European Journal of Trauma & Dissociation最新文献

{"title":"Parent-Child EMDR therapy for children aged 0–4 years: Protocol, pilot-data, and case study","authors":"Marianne Went ,&nbsp;Arianne Struik ,&nbsp;Eline Möller ,&nbsp;Bonne J.H. Zijlstra ,&nbsp;Anja Dumoulin ,&nbsp;Gerinda van Haaften ,&nbsp;Roos Rodenburg","doi":"10.1016/j.ejtd.2024.100475","DOIUrl":"10.1016/j.ejtd.2024.100475","url":null,"abstract":"<div><div>This article describes the Parent-Child EMDR protocol for children (0–4 years) and provides a summary of treatment data of an explorative pilot study with 18 children aged 0–4 years, illustrated with a case study. The Parent-Child EMDR protocol follows the EMDR standard protocol with adaptations only where imperative due to the age of the child and integrating research in the field of infant mental health, attachment, memory, and EMDR and its working mechanisms. As such, it provides an alternative to Storytelling (Lovett, 1999, 2015), which uses a preconstructed narrative predominantly focusing on resourcing and cognitive information. The brief customized treatment consists of a combination of the following components: preparation, EMDR with child and parents, EMDR for the parent, if necessary, parent-child interaction sessions, and parental guidance sessions. Focus lays on the child and parents’ internal associative processes after maximum activation of the child and parent's traumatic material, to allow the child's and parent's inherent capacity to integrate, through associations and by using the adaptive information experienced in their interaction during the session. Through this process, the parent-child interaction and attachment relationships improve, as well as the parent's mentalizing ability and confidence.</div><div>In an explorative pilot study, treatment data of 18 children between 0 and 4 years were gathered to obtain insight into the Parent-Child EMDR protocol and its effect on PTSD symptoms. Therapists scored PTSD symptom clusters of the DC 0–5 criteria. All children lost their PTSD diagnosis after treatment. A case example illustrates the use of this protocol in more detail. The Parent-Child EMDR protocol is a promising short and customized treatment to help child and parents overcome their trauma symptoms, resume normal development, and build healthy attachment relationships.</div></div>","PeriodicalId":29932,"journal":{"name":"European Journal of Trauma & Dissociation","volume":"8 4","pages":"Article 100475"},"PeriodicalIF":2.0,"publicationDate":"2024-10-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142532456","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Représentations d'attachement, traits de personnalité limite en émergence et comportements extériorisés d'enfants maltraités et issus de la population générale","authors":"Olivier Didier ,&nbsp;Miguel M. Terradas ,&nbsp;Rosalie Guillemette ,&nbsp;Ana Carolina Rengel","doi":"10.1016/j.ejtd.2024.100472","DOIUrl":"10.1016/j.ejtd.2024.100472","url":null,"abstract":"<div><h3>Introduction</h3><div>Abused children, especially those in residential care, show more externalized behaviors than children from the general population. These externalized behaviors may be a developmental consequence of different forms of abuse perpetrated by the parent, whose role is to support the child. Child maltreatment can also result in emerging borderline personality features (EBPT) related to socio-cognitive, emotional, relational, behavioral, and identity deficits.</div></div><div><h3>Objective</h3><div>The main objective of this research is to explore the links between the child's representations of maternal support and the presence of EBPF and externalized behaviors.</div></div><div><h3>Method</h3><div>Thirty-three foster care children and 40 children from the general population (7 to 12 years old) participated in the study. A semi-structured play activity measuring the child's representations of maternal support and a questionnaire assessing EBPF were administered to the children. The adult responsible for the child completed a questionnaire evaluating externalized behaviors.</div></div><div><h3>Results</h3><div>Mean comparisons confirm an increased presence of externalized behaviors and EBPF among the children in residential care. Representations of the mother as being unsupportive are associated with more EBPF. The increased presence of EBPF is linked to more externalized behaviors. Regression analysis attests to the mediating role of EBPF in the relationship between children's representations of maternal support and externalized behaviors.</div></div><div><h3>Conclusion</h3><div>These findings underscore the role of the mother-child relationship in personality development. An altered mother-child relationship appears to lead to deficits, particularly in the child's ability to manage situations that arouse aggression.</div></div>","PeriodicalId":29932,"journal":{"name":"European Journal of Trauma & Dissociation","volume":"8 4","pages":"Article 100472"},"PeriodicalIF":2.0,"publicationDate":"2024-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142532455","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Anxio-depressive disorders, traumatic symptoms, and suicidality among limb amputees: A cross-sectional and prospective study","authors":"Jihane Moussaoui ,&nbsp;Achraf Tebbaa El Hassali ,&nbsp;Manal Gharibi ,&nbsp;Omar Agoumi ,&nbsp;Adnane Benzirar ,&nbsp;Abdeljaouad Najib ,&nbsp;Mohammed Barrimi","doi":"10.1016/j.ejtd.2024.100471","DOIUrl":"10.1016/j.ejtd.2024.100471","url":null,"abstract":"<div><h3>Introduction</h3><div>Limb amputation represents an ultimate therapeutic option in certain severe or progressive pathologies. We conducted this study to describe anxio- depressive disorders, traumatic symptoms, and suicidality among limb amputees, as well as factors associated with their occurrence.</div></div><div><h3>Materials and Methods</h3><div>This was a cross-sectional and prospective descriptive and analytical study conducted over a two-year period from October 2020 to October 2022, at the following departments of the Mohammed VI University Hospital Center in Oujda: Traumatological and Orthopedic Surgery departements A and B, and Peripheral Vascular Surgery departement, involving 122 patients.</div></div><div><h3>Results</h3><div>The average age of our patients was 46.42 ± 14.76 years, with a predominance of males (male-to-female ratio of 2.21). Preoperative assessment of patients occurred 6 to 24 h before amputation. Immediate postoperative evaluation took place on average 2.18 ± 1.53 days after surgery, ranging from 1 to 8 postoperative days. The prevalence of anxio-depressive disorders according to the MINI scale was 77 %, comprising Depression (9 %), Adjustment Disorder (36.9 %), Acute Stress Disorder (20.5 %), Post-Traumatic Stress Disorder (6.6 %), and Anxiety Disorders (10.7 %), with suicide attempts reported in 16.4 % of cases. The mean score on the Hamilton Depression Rating Scale for our patients was 10.81 ± 3.27, on the Hamilton Anxiety Rating Scale was 16.33 ± 5.54, and on the Ducher Suicide Risk Scale was 0.82 ± 1.33.</div></div><div><h3>Conclusion</h3><div>The occurrence of postoperative anxio-depressive disorders, traumatic symptoms, and suicidal behavior is associated with the following factors: male sex, personal history of depression, family history of psychiatric disorders, quality of diagnostic disclosure, postoperative sleep disturbances, postoperative panic attacks, psychological support, and socio-professional reintegration.</div></div>","PeriodicalId":29932,"journal":{"name":"European Journal of Trauma & Dissociation","volume":"8 4","pages":"Article 100471"},"PeriodicalIF":2.0,"publicationDate":"2024-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142532405","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Ethical approach in a posttraumatic stress disorder","authors":"Sami Richa ,&nbsp;Lyna Chami ,&nbsp;Nathalie Richa ,&nbsp;Wissam El-Hage","doi":"10.1016/j.ejtd.2024.100473","DOIUrl":"10.1016/j.ejtd.2024.100473","url":null,"abstract":"<div><h3>Background and objective</h3><div>We will discuss autonomy, beneficence, non-maleficence and justice regarding trauma.</div></div><div><h3>Method</h3><div>A review of some papers regarding this subject and our experience nourished from our clinical practice.</div></div><div><h3>Results</h3><div>Respect of these ethical issues is important in order to improve to promote healing and resilience of subjects suffering from PTSD.</div></div><div><h3>Conclusions</h3><div>Ethical issues are important in all psychiatric and psychological issues.</div></div>","PeriodicalId":29932,"journal":{"name":"European Journal of Trauma & Dissociation","volume":"8 4","pages":"Article 100473"},"PeriodicalIF":2.0,"publicationDate":"2024-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142444883","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The moderating role of sleep hours in the relationship between childhood trauma and depressive symptoms: A longitudinal investigation","authors":"Chak Hei Ocean Huang ,&nbsp;Hong Wang Fung ,&nbsp;Tsz Ying Nathalie Tsui ,&nbsp;Guangzhe Frank Yuan ,&nbsp;Caimeng Liu ,&nbsp;Chu Wing Lai ,&nbsp;Janet Yuen-Ha Wong","doi":"10.1016/j.ejtd.2024.100474","DOIUrl":"10.1016/j.ejtd.2024.100474","url":null,"abstract":"<div><div>Although childhood trauma has been identified as one of the major risk factors for depression, the potential mechanisms behind this relationship remain less clear. As sleep disturbances are associated with both childhood trauma and depression, this study examined the moderating effects of sleep hours on this relationship. The sample consisted of young adults from an international longitudinal survey project (<em>N</em> = 146). Participants completed validated screening measures of childhood trauma and depressive symptoms and reported their sleep hours at baseline (T1), and then reported their depressive symptoms again at follow-up (T2) after 3 months. Multiple regression and moderation analyses were used to analyze the data. T1 childhood trauma was positively correlated to depressive symptoms at both T1 (<em>r</em> = 0.26, <em>p</em> &lt; .01) and T2 (<em>r</em> = 0.21, <em>p</em> &lt; .05). After controlling for demographic variables and T1 depressive symptoms, T1 sleep hours significantly predicted T2 depressive symptoms (<em>β</em> = 0.136, <em>p</em> = .038). Furthermore, the number of sleep hours moderated the effects of T1 childhood trauma on T2 depressive symptoms. T1 childhood trauma predicted T2 depressive symptoms only when sleep hours were low (<em>B</em> = 0.2056, <em>p</em> = .0075). This study provided evidence that childhood trauma was significantly associated with aggravated depressive symptoms under sleep deprivation. Proactive management of sleep problems might be beneficial to people with childhood trauma. Future studies are needed to evaluate sleep-focused interventions for childhood trauma survivors.</div></div>","PeriodicalId":29932,"journal":{"name":"European Journal of Trauma & Dissociation","volume":"8 4","pages":"Article 100474"},"PeriodicalIF":2.0,"publicationDate":"2024-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142532403","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring cognitive behavioral mechanisms related to dissociation among patients suffering from schizophrenia: A pilot study","authors":"A Vancappel ,&nbsp;J Graux ,&nbsp;W El-Hage","doi":"10.1016/j.ejtd.2024.100469","DOIUrl":"10.1016/j.ejtd.2024.100469","url":null,"abstract":"<div><h3>Introduction</h3><div>Dissociation is a challenging syndrome present in multiple psychiatric disorders for which no gold standard treatment exists. Recently, some authors have developed a Cognitive Behavioral Model of dissociation, offering new insights for psychotherapy. However, this model has primarily been assessed in patients suffering from PostTraumatic Stress Disorder (PTSD). Therefore, the aim of this study is to explore the relevance of this conceptualization in patients suffering from schizophrenia.</div></div><div><h3>Method</h3><div>We recruited 20 patients (15 men) suffering from schizophrenia. After providing consent, they completed self-reported questionnaires assessing dissociation, PTSD, beliefs about emotion, beliefs about dissociation, mindfulness abilities, and emotion regulation. Then, they responded to three open-ended questions exploring the triggers of dissociation and strategies used to counteract it.</div></div><div><h3>Results</h3><div>We found a low prevalence of the different cognitive-behavioral mechanisms related to dissociation in our sample. However, we found significant relationships between these mechanisms and dissociative symptoms. This relationship was also identified in the qualitative analysis.</div></div><div><h3>Conclusion</h3><div>The present results offer primary data supporting the relevance of the cognitive-behavioral conceptualization of dissociation in patients suffering from schizophrenia. Further studies should be conducted with larger samples and include additional variables to enhance the understanding of dissociation in this population.</div></div>","PeriodicalId":29932,"journal":{"name":"European Journal of Trauma & Dissociation","volume":"8 4","pages":"Article 100469"},"PeriodicalIF":2.0,"publicationDate":"2024-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142433526","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Claims of Dissociative Identity Disorder on the Internet: A new epidemic of Munchausen Syndrome?","authors":"Eric Binet","doi":"10.1016/j.ejtd.2024.100470","DOIUrl":"10.1016/j.ejtd.2024.100470","url":null,"abstract":"<div><div>Munchausen Syndrome (MS), otherwise known as factitious disorder may have evolved with the development of social media and virtual communities, and in these cases is called Munchausen by Internet (MbI). There has been a significant increase in reports of people, mostly young adults, presenting their own self-diagnosis and claiming on the Internet (or in consultation) to suffer from Dissociative Identity Disorder (DID), which is a disorder that is particularly difficult to diagnose. These people, identified as false positives or factitious DID sufferers, are used to interacting in online communities about DID, with influencers on social media claiming to have DID themselves. This article draws on existing work on MS and DID to investigate how this phenomenon is evolving over time, and to consider whether it could be a new form of Internet MS, or simply people misrepresenting their psychological state.</div></div><div><div>Le syndrome de Munchausen (SM), autrement appelé trouble factice, est une pathologie qui a pu évoluer avec le développement des réseaux sociaux et des communautés virtuelles, et appelé dans ces cas <em>Munchausen by Internet</em> (MbI). Dans les cas de patients présentant leur propre auto-diagnostic, on observe une importante augmentation de témoignages de personnes, souvent des jeunes adultes, déclarant sur internet (ou en consultation) souffrir d'un Trouble Dissociatif de l'Identité (TDI), trouble particulièrement difficile à diagnostiquer. En réalité, identifiées comme des faux positifs ou des TDI imités, ces personnes ont l'habitude d'interagir dans des communautés en ligne sur le TDI, avec des influenceurs sur les réseaux sociaux affirmant eux-mêmes être atteints de TDI. Cet article s'appuie sur les travaux existants sur le SM et le TDI afin d’étudier l’évolution de ce phénomène dans le temps et d'envisager s'il ne pourrait pas s'agir d'une nouvelle forme de SM par internet ou simplement de personnes se trompant sur leur état psychologique.</div></div>","PeriodicalId":29932,"journal":{"name":"European Journal of Trauma & Dissociation","volume":"8 4","pages":"Article 100470"},"PeriodicalIF":2.0,"publicationDate":"2024-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142442000","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The importance of the feeling of isolation and loneliness among French Holocaust survivors after the 7 October terrorist attack","authors":"Bruno Halioua ,&nbsp;Patrick Bantman ,&nbsp;Rachel Rimmer ,&nbsp;Eric Ghozlan ,&nbsp;Muriel Vaislic ,&nbsp;Dan Halioua ,&nbsp;Fabienne Amson ,&nbsp;Avidan Kogel ,&nbsp;Charles Taieb ,&nbsp;Richard Prasquier ,&nbsp;Jean-Francois Gutthman ,&nbsp;Robert Ejnes ,&nbsp;Stephanie Dassa ,&nbsp;Alexis Astruc ,&nbsp;Marc Cohen ,&nbsp;Samuel Sarfati ,&nbsp;Marc Fohlen-Weill ,&nbsp;Odile Namia-Cohen ,&nbsp;Aline Deutscher ,&nbsp;Jonathan Taieb","doi":"10.1016/j.ejtd.2024.100468","DOIUrl":"10.1016/j.ejtd.2024.100468","url":null,"abstract":"<div><h3>Introduction</h3><div>The 7 October terrorist attack in southern Israel and the increase in anti-Semitic acts have had a significant impact on the mental health of Holocaust survivors (HS), with some experiencing feelings of isolation and loneliness associated with an increased risk of mortality. The main objective of our work was to assess the incidence and intensity of perceived stress among French HS suffering from feelings of isolation and loneliness following the 7 October attack. The secondary objective was to determine the impact on health and to establish a link with the Holocaust period.</div></div><div><h3>Materials and methods</h3><div>The study was conducted between 30 October and 15 December 2023 among HS living in France who were contacted by mail through HS support organisations. They completed a questionnaire that included sociodemographic data and experiences during the Holocaust, an assessment of perceived stress using the PSS-10 scale, the presence or absence of feelings of isolation and loneliness, and health consequences and reactions to the 7 October attacks. Statistical analyses were performed using SPSS 21.0, with Mann-Whitney tests, chi-squared and Student's <em>t</em>-tests used to compare HS experiencing loneliness and isolation with those not experiencing loneliness and isolation, with a p-value of &lt; 0.05 considered statistically significant.</div></div><div><h3>Results</h3><div>94 respondents completed the questionnaire, of whom 29 (30.5 %) were men. The HS had a mean PSS-10 score of 17.7 ± 6.0 (min 5 - max 35). Thirty (31.6 %) reported feeling isolated or alone after the 7 October massacre. Those who felt isolated or alone were more likely to feel that they had no support from those around them (73.3 % vs. 19.7 % <em>p</em> &lt; 0.05). The PSS10 scores of HS suffering from isolation and loneliness were significantly higher than those of other HS (21.2 ± 5.2 vs. 16.0 ± 6.2, <em>p</em> ≤ 0.05). After the 7 October massacre, 93.3 % of HS suffering from loneliness and isolation felt that their Holocaust experience had reawakened their vulnerability, especially aggravated health problems (34 %). They tend to think about the Holocaust period more often (96.7 % vs. 80.3 %, <em>p</em> ≤ 0.05) and are significantly more worried about the future of their children and grandchildren as Jews (93.3 % vs. 77.0 %, <em>p</em> ≤ 0.05).</div></div><div><h3>Conclusion</h3><div>This is the first study to assess the importance of stress among HS, particularly those suffering from loneliness and isolation, following the 7 October terrorist attack. It highlights the importance of implementing intervention programmes to support the last eyewitnesses of the Holocaust period.</div></div>","PeriodicalId":29932,"journal":{"name":"European Journal of Trauma & Dissociation","volume":"8 4","pages":"Article 100468"},"PeriodicalIF":2.0,"publicationDate":"2024-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142532402","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Posttraumatic growth trajectories and the psychopathological response to Covid-19: A longitudinal study of former prisoners of war and combat veterans","authors":"Sarah Bøgelund Dokkedahl ,&nbsp;Yafit Levin ,&nbsp;Zahava Solomon","doi":"10.1016/j.ejtd.2024.100465","DOIUrl":"10.1016/j.ejtd.2024.100465","url":null,"abstract":"<div><h3>Background</h3><div>Posttraumatic Growth (PTG) is the subjective experience of positive psychological change following exposure to trauma. Yet, researchers have discussed whether PTG is a positive outcome or a self-deceptive coping mechanism. The present study investigates PTG-trajectories and their ability to predict psychopathology in response to the Covid-19 pandemic in a longitudinal study of former prisoners of war (ex-POWs) and combat veterans from the 1973 Yom Kippur War in Israel.</div></div><div><h3>Methods</h3><div>Data was collected in five waves from 1991 to 2020 (N_T5 = 256). To identify latent profiles of change in PTG over time, Group-Based Trajectory Modeling was applied. Logistic regression examined whether study group and PTSD-clusters predict latent trajectories of change. Boostrap MANOVA was applied to examine if the latent trajectories predict veterans’ psychopathological response to Covid-19.</div></div><div><h3>Results</h3><div>A 2-class solution was the best representation of the data. Being ex-POW significantly predicted the likelihood of developing high PTG over time. The High PTG group had significantly higher Acute Stress Disorder, Posttraumatic Stress Symptoms, and general psychopathology in response to Covid-19.</div></div><div><h3>Conclusion</h3><div>In conclusion, PTG is associated with greater vulnerability for psychopathology in response to later adversities. Hence, the subjective experience of positive change does not appear to signify higher resilience in trauma victims.</div></div>","PeriodicalId":29932,"journal":{"name":"European Journal of Trauma & Dissociation","volume":"8 4","pages":"Article 100465"},"PeriodicalIF":2.0,"publicationDate":"2024-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142416500","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Sociodemographic factors and its correlation with schema modes and PTSD among orthopedic trauma survivors","authors":"Sabir Zaman ,&nbsp;Kehkashan Arouj ,&nbsp;Sabahat Zareen ,&nbsp;Asghar Ali Shah","doi":"10.1016/j.ejtd.2024.100464","DOIUrl":"10.1016/j.ejtd.2024.100464","url":null,"abstract":"<div><h3>Objective</h3><div>The study aimed to examine the correlation between sociodemographic factors, schema modes, and Post-Traumatic Stress Disorder (PTSD) in individual who have experienced trauma.</div></div><div><h3>Method</h3><div>A total of 137 patients participated in the study, including 104 men, and 33 women. The Urdu- translated Schema Mode Inventory and the Clinician Administered PTSD Scale (CAPS for DSM-5) were used.</div></div><div><h3>Results</h3><div>The study found significant positive correlation between demographic factors such as age, gender, education, economic status, and type of injury with PTSD symptoms in orthopedic trauma survivors. The results further indicated, that gender (both male and female), level of education, and socio-economic status were significantly positive associated with PTSD symptoms. While, 50.7 % of patients with closed fractures and 62.1 % of those with open fractures showed PTSD symptoms, no clear association was found between PTSD symptoms and the type of trauma experienced. Additionally, female patients showed significantly higher PTSD symptoms than male. The finding also revealed that child mode, and maladaptive punitive parents had significant impact on PTSD development, whereas, maladaptive coping styles and adaptive schemas had no influence on PTSD symptoms.Moreover, patients with grade-I fractures and intentional injuries showed significantly higher maladaptive schema modes.</div></div><div><h3>Conclusion</h3><div>The study concluded that demographic characteristics, such as gender, education and socioeconomic status play an important role in development of PTSD symptoms in orthopaedic trauma survivors. In addition, maladaptive schema modes significantly contribute to PTSD symptoms, while coping styles and adaptive schema modes have no impact.</div></div>","PeriodicalId":29932,"journal":{"name":"European Journal of Trauma & Dissociation","volume":"8 4","pages":"Article 100464"},"PeriodicalIF":2.0,"publicationDate":"2024-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142416501","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}