Patients’ Reports of Traumatic Experience and Posttraumatic Stress in Psychiatric Settings

Wu, Kitty K.; Cheng, Jamie P. K.; Leung, Joey; Chow, L. P.; Lee, Chi-Chiu

doi:10.12809/eaap1880

Cited by 16 publications

(23 citation statements)

References 28 publications

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“…The results showed that 12.4% of respondents had a score ≥ 33 on the IES-R, suggesting possible diagnosis of PTSD (Table 3 and 4 ). Analyses of the average scores for the three subscales of the IES-R showed that 7.4% of participants had moderate levels of distress as indicated by the Avoidance and Hyperarousal subscales, and 8.1% showed distress as indicated by the Intrusion subscale (using a cut-off of 2 previously used in a Hong Kong study; [ 32 ]).…”

Section: Resultsmentioning

confidence: 99%

COVID-19 one year on: identification of at-risk groups for psychological trauma and poor health-protective behaviour using a telephone survey

et al. 2022

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Background This study examined the profiles and correlates of psychological trauma, compliance with preventative measures, vaccine acceptance and participation in voluntary testing during the novel coronavirus disease 2019 (COVID-19) pandemic among the adult population in Hong Kong (n = 3,011). Methods Data were collected through a telephone survey between December 2020 and February 2021, using measures of psychological trauma, compliance with preventative measures, reading news reports on COVID-19, vaccine acceptance and willingness to participate in voluntary testing. Results The prevalence of possible post-traumatic stress disorder was found to be 12.4%. Respondents were generally compliant with routine preventative measures, and approximately half had accepted vaccination and voluntary testing. Participants who had lower levels of education, were unemployed or had no income showed greater psychological trauma symptoms, whereas female, older and more educated participants showed greater compliance with preventative measures. Participants who spent more time watching news reports of COVID-19 had greater psychological trauma, but also greater compliance. Participants who were male, older, had lower education levels or were married showed greater acceptance of vaccination and participation in voluntary testing. Conclusions Socio-demographic factors affected both psychological trauma and engagement in health-protective measures at one year after the onset of the pandemic. The theoretical and practical implications of these findings are discussed.

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Section: Resultsmentioning

confidence: 99%

COVID-19 one year on: identification of at-risk groups for psychological trauma and poor health-protective behaviour using a telephone survey

et al. 2022

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“…The review of acupuncture for all withdrawal conduced by Grant and colleagues (2016) identified 11 RCTs primarily examining acupuncture for opioid withdrawal (in most cases heroin). A second review published in the same year 76 focused on clinical trials of acupuncture for opioid withdrawal. Both reviews identified similar concerns regarding the poor quality of the studies and publication bias.…”

Section: Acupuncturementioning

confidence: 99%

Management of withdrawal from alcohol and other drugs

Lintzeris¹,

Sunjic²,

Demirkol³

et al. 2019

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This review on management of withdrawal from alcohol and other drugs aimed to identify: the most effective practices; which withdrawal strategies are most effective in improving treatment outcomes for special population groups; and the differential effects of withdrawal management approaches by setting. The review identified the importance of a ‘package of care’ which includes psychosocial, physical and pharmacological interventions, and these should be incorporated into all withdrawal services. The challenge is to ensure that effective services are available, patient-centred, evidence-based and efficient. The review suggests that a re- examination of the NSW approach is needed with more emphasis on ambulatory withdrawal services. The review also highlights a need for more research into interventions for special populations including older people.

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“…A review by [19] including studies from Chinese language databases concluded that the frequency of restraint is higher in China compared to average numbers globally. From the patient's perspective, the use of restraints was perceived negatively: over half (61.2%) of psychiatric inpatients surveyed in Hong Kong (n = 129) reported traumatic experiences due to witnessing another patient being taken down and 41.1% of that group reported traumatic experiences due to witnessing another patient being put in restraints of any kind [20].…”

Section: Introductionmentioning

confidence: 99%

The Knowledge, Practice and Attitudes of Nurses Regarding Physical Restraint: Survey Results from Psychiatric Inpatient Settings

Lee

Välimäki

2021

IJERPH

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There is a considerable amount of literature describing how nurses’ knowledge contributes to their attitudes and practices related to patient physical restraint. However, whether or not there have been any improvements in nurses’ knowledge levels, attitudes or practices regarding physical restraint during the past few years is unknown. A survey was conducted on nurses (n = 133) in one psychiatric hospital in Hong Kong (n = 98, response rate = 74%). The data were analyzed using independent t-tests, ANOVA, a Mann–Whitney U test, a Kruskal–Wallis test and Spearman’s rho. In general, nurses had good restraint-related knowledge with satisfactory attitudes and practices, although their knowledge levels, attitudes, and practices regarding restraint varied. Having a higher age, seniority, and education level contributed to a higher restraint-related knowledge level. Male nurses demonstrated more desirable practices (i.e., care of restrained patients), while nurses with a higher education level were more likely to avoid restraint. Nurses’ restraint-related knowledge positively correlated with restraint practices. Although nurses’ knowledge levels, attitudes, and practices regarding restraint were found to be satisfactory, more training efforts should focus on young nurses working in psychiatric settings with less work experience and lower education levels. As some nurses seem to favor the use of restraint with limited reflection, more studies are needed to verify nurses’ emotions and how their emotions influence the use of restrictive practices.

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Patients’ Reports of Traumatic Experience and Posttraumatic Stress in Psychiatric Settings

Cited by 16 publications

References 28 publications

COVID-19 one year on: identification of at-risk groups for psychological trauma and poor health-protective behaviour using a telephone survey

COVID-19 one year on: identification of at-risk groups for psychological trauma and poor health-protective behaviour using a telephone survey

Management of withdrawal from alcohol and other drugs

The Knowledge, Practice and Attitudes of Nurses Regarding Physical Restraint: Survey Results from Psychiatric Inpatient Settings

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