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  1. Article ; Online: Children's Sleep and Mental Health During the COVID-19 Pandemic.

    Pfefferbaum, Betty / Tucker, Phebe / Ekambaram, Vijayabharathi / Van Horn, Richard L

    Current psychiatry reports

    2023  Volume 25, Issue 12, Page(s) 847–856

    Abstract: Purpose of review: The COVID-19 pandemic and protracted home confinement required adjustments to schedules and routines generating concern about children's sleep. This review describes general considerations regarding children's sleep, changes and ... ...

    Abstract Purpose of review: The COVID-19 pandemic and protracted home confinement required adjustments to schedules and routines generating concern about children's sleep. This review describes general considerations regarding children's sleep, changes and disturbances in their sleep during the pandemic, and the association of sleep measures with health and psychological outcomes in general and in the context of the pandemic.
    Recent findings: A number of studies found an increase in the duration of children's sleep with later bedtimes and waketimes for some children. The research also documented sleep disturbances and associations between children's sleep and psychological outcomes. The extent to which increased sleep duration and changed sleep behaviors translated into improved sleep quality and/or a change in sleep disturbances remains unclear. This review suggests the importance of considering children's sleep in other mass trauma situations including, for example, natural and man-made disasters, as well as pandemics.
    MeSH term(s) Child ; Humans ; COVID-19 ; Pandemics ; Mental Health ; Sleep ; Sleep Wake Disorders/epidemiology
    Language English
    Publishing date 2023-11-14
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 2055376-6
    ISSN 1535-1645 ; 1523-3812
    ISSN (online) 1535-1645
    ISSN 1523-3812
    DOI 10.1007/s11920-023-01475-z
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  2. Article: Problems and Needs Persist for Oklahoma City Bombing Survivors Many Years Later.

    Tucker, Phebe / Pfefferbaum, Betty / Watson, Kevin / Hester, Landon / Czapla, Christopher

    Behavioral sciences (Basel, Switzerland)

    2021  Volume 11, Issue 2

    Abstract: Background: This study assesses long-term physical and emotional symptoms and unmet needs in direct survivors of the 1995 Oklahoma City terrorist bombing 18 ½ years after the event.: Methods: A telephone questionnaire assessed psychiatric symptoms, ... ...

    Abstract Background: This study assesses long-term physical and emotional symptoms and unmet needs in direct survivors of the 1995 Oklahoma City terrorist bombing 18 ½ years after the event.
    Methods: A telephone questionnaire assessed psychiatric symptoms, health problems and coping strategies in 138 terrorism survivors (of whom 80% were physically injured) from a state registry of directly exposed persons, and 171 non-exposed community controls. Structured survey questions measured psychiatric symptoms, posttraumatic growth, general health problems and health care utilization. Open-ended questions explored survivors' most important terrorism-related problems and needs. Quantitative and qualitative data analysis methods were undertaken.
    Results: Survivors reported similar rates of major health problems and general health care utilization, more anxiety and depression symptoms, and more ancillary health care use than controls on structured assessments. Survivors also reported posttraumatic growth, using several positive coping skills. Open-ended questions identified survivors' specific continuing bombing-related problems, and needs which were not disclosed on the questionnaire; these included many lasting physical injuries, health problems (especially hearing difficulties), specific posttraumatic stress disorder (PTSD) symptoms, other emotional symptoms, work and financial problems, interpersonal issues, and desires to help others.
    Conclusions: Results suggest that extended recovery services are needed long after terrorism exposure, and that open-ended assessment is useful to identify those requiring services.
    Language English
    Publishing date 2021-01-29
    Publishing country Switzerland
    Document type Journal Article
    ISSN 2076-328X
    ISSN 2076-328X
    DOI 10.3390/bs11020019
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  3. Article: Porphyria or Catatonia: Diagnostic Dilemma on the Medical Wards.

    Kurkjian, Natalie / Tucker, Phebe

    The Journal of the Oklahoma State Medical Association

    2016  Volume 109, Issue 1, Page(s) 11–14

    Abstract: A 24-year-old Caucasian female, DD, was admitted to the medical service at an academic hospital with symptoms of weakness in bilateral lower extremities, falls, headaches, and altered mental status. Psychiatry was consulted to evaluate for psychiatric ... ...

    Abstract A 24-year-old Caucasian female, DD, was admitted to the medical service at an academic hospital with symptoms of weakness in bilateral lower extremities, falls, headaches, and altered mental status. Psychiatry was consulted to evaluate for psychiatric causes of her symptoms. This case presented a diagnostic challenge as the patient's identified symptoms changed almost daily, depending on what practitioner or medical service she encountered. In this study, we discuss the differential diagnoses, tests and treatments the patient received, with a review of literature helping differentiate between diagnostic parameters.
    MeSH term(s) Catatonia/diagnosis ; Diagnosis, Differential ; Female ; Humans ; Limbic Encephalitis/diagnosis ; Porphyrias/diagnosis ; Stress Disorders, Post-Traumatic/diagnosis ; Young Adult
    Language English
    Publishing date 2016-01
    Publishing country United States
    Document type Case Reports ; Journal Article ; Review
    ZDB-ID 131027-6
    ISSN 0030-1876
    ISSN 0030-1876
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  4. Article: The Impact of PACT and MHIC Programs in the Evolution of Patient Centered Mental Health Care in OkIahoma.

    Liu, Amy / Tucker, Phebe

    The Journal of the Oklahoma State Medical Association

    2016  Volume 109, Issue 2, Page(s) 55–58

    MeSH term(s) Delivery of Health Care/methods ; Delivery of Health Care/organization & administration ; Health Care Rationing/organization & administration ; Humans ; Mental Health ; Mental Health Services/trends ; Needs Assessment ; Oklahoma ; Patient-Centered Care/methods ; Regional Medical Programs/trends
    Language English
    Publishing date 2016-02
    Publishing country United States
    Document type Journal Article
    ZDB-ID 131027-6
    ISSN 0030-1876
    ISSN 0030-1876
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  5. Article: A Practical Guide to Postoperative Delirium.

    Beck, Justin L / Tucker, Phebe

    The Journal of the Oklahoma State Medical Association

    2015  Volume 108, Issue 9-10, Page(s) 391–394

    Abstract: In conclusion, delirium is a common postoperative complication that especially impacts the elderly population. It contributes to a significant increase in morbidity, mortality, length of inpatient stay, and medical costs. Even with preventive efforts, ... ...

    Abstract In conclusion, delirium is a common postoperative complication that especially impacts the elderly population. It contributes to a significant increase in morbidity, mortality, length of inpatient stay, and medical costs. Even with preventive efforts, many patients will develop postoperative delirium. While the gold standard treatment is to correct the underlying disorder, many therapies ranging from the use of antipsychotics to patient comfort measures are used to decrease the severity and duration of postoperative delirium. The most practical approach for physicians is continuous vigilance for the emergence of postoperative delirium. Movement toward increased use of multidisciplinary inpatient ward teams, early psychiatric consultation during postoperative delirium, larger clinical trials of prophylactic medications, and future research on delirium's pathogenesis will decrease complications of this common clinical problem.
    MeSH term(s) Aged ; Delirium/diagnosis ; Delirium/etiology ; Delirium/therapy ; Humans ; Male ; Postoperative Complications/diagnosis ; Postoperative Complications/etiology ; Postoperative Complications/therapy
    Language English
    Publishing date 2015-09
    Publishing country United States
    Document type Case Reports ; Journal Article
    ZDB-ID 131027-6
    ISSN 0030-1876
    ISSN 0030-1876
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  6. Article ; Online: Inconclusive Findings in Studies of the Link Between Media Coverage of Mass Trauma and Depression in Children.

    Pfefferbaum, Betty / Tucker, Phebe / Nitiéma, Pascal / Van Horn, Richard L / Varma, Vandana / Varma, Yogesh / Slaughter, Autumn / Newman, Elana

    Current psychiatry reports

    2022  Volume 24, Issue 3, Page(s) 181–193

    Abstract: Purpose of review: This paper reports a review of the empirical research examining the association between mass trauma media contact and depression in children, the factors that may influence the association, and the difficulties encountered in the ... ...

    Abstract Purpose of review: This paper reports a review of the empirical research examining the association between mass trauma media contact and depression in children, the factors that may influence the association, and the difficulties encountered in the study of media effects on depression.
    Recent findings: All of the included studies assessed general population samples. Pre-COVID-19 research focused primarily on television coverage alone or on multiple media forms including television, while COVID-19 media studies examined various media forms including social media. Most studies used cross-sectional design and non-probability sampling. The review revealed inconclusive findings across studies. The study of mass trauma media effects on depression in children is complicated by a number of potential confounding factors and by the relatively high prevalence of depression in the general population. Media contact was a relatively minor consideration among other interests in the extant studies which failed to explore numerous issues that warrant attention in future research.
    MeSH term(s) COVID-19 ; Child ; Communication ; Cross-Sectional Studies ; Depression ; Humans ; Mass Media
    Language English
    Publishing date 2022-02-24
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 2055376-6
    ISSN 1535-1645 ; 1523-3812
    ISSN (online) 1535-1645
    ISSN 1523-3812
    DOI 10.1007/s11920-022-01328-1
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  7. Article ; Online: Neuropsychological Outcomes of Exposure to Hurricane Katrina and Relocation.

    Walling, Erin / Tucker, Phebe / Pfefferbaum, Betty / Nguyen, Christopher / Mistry, Amit

    Disaster medicine and public health preparedness

    2019  Volume 14, Issue 1, Page(s) 89–92

    Abstract: Objective: Survivors of natural disasters are at risk for mental health sequela, including deficits in neurocognitive functioning. This study explores links between hurricane exposure and resulting psychiatric symptoms and deficits in cognitive ... ...

    Abstract Objective: Survivors of natural disasters are at risk for mental health sequela, including deficits in neurocognitive functioning. This study explores links between hurricane exposure and resulting psychiatric symptoms and deficits in cognitive processing, attention, learning, and memory.
    Methods: Relocated Katrina survivors and demographically matched controls completed neurocognitive tests assessing processing speed (Trail Making Test, Part A), mental flexibility (Trail Making Test, Part B), sustained attention (Conner's Continuous Performance Test), and learning and memory (Rey Auditory-Verbal Learning Test). PTSD (Clinician-Administered PTSD Scale) and depressive symptoms (BDI- II) were also measured.
    Results: Survivors had more PTSD and depression symptoms and weaker performance in cognitive processing, mental flexibility, and sustained attention, but not memory and learning compared to controls. When controlling for depression and PTSD symptoms (analysis of covariances), only CPT-II response time remained significantly different for survivors, so that sustained attention deficits were independent of emotional symptoms.
    Conclusion: Survivors had more psychiatric symptoms and neurocognitive dysfunctions than controls in most assessed measures. Our study had mixed results in identifying cognitive deficits related to psychopathology. Results suggest that disaster survivors, even those without psychopathology, should be assessed for cognitive issues that may affect their ability to process post-disaster instructions and access assistance in recovery efforts.
    MeSH term(s) Adaptation, Psychological ; Adult ; Analysis of Variance ; Cyclonic Storms/statistics & numerical data ; Depression/epidemiology ; Depression/etiology ; Depression/psychology ; Female ; Humans ; Male ; Mental Disorders/epidemiology ; Mental Disorders/etiology ; Mental Disorders/psychology ; Middle Aged ; Neuropsychology/instrumentation ; Neuropsychology/methods ; Oklahoma/epidemiology ; Stress Disorders, Post-Traumatic/epidemiology ; Stress Disorders, Post-Traumatic/etiology ; Survivors/psychology ; Survivors/statistics & numerical data
    Language English
    Publishing date 2019-12-17
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2375268-3
    ISSN 1938-744X ; 1935-7893
    ISSN (online) 1938-744X
    ISSN 1935-7893
    DOI 10.1017/dmp.2019.110
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  8. Article ; Online: Children's Reactions to Media Coverage of War.

    Pfefferbaum, Betty / Tucker, Phebe / Varma, Vandana / Varma, Yogesh / Nitiéma, Pascal / Newman, Elana

    Current psychiatry reports

    2020  Volume 22, Issue 8, Page(s) 42

    Abstract: Purpose of review: This paper reviews research on the effects of contact with war media coverage on psychological outcomes in children.: Recent findings: Children's contact with media coverage of war is pervasive and is associated with numerous ... ...

    Abstract Purpose of review: This paper reviews research on the effects of contact with war media coverage on psychological outcomes in children.
    Recent findings: Children's contact with media coverage of war is pervasive and is associated with numerous outcomes and with their parents' reactions. Younger children are more affected by news stories with visual cues, while older children are more distressed by stories about actual threat. There is a strong theoretical basis for developmental influences on children's war media reactions, but the potential influence of other child factors (e.g., gender, socioeconomic disadvantage, prior trauma, culture, religious and political ideology) and aspects of coverage and the context of contact warrant additional attention. More research also is needed to explore differential effects of media coverage on children with different war exposures, the strategies children use to cope with coverage, and the mediating effects of parental involvement and intervention.
    MeSH term(s) Adaptation, Psychological ; Adolescent ; Child ; Family ; Humans ; Parents ; War Exposure
    Language English
    Publishing date 2020-06-13
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 2055376-6
    ISSN 1535-1645 ; 1523-3812
    ISSN (online) 1535-1645
    ISSN 1523-3812
    DOI 10.1007/s11920-020-01165-0
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  9. Article: Priapism: What cause: mental illness, psychotropic medications or poly-substance abuse?

    Khan, Qaiser S / Tucker, Phebe / Lokhande, Akshay

    The Journal of the Oklahoma State Medical Association

    2016  Volume 109, Issue 11, Page(s) 515–517

    Abstract: We present a case of priapism in a homeless patient with a psychiatric history of major depression, PTSD, polysubstance abuse (alcohol and cocaine) and past psychotropic medication use who was admitted to a local hospital for suicidal ideation. Priapism ... ...

    Abstract We present a case of priapism in a homeless patient with a psychiatric history of major depression, PTSD, polysubstance abuse (alcohol and cocaine) and past psychotropic medication use who was admitted to a local hospital for suicidal ideation. Priapism is a serious urological and a medical emergency which has often been associated with psychotropic medications (including the antidepressant trazodone), use of marijuana and alcohol, and other factors. This clinical case highlights the additive risks of medications and comorbid conditions in contributing to onset of priapism, emphasizing the importance of any pre-existing medical illness, diagnoses, and comorbid mental illnesses. Moreover, clinicians should consider potential side effects of all medications used and their drug interactions as they manage patients who develop this condition.
    MeSH term(s) Adrenergic alpha-1 Receptor Antagonists/therapeutic use ; Depressive Disorder, Major/complications ; Depressive Disorder, Major/drug therapy ; Hepatitis C/complications ; Humans ; Male ; Middle Aged ; Phenylephrine/therapeutic use ; Phosphodiesterase 5 Inhibitors/adverse effects ; Priapism/chemically induced ; Priapism/drug therapy ; Prostatic Hyperplasia/complications ; Prostatic Hyperplasia/drug therapy ; Serotonin Uptake Inhibitors/adverse effects ; Sildenafil Citrate/adverse effects ; Sleep Initiation and Maintenance Disorders/complications ; Sleep Initiation and Maintenance Disorders/drug therapy ; Substance-Related Disorders/complications ; Sulfonamides/therapeutic use ; Trazodone/adverse effects ; Vasoconstrictor Agents/therapeutic use
    Chemical Substances Adrenergic alpha-1 Receptor Antagonists ; Phosphodiesterase 5 Inhibitors ; Serotonin Uptake Inhibitors ; Sulfonamides ; Vasoconstrictor Agents ; Phenylephrine (1WS297W6MV) ; Sildenafil Citrate (BW9B0ZE037) ; tamsulosin (G3P28OML5I) ; Trazodone (YBK48BXK30)
    Language English
    Publishing date 2016
    Publishing country United States
    Document type Case Reports ; Journal Article
    ZDB-ID 131027-6
    ISSN 0030-1876
    ISSN 0030-1876
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  10. Article: Associations of biological stress markers in hurricane survivors: Heartrate variability, Interleukin-2 and Interleukin-6 in depression and PTSD.

    Tucker, Phebe / Pfefferbaum, Betty / Zhao, Yan D / Johnston, Sarah E / Mistry, Amit / Khan, Qaiser S

    American journal of disaster medicine

    2019  Volume 13, Issue 4, Page(s) 267–278

    Abstract: Objective: Inflammatory and immunologic cytokines and vagal activity have important roles in health and mental health, and may influence each other. The authors assessed relationships of representative biomarkers linked to disaster exposure-heart rate ... ...

    Abstract Objective: Inflammatory and immunologic cytokines and vagal activity have important roles in health and mental health, and may influence each other. The authors assessed relationships of representative biomarkers linked to disaster exposure-heart rate variability (HRV) with Interleukin-2 (IL-2, cell-medicated immunity) and Interleukin-6 (IL-6, pro-inflammatory and pro-immunologic), stratified by psychiatric diagnosis.
    Design: Participants were assessed for psychiatric diagnosis, IL-2, IL-6, HRV, and HR reactivity to trauma reminders.
    Setting: Outpatient university psychiatry clinics in Oklahoma City and Tulsa.
    Participants: Relocated Katrina survivors and demographically matched controls, not on psychiatric, cardiovascular, or inflammatory medications.
    Main outcome measures: SCID-IV, baseline serum IL-2 and IL-6, HRV through power spectral analysis.
    Results: Survivors had higher sympathetic and lower parasympathetic activity at baseline and lower parasympathetic HR reactivity than controls, with flattened parasympathetic reactivity in the presence of depression and of post-traumatic stress disorder (PTSD). Survivors' IL-2 and IL-6 did not differ from controls and did not differ in PTSD or depression. Depressed survivors' sympathetic reactivity correlated negatively with IL-2 and parasympathetic reactivity correlated positively with IL-2.
    Conclusions: HRV differed after hurricane exposure and with survivors& depression and/or PTSD, more sensitively capturing somatic sequelae than assessed cytokines. Higher sympathetic HR reactivity associated with lower immuno-logic IL-2 may indicate a double biological "hit" in depressed disaster survivors, possibly rendering them more vulnerable to cardiovascular and immunologic illness as well as depression. Associations of HRV with IL-2 may support reciprocal influences of cytokines and vagal activity. Lack of significant correlations of IL-6 with HRV measures is consistent with its pleiotropic role.
    MeSH term(s) Biomarkers/blood ; Cyclonic Storms ; Depression/blood ; Depression/diagnosis ; Depression/immunology ; Depression/psychology ; Heart Rate/physiology ; Humans ; Interleukin-2/blood ; Interleukin-2/immunology ; Interleukin-6/blood ; Interleukin-6/immunology ; Stress Disorders, Post-Traumatic/blood ; Stress Disorders, Post-Traumatic/diagnosis ; Stress Disorders, Post-Traumatic/immunology ; Stress Disorders, Post-Traumatic/psychology ; Survivors/psychology
    Chemical Substances Biomarkers ; IL2 protein, human ; IL6 protein, human ; Interleukin-2 ; Interleukin-6
    Language English
    Publishing date 2019-03-01
    Publishing country United States
    Document type Journal Article
    ISSN 1932-149X
    ISSN 1932-149X
    DOI 10.5055/ajdm.2018.0306
    Database MEDical Literature Analysis and Retrieval System OnLINE

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