Peritraumatic Reactions and Posttraumatic Stress Disorder Symptoms After Psychiatric Admission

Université de Toulouse
The Journal of nervous and mental disease (Impact Factor: 1.69). 01/2012; 200(1):88-90. DOI: 10.1097/NMD.0b013e31823fafb9
Source: PubMed


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.

Download full-text


Available from: Eric Bui
  • Source
    • "Concerning predictive factors for developing PTSD symptoms in the general trauma literature, special attention has been paid to immediate reactions occurring during the trauma, such as dissociation, acute anxiety, panic and negative emotions (Bernat, Ronfeldt, Calhoun, & Arias, 1998). Peritraumatic dissociation seems to be one of the most important factors (Birmes et al., 2003; Bui et al., 2010; Ladois-Do Pilar Rei et al., 2012). According to Marmar, Weiss and Metzler (1998), the occurrence of dissociative symptoms during or just after the exposure to extreme events, provokes changes in cognitive and perceptive functioning (e.g. "
    [Show abstract] [Hide abstract]
    ABSTRACT: Objective: The aim of the study was to assess the contribution of negative emotions, childbirth pain, perinatal dissociation, and feelings of self-efficacy to the development of posttraumatic stress disorder (PTSD) symptoms following childbirth. Patients and methods: A prospective longitudinal study was carried out on 98 women from the south of France area. Four questionnaires were completed at 2–3 days postpartum: the Peritraumatic Emotions List (PEL), the French version of the McGill Pain Questionnaire, the Peritraumatic Dissociative Experience Questionnaire (PDEQ) and the Childbirth Self-efficacy Inventory (CBSEI). The Impact of Event Scale-Revised (IES-R) assessing posttraumatic stress symptoms was also completed 6 weeks after delivery. Results: Pain and negative emotions were significant predictors of the intensity of posttraumatic stress symptoms at 6 weeks postpartum. Although higher levels of pain contribute to increased PSTD symptoms, and higher negative emotion also contributes to PTSD symptoms, the effect of pain on PSTD is stronger when there are high levels of negative emotion. Discussion and conclusion: Our findings highlight that pain, negative emotions and their interaction were significant predictors of posttraumatic stress symptoms and confirm the importance of developing more specific treatments focusing on support and prevention.
    Full-text · Article · Jan 2011 · Journal of Reproductive and Infant Psychology