Journal Articles

Permanent URI for this collectionhttps://mro.massey.ac.nz/handle/10179/7915

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    Psychological impacts and self-management by responders to emergency and disaster events involving animals: findings from a cross-sectional international survey
    (Taylor and Francis Group on behalf of the New Zealand Veterinary Association, 2025-10-01) De Grey SJ; Riley CB; Thompson KR; Squance HE; Cogger N
    Aims: To examine the self-reported psychological impacts for professional and volunteer responders associated with attending animal-related emergencies and disasters, focusing on their experience and self-reported management. Methods: An online survey of professional and volunteer responders to animal-related emergencies was shared via social media and international response organisations. Questions addressed demographic, training and event-related factors, perceptions of effects on well-being and post-event management recovery techniques. A particular event was recalled in free-text, and respondents indicated how they had been affected using free-text reflection and Likert scale assessment. The revised Impact of Event Scale (IES-R) was used to identify evidence of possible post-traumatic stress disorder (PTSD). Factors associated with the self-assessed binary outcome of compromised mental well-being (yes or no) were evaluated using single-predictor and multivariable logistic regression. Results: Of 227 responses deemed sufficiently complete for analysis, participants’ rescue experience ranged from 1–60 years; 67% identified as female. Most respondents (57%; 129/227) reported that the incident described affected their mental well-being. A multivariable model found female responders more likely than males to report compromised well-being (OR = 2.37, 95% CI = 1.25–4.57; p = 0.009). The presence of an animal injury (OR = 2.84, 95% CI = 1.44–5.75; p = 0.003), injuries to a member of the public (OR = 3.73, 95% CI = 1.68–8.99; p = 0.002), or a team member (OR = 8.65 95% CI 2.25–57.67; p = 0.006), increased the odds of self-reported adverse mental health outcomes. Six per cent (13/227) of respondents had an IES-R score for which partial PTSD may be a clinical concern, and 3% (7/227) had a score indicative of possible PTSD, including four with a score that has been associated with PTSD and long-term health consequences. Of those who tried well-being support techniques, 95% (187/197) ranked talking with friends, family or teammates as effective. Debriefing with the team or mentor was also effective (95%; 187/197). Socialising was effective for 88% (119/135), and mindfulness or meditation for 87% (91/105). Conclusion and clinical relevance: Responders to emergencies involving animals are at risk of psychological trauma associated with these events, potentially leading to the compromise of mental well-being. Psychosocial supports self-identified as helpful for recovery include talking with others, socialising, physical or recreational activity, debriefing, and mindfulness or meditation, but their effectiveness requires objective evaluation so that education on mitigation and recovery strategies is well-informed.
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    Patterns of post-traumatic stress symptoms in mild traumatic brain injury and their relationship with outcomes: a latent profile analysis.
    (Taylor and Francis Group, 2023-06-23) Faulkner JW; Snell DL; Theadom A; de Terte I; Low R
    INTRODUCTION: Post-traumatic stress symptoms (PTSS) are known to contribute to postconcussion symptoms and functional status following mild traumatic brain injury (mTBI). Identifying symptom cluster profiles provide an opportunity to better understand PTSS and their influence on these outcomes. In this study, latent profiles of PTSS following mTBI were identified, and their association with mTBI outcomes was examined. The predictive role of demographic and injury related variables on profile membership was also explored. METHOD: Adults (N = 252) completed self report measures of PTSS and mTBI outcomes (post-concussion symptoms and functional status) within three months of mTBI. These measures were re-administered six months later (N = 187). Latent profile analysis (LPA) was used to ascertain the latent class structure of PTSS, and regression analysis to examine predictors of profiles. ANCOVA, with general psychological distress as a covariate, revealed the relationship between profiles and mTBI outcomes. RESULTS: LPA identified a four-profile model to best describe PTSS at baseline. This included a resilient (49.6%), moderate (30.6%), moderate with high intrusion/avoidance (14.3%) and a highly symptomatic profile (5.6%). A secondary school education or less and/or unemployment before mTBI was significantly more likely in the highly symptomatic profile, as well as sustaining an mTBI due to an assault or motor vehicle accident. PTSS latent class membership was significantly associated with mTBI outcomes even when controlling for general psychological distress. The resilient group had significantly better outcomes at baseline and six-month follow-up. However, no significant differences in mTBI outcomes emerged between the moderate, moderate with high intrusion/avoidance and the highly symptomatic profiles. CONCLUSION: The current study provides novel information on the symptom profiles of PTSS in mTBI, predictors of profile membership and their relationship with mTBI outcomes. Although future research using this approach is needed, the current study offers a more in-depth understanding of PTSS in mTBI to inform clinical care.
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    Health Care Services Utilization and Health-Related Quality of Life of Syrian Refugees with Post-Traumatic Stress Symptoms in Germany (the Sanadak Trial)
    (MDPI (Basel, Switzerland), 2021-04-01) Grochtdreis T; Röhr S; Jung FU; Nagl M; Renner A; Kersting A; Riedel-Heller SG; König H-H; Dams J
    Refugees who have fled from the ongoing civil war in Syria that arrived in Germany often develop post-traumatic stress symptoms (PTSS). The aim of this study was to determine health care services utilization (HCSU), health care costs and health-related quality of life (HrQoL) of Syrian refugees with mild to moderate PTSS without current treatment in Germany. The study was based on the baseline sample of a randomized controlled trial of a self-help app for Syrian refugees with PTSS (n = 133). HCSU and HrQoL based on the EQ-5D-5L and its visual analogue scale (EQ-VAS) were assessed with standardized interviews. Annual health care costs were calculated using extrapolated four-month HCSU and standardized unit costs. Associations between health care costs, HrQoL and PTSS severity were examined using generalized linear models. Overall, 85.0% of the sample utilized health care services within four months. The mean total annual health care costs were EUR 1920 per person. PTSS severity was not associated with health care costs. The EQ-5D-5L index score and the EQ-VAS score was 0.82 and 73.6, respectively. For Syrian refugees with higher PTSS severity, the EQ-5D-5L index score was lower (−0.17; p < 0.001). The HCSU and the resulting health care costs of Syrian refugees with mild to moderate PTSS without current treatment are low and those with a higher PTSS severity had a lower HrQoL.