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  1. Article ; Online: Posttraumatic stress disorder prevalence in medical populations: A systematic review and meta-analysis.

    Cyr, Samuel / Guo, De Xuan / Marcil, Marie-Joëlle / Dupont, Patrice / Jobidon, Laurence / Benrimoh, David / Guertin, Marie-Claude / Brouillette, Judith

    General hospital psychiatry

    2021  Volume 69, Page(s) 81–93

    Abstract: Objective: PTSD is increasingly recognized following medical traumas although is highly heterogeneous. It is difficult to judge which medical contexts have the most traumatic potential and where to concentrate further research and clinical attention for ...

    Abstract Objective: PTSD is increasingly recognized following medical traumas although is highly heterogeneous. It is difficult to judge which medical contexts have the most traumatic potential and where to concentrate further research and clinical attention for prevention, early detection and treatment. The objective of this study was to compare PTSD prevalence in different medical populations.
    Methods: A systematic review of the literature on PTSD following medical traumas was conducted as well as a meta-analysis with final pooled result and 95% confidence intervals presented. A meta-regression was used to investigate the impact of potential effect modifiers (PTSD severity, age, sex, timeline) on study effect size between prevalence studies.
    Results: From 3278 abstracts, the authors extracted 292 studies reporting prevalence. Using clinician-administered reports, the highest 24 month or longer PTSD prevalence was found for intraoperative awareness (18.5% [95% CI=5.1%-36.6%]) and the lowest was found for epilepsy (4.5% [95% CI=0.2%-12.6%]). In the overall effect of the meta-regression, only medical events or procedures emerged as significant (p = 0.006) CONCLUSION: This review provides clinicians with greater awareness of medical contexts most associated with PTSD, which may assist them in the decision to engage in more frequent, earlier screening and referral to mental health services.
    MeSH term(s) Humans ; Prevalence ; Stress Disorders, Post-Traumatic/diagnosis ; Stress Disorders, Post-Traumatic/epidemiology
    Language English
    Publishing date 2021-01-31
    Publishing country United States
    Document type Journal Article ; Meta-Analysis ; Research Support, Non-U.S. Gov't ; Review ; Systematic Review
    ZDB-ID 392299-6
    ISSN 1873-7714 ; 0163-8343
    ISSN (online) 1873-7714
    ISSN 0163-8343
    DOI 10.1016/j.genhosppsych.2021.01.010
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Hair cortisol change at COVID-19 pandemic onset predicts burnout among health personnel.

    Marcil, Marie-Joëlle / Cyr, Samuel / Marin, Marie-France / Rosa, Camille / Tardif, Jean-Claude / Guay, Stéphane / Guertin, Marie-Claude / Genest, Christine / Forest, Jacques / Lavoie, Patrick / Labrosse, Mélanie / Vadeboncoeur, Alain / Selcer, Shaun / Ducharme, Simon / Brouillette, Judith

    Psychoneuroendocrinology

    2021  Volume 138, Page(s) 105645

    Abstract: Background: The COVID-19 pandemic has put chronic pressure on worldwide healthcare systems. While the literature regarding the prevalence of psychological distress and associated risk factors among healthcare workers facing COVID-19 has exploded, ... ...

    Abstract Background: The COVID-19 pandemic has put chronic pressure on worldwide healthcare systems. While the literature regarding the prevalence of psychological distress and associated risk factors among healthcare workers facing COVID-19 has exploded, biological variables have been mostly overlooked.
    Methods: 467 healthcare workers from Quebec, Canada, answered an electronic survey covering various risk factors and mental health outcomes three months after the onset of the COVID-19 pandemic. Of them, 372 (80%) provided a hair sample, providing a history of cortisol secretion for the three months preceding and following the pandemic's start. We used multivariable regression models and a receiver operating characteristic curve to study hair cortisol as a predictor of burnout and psychological health, together with individual, occupational, social, and organizational factors.
    Results: As expected, hair cortisol levels increased after the start of the pandemic, with a median relative change of 29% (IQR = 3-59%, p < 0.0001). There was a significant association between burnout status and change in cortisol, with participants in the second quarter of change having lower odds of burnout. No association was found between cortisol change and post-traumatic stress disorder, anxiety, and depression symptoms. Adding cortisol to individual-occupational-socio-organizational factors noticeably enhanced our burnout logistic regression model's predictability.
    Conclusion: Change in hair cortisol levels predicted burnout at three months in health personnel at the onset of the COVID-19 pandemic. This non-invasive biological marker of the stress response could be used in further clinical or research initiatives to screen high-risk individuals to prevent and control burnout in health personnel facing an important stressor.
    MeSH term(s) Biomarkers/metabolism ; Burnout, Professional/epidemiology ; COVID-19/epidemiology ; COVID-19/psychology ; Hair/chemistry ; Health Personnel/psychology ; Humans ; Hydrocortisone/metabolism ; Pandemics ; Quebec/epidemiology
    Chemical Substances Biomarkers ; Hydrocortisone (WI4X0X7BPJ)
    Language English
    Publishing date 2021-12-23
    Publishing country England
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 197636-9
    ISSN 1873-3360 ; 0306-4530
    ISSN (online) 1873-3360
    ISSN 0306-4530
    DOI 10.1016/j.psyneuen.2021.105645
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article: Factors Associated With Burnout, Post-traumatic Stress and Anxio-Depressive Symptoms in Healthcare Workers 3 Months Into the COVID-19 Pandemic: An Observational Study.

    Cyr, Samuel / Marcil, Marie-Joelle / Marin, Marie-France / Tardif, Jean-Claude / Guay, Stéphane / Guertin, Marie-Claude / Rosa, Camille / Genest, Christine / Forest, Jacques / Lavoie, Patrick / Labrosse, Mélanie / Vadeboncoeur, Alain / Selcer, Shaun / Ducharme, Simon / Brouillette, Judith

    Frontiers in psychiatry

    2021  Volume 12, Page(s) 668278

    Abstract: Objective: ...

    Abstract Objective:
    Language English
    Publishing date 2021-07-08
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2564218-2
    ISSN 1664-0640
    ISSN 1664-0640
    DOI 10.3389/fpsyt.2021.668278
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Trajectory of patients consulting the emergency department for high blood pressure values.

    Vadeboncoeur, Alain / Marcil, Marie-Joelle / Cyr, Samuel / Gupta, Mona / Cournoyer, Alexis / Minichiello, Anthony / Larose, Dominic / Sirois-Leclerc, Julie / Tardif, Jean-Claude / Morin, Josée / Masson, Violaine / Cossette, Mariève / Brouillette, Judith

    CJEM

    2022  Volume 24, Issue 5, Page(s) 515–519

    Abstract: Objectives: Emergency department (ED) visits for high blood pressure are increasing in frequency. We aimed to map those patients' trajectory, from referral sources to the type of care received at the ED to anticipated actions for future high blood ... ...

    Abstract Objectives: Emergency department (ED) visits for high blood pressure are increasing in frequency. We aimed to map those patients' trajectory, from referral sources to the type of care received at the ED to anticipated actions for future high blood pressure concerns, and to better understand their reasons for consulting the ED for high blood pressure values.
    Methods: Between 2018 and 2020, patients who presented to the Montreal Heart Institute's ED for elevated blood pressure were recruited in a prospective observational study including a post hoc structured telephone interview and medical chart review. Five possible referral sources were predetermined. We provided proportions and 95% confidence intervals.
    Results: A total of 100 patients were recruited (female: 59%, mean age: 69 ± 12). A majority (93%, 95% CI 88-98%) possessed a home blood pressure device, among which 46% (95% CI 36-56%) remembered receiving advice for its use. The main referral sources for high blood pressure to the ED were self-reference (53%, 95% CI 43-63%), advice of a lay person (19%, 95% CI 11-27%) or a nurse (13%, 95% CI 6-20%). Mainly, patients reported being concerned by concomitant symptoms or experiencing acute medical consequences (44%, 95% CI 34-54%), having followed the recommendation of a third party (33%, 95% CI 24-42%), or having concerns about their medication (6%, 95% CI 1-11%). Two weeks following their ED visits, consulting ED remained the main choice for future concerns about high blood pressure for 27% of participants. When specifically asked if they would return to the ED for elevated blood pressure, 73% (95% CI 64-83%) said yes.
    Conclusions: Most patients who consulted the ED for elevated blood pressure values were self-referred. More can be done to promote blood pressure education, effective use of personal blood pressure devices, and recommendations for patients and health professionals when confronted with high blood pressure results.
    MeSH term(s) Aged ; Aged, 80 and over ; Emergency Service, Hospital ; Female ; Humans ; Hypertension/diagnosis ; Hypertension/therapy ; Middle Aged ; Prospective Studies ; Referral and Consultation
    Language English
    Publishing date 2022-05-03
    Publishing country England
    Document type Journal Article ; Observational Study
    ISSN 1481-8043
    ISSN (online) 1481-8043
    DOI 10.1007/s43678-022-00307-y
    Database MEDical Literature Analysis and Retrieval System OnLINE

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