Iranian Biomedical Journal

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Showing 3 results for Traumatic Stress Disorder

Examining the Dimensions of Post-Traumatic Stress Disorder Caused by the COVID-19 Pandemic in Nurses Working in Hospitals Covered by Qazvin University of Medical Sciences in 1402

Fateme Hosseini, Fariba Hashemi, Alireza Shafiei, Armin Salvatian, Fateme Hajipour Surkohi, Nilofar Bamdadi,
Volume 28, Issue 0 (12-2024)

Abstract

Introduction: The novel coronavirus (COVID-19) was an acute respiratory disease that, due to its rapid spread, the World Health Organization declared a public health emergency and international concern. While the world was fighting the COVID-19 pandemic, health workers, especially nurses, were the first line of the fight against the corona disease. Due to direct exposure to the infection and prolonged, stressful working hours, these individuals have become one of the most vulnerable groups affected by the virus. Consequently, they fear transmitting the virus to their families, who are already facing psychological and social challenges. Post-traumatic stress disorder is a psychological disorder that directly or indirectly affects a person, which may appear after being exposed to extreme threats or highly stressful events such as accidents and severe injuries. The present study was conducted to determine the dimensions of post-traumatic stress disorder caused by the COVID-19 pandemic in nurses working in hospitals covered by Qazvin University of Medical Sciences.
Methods and Materials: This descriptive-analytical cross-sectional study was conducted on 261 nurses working in Qazvin hospitals from October to March 1402. The inclusion criteria included working in one of the five hospitals covered by Qazvin University of Medical Sciences, willingness to participate in the research, having a bachelor's degree or higher, and having at least six months of work experience. The exclusion criteria entailed people refusing to complete the questionnaires. The data collection tool was 10 demographic questions and a standard post-traumatic stress disorder questionnaire. The results were analyzed using SPSS-20 software and Kolmogorov-Smirnov statistical tests, T-test, ANOVA test, correlation test, and chi-square test.
Results: The mean age of nurses was 35.19 ± 7.75 years. The average score of post-traumatic stress disorder was estimated to be 45.96 ± 20.21 among the three dimensions of post-traumatic stress disorder. The hyperarousal dimension had the highest average score (14.81 ± 7.41). Also, there was a significant relationship between choice of working hours, gender, and marital status with post-traumatic stress disorder (p = 0.05).
Conclusion and Discussion: It is recommended that nursing managers develop effective strategies to enhance mental health and alleviate symptoms of post-traumatic stress disorder (PSTD) related to COVID-19 among nurses. Additionally, assessing and monitoring the work environment, identifying key issues, and implementing effective interventions can significantly reduce the PSTD experienced by nurses as a result of the COVID-19 pandemic.

Factors Affecting Post-traumatic Stress Disorder In Women With Miscarriage: A Systematic Review

Aynaz Bagherzadi, Reza Abdollahi, Saeed Yavari, Maryam Dadashi Gogjeyaran,
Volume 28, Issue 0 (12-2024)

Abstract

Introduction: Post-traumatic stress disorder (PTSD) causes adverse outcomes in women following abortion. Identifying factors affecting this event can help prevent its complications. This study, in the form of a systematic review, examined the factors affecting PTSD in women who have had a miscarriage.
Search Strategy: To find relevant studies, the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines were followed, and the primary search was performed accordingly in March 2024. PubMed, Web of Science, Google Scholar, Scopus, Embase, and Science Direct databases were searched using keywords “post-traumatic stress disorder”, “abortion”, and “female”, and no lower time limits were applied when conducting searches. The quality of the articles was evaluated using the STROBE checklist.
Results: The combined sample size for 19 studies was 789. All studies were observational and cross-sectional. The results showed that factors such as previous abortion, depression, anxiety, young age, low education level, history of a traumatic experience, socioeconomic level, low income, co-morbidities, presence of accompanying psychological disorders, low social support, marital status, lack of proper training, experiences of sexual, physical or emotional abuse or violence, drugs, history of alcohol and psychoactive substances, and low health literacy could play a role in causing PTSD in mothers who have had an abortion.
Conclusion and Discussion: According to the findings of this study, PTSD in women who experienced abortion is influenced by various personal, environmental, and social factors. Identifying these problems to improve or adjust them can have a significant impact on preventing the occurrence and spread of post-traumatic stress disorder in women who have had an abortion.

Healing Through Harmony: Music Therapy as a Complementary Treatment for Post-Traumatic Stress Disorder: A Systematic Review

Negin Vaez,
Volume 28, Issue 0 (12-2024)

Abstract

Introduction: Post-traumatic stress disorder (PTSD) is a severe mental illness that affects both physical and mental health, decreases quality of life, increases suicide risk, and adds to the healthcare burden. According to WHO, about 70% of people worldwide will experience a potentially traumatic incident, but only 5.6% will develop PTSD. Approximately 3.9% of the global population has experienced PTSD at some points in their lives. The World Federation of Music Therapy defines music therapy as the professional application of music and its elements in various contexts, including medical, educational, and daily life, to enhance physical, social, emotional, intellectual, and spiritual well-being. This study aimed to evaluate the effects of music therapy on PTSD patients and its impact on their quality of life.
Search Strategy: Data were collected from English (PubMed and Google Scholar) and local Persian (SID and Civilica) databases using keywords and MeSH terms "Music Therapy" and "Post-Traumatic Stress Disorder" from 2000 to May 31, 2024. After screening 52 papers, 15 original studies were included based on the PRISMA protocol.
Results: The results suggested that music therapy can be regarded as a favorable non-medical treatment for PTSD patients across different age groups, including adults, adolescents, and children. Research has evaluated its impact on refugees, military service members, veterans, and war-induced PTSD, showing similar positive outcomes. Previous studies have examined the effects of music therapy on various PTSD symptoms across different domains. In the social domain, music therapy has been shown to improve communication and engagement in the therapeutic process. Physiologically, it helps reduce sleep disturbances, lower heart rate, and modulate sympathetic and parasympathetic responses. Cognitively, it enhances arousal, attention, mood, and cognition and lowers depressive symptoms. Additionally, music therapy was indicated to reduce stress levels, potentially lowering the risk of developing PTSD.
Conclusion and Discussion: Our findings highlight that music therapy could serve as a complementary and alternative medicine for PTSD and related symptoms. However, it cannot be regarded as the primary treatment. Further research is needed, especially among younger adults, children, and gender-specific groups, to define the role of music therapy more explicitly.

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