Peritraumatic Reactions and Posttraumatic Stress Disorder Symptoms After Psychiatric Admission

Abstract

The present study aimed to explore exposure to stressful events during a psychiatric admission and the predictive power of peritraumatic distress and dissociation in the development of posttraumatic stress disorder (PTSD) symptoms after exposure to such events. Psychiatric inpatients (N = 239) were asked to report exposure to stressful events during their admission within 48 hours of being admitted. Individuals reporting at least one stressful event during admission (n = 70, 29%) were assessed for peritraumatic dissociation and distress in relation to this event and, 5 weeks later, were reassessed for PTSD symptoms. Eight participants (12.3%) scored above the cutoff for probable PTSD. Multiple regression analyses revealed that peritraumatic distress was a significant predictor of 5-week PTSD symptoms. Our findings suggest that individuals experiencing increased peritraumatic distress in relation to a stressful event experienced during a psychiatric admission might be at risk of PTSD symptoms and might benefit from increased attention.

Peritraumatic distress fully mediates the relationship between posttraumatic stress symptoms preoperative and three months postoperative in patients undergoing spine surgery

“…Posttraumatic stress symptoms (PSS) prior to the surgery were investigated as a pretrauma variable, since posttraumatic stress symptomatology prior to the exposure of a new traumatic event was a strong predictor of posttraumatic stress in prior studies (Jubran et al, 2010; Kessler et al, 2014). Peritraumatic distress in general was analysed as a peritrauma variable, because peritraumatic distress has been shown to predict posttraumatic stress better than peritraumatic dissociation (Bui et al, 2010; Ladois-Do Pilar Rei et al, 2012). Our research question was whether peritraumatic distress mediates the relationship between pretrauma and posttrauma symptoms.…”

Use of Coercive Measures during Involuntary Psychiatric Admission and Treatment Outcomes: Data from a Prospective Study across 10 European Countries

“…Quite apart from the physical risks that go with the use of force, qualitative studies consistently show that coercive measures can be experienced by patients as humiliating and distressing [5, 6], and consideration has started to be made of the psychological risks of their use [7, 8]. On mainly humanitarian grounds, many countries have put strategic plans in place to reduce or eliminate the use of coercive measures, particularly the use of seclusion and restraint, but evidence as to their association with outcomes should also inform and influence these important organisational and cultural changes.…”

Romantic relationship dissolutions are significantly associated with posttraumatic stress symptoms as compared to a DSM-5 Criterion A event: a case-case–control comparison

“…This underscores the impact that RRDs may have despite often being ‘dismissed or trivialised as a rite of passage’ (Belu et al, 2016 ). Indeed, events that are not culturally or objectively acknowledged as a trauma – such as RRDs among EAS – may confer more risk on account of a perceived lack of social support and acceptance (Bui et al, 2012 ; Ladois-Do Pilar Rei et al, 2012 ; Lansing et al, 2017 ). If an RRD, as a non-criterion A event, is discounted by student counselling services and traumatic responses are deemed to be ‘overblown’ (p. 41), this may impede help-seeking behaviour and serve as a barrier to treatment (Lansing et al, 2017 ) for EAS who may benefit from treatment.…”