadian geographic regions. Each website's content was evaluated using the Trauma Website Content Checklist. The DISCERN Handbook was used to determine website quality. A total of 964 websites were included in the analysis. Content and quality varied considerably across websites and between regions. Notably, only 10% of websites included information on the diagnostic criteria of PTSD, whereas 69% of websites included information on treatments for PTSD. The average DISCERN score was 2.92 out of 5, with 53% of websites falling below a "fair" rating, as indicated by a DISCERN score of 3. Crucial information is absent from the majority of Canadian trauma and PTSD-related websites, particularly regarding diagnostic criteria and risks and benefits of treatments. Gaps in the trauma-related resources available on Google.ca are discussed, and the necessity for improved content and quality of Canadian trauma-related websites is presented. Public Significance StatementThe findings of this review indicate that most Canadian trauma-related websites are missing important trauma-related content, and that the overall quality of these websites is fair to low. These findings communicate a need for comprehensive websites on trauma and trauma-related disorders in Canada, especially given the popularity of using Google to learn about mental health concerns. Professionals should consider the importance of publishing comprehensive, accessible online resources on trauma and posttraumatic stress disorder, and the public should be wary of the extensiveness and accuracy of trauma-related information they may find online.
published the results of a pilot study in a 2019 issue of the American Journal of Pharmaceutical Education. 1 They developed a promising six-week dual intervention involving yoga and meditation for college students (one session per week). One group of students was recruited (n517) and their levels of perceived stress, anxiety, and mindfulness skills were assessed before and after the sixweek intervention. We commend the authors for creating a promising tool to tackle the often put aside issue of student psychological distress. Nevertheless, we question and comment on the pilot study methodology used by the authors, the procedure used to assess the stated objectives, and the interpretation of the results.Pilot studies are feasibility studies, meaning that they are conducted to assess the quality of the studied intervention and the smooth running of the study procedures before conducting a large-scale study. 2 Therefore, pilot studies only require a small sample and the collected data should not be interpreted per se. 2 The strength of a pilot study rests in the rigorous description of the procedure employed to conduct the assessment of an intervention (ie, methodology, procedure, intervention, quality, and feasibility assessments). Such description allows other researchers to replicate the study to further support the assessed intervention as evidencebased. In their pilot study, Lemay, Hoolahan, and Buchanan aimed to assess the efficacy of their dual intervention on reducing perceived stress and anxiety, as well as increasing mindfulness skills in college students. As is required in a pilot study, the authors clearly reported their methodology, that is, their inclusion and exclusion criteria, how they recruited participants, and the measures used in their assessment. They also used robust and psychometrically sound self-report measures to assess the levels of stress, anxiety, and mindfulness skills among their participants.A key element of pilot studies was missing in this article. The authors asserted that their dual intervention was of high quality. However, their intervention lacked detailing (ie, yoga postures, meditation scenarios, room disposition, instructions technique used) and the authors did not report how they assessed the quality of their intervention, nor did they state how they evaluated the feasibility of their study procedures. Indeed, they
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