Background: There is growing evidence suggesting that those who suffer traumatic injury display high levels of perceived injustice which impedes their recovery, both physically and mentally. Aim: The aim of this syste...Background: There is growing evidence suggesting that those who suffer traumatic injury display high levels of perceived injustice which impedes their recovery, both physically and mentally. Aim: The aim of this systematic review was to examine the association between perceived injustice and pain-related, mental health and functional outcomes in patients who have suffered a traumatic injury. Methods: In May 2023, a systematic review of the literature was performed on the electronic databases of PubMed, Google Scholar, Embase, and the Cochrane Database of Systemic Reviews. Papers were collected and analysed as per PRISMA guidelines for systematic reviews. The outcomes of interest were pain intensity, pain interference, disability, depression, anxiety, and quality of life. The initial search identified 59 papers. Of these papers, five studies met the inclusion criteria and were subsequently analysed (N = 1172). Each of the papers was published in peer-reviewed journals in the English language. Individuals with pain or pathology prior to the trauma and those who were not hospitalised following the trauma were excluded from the study. Results: Of the papers reviewed, each study indicated significant associations between perceived injustice and pain, disability, depression, anxiety, post-traumatic stress disorder, as well as reduced return to work status. Conclusion: This systematic review investigated the relationship between perceived injustice and pain-related, mental health, and functional outcomes in trauma patients. The results highlight the negative role that perceived injustice has on recovery following traumatic injury. Further, it provokes the need for future research regarding the implementation of therapeutic interventions and the development of predictive models of injustice.展开更多
What are the best treatment approaches for children experiencing trauma after natural disasters? Historically, the U.S. emergency response system has not provided psychological support to communities impacted by disas...What are the best treatment approaches for children experiencing trauma after natural disasters? Historically, the U.S. emergency response system has not provided psychological support to communities impacted by disasters. Instead, the traditional emergency response community focused on ensuring the physical survival of the individuals and communities that it protects. The goal of all disaster interventions, whether physical or psychological in nature, is to restore the individual to his/her level of pre-disaster functioning. Emphasizing psychological intervention and treatment after disasters is essential in restoring health in individuals post-trauma because mental health is necessary for proper physical health, forming of coping mechanisms, and the ability of individuals to move past the trauma and lead normal lives. At young ages, the body is still developing mentally and physically, meaning the impact of a traumatic event may be completely different from that of most adults. For example, children have greater thought suppression, which leads to an associated increase in PTSD and internalizing behaviors. Thus, children require a different treatment approach to ensure that trauma is not long-lasting and prevalent in future adult life, such as through trouble expressing and regulating emotions, as well as vulnerability to future exposure to stress, which may negatively impact individuals’ identity and interpersonal abilities. The purpose of this review paper is to evaluate various memory-related disorders to then explain the pros and cons of various treatment approaches based on their efficiency in treating PTSD-related symptoms post-natural disasters in children. This review identifies the best pediatric trauma treatment approaches used after natural disasters, highlighting a lack of efficient, effective, and specific psychological treatments. By comparing various existing psychological treatments, this paper provides future directions for research by identifying existing gaps in the field and explains contrasting approaches for various memory-related and natural disaster related psychological trauma disorders.展开更多
目的分析老年抑郁症(late life depression,LLD)患者自杀行为的相关因素。方法采用回顾性研究的分析方法,按照近2周有无自杀行为将343例住院的LLD患者分为自杀行为组(n=161)和无自杀行为组(n=182),比较两组人口学特征和临床特征,采用log...目的分析老年抑郁症(late life depression,LLD)患者自杀行为的相关因素。方法采用回顾性研究的分析方法,按照近2周有无自杀行为将343例住院的LLD患者分为自杀行为组(n=161)和无自杀行为组(n=182),比较两组人口学特征和临床特征,采用logistic回归探讨LLD患者自杀行为的风险因素。结果单因素比较分析显示,自杀行为组和无自杀行为组在婚姻状况(已婚73.9%vs.83.5%,离异9.3%vs.3.3%,丧偶16.8%vs.13.2%)、饮酒史(16.8%vs.9.3%)、重大精神创伤史(17.4%vs.7.1%)、自杀家族史(18.0%vs.8.8%)及抑郁严重程度(轻度0.0%vs.3.3%,中度7.5%vs.15.9%,重度92.5%vs.80.8%)方面差异具有统计学意义(P<0.05)。进一步二分类logistic回归分析表明,饮酒史(OR=2.164,95%CI:1.103~4.245)、重大精神创伤史(OR=2.663,95%CI:1.307~5.427)、抑郁严重程度(OR=2.798,95%CI:1.432~5.466)是LLD患者自杀行为的危险因素。结论饮酒史、重大精神创伤史、抑郁严重程度可能增加LLD患者的自杀风险。展开更多
文摘Background: There is growing evidence suggesting that those who suffer traumatic injury display high levels of perceived injustice which impedes their recovery, both physically and mentally. Aim: The aim of this systematic review was to examine the association between perceived injustice and pain-related, mental health and functional outcomes in patients who have suffered a traumatic injury. Methods: In May 2023, a systematic review of the literature was performed on the electronic databases of PubMed, Google Scholar, Embase, and the Cochrane Database of Systemic Reviews. Papers were collected and analysed as per PRISMA guidelines for systematic reviews. The outcomes of interest were pain intensity, pain interference, disability, depression, anxiety, and quality of life. The initial search identified 59 papers. Of these papers, five studies met the inclusion criteria and were subsequently analysed (N = 1172). Each of the papers was published in peer-reviewed journals in the English language. Individuals with pain or pathology prior to the trauma and those who were not hospitalised following the trauma were excluded from the study. Results: Of the papers reviewed, each study indicated significant associations between perceived injustice and pain, disability, depression, anxiety, post-traumatic stress disorder, as well as reduced return to work status. Conclusion: This systematic review investigated the relationship between perceived injustice and pain-related, mental health, and functional outcomes in trauma patients. The results highlight the negative role that perceived injustice has on recovery following traumatic injury. Further, it provokes the need for future research regarding the implementation of therapeutic interventions and the development of predictive models of injustice.
文摘What are the best treatment approaches for children experiencing trauma after natural disasters? Historically, the U.S. emergency response system has not provided psychological support to communities impacted by disasters. Instead, the traditional emergency response community focused on ensuring the physical survival of the individuals and communities that it protects. The goal of all disaster interventions, whether physical or psychological in nature, is to restore the individual to his/her level of pre-disaster functioning. Emphasizing psychological intervention and treatment after disasters is essential in restoring health in individuals post-trauma because mental health is necessary for proper physical health, forming of coping mechanisms, and the ability of individuals to move past the trauma and lead normal lives. At young ages, the body is still developing mentally and physically, meaning the impact of a traumatic event may be completely different from that of most adults. For example, children have greater thought suppression, which leads to an associated increase in PTSD and internalizing behaviors. Thus, children require a different treatment approach to ensure that trauma is not long-lasting and prevalent in future adult life, such as through trouble expressing and regulating emotions, as well as vulnerability to future exposure to stress, which may negatively impact individuals’ identity and interpersonal abilities. The purpose of this review paper is to evaluate various memory-related disorders to then explain the pros and cons of various treatment approaches based on their efficiency in treating PTSD-related symptoms post-natural disasters in children. This review identifies the best pediatric trauma treatment approaches used after natural disasters, highlighting a lack of efficient, effective, and specific psychological treatments. By comparing various existing psychological treatments, this paper provides future directions for research by identifying existing gaps in the field and explains contrasting approaches for various memory-related and natural disaster related psychological trauma disorders.
文摘目的分析老年抑郁症(late life depression,LLD)患者自杀行为的相关因素。方法采用回顾性研究的分析方法,按照近2周有无自杀行为将343例住院的LLD患者分为自杀行为组(n=161)和无自杀行为组(n=182),比较两组人口学特征和临床特征,采用logistic回归探讨LLD患者自杀行为的风险因素。结果单因素比较分析显示,自杀行为组和无自杀行为组在婚姻状况(已婚73.9%vs.83.5%,离异9.3%vs.3.3%,丧偶16.8%vs.13.2%)、饮酒史(16.8%vs.9.3%)、重大精神创伤史(17.4%vs.7.1%)、自杀家族史(18.0%vs.8.8%)及抑郁严重程度(轻度0.0%vs.3.3%,中度7.5%vs.15.9%,重度92.5%vs.80.8%)方面差异具有统计学意义(P<0.05)。进一步二分类logistic回归分析表明,饮酒史(OR=2.164,95%CI:1.103~4.245)、重大精神创伤史(OR=2.663,95%CI:1.307~5.427)、抑郁严重程度(OR=2.798,95%CI:1.432~5.466)是LLD患者自杀行为的危险因素。结论饮酒史、重大精神创伤史、抑郁严重程度可能增加LLD患者的自杀风险。
