Peritraumatic tonic immobility is associated with PTSD symptom severity in Brazilian police officers: a prospective study

Detalhes bibliográficos
Autor(a) principal: Maia,Deborah B.
Data de Publicação: 2015
Outros Autores: Nóbrega,Augusta, Marques-Portella,Carla, Mendlowicz,Mauro V., Volchan,Eliane, Coutinho,Evandro S., Figueira,Ivan
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Brazilian Journal of Psychiatry (São Paulo. 1999. Online)
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1516-44462015000100049
Resumo: Objective: Peritraumatic reactions feature prominently among the main predictors for development of posttraumatic stress disorder (PTSD). Peritraumatic tonic immobility (PTI), a less investigated but equally important type of peritraumatic response, has been recently attracting the attention of researchers and clinicians for its close association with traumatic reactions and PTSD. Our objective was to investigate the role of PTI, peritraumatic panic, and dissociation as predictors of PTSD symptoms in a cohort of police recruits (n=132). Methods: Participants were asked to complete the following questionnaires during academy training and after the first year of work: Posttraumatic Stress Disorder Checklist - Civilian Version (PCL-C), Physical Reactions Subscale (PRS), Peritraumatic Dissociative Experiences Questionnaire (PDEQ), Tonic Immobility Scale (TIS), and Critical Incident History Questionnaire. Results: Employing a zero-inflated negative binomial regression model, we found that each additional point in the TIS was associated with a 9% increment in PCL-C mean scores (RM = 1.09), whereas for PRS, the increment was 7% (RM = 1.07). As the severity of peritraumatic dissociation increased one point in the PDEQ, the chance of having at least one symptom in the PCL-C increased 22% (OR = 1.22). Conclusions: Our findings highlight the need to expand investigation on the incidence and impact of PTI on the mental health of police officers.
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spelling Peritraumatic tonic immobility is associated with PTSD symptom severity in Brazilian police officers: a prospective studyPosttraumatic stress disorderperitraumatic reactionspolice Objective: Peritraumatic reactions feature prominently among the main predictors for development of posttraumatic stress disorder (PTSD). Peritraumatic tonic immobility (PTI), a less investigated but equally important type of peritraumatic response, has been recently attracting the attention of researchers and clinicians for its close association with traumatic reactions and PTSD. Our objective was to investigate the role of PTI, peritraumatic panic, and dissociation as predictors of PTSD symptoms in a cohort of police recruits (n=132). Methods: Participants were asked to complete the following questionnaires during academy training and after the first year of work: Posttraumatic Stress Disorder Checklist - Civilian Version (PCL-C), Physical Reactions Subscale (PRS), Peritraumatic Dissociative Experiences Questionnaire (PDEQ), Tonic Immobility Scale (TIS), and Critical Incident History Questionnaire. Results: Employing a zero-inflated negative binomial regression model, we found that each additional point in the TIS was associated with a 9% increment in PCL-C mean scores (RM = 1.09), whereas for PRS, the increment was 7% (RM = 1.07). As the severity of peritraumatic dissociation increased one point in the PDEQ, the chance of having at least one symptom in the PCL-C increased 22% (OR = 1.22). Conclusions: Our findings highlight the need to expand investigation on the incidence and impact of PTI on the mental health of police officers. Associação Brasileira de Psiquiatria2015-03-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1516-44462015000100049Brazilian Journal of Psychiatry v.37 n.1 2015reponame:Brazilian Journal of Psychiatry (São Paulo. 1999. Online)instname:Associação Brasileira de Psiquiatria (ABP)instacron:ABP10.1590/1516-4446-2013-1267info:eu-repo/semantics/openAccessMaia,Deborah B.Nóbrega,AugustaMarques-Portella,CarlaMendlowicz,Mauro V.Volchan,ElianeCoutinho,Evandro S.Figueira,Ivaneng2015-03-19T00:00:00Zoai:scielo:S1516-44462015000100049Revistahttp://www.bjp.org.br/ahead_of_print.asphttps://old.scielo.br/oai/scielo-oai.php||rbp@abpbrasil.org.br1809-452X1516-4446opendoar:2015-03-19T00:00Brazilian Journal of Psychiatry (São Paulo. 1999. Online) - Associação Brasileira de Psiquiatria (ABP)false
dc.title.none.fl_str_mv Peritraumatic tonic immobility is associated with PTSD symptom severity in Brazilian police officers: a prospective study
title Peritraumatic tonic immobility is associated with PTSD symptom severity in Brazilian police officers: a prospective study
spellingShingle Peritraumatic tonic immobility is associated with PTSD symptom severity in Brazilian police officers: a prospective study
Maia,Deborah B.
Posttraumatic stress disorder
peritraumatic reactions
police
title_short Peritraumatic tonic immobility is associated with PTSD symptom severity in Brazilian police officers: a prospective study
title_full Peritraumatic tonic immobility is associated with PTSD symptom severity in Brazilian police officers: a prospective study
title_fullStr Peritraumatic tonic immobility is associated with PTSD symptom severity in Brazilian police officers: a prospective study
title_full_unstemmed Peritraumatic tonic immobility is associated with PTSD symptom severity in Brazilian police officers: a prospective study
title_sort Peritraumatic tonic immobility is associated with PTSD symptom severity in Brazilian police officers: a prospective study
author Maia,Deborah B.
author_facet Maia,Deborah B.
Nóbrega,Augusta
Marques-Portella,Carla
Mendlowicz,Mauro V.
Volchan,Eliane
Coutinho,Evandro S.
Figueira,Ivan
author_role author
author2 Nóbrega,Augusta
Marques-Portella,Carla
Mendlowicz,Mauro V.
Volchan,Eliane
Coutinho,Evandro S.
Figueira,Ivan
author2_role author
author
author
author
author
author
dc.contributor.author.fl_str_mv Maia,Deborah B.
Nóbrega,Augusta
Marques-Portella,Carla
Mendlowicz,Mauro V.
Volchan,Eliane
Coutinho,Evandro S.
Figueira,Ivan
dc.subject.por.fl_str_mv Posttraumatic stress disorder
peritraumatic reactions
police
topic Posttraumatic stress disorder
peritraumatic reactions
police
description Objective: Peritraumatic reactions feature prominently among the main predictors for development of posttraumatic stress disorder (PTSD). Peritraumatic tonic immobility (PTI), a less investigated but equally important type of peritraumatic response, has been recently attracting the attention of researchers and clinicians for its close association with traumatic reactions and PTSD. Our objective was to investigate the role of PTI, peritraumatic panic, and dissociation as predictors of PTSD symptoms in a cohort of police recruits (n=132). Methods: Participants were asked to complete the following questionnaires during academy training and after the first year of work: Posttraumatic Stress Disorder Checklist - Civilian Version (PCL-C), Physical Reactions Subscale (PRS), Peritraumatic Dissociative Experiences Questionnaire (PDEQ), Tonic Immobility Scale (TIS), and Critical Incident History Questionnaire. Results: Employing a zero-inflated negative binomial regression model, we found that each additional point in the TIS was associated with a 9% increment in PCL-C mean scores (RM = 1.09), whereas for PRS, the increment was 7% (RM = 1.07). As the severity of peritraumatic dissociation increased one point in the PDEQ, the chance of having at least one symptom in the PCL-C increased 22% (OR = 1.22). Conclusions: Our findings highlight the need to expand investigation on the incidence and impact of PTI on the mental health of police officers.
publishDate 2015
dc.date.none.fl_str_mv 2015-03-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
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dc.language.iso.fl_str_mv eng
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dc.relation.none.fl_str_mv 10.1590/1516-4446-2013-1267
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dc.publisher.none.fl_str_mv Associação Brasileira de Psiquiatria
publisher.none.fl_str_mv Associação Brasileira de Psiquiatria
dc.source.none.fl_str_mv Brazilian Journal of Psychiatry v.37 n.1 2015
reponame:Brazilian Journal of Psychiatry (São Paulo. 1999. Online)
instname:Associação Brasileira de Psiquiatria (ABP)
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instname_str Associação Brasileira de Psiquiatria (ABP)
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reponame_str Brazilian Journal of Psychiatry (São Paulo. 1999. Online)
collection Brazilian Journal of Psychiatry (São Paulo. 1999. Online)
repository.name.fl_str_mv Brazilian Journal of Psychiatry (São Paulo. 1999. Online) - Associação Brasileira de Psiquiatria (ABP)
repository.mail.fl_str_mv ||rbp@abpbrasil.org.br
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