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Alcohol and drug toxicology screens at time of hospitalization do not predict PTSD or depression after traumatic injury - McLaughlin C, Kearns NT, Bennett M, Roden-Foreman JW, Roden-Foreman K, Rainey EE, Funk G, Powers MB, Warren AM.

BACKGROUND: Identifying risk factors for the development of PTSD and depression is critical for intervention and recovery after injury. Given research linking toxicology screens and substance use and the evidenced relationship between substance misuse and ...
Source: SafetyLit - Category: International Medicine & Public Health Tags: Alcohol and Other Drugs Source Type: news

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“The possibility of stepping into a higher plane is quite real for everyone. It requires no force or effort or sacrifice. It involves little more than changing our ideas about what is normal.” – Deepak Chopra When I was a young girl, I often felt as if I was not normal. It wasn’t that I had a noticeable birth defect or considered myself ugly or stupid, though. My feelings likely stemmed more from a sense that I was too sensitive or fragile or in need of protection and couldn’t stand up for myself. I had an older brother who sometimes was tough on me, yet I loved him dearly. He was my protector...
Source: World of Psychology - Category: Psychiatry & Psychology Authors: Tags: General Habits Happiness Inspiration & Hope Mindfulness Motivation and Inspiration Personal Self-Esteem Self-Help Awkwardness base line Comparison competition Coping Insecurity loss Normalcy Resilience self-compassion Source Type: blogs
Conclusions: Over the past 15 yr, purchased behavioral health care received by MHS beneficiaries in acute care facilities increased significantly. MHS beneficiaries received the majority of purchased behavioral health care for mental health disorders and were treated most often in the ED. Receiving behavioral health care in civilian EDs raises questions about access to outpatient behavioral health care and patient-centered care coordination between civilian and military facilities. Given the influx of new Veterans Health Administration users from the MHS, findings have implications for military, veteran, and civilian facil...
Source: Military Medicine - Category: International Medicine & Public Health Tags: Mil Med Source Type: research
Conclusions: Our work clarified substantial unmet needs for services among active duty military personnel, the limitations of programs based in the military sector, and the potential value of civilian sector services that are not linked to military goals. We and our institutional review board opted against using a control group that would create ethical problems stemming from the denial of needed services. For future research, an evaluative strategy that can assess the impact of civilian services and that reconciles ethical concerns with study design remains a challenge. Due to inherent contradictions in the roles of milit...
Source: Military Medicine - Category: International Medicine & Public Health Tags: Mil Med Source Type: research
Discussion: The current investigation found that both IAS and deployment preparedness were associated with negative mental health outcomes in a large representative sample of previously deployed RC-enlisted male personnel. In particular, low deployment preparedness was associated with an increased likelihood of PTSD, and deploying without one's regular unit was associated with increased rates of binge drinking. There were also significant main and interaction effects of IAS and deployment preparedness on having a mental health problem. It is possible that limiting the number of RC personnel deploying without their regular ...
Source: Military Medicine - Category: International Medicine & Public Health Tags: Mil Med Source Type: research
Psychosocial stress, defined here as socioenvironmental demands that tax the adaptive capacity of the individual (e.g., low socioeconomic status, childhood adversity, bullying), has repeatedly been linked to substance use disorders (SUDs). Neighborhood poverty and social support are shown to influence substance use patterns. Among smokers, multiple psychosocial stressors are associated with relapse, and acute psychosocial stress has been demonstrated to enhance cigarette craving and smoking behavior. Similarly, psychosocial stress has been associated with greater risk of relapse in individuals with alcohol and cocaine use ...
Source: Psychology of Pain - Category: Anesthesiology Source Type: blogs
OBJECTIVE/BACKGROUND: Alcohol use disorders (AUDs) are often accompanied by comorbid physiologic and psychosocial conditions, including sleep disturbances. Sleep disturbances in these individuals may be associated with increased risk of relapse to drinking...
Source: SafetyLit - Category: International Medicine & Public Health Tags: Alcohol and Other Drugs Source Type: news
CONCLUSION: Findings support the use of LCA to identify subgroups of individuals with AUDs and accompanying sleep disturbances. Class identification may provide clinicians with insight into the integrative tailoring of interventions that meet the varied needs of individuals with AUDs, accompanying comorbidities, and sleep disturbances. PMID: 29377714 [PubMed - as supplied by publisher]
Source: Behavioral Sleep Medicine - Category: Sleep Medicine Authors: Tags: Behav Sleep Med Source Type: research
This study reviewed the consequences of the 2011 disaster in the Serrana Region, evaluating the demand for mental health care in the SUS, comparing public mental health assistance data from two time periods – two years before and two years after the event. With that we aimed to identify changes on the demand for mental health services provided by the SUS in the affected region. METHODS Study design: We performed an ecologic study, analysing the aggregate data from Serrana Region during the period before (Jan 2009 to Dec 2010) and after the disaster (Jan 2011 to Dec 2012). We used the aggregate data from the other 8...
Source: PLOS Currents Disasters - Category: International Medicine & Public Health Authors: Source Type: research
As a relatively new and still poorly recognized concept, few people come to therapy identifying as suffering from Complex Post Traumatic Stress Disorder (C-PTSD). As a rule, a diagnosis of C-PTSD comes only after the process of self-discovery in therapy has begun. When people suffering from C-PTSD are referred to a therapist, or decide to seek help for themselves, it is usually because they are seeking help for one of its symptoms, including dissociative episodes, problems forming relationships, and alcohol or substance abuse. One of the more common issues that leads to the discovery of C-PTSD is the presence of an eating ...
Source: Psych Central - Category: Psychiatry Authors: Tags: Addictions Anorexia Binge Eating Bulimia Eating Disorders Loneliness Psychology PTSD Trauma Treatment affect regulation Bingeing Body Image C-PTSD Child Abuse child neglect Childhood Trauma complex posttraumatic stress di Source Type: news
Discussion: PE-PC delivered in integrated primary care is effective for the treatment of PTSD and co-occurring symptoms and may help reduce barriers and stigma found in specialty care settings. (PsycINFO Database Record (c) 2017 APA, all rights reserved)
Source: Families, Systems, and Health - Category: International Medicine & Public Health Source Type: research
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