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HEALTH TIPS - 09/14/01

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WHEN DISASTER STRIKES

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> In the midst of a tragedy, it's easy to become over-

> whelmed by rumors and mass hysteria, but common sense

> and a calm approach will do more good, say experts at

> the American Psychiatric Association. Many people sur-

> vive disasters without significant psychological prob-

> lems, although not surprisingly, the more devastating

> and terrifying the trauma, the more likely psychiatric

> symptoms become. A lack of warning about the event,

> injury during the trauma, the death of a loved one,

> and the possibility of recurrence all contribute to

> symptom severity. In general, the psychiatrists recom-

> mend acting on facts rather than fear or speculation;

> keeping abreast of new developments; staying away from

> public areas and public transportation; and of course,

> consulting a mental health professional to help cope

> with the persistent flashbacks or nightmares that

> traumas often produce. Depression, irritability, and

> sleep disorders are other symptoms to watch for and

> are signs that you should seek professional help.

>

>

HELPING CHILDREN AFTER A TRAGEDY

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> Children often take their cues from the way their parents

> respond to situations, and reacting to a disaster is no

> exception. The American Academy of Child and Adolescent

> Psychiatry urges parents to admit their concerns to

> their children and not to minimize any danger, but also

> to stress their abilities to cope with the situation. A

> child's reaction also depends on how much destruction

> and/or death he or she sees during and after the dis-

> aster. If a friend or family member has been injured or

> killed, or if the child's school or home has been

> severely damaged, there is a greater chance the child

> will experience problems. The AACAP warns parents to

> watch for changes in a child's behavior, such as refusal

> to go to school; clinging to one or both parents; persis-

> tent fears related to the event, such as fears of being

> permanently separated from the family; sleep disturb-

> ances such as nightmares and bedwetting; physical com-

> plaints such as headache or stomachache, that have no

> apparent physical cause; and irritability or loss of

> concentration. Any of these warrant counseling.

>

>

TRAUMA RAISES SUICIDE RISK

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> You don't have to develop full-blown posttraumatic

> stress disorder after a tragedy to have a higher risk

> of suicide, say the authors of a study in the current

> issue of the American Journal of Psychiatry. Lead

> investigator Randall Marshall, MD, of the New York

> State Psychiatric Institute, and his colleagues sug-

> gest that the number of Americans who may be impaired

> by traumatic events may be much greater than previous-

> ly realized, because most estimates are based only on

> those people who meet all the criteria for PTSD. They

> also found that the presence of other disorders is

> common in people with subthreshold PTSD, and is an

> important factor in understanding the impairment

> caused by partial PTSD. In these people, the presence

> of PTSD symptoms significantly raised the risk of

> suicidal thoughts. The American Psychiatric Associa-

> tion estimates that 10% of the American population

> has suffered from PTSD at some point in their lives.

>

>

EXERCISE HELPS CHILDREN WITH BURN INJURIES

>

> Standard occupational and rehabilitation therapy programs

> do not reverse the significant and prolonged skeletal

> muscle loss and weakness often seen with burn injuries,

> say investigators at the University of Texas Medical

> Branch and Shriners Hospitals for Children. Researchers

> there assessed changes in leg muscle strength and lean

> body mass in children who suffered severe burns over

> more than 40% of their body surface area. The patients

> were randomly placed in either a 12-week standard hos-

> pital physical rehabilitation program, supplemented

> with an exercise-training program, or in a home-based

> rehab program without exercise. Participation in the

> resistance exercise program resulted in a significant

> improvement in muscle strength, power, and lean body

> mass compared to the standard rehab program without

> exercise, the investigators said.

>

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> END OF HEALTH TIPS

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