Publications by authors named "Estrella V Thomas"

Purpose/objective: Individuals with a spinal cord injury (SCI) may experience posttraumatic stress disorder (PTSD) at a higher rate, which is associated with worse psychiatric comorbidity, decreased quality of life, and greater disability. Yet, effective PTSD interventions remain understudied for individuals with SCI. We conducted the first randomized controlled trial (RCT) of an evidence-based psychotherapy (prolonged exposure [PE]) with survivors of SCI during acute rehabilitation.

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Article Synopsis
  • The National Spinal Cord Injury Statistical Center reports that around 294,000 people in the US live with spinal cord injuries (SCI), with about 17,810 new cases each year.
  • Although the physical effects of SCI are well-studied, the psychological impacts, particularly PTSD, are not well understood, with estimates suggesting up to 60% of those with SCI may experience PTSD, compared to 7% in the general population.
  • A new study will test the effectiveness of prolonged exposure therapy (PE) for treating PTSD in adults with SCI, comparing it to standard rehabilitation care, with outcomes measured at several time points after the treatment.
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Pelvic injuries often result from high-energy trauma and lead to significant functional impairment. While the physical outcomes of these injuries have been widely studied, the psychological consequences remain largely unexplored. The purpose of this study was to examine psychosocial and functional outcomes of patients with pelvic trauma in the year after injury.

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This is the first study to compare both physical and psychological outcomes in geriatric and non-geriatric patients (= 268) at baseline and 6 months post-trauma. Demographic, clinical, and psychological data, including screens for alcohol use, depressive symptoms, and post-traumatic stress symptoms (PTSS) were collected from 67 geriatric patients (70.7 ± 8.

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